MICROBIO 160 Lecture Notes - Lecture 17: Lumpectomy, Metastasis, Breast Ultrasound

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23 Mar 2018

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MICROBIO 160 Full Course Notes

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The term early breast cancer refers to stages of breast cancer labeled 0, Stage 0 : abnormal or cancer cells are present in either lining of a breast lobule or a duct , but they have not spread to the surrounding fatty tissue. This stage is also called the lobular carcinoma in situ (lcis), or ductal carcinoma in situ (dcis). Stage i : cancer has spread from the lobules or ducts to nearby tissue in the breast. At this stage and beyond, breast cancer is considered to be invasive. The tumor is 2 cm or less in diameter (approximately 1 inch or less); cancer has not spread to the lymph nodes . Stage ii : in this stage, the tumor can range from about 2 cm to less than 5 cm in diameter (approximately 1 to 2 inches); sometimes lymph nodes may not be involved.

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The Case of the Aging Surfer

Seth, a thirty-eight year-old white male of Scandinavian descent, has lived his entire life in Southern Florida. He is very concerned with maintaining a "healthy" appearance. Seth is very athletic and especially enjoys surfing. He has been surfing since the age of twelve and he started making surfboards while he was in high school. After obtaining a college degree in marketing Seth decided to start his own business making surfboards and giving surfing lessons for a local resort near his home. During a routine physical examination the physician assistant that Seth sees commented on the presence and appearance of a small growth (approximately 2-cm in diameter) above Seth's right eyebrow. This growth was shiny with a pearly border, a central ulcer and engorged surface blood vessels. The physician assistant was concerned that this might be a tumor and asked Seth a number of questions to aid in the diagnosis. Seth reported that he noticed this growth approximately six months ago but thought nothing about it since he often developed "pimples" when he was working on surfboards because of the heat and dust. Seth noticed that the growth would occasionally bleed, but he thought the bleeding most often occurred when he absently scratched above his eyebrows when he was working. Seth also reported that after bleeding the growth would "crust over" and appear to heal, but not disappear. Seth also thinks the lesion has increased in size, but he can't be certain.

The physician assistant asks Seth to come back in two days to visit with the attending physician and encourages Seth to be sure to use sunscreen whenever possible, especially when he is surfing or teaching surfing classes. Upon returning to see the physician, Seth is told that he probably has a basal cell carcinoma. This, the physician explains, is a cancer that while not benign, rarely metastasizes and grows very slowly. This type of cancer usually occurs in areas that have the greatest exposure to the sun (i.e. the face, head, and neck). While this cancer would probably not metastasize, the physician suggests surgical removal to minimize damage to any underlying tissues and a histological examination of the excised tissue to confirm the diagnosis.

Seth is concerned that if this is indeed cancer he will have to undergo radiation and/or chemotherapy and suffer from both hair loss and nausea like his mother did when she was being treated for breast cancer 10 years ago. The physician assures Seth that these treatments are not required for basal cell carcinoma and explains that this cancer usually remains localized to the specific area of the skin and does not usually spread to other tissues, so radiation and chemotherapy would not be necessary. Seth then asks why it is necessary to remove the tumor if it will not spread and is told that while the tumor does not spread to other body areas it will continue to grow and also invade deeper layers of the skin, such as the dermis, and destroy normal tissues. Seth agrees to the procedure and schedules a follow-up appointment to discuss the results of the biopsy the following week. At the follow-up appointment, Seth is told that the lesion was indeed a basal cell carcinoma. He is told that it will be important for him to try to use both sunscreens, specifically those containing para-aminobenzoic acid or PABA, and protective clothing as much as possible to minimize the effects of the ultraviolet (UV) rays of the sunlight. Seth is also told that while he should not be overly concerned, he should also pay close attention for similar lesions in the future, since a person with a single basal cell carcinoma is likely to develop additional basal cell carcinomas in the future.

http://emedicine.com/derm/topic47.htm

http://www.skincancer.org

The Case of the Aging Surfer:

Define the bold terms in the text.

