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Neoplasm
- is a "new growth" composed of cells...
- originally derived from normal tissuesthat have undergone heritable genetic changes allowing them to become
- relatively unresponsive to normal growth controls and to
- expand beyond their normal anatomic boundaries
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2 basic categories of neoplasms
- Epithelial neoplasms
- Mesenchymal neoplasms
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Mesenchymal neoplasms branch into...
- Benign tissue: tissue-oma
- and mallignant: tissue-sarcoma
- Fat: lipoma, liposarcoma
- Bone: osteoma, osteosarcoma, etc
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5 basic epithelium types
- Stratified squamous - skin
- Transitional - bladder, urethra, ureter
- Simple squamous - alveolar, blood vessels
- Simple columnar or cuboidal - GIT
- Psuedostratified columnar with cilia and goblet cells - trachea, nasal passage, bronchi
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Non-secretory, non absorptive "lining" epithelium
Stratified squamous and transitional
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Secretory and/or absorptive epithelium
Simple squmaous, simple columnar or cuboidal, and psuedostratified columnar with cilia and goblet cells
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Benign, non-glandular/non secretory
Type of epithelium + papilloma
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Malignant, non-glandular/non secretory
Type of epithelium + carcinoma
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Malignant, glandular/seretory
organ + adenocarcinoma
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Benign, glandular/secretory
Organ + adenoma
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Epithelial neoplasms (4)
- Benign, non glandular/non secretory
- Malignant, non glandular/non secretory
- Benigan, glandular/secretory
- Malignant, glandular/secretory
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Neural crest cells give raise to
- nervous system
- melanocytes
- the adrenal medulla
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Melanocytic neoplasms
- Benign: benign melanoma or melanocytoma
- Malignant: malignant melanoma
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Adrenal medullary neoplasms
- Pheochromocytoma
- Benign: pheochromocytoma
- Malignant: malignant pheochromocytoma
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Epithelia that produce mesenchymal neoplasms
- Lining of:
- blood and lymphatic vessels
- serous cavities: peritoneum, pericardium, pleura
- joints
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Round cells
- Bone marrow derived migratory cells:
- lymphocytes
- plasma cells (pregnant B lymphocytes)
- mast cells
- histiocytes (macrophages and dendritic cells)
- They're called round cause they're round!
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Lyphocyte
Lymphoma or lymphosarcoma
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Plasma cell
Plasma cell tumor
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Mast cell
Mast cell tumor
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Macrophage and dendritic cells
Histiocytic tumore
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Teratomas
- common in gonads
- Tumors that contain ecto-, meso- and endodermal elements all of which are neoplastic
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blastomas
- Tumors of embryonic cells
- Since embryonic cells are stem cells, these tumors can form various tissue components
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Non-neoplasia
- Hematoma
- Choristoma
- Hamartoma
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Choristoma
Normal tissue in an abnormal location (hair growing from the tongue or cornea)
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Hamartoma
A tumor-like malformation composed of tissue elements normally found at that site, but which are growing in a disorganized mass
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Benign
- No metastasis
- Slow, progressive expansion, rare mitotic figures, normal-appearing mitotic figures
- No invasion, cohesive and expansile growth, capsule often present
- Well differentiated appearance, structure similar to tissue or origin, little to no anaplasia
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Malignant
- Frequent metastasis
- Slow-to-rapid growth, erratic growth rate; mitotic figures often numerous; mitotic figures sometimes abnormal
- Local invasion, infiltrative growth, usually no capsule
- Usually some lack of differentiation, structure often atypical, variable degree of anaplasia
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Metastasis
- change of place
- Benign neoplasms DO NOT metastasize
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Mitotic figures
- Are evidence of cell division
- In general, the more there are, and the more bizarre they look, the more chance the neoplasm is malignant
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Differentiation
- Well-differentiated: tumor cells are more variable in appearance then ones that it arose from, but still recognizable.
- Poorly-differentiated: tumor cells are less easily recognized
- Anaplastic: tumor cells have no resemblance to anything
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Anaplastic
Tumore cells bear no resemblance to anything. Their cell of origin cannot easily be determined.
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