Morphology
Cancer tissue has a distinctive appearance
under the microscope. These tissues appear as a large number of dividing cells
and these cells present variations in nuclear size and shape, in cell size and
shape, loss of specialized cell features, loss of normal tissue organization,
and a poorly defined tumor boundary.
Biopsy and microscopical
examination can also distinguish between malignant cell and hyperplasic cells
which lead to hyperplasia, which refers to tissue growth based on an excessive
rate of cell division, leading to a larger than usual number of cells but with
a normal orderly arrangement of cells within the tissue. This process is
considered reversible. Hyperplasia can be a normal tissue response to an
irritating stimulus, for example callus.
Dysplasia is an abnormal type of
excessive cell proliferation characterized by loss of normal tissue arrangement
and normal cell structure. Often such cells come back to normal behavior, but
occasionally, they gradually become malignant.
The most severe cases of dysplasia
are called "carcinoma in situ." In Latin, the term "in
situ" means "in place", so carcinoma in situ refers to an
uncontrolled growth of cells that remains in the original location and shows no
intention to invade other tissues. Nevertheless, carcinoma in situ may develop
into an invasive cancer. It is usually removed surgically, if possible.
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