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Common Disorders of Human Cells – PST04103 Human Anatomy and Physiology

NTA Level 4 • Semester 1 • PST04103

Common Disorders of Human Cells

Human Anatomy and Physiology • Source Session/Topic 3
Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability.

Session 3: Common Disorders of Human Cells

Total Session Time: 60 minutes

Prerequisites

• None

Learning Tasks

By the end of this session students are expected to be able to:

• Define Terminologies Associated With Cellular Changes
• Define the Terms Cancer, Tumour and Neoplasm
• List Common Types of Cancer
• Explain the Characteristics of Benign and Malignant Tumours
• Explain the Aetiology and Associated Factors for Tumours/Cancers

Resources Needed:

• Flip charts, marker pens, and masking tape
• Black/white board, chalk and whiteboard markers
• Charts, OHP, Multimedia Projector, Computer, Pointer

SESSION OVERVIEW

|Step |Time |Activity/ |Content |

| | |Method | |

|1 |05 minutes |Presentation |Introduction, Learning tasks |

|2 | |Presentation |Definition of Terminologies |

| |10 minutes | |Associated with Cellular Changes |

|3 |10 minutes |Presentation |Definition and Common Types of |

| | |Brainstorming |Cancers |

|4 |10 minutes |Presentation |Characteristics of Malignant and |

| | | |Benign |

| | | |Tumours |

|5 |15 minutes |Presentation |Aetiology and Associated Factors for|

| | |Buzzing |Tumours |

|6 |05 minutes |Presentation |Key Points |

|7 |05 minutes |Presentation |Evaluation |

SESSION CONTENTS

STEP 1: Presentation of Session Title and Learning Tasks (5 minutes)

READ or ASK students to read the learning tasks and clarify

ASK students if they have any questions before continuing

STEP 2: Definition of Terminologies Associated with Cellular Changes (5

minutes)

• Anaplasia refers to the loss of tissue differentiation and function that

is characteristic of most malignancies

• Atrophy refers to a decrease in the size of cells, with a subsequent

decrease in the size of the affected tissue or organ; wasting away

• Dysplasia refers to alteration in the size, shape, and organization of

cells due to chronic irritation or inflammation; may progress to

neoplasia (tumour formation, usually malignant) or revert to normal if

the irritation is removed

• Hyperplasia refers to an increase in the number of cells of a tissue due

to an increase in the frequency of cell division

• Hypertrophy is the increase in the size of cells without cell division
• Metaplasia is the transformation of one type of cell into another

STEP 3: Definition and Common Types of Cancers (15 minutes)

|Activity: Brainstorming (5 minutes) |

| |

|Ask students to brainstorm on the following question: |

| |

|What is Cancer? |

| |

|ALLOW few students to respond |

| |

|WRITE their responses on the flip chart/ board |

| |

|CLARIFY and SUMMARISE by using the content below |

• Cancer is a group of diseases characterized by uncontrolled or abnormal

cell proliferation

o When cells in a part of the body divide without control, the excess

tissue that develops is called a tumour or neoplasm

o The study of tumours is called oncology

o Tumours may be cancerous and often fatal, or they may be harmless

o A cancerous neoplasm is called a malignant tumour or malignancy

o One property of most malignant tumours is their ability to undergo

metastasis , the spread of cancerous cells to other parts of the body

o A benign tumour is a neoplasm that does not metastasize, an example is

a wart

o Most benign tumours may be removed surgically if they interfere with

normal body function or become disfiguring

o Some benign tumours can be inoperable and perhaps fatal

Common types of cancers

• The name of a cancer is derived from the type of tissue in which it

develops

• Most human cancers are carcinomas, malignant tumours that arise from

epithelial cells

• Melanomas, for example, are cancerous growths of melanocytes, skin

epithelial cells that produce the pigment melanin

• Sarcoma is a general term for any cancer arising from muscle cells or

connective tissues.

• For example, osteogenic sarcoma, the most frequent type of childhood

cancer, destroys normal bone tissue

• Leukaemia is a cancer of blood-forming organs characterized by rapid

growth of abnormal leukocytes (white blood cells)

• Lymphoma is a malignant disease of lymphatic tissue––for example, of

lymph nodes

STEP 4: Characteristics of Benign and Malignant Tumours(10 minutes)

| |FACTOR |BENIGN |MALIGNANT |

|1 |Growth rate |Slow |Rapid |

|2 |Mitoses |Few |Many |

|3 |Differentiation |Good |Poor |

|4 |Nuclear chromatin |Normal |Increased |

|5 |Local growth |Expansible |Infiltrative |

|6 |Encapsulation |Present |Absent |

|7 |Destruction of tissue |Negligible |Wide spread |

|8 |Vascular invasion |None |Frequent |

|9 |Metastasis |None |Frequent |

STEP 5: Aetiology and Associated Factors for Tumours /Cancers (15 minutes)

|Activity: Buzzing (5 minutes) |

| |

|ASK students to pair up and buzz on the following question for 2 |

|minutes |

| |

|What are causes of cancers? |

| |

|ALLOW few pairs to respond and let other pairs to add on points not |

|mentioned |

| |

|WRITE their response on the flip chart/board |

| |

|CLARIFY and SUMMARIZE by using the content below |

• Several factors may trigger a normal cell to lose control and become

cancerous

• One cause is environmental agents: substances in the air we breathe, the

water we drink, and the food we eat

• A chemical agent or radiation that produces cancer is called a

carcinogen

Three classes of carcinogenic agents are:

• Chemicals carcinogens
• Radiant energy carcinogens
• Microbial agents carcinogens

Chemical Carcinogens

o Chemical carcinogens have highly reactive electrophile groups that

directly damage DNA, leading to mutations and eventually cancer

o Direct-acting agents do not require metabolic conversion to become

carcinogenic, while indirect-acting agents are not active until converted

to an ultimate carcinogen by endogenous metabolic pathways

o Polymorphisms of endogenous enzymes like cytochrome P-450 may influence

carcinogenesis

o Following exposure of a cell to a mutagen or an initiator, tumour-genesis

can be enhanced by exposure to promoters, which stimulate proliferation

of the mutated cells

o Examples of human carcinogens include:

▪ Direct-acting (example alkylating agents used for chemotherapy)
▪ Indirect-acting (example benzo pyrene, azo dyes, and aflatoxin)
▪ Promoters/agents that cause pathologic hyperplasia of liver and

endometrium

Radiation Carcinogenesis

o Ionizing radiation causes chromosome breakage, translocations, and less

frequently, point mutations, leading to genetic damage and carcinogenesis

o UV rays (UVR-Ultra violet rays), induce the formation of pyrimidine

dimers within DNA, leading to mutations

o UV rays can give rise to squamous cell carcinomas and melanomas of the

skin

Microbial agents

o Oncogenic Viruses

▪ HTLV-1 causes T-cell leukaemia
▪ Human papilloma virus (HPV) has been associated with benign warts, as

well as cervical cancer

▪ Epstein Barr virus (EBV) has been implicated in the pathogenesis of:

Burkitt lymphomas

▪ Lymphomas in immunosuppressed (individuals with HIV infection or organ

transplantation)

▪ Some forms of Hodgkin lymphoma
▪ Nasopharyngeal carcinoma.
▪ Between 70% and 85% of hepatocellular carcinomas worldwide are due to

infection with: Hepatitis B virus (HBV) or Hepatitis C virus (HCV)

▪ The oncogenic effects of HBV and HCV are multifactorial
▪ Dominant oncogenic effects of HBV and HCV: immunologically mediated

chronic inflammation, hepatocellular injury, stimulation of hepatocyte

proliferation, and production of reactive oxygen species that can damage

DNA

o Bacteria

▪ Helicobacter pylori is strongly associated with development of gastric

cancer

• Tumour marker is a substance introduced into circulation by tumour

cells that indicates the presence of a tumour, as well as the specific

type

• Tumour markers may be used to screen, diagnose, make a prognosis,

evaluate a response to treatment, and monitor for recurrence of

cancer.

STEP 6: Key Points (5 minutes)

• Cancer is a group of diseases characterized by uncontrolled or abnormal

cell proliferation.

• When cells in a part of the body divide without control, the excess

tissue that develops is called a tumour or neoplasm

• Three classes of carcinogenic are:

o Chemicals

o Radiant energy

o Microbial agents

STEP 7: Evaluation (5 hours)

• What is cancer?
• What are the common types of cancer?
• What are the characteristics of benign and malignant tumours?
• What are the factors associated with tumours/cancers?

References

Kumar, A. et al (2004). Robbins Basic Pathology. WB: Saunders.

Spector, T.D. & Axford, J. S. (1999). Introduction to General Pathology.

Edinburgh:

Seeley, R. R., Stephens, T. D.& Tate, P. (2003). Anatomy and Physiology.

New York:

McGraw-Hill

Shier, A., Butler, J., & Lewis, R. (2004). Hole’s Human Anatomy &

Physiology. New York:

McGraw-Hill

Standring, S. (2008). Grays’s Anatomy The anatomical basis of clinical

practice. United

Kingdom: Churchill Livingstone Elservier.

Thibodeau, G. A., & Patton, K. T. (1999). Anatomy & Physiology. Saint

Louis: Mosby,

Von Hoffman Press, Inc.

Tortora, G.J & Derrickson, B (2009). Principles of Anatomy and Physiology

12th Edition,

USA, John Wiley & Sons Inc, USA

Walter, J.B, & Talbot, I. C. (1996). General Pathology. New York: Churchill

Livingstone

Waugh, A. & Grant, A. (2006). Ross and Willson Anatomy and physiology in

Health and

illness. United Kingdom: Churchill Livingstone Elservier

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