Learn About Cancer
What is Cancer?
Cancer is defined as a cancerous tumour that has spread
throughout the body.
Cancer is a condition in which some of the body's cells
develop uncontrolled and spread to other areas of the body. It is the most
common kind of cancer.
In the human body, which is composed of billions of cells,
cancer may begin virtually anywhere in the body. Ordinarily, human cells
develop and multiply (via a process known as cell division) in order to produce
new cells when the body requires them. Cells die when they get too old or
damaged to function properly, and new cells replace them.
In certain cases, this well-ordered mechanism is disrupted,
resulting in aberrant or damaged cells growing and multiplying when they
shouldn't. Tumors, which are masses of tissue, may develop from these cells.
Tumors may be malignant or non-cancerous depending on their origin (benign).
Tumors that have progressed into or invaded surrounding
tissues have the potential to move to distant locations in the body and
generate new tumours (a process called metastasis). Malignant tumours are
cancerous tumours that have spread throughout the body. Many malignancies,
including leukemias, develop solid tumours; however, cancers of the blood, such
as lymphomas, do not.
Benign tumours do not spread into or invade adjacent tissues
and are thus classified as non-cancerous. When benign tumours are excised, they
almost never recur, while malignant tumours may sometimes recur. However,
benign tumours may grow to be very big in certain cases. Certain, such as
benign tumours in the brain, may produce severe symptoms or even be life
threatening in some cases.
The distinctions between cancer cells and normal cells are as follows:
Cancer cells are distinct from normal cells in a variety of
ways. As an illustration, consider cancer cells:
They will continue to develop in the absence of signals
instructing them to do so. Normal cells can only grow when they receive signals
from the outside world.
Disregard signals that would usually warn cells to cease
dividing or die (a process known as programmed cell death, or apoptosis).
infiltrate and spread to other parts of the body from their
original location. Normal cells slow down their growth when they come into
contact with other cells, and the majority of normal cells do not migrate
throughout the body.
instructing blood vessels to develop in the direction of
malignancies These blood veins provide oxygen and nutrition to tumours, as well
as eliminate waste products from tumours, among other functions.
conceal oneself from the immunological system The immune
system is responsible for eliminating damaged or abnormal cells in most cases.
Cancer cells are able to fool the immune system into
assisting them in their survival and growth. For example, certain cancer cells
are able to persuade immune cells to defend the tumour rather than destroying
it.
acquire numerous alterations in their chromosomes, including as duplications and deletions of chromosomal sections, throughout the course of their lives Some cancer cells contain two times the number of chromosomes that are normally present.
Cells that are not typical cells depend on various types of
nutrition. Furthermore, certain cancer cells generate energy from nutrients in
a manner distinct from that of the majority of normal cells. Cancer cells are
able to develop more rapidly as a result of this.
Cancer cells often depend so heavily on these aberrant
activities that they are unable to survive if they are not there. Because of
this, researchers have taken advantage of the situation, creating treatments
that target the aberrant characteristics of cancerous cells. Some cancer
treatments, for example, block blood vessels from developing toward tumours,
thus depriving the tumour of vital nutrition.
What Causes Cancer to Develop?
On the other hand, cancer is a genetic illness, meaning that
it is caused by mutations in genes that regulate the way our cells operate,
particularly how they grow and divide.
Mutations in the DNA that cause cancer may arise as a result
of mistakes that occur during cell division.
a kind of DNA damage produced by hazardous compounds in the
environment, such as the chemicals found in cigarette smoke and UV radiation
from the sun (More information may be found in our Cancer Causes and Prevention
section.)
They were passed down to us from our parents.
Cells with damaged DNA are usually eliminated by the body
before they develop into malignant tumours. However, as we get older, our
bodies' capacity to do so diminishes. This is one of the factors that
contributes to a greater chance of developing cancer later in life.
