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UNMC Patho 2 - Exam 1 (1)

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UNMC Patho 2 - Exam 1 (1)

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  • June 11, 2024
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  • 2023/2024
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UNMC Patho 2 - Exam 1
Neoplasm - ANS-"new growth" tumor

neoplasm Does not obey laws - ANS-of normal cell growth

neoplasm continue to grow - ANS-at the expense of the host

cancer cells exhibit "autonomy" - ANS-independence from normal cellular controls

Cancer cells are also "anaplasia" - ANS-loss of differentiation or specialization

Benign - ANS-are NOT called "cancer" - tissue of orgin + "oma" ex benign tumor of fat
cells = LIPOMA

Malignant - ANS-cancer Mal=bad are usually named

cell differentiation - ANS-the normal process of developing specialized functions and
organization

undifferentiated, or poorly differentiated - ANS-malignant cells grade tumors by
differentiated

genetic basis of cancer - ANS-cancer is caused by mutations in genes

genetic events - ANS-are the primary basis of carcinogenesis

Inherited - ANS-when the genetic events occur in germ cells then of course can be
transmitted to future generations

Mutations occur in - ANS-germ cells (gametes) and then becomes inherited as the allele
is passed on

Non-inherited - ANS-when the genetic events occur in somatic cells occur in somatic
cells (as cells divide over a person's lifetime

Cancer incidence increases with - ANS-age - age is the biggest risk factor for cancer

oncogen - ANS-mutant gene that promotes cancer cell growth

, tumor suppressor gene - ANS-normally regulates (slows down proliferation)

Proto-oncogene - ANS-an oncogene in its normal non-mutant sate

point mutations - ANS-small DNA changes usually alteration of one or a few base pairs
- remember adenine-thymine and cytosine-guanine

Chromosome translocations - ANS-break occurs in 2 chromosome and genetic material
is exchanged
A. the translocation of the genetic material causes excess production of factors that lead
to cell proliferation the translocation leads to production of new
B. Proteins that have growth promoting properties

Chromosome amplifications - ANS-repeated duplication of a small piece of a
chromosome
this usually leads to increased expression of an oncogene

Viral and bacterial causes of cancer - ANS-cause-effect is difficult to determine in
humans
many associations have been established
viral: HBV -Hep B, HCV-Hep C, Herpes - lymphomes, HPV gential warts and cervical
cancer, Bacteria - H. pylori

Environmental Chemical cancer agents - ANS-cigarette smoke, insecticides, asbestos

Environmental Physical cancer agents - ANS-ultraviolet light, radiation

Environmental Viral cancer agents - ANS-HBV, HCV, Herpes, HPV

Personal behaviors that cause cancer - ANS-Tobacco use, diet (increased fat, low
fiber), Sexual reproductive (# of sex partners), Alcohol (liver cancer), Hormones (oral
contraceptive, hormone replacement)

Grade I: Well differentiated - ANS-tumor closely resembles tissue of origin and thus
retains some specialized functions

Grade II: Moderately differentiated - ANS-tumor has less resemblance to tissue of
origin; more variation in size and shape of tumor cells; increased mitoses

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