How are benign and malignant tumors similar and different from each other?

Identify and briefly describe the three most common types of skin cancer and the risk to individuals who have developed each of them.

What are oncogenes and how are they believed to be related to cancer?.

Identify both the primary risk factors that Seth presents with and other risk factors that may or may not relate to Seth's case.

The procedure that Seth experiences is called the Mohs Surgery. What does it involve?

How do chemotherapy and radiation therapy act as treatments for cancer?

8) Explain why tanning booths are actually more dangerous than sunlight exposure in increasing the risk of developing some form of skin cancer.

Question 11 options:

A condition characterized by the growth of endometrial cells in areas other than the endometrium is called

Question 12

A standard screening test for cervical cancer is called

Question 13

The period of prenatal development in which the basic parts of the organ systems are formed is the

Question 14 options:

Detection of

Spell check is used by pregnancy test kits to detect the early stages of pregnancy.

Question 15

The actual gene sequence governing the expression of a trait is called a

Spell check , whereas the physical expression of this trait is the PHENOTYPE , which can also be defined as the physical expression of a gene.

Question 16

Down syndrome is a disorder where a person has an chromosome 21.

Question

A picture of all chromosomes taken in metaphase and used for analysis is called a

Question 18

A pregnancy where the fertilized egg implants in an area other than the uterus is called

Question

The basic building blocks of DNA are called

Question 20

Monosomy of the X chromosome characterized by a short stocky neck, underdeveloped secondary sexual characteristics, and infertility is called

syndrome.

Question 21

A deletion of the short arm of chromosome 5 with a typical cry that resembles a meowing cat characterize

Question 22

A serious psychological disorder characterized by the fear of becoming obese is called

Question 23

Diffusion of gases between capillary beds and tissues is called respiration.

Question 24

The destruction of alveoli by irritants such as cigarette smoke and agricultural dust is found in a disorder called

Question 25

Of the three types of skin cancer which are the most likely to metastasize

Question 25 options:

Melanoma

Squamous cell carcinoma

Basal cell carcinoma

All of the above have equal ability to metastasize

Question 26

Cancer of this organ/gland causes the most deaths annually

Question 26 options:

Lung

Breast

Prostate

Bladder

Question 27

The correct order of stages of the cell cycle that a new cell will go through immediately after being produced by mitosis is

Question 27 options:

S, G1, G2, M

G1, G2, M, S

G1, S, G2, M

M, G1, S, G2

Question 28

What is the purpose of DNA replication

Question 28 options:

To copy the information in a gene so that extra protein synthesis can be done

To make an RNA copy of the gene

To provide the cell with extra DNA in case the original gets damaged

To ensure that two cells produced by mitosis have the same genetic information as the parent cell

Question 29

Which of the following is not a function and/or advantage of mitosis

Question 29 options:

It can repair damaged tissue

Growth takes place through mitosis

It can replace old or damaged cells

All of the above are functions and/or advantages

Question 30

Which stage of the cell cycle occurs just after mitosis

Question 30 options:

Prophase

Save

Question 31 (1.5 points) Question 31 Unsaved

DNA replication is completed by the end of

Question 31 options:

Prophase

S phase

Question 32

Which of the following is NOT true of DNA

Question 32 options:

Generally double stranded

Stores the cell genetic information

Replicated by DNA polymerase

Contains A, C, U, and G

Question 33

These cell may enter G0 of the cell cycle permanently

Question 33 options:

Hepatocytes

Transformed cells

Neurons

Cells in the digestive system

Question 34

When a primary spermatocyte, goes through meiosis, how many mature sperm will be produced

Question 34 options:

Question 35

When a primary oocyte goes through meiosis, how many mature eggs will be produced

Question 35 options:

MICROBIO 160 Lecture Notes - Lecture 17: Lumpectomy, Metastasis, Breast Ultrasound

MICROBIO 160 Full Course Notes

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