Each person's cancer is characterised by a distinct mix of
genetic alterations. Additional alterations will occur as the disease continues
to spread. Within a tumour, various cells may have distinct genetic
alterations, even within the same tumour.
Genes that cause cancer are classified into many categories.
It has been discovered that the genetic alterations that
lead to cancer impact three kinds of genes in particular: proto-oncogenes,
tumour suppressor genes, and DNA repair genes. These modifications are referred
to be cancer's "drivers" in certain circles.
Proto-oncogenes are genes that have a role in the normal
development and division of cells. Cancer-causing genes (or oncogenes) are
genes that enable cells to grow and survive when they should not. When these
genes are changed in certain ways or become more active than normal, they may
become cancer-causing genes (or oncogenes).
Tumor suppressor genes are also involved in the regulation
of cell proliferation and division, in addition to tumour suppression. Cells
that have specific mutations in tumour suppressor genes have the potential to
divide in an uncontrolled manner.
DNA repair genes are responsible for the repair of damaged
DNA. When these genes are mutated, cells with these mutations are more likely
to acquire further mutations in other genes as well as chromosomal
abnormalities such as duplications and deletions of chromosome regions. These
mutations, when combined, have the potential to cause malignant cells to
develop.
As scientists have gained a better understanding of the
molecular alterations that lead to cancer, they have discovered that specific
mutations are present in high frequency in a variety of cancers. There are a
variety of cancer therapies available today that target gene alterations that
have been identified in cancer. A number of these therapies can be taken by
anybody who has cancer that contains the targeted mutation, regardless of where
the disease first appeared or where it is now spreading.
When Cancer Extends Its Reach
Metastatic cancer is defined as cancer that has spread from
the site where it originally developed to another part of the body after being
diagnosed. Metastasis is the term used to describe the process by which cancer
cells spread to different areas of the body.
A metastatic cancer has the same name as the original cancer
and has the same kind of cancer cells as the original cancer (also known as
primary cancer). For example, breast cancer that has spread to the lung and
formed a metastatic tumour is referred to as metastatic breast cancer rather
than lung cancer.
Under a microscope, metastatic cancer cells are almost
identical in appearance to the cells that caused the initial disease.
Furthermore, metastatic cancer cells and cells from the initial malignancy
share a number of genetic characteristics, such as the presence of particular
chromosomal alterations, that distinguish them from one another.
Some individuals with metastatic cancer may benefit from
therapy, which may help them live longer lives. If the cancer has spread to
another organ, the main aim of therapy is to slow its progression or to
alleviate the symptoms that it is causing. Metastatic tumours may cause
significant harm to the body's ability to function, and metastatic illness is
the cause of death in the vast majority of cancer patients.
Changes in the tissue that are not cancerous
Not every alteration in the body's tissues indicates the
presence of cancer. When left untreated, certain tissue alterations may
progress to the point where they cause cancer. Here are some instances of
tissue alterations that are not cancerous but are being watched in certain
situations because they have the potential to become cancerous:
Hyperplasia is a condition in which cells within a tissue
grow at a higher rate than usual, resulting in the accumulation of additional
cells. Under a microscope, the cells and the way the tissue is structured, on
the other hand, seem to be completely normal. Multiple causes or circumstances,
including persistent inflammation, may contribute to the development of
hyperplasia.
When compared to hyperplastic disease, dysplasia is a more
advanced disease. There is also an accumulation of additional cells in the case
of dysplasia. However, the cells have an irregular appearance, and there are
alterations in the way the tissue is structured. In general, the more aberrant
the cells and tissue seem, the higher the likelihood that cancer will develop.
Some forms of dysplasia may need the monitoring or treatment of the patient,
while others may not. A dysplastic nevus (also known as a dysplastic mole) is
an abnormal mole that develops on the skin that is an example of dysplasia. A
dysplastic nevus has the potential to develop into melanoma, but the majority
do not.
