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Oncology Test 1
Legendre, Newman, Smrkovski, Fry, Bohling
31
Veterinary Medicine
Professional
02/05/2012

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
Who has a higher rate of cancer: dogs, cats, or humans?
Definition
  • Dog (1,110:100,000 per year)
    • 40% malignant
  • Cats are fewer but most are malignant (70-80%)
Term
What are 5 general cancer treatment options?
Definition
  1. Sharp surgery
  2. Cryotherapy
  3. Radiation therapy
    • External beam
    • Radioisotope
    • Radioactive implants
  4. Chemotherapy
  5. Immunotherapy
Term
What are 5 mechanisms of carcinogenesis?
Definition
  1. Tumor initiating- DNA altering genome
  2. One or more promotional events that develop the mass
  3. Mutations (usually p53)- affects cell division
  4. Apoptosis signaling
  5. Failure in immune surveillance mechanisms
Term
Cancer is not one disease.  What are 5 factors that contribute to cancer?
Definition
  1. Breed predisposition
  2. Infectious causes
  3. Environmental factors
  4. Chronic inflammation or infection
  5. Behavioral factors
Term
What are 3 general risk factors for neoplasia?
Definition
  1. Age
  2. Heredity/Breed
  3. Sex/Reproductive status
Term
How is age a risk factor for neoplasia?
Definition
  • Most frequent in latter 1/3 of life
    • Accumulations of mutations over time, diminishe immune system, lag time between initial transformation & clinical detection
Term
How is sex/reproductive status a risk factor of neoplasia?
Definition
  • Females (esp. older, intact) have a higher incidence of tumors than males due to high incidence of mammary tumors
  • Intact male dogs have a higher incidence of perianal gland tumors (related to testosterone stimulation)
Term
Define neoplasia.
Definition
  • An abnormal growth that exceeds & is uncoordinated with that of normal tissue (serves no useful function) & persists without stimulation
  • Cells free of normal growth control mechanisms and persists after cessation of the evoking stimulus
Term
Define tumor.
Definition
  • Any type of localized swelling
Term
Define cancer.
Definition
  • Synonymous with malignant neoplasia
Term
Define oncology.
Definition
  • Study of neoplasia (oncos= tumor)
Term
Define oncogenesis.
Definition
  • Induction of neoplasia
Term
What are the 2 basic classifications of neoplasia?
Definition
  1. Epithelial origin (oma vs. carcinoma)
  2. Mesenchymal origin (oma vs. sarcoma)
    • Spindle
    • Round
Term
What are 12 differentiating morphological features of a benign neoplasm?
Definition
  1. Encapsulated or circumscribed
  2. Grow by expansion
  3. Slow rate of growth
  4. No metastases
  5. Well differentiated
  6. Low mitotic index
  7. Nuclear uniformity
  8. nucleoli normal
  9. Normal chromatin content
  10. Cells polarized
  11. Necrosis uncommon
  12. Hemorrhage uncommon
Term
What are 12 differentiating morphological features of a malignant neoplasm?
Definition
  1. Non-encapsulated
  2. Grow by expansion and invasion
  3. Rapid rate of growth
  4. Metastases frequent
  5. Undifferentiated or anaplastic
  6. Increased mitotic index
  7. Nuclear pleomorphism
  8. Nucleoli prominent
  9. Increased nuclear/cytoplasmic ratio
  10. Cellular disorientation
  11. Necrosis common
  12. Hemorrhage uncommon
Term
What are the 3 morphological hallmarks of malignancy?
Definition
  1. Invasion
  2. Metastases
  3. Anaplasia
Term
What 2 factors determine growth rate of a tumor?
Definition
  1. Number of cells within the proliferating pool
  2. Rate of cell death (highly variable)
  • *** REMEMBER: high mitotic rate alone is not indicative of malignancy.  It onlyo determines the degree of proliferative activity of neoplastic cells! ***

 

Term
What is the single most important criterion of malignancy?
Definition
  • Metastasis
Term
What are 3 mechanisms of neoplastic spread?
Definition
  1. Expansion
  2. Local invasion/infiltration
  3. Metastasis
Term
How do tumors spread through expansion?
Definition
  • Usually a benign form of growth
  • Slowly compressive (so it can compensate)
  • Can be life threatening if it occurs in a confined space (i.e. brain tumors)
Term
How do tumors spread through invasion/infiltration?
Definition
  • Malignant tumors posses the ability to invade & destroy the surrounding normal tissue
  • Not well circumscribed
  • Typical of sarcomas
  • Can be life-threatening if large & not easily resectable
Term
What is metastasis?
Definition
  • Spread of neoplastic cells from a primary site to other body organs or tissues
  • 3 methods:
    1. Dissemination via lymphatic vessels
    2. Dissemination via blood vessels
    3. Implantation or seeding- esp. serosal surface (least common)
Term
What is the most common pathway of spread for carcinomas?
Definition
  • Lymphatic spread
    • Metastasis usually develops first in regional lymph nodes (follows natural lymphatic drainage route from primary site)
Term
What is skip metastasis?
Definition
  • When local regional lymph nodes are bypassed & metastases occur further away
Term
What is the most common pathway for sarcomas to spread?
Definition
  • Hematogenous spread
    • Most neoplastic emboli stop in the first downstream capillary bed
    • Organ tropism also plays a factor in metastatic sites
Term
What is organ tropism?
Definition
  • Factors that enhance the ability of metastases to grow that may be absent in filtering fields
  • Ex: oxygen tension, basement membrane type, extracellular matrix, bound ligands or receptors, or local chemokine concentrations
Term

How can neoplasis metastasize through implantation?

 

Definition
  • Involves individualization of cells that arise within or penetrate a body cavity
    • Separate from primary neoplasia --> float within body cavity (requires fluid) --> attach at a distant site with in the cavity --> neoplastic cells proliferate
Term
How do neoplastic cells home to target organs?
Definition
  1. Anatomic factors
  2. Selectivity
    • Adhesion molecules/cell surface feceptors
Term
What are the 2 selectivity theories of metastasis?
Definition
  1. Fertile Soil Theory
    • Suitable soil (favored sites) is due to the prescence of specific growth factors or lack of growth inhibiting factors in the target organs
  2. Mechanical Theory
    • Grows wherever it lodges
    • Mechanical factors & chance influence success
Term
What are 5 factors that influence tumor progression?
Definition
  1. Growth rate
  2. Invasiveness
  3. Metastatic capability
  4. Hormonal responsiveness
  5. Resistance to chemotherapeutic agents
  • Tumor cells are genetically unstable & multiple mutations accumulate, resulting in a more malignant subpopulation
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