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Cancer disease and its causes



Cancer is a disease characterized by the development of abnormal cells that keep dividing uncontrollably with the ability to colonize and destroy normal tissues in the body. For example, ovarian cancer, prostate cancer, malignant pleural mesothelioma (MPM) and some other type of cancers often have the ability to spread throughout the body. Many cancers form solid tumors, which are masses of tissue while others such as leukemias (cancers of the blood) generally do not form solid tumors.

​

Cancerous tumors are classified as

  • malignant tumors, meaning they can spread into, or invade, nearby tissues in addition to the fact that as these tumors grow, some cancer cells can break off and travel (metastases) to distant places in the body through the blood or the lymph system and form new tumors far from the original tumor. Sometimes, malignant tumors grow back after surgical removal.
  • benign tumors, meaning they do not spread into, or invade, nearby tissues. It is worth mentioning that benign tumors can sometimes be quite large. They usually do not grow back after surgery. However benign brain tumors can be life threatening.

Although cancer is classified as a second-leading cause of death worldwide, the increase of the survival rates is impressive for many types of cancer nowadays due to the improvements in cancer diagnosis and its treatment. Signs and symptoms of cancer vary depending on the affected part of the body. Within the cells, DNA is packaged into a wide number of individual genes containing a set of instructions directed to the cells and telling them what functions to perform, how to grow and divide. Errors in these instructions can result in the cell stopping its normal function and may allow a cell to become cancerous.


A gene mutation can instruct a healthy cell to grow and divide more rapidly. This creates many new cells having all that same mutation. However, normal cells know when to stop growing so as to keep the right number of each type of cell. Unlike normal cells, cancer cells lose the tumor suppressor genes (the controls that tell them when to stop growing). A mutation in a tumor suppressor gene allows cancer cells to continue growing and accumulating.


DNA repair genes look for errors in a cell's DNA and make required corrections where applicable. A mutation in a DNA repair gene can mean that other errors have not been corrected, leading cells to become cancerous. These mutations are the most common ones found in cancer even if many other gene mutations can contribute to causing cancer. That is why cancer is said to be caused by mutations (changes) to the DNA within cells.


Several reasons that can induce gene mutations include: Gene mutations inherited from parents accounting fortunately for a small percentage of cancers and are mostly encountered for example in breast cancer. Most gene mutations are induced (e.g. occur after birth or are not inherited) by external or environmental factors. Some of these factors are smoking, radiation (ionizing radiation in particular), viruses, carcinogens (cancer-causing chemicals), obesity, hormones, chronic inflammation and a lack of exercise.



Cancer diagnosis



Usually several (rarely one) approaches are employed to diagnose cancer. These approaches include:

  • Physical examination by a physician.
  • Laboratory tests such as urine test and blood test can be used to identify abnormalities caused by cancer. For instance, in people with
    • leukemia, a common blood test called complete blood count may reveal an unusual number or type of white blood cells,
    • while others may provide information on some tumor markers such as Prostate-Specific Antigen (PSA) for prostate cancer or ​CA-125 for ovarian cancer.
  • Medical Imaging allow the examination of bones and internal organs in a noninvasive way. This may include
    • a computerized tomography (CT) scan,
    • X-rays,
    • magnetic resonance imaging (MRI),
    • positron emission tomography (PET) scan,
    • ultrasound,
    • etc.
  • Biopsy in which cells samples collected from the tumor (fine needle aspiration, solid tissues from surgery) are tested in both the
    • Anatomic Pathology laboratory and
    • Molecular Diagnostics laboratory.

Once cancer is diagnosed, its extent called stage is determined generally using Roman numerals - I through IV, with higher numerals indicating more advanced cancer. Other cancer staging however use letters or words.



Cancer treatment



After the cancer staging, a tumor board (a group composed of oncologists and other health care providers with different specialties such as medical radiation physicists} meets at the hospital to discuss the case and share knowledge. The board's goal is to determine the best possible cancer treatment and care plan for an individual patient. Many cancer treatments are available and each treatment options depend on several factors, such as the type and stage of cancer concerned, the patient general health condition and his/her preferences. Together, the patient and his/her oncologist usually weigh the benefits and risks of each cancer treatment in order to determine the best one.


Cancer treatments have different objectives, such as:

  • Cure. The goal of the treatment is to achieve a total cure of the cancer, allowing the patient to live a normal life span. Unfortunately, and depending on a patient’s specific situation, this is not always possible.
  • Primary treatment. The goal of a primary treatment is to completely remove the cancer from the patient’s body or to kill the cancer cells. Although the most common primary cancer treatment for the most common cancers is surgery, any cancer treatment can be used as a primary treatment, for example, when a cancer is particularly sensitive to radiation therapy or chemotherapy, the patient can receive one of those therapies as primary treatment.
  • Adjuvant treatment. Its goal is to kill any cancer cells that may remain after primary treatment (surgery) in order to reduce the chance of the cancer recurrence. Any cancer treatment can be used as an adjuvant therapy and the most common adjuvant therapies include chemotherapy, radiation therapy and hormone therapy.
  • Palliative treatment. These are treatments that may help relieve side effects of treatment or signs and symptoms caused by the cancer itself. Surgery, radiation, chemotherapy and hormone therapy can all be used to relieve signs and symptoms. Medications may relieve symptoms such as pain and shortness of breath. Palliative treatment can be used at the same time as other treatments intended to cure the patient’s cancer.


Types of cancer treatment



Some people with cancer will have only one treatment. But most people have a combination of treatments, such as surgery with chemotherapy and/or radiotherapy.. The different types of cancer treatment are presented below, but only Radiotherapy which is the focus of this website will be developed.



Surgery



Surgery when used to treat cancer is a procedure in which a surgeon removes cancer from the patient's body.



Radiotherapy



Radiation therapy is a type of cancer treatment in which high doses of ionizing radiation is applied to kill cancer cells and shrink tumors.

Radiotherapy will be developed in details. ...


more

Chemotherapy



Chemotherapy is a type of cancer treatment that uses drugs to kill cancer cells.



Other treatments



Other treatments for cancer are

  • Immunotherapy,
  • Targeted Therapy,
  • Hormone Therapy,
  • Stem Cell Transplant,
  • Precision Medicine


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