The study of tumors is referred to as ONCOLOGY.
Clasification of Tumors:
According to their behavior or as biological clasification are:
-Benign (generally have good prognosis)
-Malignant (generally have poor prognosis)
-Intermediate tumors (locally malignant neoplasms,locally agressive tumors)
According of tissue of origin:
-Epithelial tumors
-Mesenchymal tumors
-Others
Characteristics of BEGNIN TUMOR:
- The growthis slow and expansile,compressing the surrounding tissue without invasion.
- Begnin tumors do not spread
- Begnin tumors do not recur if is well excised
- Begnin tumors are not dengerous unless:
-they arise in hollow organs (as intestine) causing obstruction
-they produce hormones as in tumors of endocrine glands
-some begnin tumors may change malignant.This may be clinically manifested by change of growth rate (becoming faster) and growth mode (becoming infiltrative,destructive and metastasizing).
Benign tumor structure:
-tumor margins are well degined
-cut section of the tumor is commonly uniform with no hemorrage or necrosis
-a tumor arise inside a solid organ appears globular or ovoid and aften becomes surrounded by a fibrous capsule composed of a rim of condensed connective tissue
-a tumor arising from surface epithelia form a non-capsulated polyp.
Characteristics of MALIGNANT TUMOR:
- The rate of growth is often rapid,invasive,infiltrating and destroying the surrounding normal tissue .
- The malignant tumors spread.
- -Recurrence after surgical excision is very common either from tumor cell remnats or from a new neoplastic transformation.
- Malignant tumors are serious and cause death.
-local organ destruction by direct spread
-distant organ destruction by metatstases
-destruction of vital centrers (brain tumors)
-obstruction of the lumen of hollow organs (intestinal tumors)
-organ failure
-chronic toxemia do to secondary bacterial infection
-anaemia: recurrent hemorrages from the tumors,bone marrow destruction by metastases,high tumor cell metabolism may lead to folic acid deficiency.
-cachecia: it is manifested by marked decrease of body weigh accompanied by profound weakness,anorexia and anaemia.
Malignant tumor structure:
-tumors margins are irregular or ill defined
-cut section of the tumor often shows areas of hemorrage and necrosis
-a tumor inside a solid organ appears as irregular noncapsulated mass
-tumors arise from surface epithelia appears as noncapsulated masses assuming different patterns
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