Carcinoma in situ is a condition that is much more advanced
than the previous one. Because the aberrant cells do not infiltrate surrounding
tissue in the manner in which cancer cells do, even though it is often referred
to as stage 0 cancer, it is not a form of cancer. However, since certain
carcinomas in situ have the potential to progress to cancer, they are generally
treated.
Cancer Facts and Figures
Cancer is defined as the uncontrolled proliferation of
abnormal cells in any part of the body.
There are more than 200 different kinds of cancer.
Anything that has the ability to cause a normal body cell to
grow abnormally has the potential to cause cancer; broad categories of
cancer-related or causative agents include chemical or toxic substance
exposures, ionising radiation, certain infections, and genetic factors in
humans.
Cancer symptoms and signs vary depending on the particular
kind and grade of cancer; nevertheless, the following may be seen in patients
with various malignancies, despite the fact that general signs and symptoms are
not highly specific: The following symptoms may occur: tiredness, loss of
weight, discomfort, skin changes, altered bowel or bladder function, unusual
bleeding, persistent coughing or changes in voice tone, fever, tumours, or
tissue masses
Despite the fact that there are many tests available to
screen for and presumptively diagnose cancer, the definitive diagnosis is
established by examining a biopsy sample of probable cancer tissue in a
laboratory setting.
Cancer staging is often established by biopsy findings, and
it helps in determining the kind of cancer and the degree to which it has
spread. It also aids caregivers in determining treatment regimens for their
loved ones with cancer. In general, the higher the number assigned (which is
typically between 0 and 4) in most staging systems, the more aggressive the
cancer type or the more extensive the disease is in the body is considered.
Staging techniques vary from cancer to cancer and must be addressed in detail
with your health care practitioner on an individual basis before being used.
Treatment procedures differ depending on the kind and stage
of cancer being treated. The majority of therapy regimens are tailored to the
specific illness of each individual patient. However, the majority of cancer
therapies involve at least one of the following, and in some cases, all of
them: surgery, chemotherapy, and radiation therapy, to name a few.
There are many home remedies and alternative cancer
therapies published on the internet, but patients are highly advised to examine
them with their cancer physicians before implementing them.
The prognosis for cancer may vary from good to bad depending
on the kind of disease. Because the prognosis varies depending on the kind of
cancer and its staging, malignancies that are known to be aggressive and
tumours that are staged with higher numbers (3 to 4) often have prognoses that
are on the worse side.
In the United States, the three most frequent malignancies
among men, women, and children are as follows:
Prostate, lung, and colorectal cancers in men
Breast, lung, and colorectal cancers are the most common
cancers in women.
Children's leukaemia, brain tumours, and lymphoma are all
possibilities.
What are the risk factors of cancer?
Everything that has the ability to cause a normal body cell
to grow abnormally has the potential to create cancer. A variety of factors may
result in cell abnormalities, some of which have been related to the
development of cancer. Some cancers have no known origins, while others have
environmental or lifestyle triggers, or may arise from a combination of known
and unknown causes, such as smoking. Some characteristics may be affected by a
person's genetic composition throughout their development. Many cancer patients
acquire the disease as a result of a combination of these causes. Despite the
fact that it is often difficult or impossible to determine the event(s) that
caused cancer to develop in a specific person, research has provided clinicians
with a number of likely causes that, either alone or in combination with other
causes, are the most likely candidates for causing cancer to develop. The
following is a list of main reasons, which is not exhaustive since new causes
are being discovered on a regular basis as science progresses:
Tobacco or cigarette smoke (which includes at least 66
recognised probable carcinogenic compounds and toxins), benzene, asbestos,
nickel, cadmium, vinyl chloride, benzidine, N-nitrosamines, aflatoxin, nickel
and cadmium exposures.
