Author(s): Gerald Abrams, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share.

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Author(s): Gerald Abrams, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share Alike 3.0 License: We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.

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M1 Patients and Populations: DISTURBANCES OF GROWTH NEOPLASIA I Gerald D. Abrams MD Fall 2008

ORGANS/TISSUES SMALLER THAN NORMAL DEVELOPMENTAL AGENESIS APLASIA HYPOPLASIA ATRESIA ACQUIRED ATROPHY

UNILATERAL RENAL AGENESIS Department of Pathology, University of Michigan

UNILATERAL RENAL HYPOPLASIA Department of Pathology, University of Michigan

LIVER, “BROWN ATROPHY” G.D. Abrams, University of Michigan Medical School

ORGANS / TISSUES LARGER THAN NORMAL HYPERTROPHY INCREASE IN CELL SIZE HYPERPLASIA INCREASE IN CELL NUMBER

HEART, NORMAL Department of Pathology, University of Michigan

HEART, HYPERTROPHY Department of Pathology, University of Michigan

MYOCARDIUM, NORMAL G.D. Abrams, University of Michigan Medical School

MYOCARDIUM, HYPERTROPHY G.D. Abrams, University of Michigan Medical School

SKIN, NORMAL G.D. Abrams, University of Michigan Medical School

SKIN, HYPERPLASIA G.D. Abrams, University of Michigan Medical School

SKIN, HYPERKERATOSIS G.D. Abrams, University of Michigan Medical School

MAMMARY GLAND G.D. Abrams, University of Michigan Medical School

MAMMARY GLAND, LACTATING G.D. Abrams, University of Michigan Medical School

PROSTATE, HYPERPLASIA Source Undetermined

BREAST- FIBROCYSTIC CHANGE Source Undetermined

NORMAL BREAST G.D. Abrams, University of Michigan Medical School

BREAST FIBROCYSTIC CHANGE G.D. Abrams, University of Michigan Medical School

ABNORMAL PATTERNS OF CELL GROWTH / DIFFERENTIATION METAPLASIA DYSPLASIA

ENDOCERVIX, SQUAMOUS METAPLASIA G.D. Abrams, University of Michigan Medical School

ENDOCERVIX, SQUAMOUS METAPLASIA G.D. Abrams, University of Michigan Medical School

SQUAMOUS EPITHELIUM, NORMAL G.D. Abrams, University of Michigan Medical School

SQUAMOUS EPITHELIUM, MODERATE DYSPLASIA G.D. Abrams, University of Michigan Medical School

SQUAMOUS EPITHELIUM, SEVERE DYSPLASIA G.D. Abrams, University of Michigan Medical School

NEOPLASM / “TUMOR” MASS (“NEW GROWTH”) – PROLIFERATING CELLS AUTONOMOUS NON-EQUILIBRIUM, UNCOORDINATED GROWTH PERSISTENT / IRREVERSIBLE

NEOPLASTIC TRANSFORMATION SERIES OF GENETIC EVENTS CLONAL CHARACTERISTICS

Benign Tumor: growth by expansion Malignant Tumor: growth by invasion Regents of The University of Michigan

BENIGN AND MALIGNANT GROWTH BENIGN COHESIVE /EXPANSILE CIRCUMSCRIBED / LOCALIZED MALIGNANT POORLY CIRCUMSCRIBED / INVASIVE….METASTASIZING

UTERUS, LEIOMYOMA Department of Pathology, University of Michigan

UTERUS, LEIOMYOMA G.D. Abrams, University of Michigan Medical School

BREAST CANCER Department of Pathology, University of Michigan

COLON CANCER Department of Pathology, University of Michigan

COLON CANCER Department of Pathology, University of Michigan

CANCER INVADING COLONIC WALL G.D. Abrams, University of Michigan Medical School

METASTASIS A COMPLEX CASCADE OF EVENTS VIA BLOOD VIA LYMPH DIRECT

CANCER CELLS WITHIN BLOOD VESSEL G.D. Abrams, University of Michigan Medical School

CANCER CELLS WITHIN LYMPHATIC G.D. Abrams, University of Michigan Medical School

PERITONEUM, CARCINOMATOSIS Department of Pathology, University of Michigan

PERITONEAL METASTASES Department of Pathology, University of Michigan

LIVER, METASTASES Department of Pathology, University of Michigan

EYE, PRIMARY MALIGNANT MELANOMA Department of Pathology, University of Michigan

LUNG, METASTASES Department of Pathology, University of Michigan

VERTEBRAE, METASTASES Department of Pathology, University of Michigan

VERTEBRA, METASTASIS Department of Pathology, University of Michigan

BRAIN, METASTASIS Department of Pathology, University of Michigan

LIVER, METASTASES Department of Pathology, University of Michigan

Slide 5: Department of Pathology, University of Michigan Slide 6: Department of Pathology, University of Michigan Slide 7: G.D. Abrams, University of Michigan Medical School Slide 9: Department of Pathology, University of Michigan Slide 10: Department of Pathology, University of Michigan Slide 11: G.D. Abrams, University of Michigan Medical School Slide 12: G.D. Abrams, University of Michigan Medical School Slide 13: G.D. Abrams, University of Michigan Medical School Slide 14: G.D. Abrams, University of Michigan Medical School Slide 15: G.D. Abrams, University of Michigan Medical School Slide 16: G.D. Abrams, University of Michigan Medical School Slide 17: G.D. Abrams, University of Michigan Medical School Slide 18: Source Undetermined Slide 19: Source Undetermined Slide 20: G.D. Abrams, University of Michigan Medical School Slide 21: G.D. Abrams, University of Michigan Medical School Slide 23: G.D. Abrams, University of Michigan Medical School Slide 24: G.D. Abrams, University of Michigan Medical School Slide 25: G.D. Abrams, University of Michigan Medical School Slide 26: G.D. Abrams, University of Michigan Medical School Slide 27: G.D. Abrams, University of Michigan Medical School Slide 30: Regents of the University of Michigan Slide 32: Department of Pathology, University of Michigan Slide 33: G.D. Abrams, University of Michigan Medical School Slide 34: Department of Pathology, University of Michigan Slide 35: Department of Pathology, University of Michigan Slide 36: Department of Pathology, University of Michigan Slide 37: G.D. Abrams, University of Michigan Medical School Slide 39: G.D. Abrams, University of Michigan Medical School Slide 40: G.D. Abrams, University of Michigan Medical School Slide 41: Department of Pathology, University of Michigan Slide 42: Department of Pathology, University of Michigan Slide 43: Department of Pathology, University of Michigan Slide 44: Department of Pathology, University of Michigan Slide 45: Department of Pathology, University of Michigan Slide 46: Department of Pathology, University of Michigan Slide 47: Department of Pathology, University of Michigan Slide 48: Department of Pathology, University of Michigan Slide 49: Department of Pathology, University of Michigan Additional Source Information for more information see: