Professional Documents
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Pathophysiology: I N I T I A T I O N
Pathophysiology: I N I T I A T I O N
Etiology
INITIATORS PROMOTERS
• Chronic exposure to ionizing • Nulliparous
radiation • Age- post
• Familial history menopausal (most
• Race (whites) common)
• Diet- high intake of
• Hormonal imbalance (↑levels of animal fat
extrogen)
• Obesity
• Drugs (tamoxifen)
• Other diseases- HPN,
• Estrogen replacement therapy
DM, colon cancer,
Structural damage of
DNA
L
Further dysfunction of the cellular
A proliferation and differentiation
T
E
Formation of malignant neoplasm
N
C
Y