Cancer is an abnormal growth of cells. Cancer cells rapidly reproduce and are often shaped differently from healthy cells. They do not function properly and can spread to many areas of the body. These cells can form tumors, which are clusters of cells that are capable of growing and dividing uncontrollably.
Doctors who treat cancer are called oncologists. Oncology is the medical specialty that focuses on the diagnosis and treatment of cancer.
What do the terms benign and malignant mean?
Tumors can be benign (noncancerous) or malignant (cancerous). Benign tumors tend to grow slowly and do not spread to other parts of the body. Malignant tumors can grow rapidly, invade and destroy nearby normal tissues and spread throughout the body.
What Causes Cancer?
There is no one single cause for cancer. Scientists believe that it is the interaction of many factors together that produces cancer. The factors involved may be genetic, environmental, or constitutional characteristics of the individual.Diagnosis, treatment, and prognosis for childhood cancers are different than for adult cancers. The main differences are the survival rate and the cause of the cancer.The overall five-year survival rate for childhood cancer is about 80%, while in adult cancers the survival rate is 68%. This difference is thought to be because childhood cancer is more responsive to therapy and a child can tolerate more aggressive therapy.Childhood cancers often occur or begin in the stem cells, which are simple cells capable of producing other types of specialized cells that the body needs. A sporadic (occurs by chance) cell change or mutation is usually what causes childhood cancer.In adults, the type of cell that becomes cancerous is usually an epithelial cell. Epithelial cells line the body cavity and cover the body surface.
Cancer Risk Factors
As mentioned, some cancers, particularly in adults, have been associated with repetitive exposures or risk factors. A risk factor is anything that may increase a person’s chance of developing a disease. A risk factor does not necessarily cause the disease, but it may make the body less resistant to it. The following risk factors and mechanisms have been proposed as contributing to cancer:
• Lifestyle factors. Smoking, a high-fat diet, and working with toxic chemicals are examples of lifestyle choices that may be risk factors for some adult cancers. Most children with cancer, however, are too young to have been exposed to these lifestyle factors for any extended time.
Family history, inheritance, and genetics may play an important role in some childhood cancers. It is possible for cancer of varying forms to be present more than once in a family. It is unknown in these circumstances if the disease is caused by a genetic mutation, exposure to chemicals near a family’s residence, a combination of these factors, or simply coincidence.
• Some genetic disorders. For example, Wiskott-Aldrich and Beckwith-Wiedemann syndrome are known to alter the immune system. The immune system is a complex system that functions to protect our bodies from infection and disease. The bone marrow produces cells that later mature and function as part of the immune system. One theory suggests that the cells in the bone marrow, the stem cells, become damaged or defective, so when they reproduce to make more cells, they make abnormal cells or cancer cells.
•Exposures to certain viruses. Epstein-Barr virus and HIV, the virus that causes AIDS, have been linked to an increased risk of developing certain childhood cancers, such as Hodgkin and non-Hodgkin lymphoma. Possibly, the virus alters a cell in some way. That cell then reproduces an altered cell and, eventually, these alterations become a cancer cell that reproduces more cancer cells.
•Environmental exposures. Pesticides, fertilizers, and power lines have been researched for a direct link to childhood cancers.
Some forms of high-dose chemotherapy and • radiation. In some cases, children who have been exposed to these agents may develop a second malignancy later in life.These strong anticancer agents can alter cells and/or the immune system. A second malignancy is a cancer that appears as a result from treatment of a different cancer.
How do genes affect cancer growth?
The discovery of certain types of genes that contribute to cancer has been an extremely important development for cancer research. Over 90% of cancers are observed to have some type of genetic alteration. Some of these alterations are inherited, while others are sporadic, which means they occur by chance or occur from environmental exposures (usually over many years).
Types of cancer genesThere are three main types of genes that can affect cell growth and are altered (mutated) in certain types of cancers, including the following:
• Oncogenes: These genes regulate the normal growth of cells. Scientists commonly describe oncogenes as similar to a cancer “switch” that most people have in their bodies. What “flips the switch” to make these oncogenes suddenly become unable to control the normal growth of cells and allowing abnormal cancer cells to begin to grow, is unknown.
• Tumor suppressor genes: These genes are able to recognize abnormal growth and reproduction of damaged cells, or cancer cells, and can interrupt their reproduction until the defect is corrected.If the tumor suppressor genes are mutated, however, and they do not function properly, tumor growth may occur.
• Mismatch-repair genes: These genes help recognize errors when DNA is copied to make a new cell. If the DNA does not “match” perfectly, these genes repair the mismatch and correct the error. If these genes are not working properly, however, errors in DNA can be transmitted to new cells, causing them to be damaged.
Usually the number of cells in any of our body tissues is tightly controlled so that new cells are made for normal growth and development, as well as to replace dying cells. Ultimately, cancer is a loss of this balance due to genetic alterations that “tip the balance” in favor of excessive cell growth.
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