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Neoplasia VI. DR OSAMA I NASSIF MD,FRCPC CONSULTANT & ASSOCIATE PROFESSOR DEPARTMENT OF PATHOLOGY KAUH. Etiology of cancer. Chemical carcinogens. Radiation carcinogenesis. Viral oncogenesis. Biology of tumor growth. Kinetics of tumor cell growth. Tumor angiogenesis.
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Neoplasia VI DR OSAMA I NASSIF MD,FRCPC CONSULTANT & ASSOCIATE PROFESSOR DEPARTMENT OF PATHOLOGY KAUH
Etiology of cancer. • Chemical carcinogens. • Radiation carcinogenesis. • Viral oncogenesis.
Biology of tumor growth. • Kinetics of tumor cell growth. • Tumor angiogenesis. • Tumor progression and heterogeneity. • Tumor invasion and spread.
Kinetics Of Tumor Cell Growth • Doubling time : equal or more than that of normal cells. • Growth fraction : cells in replicative pool , rarely >20%. • Production vz loss :
Tumor Angiogenesis • Tumor-associated angiogenic factors : -bFGF , VEGF……etc. • Macrophage derived growth factors: -TNF-α. • Weak angiogenic inhibitors: -Angiostatin , thrombospondin ( p53 upregulated) .
Kinetics Of Tumor Cell Growth Clinical implications: 1- cancer therapey: Targeting cycling cells. Effect of radiation & debulking. 2- latent period of tumors : Months to years.
Tumor Invasion and Spread. • Methods of spread : - Direct. -Through blood vessels. -Through lymph vessels.
Etiology of Cancer. • Chemical carcinogens. • Radiation carcinogenesis. • Viral oncogenesis.