Chapter 2 Body Structure, Color, and Oncology Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 2 Lesson 2.1 Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-2 Objectives Identify anatomic structures of the human body. Define and spell word parts related to body structure, color, and oncology. Define, pronounce, and spell disease and disorder oncology terms. Define, pronounce, and spell body structure terms Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-3 Organization of the Human Body cell: basic unit of all life tissue: similar cells that perform a specific task organ: two or more kinds of tissue that together perform special body functions system: a group of organs that work together to perform complex body functions Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-4 Body Cells The human body is composed of trillions of cells of various sizes and shapes. cell membrane: boundary of a cell cytoplasm: substance outside nucleus of a cell nucleus: central structure containing chromosomes Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-5 Body Cells (cont’d.) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-6 Types of Tissues muscle tissue: produces movement nervous tissue: conducts impulses to and from the brain connective tissue: connects, supports, penetrates, and encases various body structures epithelial tissue: found in the skin and lining of the blood vessels Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-7 Organization of the Human Body chromosomes: 46 in human cells except for mature sex cell, which has 23 genes: regions within the chromosome (determine hereditary characteristics) DNA (deoxyribonucleic acid): each gene is composed of DNA, a chemical that regulates the activities of the cell Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-8 Body Cavities cranial cavity: brain spinal cavity: spinal cord thoracic cavity: heart, lungs, esophagus, trachea, bronchi abdominal cavity: stomach, intestines, kidneys, liver, gallbladder, pancreas, spleen, ureters pelvic cavity: urinary bladder, certain reproductive organs, part of large intestine, rectum Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-9 Body Cavities (cont’d.) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-10 Combining Forms of Body Structure aden/o – Gland cyt/o - cell epitheli/o - epithelium fibr/o - fiber hist/o - tissue kary/o - nucleus lip/o - fat Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-11 my/o - Muscle neur/o - Nerve organ/o - organ sarc/o – flesh, connective tissue system/o - system viscer/o - internal organs Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-12 Organization of the Human Body (cont’d.) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-13 Types of Tissues (cont’d.) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-14 Combining Forms Commonly Used with Body Structure Terms cancer/o, carcin/o – cancer, unregulated, abnormal cell growth eti/o - cause gno/o - knowledge iatr/o – physican, medicine, treatment lei/o - smooth onc/o – tumor, mass path/o - disease rhabd/o – rod shaped, striated somat/o - body Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-15 Combining Forms for Colors chlor/o - green chrom/o - color cyan/o - blue erythr/o - red leuk/o - white melan/o - black xanth/o - yellow Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-16 Prefixes dia- through, complete dys- painful, abnormal, difficult, labored hyper- above, excessive hypo- below, imcomplete, deficient meta- after, beyond, change neo – new pro- before Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-17 Suffixes -al, -ic, -ous – pertaining to -cyte - cell -gen – substance or agent that produces or causes -genesis – origin, cause -genic – producing, originating, causing -logist – one who studies and treats -logy – study of -oid - resembling Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-18 -oma – tumor, swelling -osis – abnormal condition -pathy - disease -plasia – condition of formation, development, growth -plasm – growth, substance, formation -sarcoma – malignant tumor -sis – state of -stasis – control, stop, standing Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-19 Compare and Contrast Word Root cyt/o path/o sarc/o Suffix – made of the root word -cyte -pathy -sarcoma Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-20 Suffixes Containing “gen” -gen: substance that produces or causes Example: carcin/o/gen: substance that causes cancer -genic: producing, originating, causing Example: cyt/o/genic: producing cells -genesis: origin, cause Example: onc/o/genesis: cause of tumors Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-21 Clicker Question Which of the following is a suffix that means disease? cyt/o b) -pathy c) path/o d) -cyte a) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-22 Oncology Terms Built from Word Parts Adenocarcinoma – cancerous tumor of glandular tissue Adenoma – tumor composed of glandular tissue (benign) carcinoma – cancerous tumor (malignant) chloroma – tumor of green color (malignant, from myloid tissue) Epithelioma – tumor composed of epithelium (benign or malig.) Fibroma – tumor composed of fibrous tissue (benign) Fibrosarcoma – malignant tumor of fibrous tissue Leiomyoma – tumor composed of smooth muscle (benign) Leiomyosarcoma – malignant tumor of smooth muscle Lipoma – tumor composed of fat (benign) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-23 Liposarcoma – malignant tumor of fat Melanocarcinoma – cancerous black tumor Melanoma – black tumor (usually skin) Myoma – tumor composed of muscle (benign) Neoplasm – new growth (abnormal or tumor) Neuroma – tumor composed of nerve (benign) Rhabdomyosarcoma – malignant tumor of striated muscle Sarcoma – tumor of connective tissue (bone or cartillage) highly malignant Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-24 Analyzing Terms that Appear to Be Built from a Prefix and Suffix “Neoplasm” is built from what looks like a prefix and a suffix: the word root is embedded in the suffix. S(WR) is used in the “Building Medical Terms” exercises to indicate this. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-25 Pronunciation Guide The following is a simple guide to use for practicing pronunciation of the medical terms. The pronunciations are only approximate; however, they are adequate to meet the needs of the beginning student. In respelling for pronunciation, words are minimally distorted to indicate phonetic sound. Example: doctor (dok-tor), gastric (gas-trik) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-26 Pronunciation Guide (cont’d.) The macron (-) is used to indicate the long vowel sounds. - Example: donate (do-nate) hepatoma (hep-a-to-ma) a as in ate, say e as in eat, beet, see i as in i, mine, sky o as in oats, so u as in unit, mute Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-27 Pronunciation Guide (cont’d.) Vowels with no markings have the short sound. Example: discuss (dis-kus) medical (med-i-kal) a as in at, lad e as in edge, bet i as in itch, wish o as in ox, top u as in sun, come Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-28 Pronunciation Guide (cont’d.) An accent mark is the stress on a certain syllable. The primary accent is indicated by capital letters, and the secondary accent (which is stressed, but not as strongly as the primary accent) is indicated by italics. Example: altogether (all-tu-GETH-er) pancreatitis (pan-kre-a-Tl-tis) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-29 Clicker Question Which of the following is analyzed correctly? wr cv a) wr s melan/o/carcin/oma cf wr b) wr s melano/carcin/oma cf Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-30 Body Structure Terms Built from Word Parts Cytogenic – producing cells Cytoid – resembling cells Cytology – study of cells Cytoplasm – cell substance Dysplasia – abnormal development Epithelial – pertaining to the epithelium Erythrocyte – red blood cell Erythrocytosis – increase in the number of RBC Histology – study of tissue Hyperplasia – excessive development (# of cells) Hypoplasia – incomplete developoment (of an organ or tissues) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-31 Body Structure Terms Built from Word Parts (cont’d.) Karyocyte – cell with a nucleus Karyoplasm – substance of a nucleus Leukocyte – white blood cells Leukocytosis – increase in the number of WBC Lipoid – resembling fat Myopathy – disease of the muscle Neuroid – resembling a nerve Somatic - pertaining to the body Systemic – pertaining to a body system Visceral – pertaining to the internal organs Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-32 Blood Cells 1. erythrocytes 2. leukocytes Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-33 Clicker Question Which of the following means red blood cell? karyocyte b) leukocyte c) erythrocyte d) cytoplasm a) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-34 Chapter 2 Lesson 2.2 Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Objectives Define, pronounce and spell complementary terms related to body structure, color, and oncology. Identify and use in singular and plural endings Interpret the meaning of abbreviations related to body structure, color, and oncology. Interpret, read, and comprehend medical language in simulated medical statements and documents. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-36 Complementary Terms Built from Word Parts Cancerous – pertaining to cancer Carcinogen – substance that causes cancer Carcinogenic – producing cancer Cyanosis – abnormal condition of blue discoloration of the skin caused by inadequate supply of oxygen in the blood Diagnosis – state of complete knowledge Etiology – study of causes of diseases Iatrogenic – produced by a physician (unexpected results) Metastasis – beyond control (transfer of a disease from one organ to another) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-37 Neopathy – new disease Oncologist – physician who studies and treats tumors Oncology – study of tumors (malignant) Pathogenic – producing disease Pathologist – physician who studies diseases (determines cause of death; autopsy) Pathology – study of disease (cause of disease and death) Prognosis – state of before knowledge (prediction of the outcome of a disease) Xanthochromic – pertaining to yellow color Xanthosis – abnormal condition of yellow (discoloration) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-38 Complementary Terms Not Built from Word Parts Benign – not malignant, nonrecurrent, favorable for recovery carcinoma in situ – cancer in the early stage before invading surrounding tissue chemotherapy (chemo) – treatment of cancer with drugs Exacerbation – increase in the severity of a disease or its symptoms Idiopathic – pertaining to disease of unknown origin inflammation – response to injury or destruction of tissue characterized by redness, swelling, heat and pain in vitro – within a glass, observable within a test tube in vivo – within the living body Malignant – tending to become progressively worse and to cause death, as in cancer radiation therapy – treatment of cancer with a radioactive substnace, x-ray, or radiation Remission – improvement or absence of signs of disease Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-39 Clicker Question Which of the following terms is built from word parts and can be literally translated to find its meaning? in vitro b) cancer in situ c) adenocarcinoma d) benign a) Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-40 Table 2-2 Common Plural Endings Singular Endings Plurals Formation Singular Form -a -ae vertebra -ax -aces thorax -is -es testis -ix -ices appendix -ma -mata carcinoma -on -a ganglion -sis -ses metastasis -um -a ovum -us -i fungus -nx -nges larynx -y -ies biopsy Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Plural Form vertebrae thoraces testes appendices carcinomata ganglia metastases ova fungi larynges biopsies 2-41 Abbreviations Ca - carcinoma Chemo - chemotherapy Dx - diagnosis Mets - metastasis Px - prognosis RBC – red blood cells XRT – radiation therapy WBC – white blood cells Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-42 Read Medical Terms A 54-year-old woman presented to the office with a 3week history of bloody diarrhea. She had been diagnosed with ulcerative colitis at age 25 years. She was referred for a colonoscopy. The examination revealed a suspicious lesion in the transverse colon. A biopsy was performed and a cytology specimen was obtained. The pathologist made a diagnosis of carcinoma of the colon. Advanced dysplasia and inflammation existed in the specimen. The patient underwent surgery and was found to have no evidence of metastasis. Her entire colon was removed because of a high risk for developing a malignant lesion in the remaining colon. She made an uneventful recovery and was referred to an oncologist for consideration of chemotherapy. Her prognosis is generally positive. Radiation therapy is not indicated in this case. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. 2-43