Hyperplasia

Source: Wikipedia, the free encyclopedia.
Hyperplasia
cell size, hyperplasia results from an increase in cell number.
SpecialtyPathology
TypesBenign prostatic hyperplasia, Hyperplasia of the breast(many more)[1][2]
Diagnostic methodBiopsy[3]
TreatmentDepends which type (see types)

Hyperplasia (from

neoplasia or benign tumor.[5]

Hyperplasia is a common preneoplastic response to stimulus.

size of cells, whereas hyperplasia involves an increase in the number of cells.[8]

Causes

Hyperplasia may be due to any number of causes, including proliferation of basal layer of epidermis to compensate skin loss,

Perhaps the most interesting and potent[

weight training and is simply an increase in the size of the cells.[12] With IGF use, one is able to cause hyperplasia which actually increases the number of muscle cells present in the tissue.[13] Weight training enables these new cells to mature in size and strength. It is theorized that hyperplasia may also be induced through specific power output training for athletic performance, thus increasing the number of muscle fibers instead of increasing the size of a single fiber.[14]

Mechanism

Hyperplasia is considered to be a

neoplasia (the process underlying cancer and benign tumors), in which genetically abnormal cells manage to proliferate in a non-physiological manner which is unresponsive to normal stimuli.[16] That being said, the effects caused by pathologic hyperplasia can provide a suitable foundation from which neoplastic cells may develop.[15]

Role in disease

Hyperplasia of certain tissues may cause disease. Pathologic hyperplasia in these tissues may occur due to infection, physiological stress or trauma, or abnormal levels of particular hormones, such as estrogen, ACTH, or cortisol.[17]

Types

Some of the more commonly known clinical forms of hyperplasia, or conditions leading to hyperplasia, include:

  • Benign prostatic hyperplasia, also known as prostate enlargement.[1]
  • Cushing's disease – Physiopathology of hyperplasia of adrenal cortex due to increased circulating level of ACTH (adrenocorticotropic hormone).[18]
  • Congenital adrenal hyperplasia – Inherited disorder of gland (adrenal).[19]
  • neoplastic process which can lead to endometrial adenocarcinoma.[20] The development of endometrial adenocarcinoma from endometrial hyperplasia is a typical example of how the effects of pathologic hyperplasia can lead to neoplasia, and females who exhibit hyperplasia of the endometrium are indeed more likely to develop cancer of these cells.[15]
Patient with hemihyperplasia involving the upper and lower left extremities. The leg length discrepancy can be noted by the pelvic tilt.
  • Hemihyperplasia – When only half (or one side) of the body is affected, sometimes generating limbs of different lengths.[21]
  • Hyperplasia of the breast – "Hyperplastic" lesions of the breast include usual ductal hyperplasia, a focal expansion of the number of cells in a terminal breast duct, and atypical ductal hyperplasia, in which a more abnormal pattern of growth is seen, and which is associated with an increased risk of developing breast cancer.[2]
  • Intimal hyperplasia – The thickening of the tunica intima of a blood vessel as a complication of a reconstruction procedure or endarterectomy. Intimal hyperplasia is the universal response of a vessel to injury and is an important reason of late bypass graft failure, particularly in vein and synthetic vascular grafts.[22]
  • human papillomavirus (HPV). Heck's disease has not been known to cause cancer.[23]
  • Myofibre hyperplasia (also known as double-muscling) – seen in cattle, genetic mutations cause large muscles due to increased proliferation of myofibres and decreased adipose tissue.[24]
  • Sebaceous hyperplasia – In this condition, small yellowish growths develop on the skin, usually on the face. This condition is neither contagious nor dangerous.[25]
  • Compensatory liver hyperplasia – The liver undergoes cellular division after acute injury, resulting in new cells that restore liver function back to baseline. Approximately 75% of the liver can be acutely damaged or resected with seemingly full regeneration through hepatocyte division, i.e., hyperplasia. This is what makes living-donor liver transplants possible.[26]
  • Epidermal hyperplasia of the skin[citation needed
    ]

See also

References

  1. ^ a b "Prostate Enlargement (Benign Prostatic Hyperplasia)". National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). U.S. Department of Health and Human Services National Institutes of Health. Retrieved 2015-05-30.
  2. ^ .
  3. .
  4. ^ "Hyperplasia". MedlinePlus Medical Encyclopedia. National Library of Medicine, U.S. Department of Health and Human Services National Institutes of Health. Retrieved 2015-05-30.
  5. ^ .
  6. .
  7. .
  8. .
  9. .
  10. .
  11. .
  12. .
  13. .
  14. .
  15. ^ .
  16. .
  17. ^ Kemp WL, Burns DK, Brown TG. "Pathology: The Big Picture". AccessMedicine. McGraw Hill Medical. Retrieved 2021-12-06.
  18. ^ "Cushing disease". MedlinePlus Medical Encyclopedia. National Library of Medicine, U.S. Department of Health and Human Services National Institutes of Health. Retrieved 2015-05-30.
  19. ^ "Congenital adrenal hyperplasia". MedlinePlus Medical Encyclopedia. National Library of Medicine, U.S. Department of Health and Human Services National Institutes of Health. Retrieved 2015-05-30.
  20. ^ "Endometrial Hyperplasia". American College of Obstetricians and Gynecologists (ACOG). Retrieved 2015-05-30.
  21. ^ "Hemihyperplasia - Glossary Entry". Genetics Home Reference. National Library of Medicine, U.S. Department of Health and Human Services. Retrieved 2015-05-30.
  22. PMID 17974015
    .
  23. .
  24. ^ Swatland, Howard (January 1974). "Developmental disorders of skeletal muscle in cattle, pigs and sheep". The Veterinary Bulletin. 44 (4): 187–189 – via ResearchGate.
  25. .
  26. .

Further reading

External links