Atomic radiation, which includes uranium, radioactive decay products
of radioactive decay products of radioactive decay products of radioactive
decay products of radioactive decay products of radioactive decay products of
radioactive decay products of radioactive decay products
Infection with pathogens such as the human papillomavirus
(HPV), Epstein-Barr virus (EBV), hepatitis B and C viruses, Kaposi's
sarcoma-associated herpes virus (KSHV), Merkel cell polyomavirus (MCPV),
Schistosoma species, and Helicobacter pylori; other bacteria are being
investigated as potential agents. Pathogens:
Molecular Genetics: A variety of cancers, including breast
and ovarian cancers as well as colorectal cancers and skin cancers have been
linked to specific genes in humans.
In addition, it is essential to note that although almost everyone
has risk factors for cancer and is exposed to cancer-causing chemicals (such as
sunshine, secondhand cigarette smoke, and X-rays) throughout their lives, many
people do not get cancer. Furthermore, many individuals carry genes that are
related to cancer but do not acquire the disease as a result. Why? It is
obvious that the more the quantity or degree of cancer-causing chemicals that a
person is exposed to, and the greater the likelihood that the person would get
cancer. However, researchers may not be able to provide an acceptable response
for every individual. Furthermore, individuals who have genetic connections to
cancer may be protected against developing it for the same reasons (lack of
enough stimulus to make the genes function). Aside from that, some individuals
may experience an amplification of their immune response, which allows them to
manage or destroy cells that are or may become cancerous. There is evidence to
suggest that even particular dietary habits, when combined with the immune system,
may have a major influence in determining whether cancer cells survive or are
killed. Consequently, it is difficult to attribute a particular aetiology of
cancer to many people for these reasons.
Other risk factors have also been added to the list of things
that may raise the likelihood of developing cancer. In particular, red meat
(such as beef, lamb, and pork) has been classified as a high-risk agent for the
development of cancer by the International Agency for Research on Cancer; in
addition, processed meats (such as salted, smoked, preserved, and/or cured
meats) have been classified as carcinogenic agents by the World Health
Organization. Because of the chemicals produced when meat is cooked at high
temperatures, those who consume a lot of barbecued meat may be at increased
risk. Weight gain, lack of physical activity, chronic inflammation, and
hormones, particularly those used for replacement treatment, are all examples
of less well-defined factors that may raise the risk of certain malignancies in
some people. Other products, like as mobile phones, have been subjected to
extensive research. Cell phone low-energy radiation was categorised as
"possibly carcinogenic," by the World Health Organization in 2011,
although this is a very low-risk threshold that puts cell phones at the same
risk as coffee and pickled vegetables, according to the organisation.
It is difficult to demonstrate that a drug does not cause or
is not associated with an elevated cancer risk. For example, some scientists
believe that antiperspirants may be associated with breast cancer, whereas
others do not believe this to be the case. The National Cancer Institute's
stated position is that "additional research is needed to investigate this
relationship and other factors that may be involved." This unsatisfactory
conclusion is given as a result of the conflicting nature of the evidence
gathered so far. Other claims that are comparable to this one would require
extensive and costly study that may never be completed. It may be reasonable to
advise people to avoid excessive quantities of any chemicals that are even
slightly associated with cancer, but this may be difficult to accomplish in
complex, technologically sophisticated contemporary cultures.
Symptoms
The signs and symptoms of cancer will vary depending on
which region of the body is affected and how advanced the disease is.
Here are some examples of common signs and symptoms that are
linked with, but not unique to cancer:
Fatigue
The presence of a lump or a thickening that may be felt
under the skin
Weight fluctuations, including unexpected loss or gain, are
common.
Skin changes, such as yellowing, darkening, or redness of
the skin, wounds that won't heal, or alterations to existing moles, are all
signs of a problem with the immune system.
Constipation or bladder habits that have changed
Coughing or breathing difficulties on a regular basis
Having trouble swallowing
Hoarseness
After eating, you may have persistent indigestion or pain.
Muscle or joint pain that is persistent and inexplicable
Fever or nocturnal sweats that are persistent and
unexplained
Unexpected bleeding or bruising that does not seem to be
related to an injury.
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