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New abnormal growth. Either benign or malignant |
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New abnormal growth either benign or malignant |
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"Relatively innocent " Localized |
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Cancer Can spread far and wide |
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Loss of responsiveness to normal controls Behave as a parasite Can change shape and grow |
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| 3 categories of malignant tumors |
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Sarcoma - connective tissue Carcinoma - epithelial lymphoma and leukemia - WBC |
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| Cancer of Connective tissue origin |
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| Cancer with Epithelial origin |
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| Proliferate in blood stream and bone marrow |
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Risk factors of cancer ***** |
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Genitics virus Bacteria Diet Tobacco Alcohol |
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Turning "on" genes that should be "off" causing cells to divide Ex. HGH, apoptosis,DNA repair |
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| Genes that lead to growth |
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| Genes that stop excessive cell growth |
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| "Proof reading" oncogenes |
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| Genes that code for DNA errors repair enzymes |
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| 1/2+ have mutation of this gene have cancer |
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| An enzyme that can build the telomer back up |
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| Normal cap on DNA at the end of a chromosome |
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| Process where a normal cell becomes a tumor |
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| Mutate to become malignant |
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| Tumors get _____ not _____ |
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| As the cell gets more specialized the more genes get turned off |
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| 3 types of Anaplastic cells |
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Ectoderm - skin/nervous Mesoderm- bone/muscle endoderm- organs |
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Differentiation: benign tumors ***** |
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May produce functional hormones Well differentiated closely resemble normal cells |
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| Differentiation: Malignant tumors |
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| Range from well differentiated to totally undifferentiated |
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Loss of uniformity lose basic architiecture May be reversible PRE-CANCEROUS |
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| Define: Carcinoma in situ |
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Have not broken through the basement membrane pre-invasive 100% CANCER |
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| Benign and Malignant tumors differ in 4 ways |
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Differentiation rate of growth Local invasion - M only metastasis -M only |
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| Cells show marked variation in size and shape |
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Very colorful and large Vary in size and shape (dark color) No recognizable patterns |
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| The more anaplastic the tumor..... |
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| The less likely it is to show functional activity |
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| In order to continue growing Malignant tumors need |
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| When a tumor does not get blood it dies generally in the center |
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| Formality ion of new blood vessels |
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| Tumors cant grow past _____mm without blood supply |
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| Places angiogenesis occurs |
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Uterus wound healing Tumors |
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Cell growth cycle G0 vs. G1-S-G2-M |
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G0 is a cell at rest and not reproducing
Others are "pregnant" |
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Double more often not more rapidly Less time between pregnancys |
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| Percent of cells "pregnant" at once |
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Replicating or "pregnant"
Whether its cancer or normal cells |
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Ralemain localized Can NOT invade or spread Fibrous capsule |
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| Can both benign and malignant tumors cause problems |
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| Yes hormones production and pressure |
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| Ways malignant tumors invade |
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Lytic enzymes Finger like projections that take the path of least resistance don't need to stick to other cells |
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| Ways tumors differ from regular cells |
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Biochemical differences Require less oxygen Don't have all the enzymes and protines |
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1 Shedding/release 2 transport 3 three s's (stop,stick,start to grow) |
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| Metastasis spreds in 3 ways |
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1 seeding 2 lymphatic 3 hematogenous |
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| Can skip down the line of lymph nodes |
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Travels in blood Typical in sarcomas |
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| Effects of tumors on host depends on |
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Location and shape Hormone production Ulceration |
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Wasting away Weakness and loosing weight |
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Tumor produces hormones mimics PTH
Too much calcium |
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| Over activates adrenal cortex |
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T0 - no tumor T1 - <2cm T2 - 2-5cm T3 - beyond organ |
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N0 - no nodes invooved N1 - adjacent nodes N2 - distant nodes |
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M0 - no metastasis M1 - metastasis present |
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Mortality = death Morbidity = # of cases |
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