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Dr.Aaisha
DEFINITIONS
.
BENIGN TUMOR;
A localized neoplasm.
MALIGNANT TUMOR;
A neoplasm which has propensity to invade and
spread to sites other than its origin.
NOMENCLATURE
BENIGN TUMORS;
--oma
MALIGNANT TUMORS;
--sarcoma ,carcinoma
Its not always the rule and there are exceptions e.g.
lymphoma is malignant.
DIFFERENTIATION AND ANAPLASIA
BENIGN TUMORS;
well differentiated and resemble normal
cells.
Do not show anaplasia.
MALIGNANT TUMORS;
Malignant neoplasms are characterized by a
wide range of parenchymal differentiation.
Generally less differentiated and are anaplastic
LOCAL INVASION
BENIGN TUMORS;
Usually cohesive and expansile ,
well demarcated masses that do not infiltrate
the surrounding tissues.
MALIGNANT TUMORS;
Locally invasive and infiltrate the
surrounding tissues.
RATE OF
GROWTH
BENIGN TUMOR;
Usually progressive and slow.
May come to a standstill position or regress.
MALIGNANT TUMORS;
Erratic and rapid
Invasive pattern
Central area may show necrosis as rapidly growing
peripheral cells deprive them of their blood supply.
METASTASIS,
RECRRENCE,
DEMARCATIONS..
BENIGN TUMORS;
Do not metastasize.
Rarely reoccur after removal.
Well demarcated because of fibrous capsule.
MALIGNANT TUMORS;
Metastasis marks the tumor malignant except for
gliomas and BCC ,all other metastasize.
High recurrence rate.
Do not have a capsule.
MORPHOLOGY AND FUNCTIONAL
CHARACTERISTICS .
BENIGN TUMORS; Monomorphs,nuclei stain
normally,nuclear-cytoplasmic ratio 1:4.
Mitotic figures rare and normal.
Retain functional capabilities of its counterparts.
MALIGNANT TUMORS; Polymorphic
cells,hyperchromatic cells,nuclear-cytoplasmic ratio 1:1
Abundant atypical mitotic figures.
Tumor giant cells present.
May show elaborated unanticipated function.
MORTALITY
.
BENIGN TUMOR;
Usually not fatal. If death occurs ,its mostly due to
mechanical or obstructive causes.
MALIGNANT TUMORS;
Fatal if untreated.
Cause of death is combination of mechanical and
destructive causes, together with blood loss.
secondary infection. starvation and ectopic sec.
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