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Questions and Answers
What is the primary characteristic that differentiates malignant tumors from benign tumors?
What is the primary characteristic that differentiates malignant tumors from benign tumors?
Which of the following accurately represents a type of biological agent that can cause cancer?
Which of the following accurately represents a type of biological agent that can cause cancer?
Which nutritional deficiency is considered a predisposing factor for cancer development?
Which nutritional deficiency is considered a predisposing factor for cancer development?
What common feature do normal cells have that is often lost in cancer cells?
What common feature do normal cells have that is often lost in cancer cells?
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Which of the following is categorized as a chemical carcinogen?
Which of the following is categorized as a chemical carcinogen?
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How do free radicals contribute to cancer development?
How do free radicals contribute to cancer development?
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Which type of tumor is defined as non-malignant and localized?
Which type of tumor is defined as non-malignant and localized?
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Which of the following substances acts as an immunosuppressant?
Which of the following substances acts as an immunosuppressant?
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Study Notes
Cancer
- Carcinogens are substances that cause cancer.
- Cancer is a disease caused by uncontrolled division of abnormal cells in a part of the body.
- Cancer is a malignant growth of a tumor resulting from cellular division.
Types of Tumors
- Neoplasm: An abnormal new growth of tissue that grows faster than normal cells, competing with them for nutrients. It's a general term, potentially including benign or malignant growths. Tumor is a synonym.
- Tumor: A general term for a mass of tissue. This can be benign or malignant.
- Benign tumor: A non-cancerous tumor that usually stays localized, rarely spreads, and responds to treatment. However, if untreated, it can become serious.
- Malignant tumor: A cancerous tumor that resists treatment, can spread throughout the body, and often recurs after removal. Cancer refers to a malignant tumor.
Causes of Cancer
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Genetic:
- Oncogenes
- Tumor suppressor genes
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Biological agents:
- Human viral pathogens (retroviruses, DNA viruses like Epstein-Barr, HPV, HBV)
- Bacteria
- Endoparasites (like Schistosoma)
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Physical agents:
- Ionizing radiation (causing DNA damage through O2 free radicals).
- Non-ionizing radiation (like UV, specific wavelength range).
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Chemical agents:
- Exposure to dyes, luminous paints, and asbestos are linked to lung and bone cancers.
- Arsenic, chrome, nickel salts, nitroso compounds, and some drugs also cause cancer.
- Immunosuppressants/immunotoxins: Substances that suppress the immune system. Weakened immune response increases susceptibility to infectious diseases and cancer.
Predisposing Dietary Factors
- Caloric intake (high fat), protein deficiency
- Deficiencies in certain vitamins and minerals: Carotenes, retinoids, tocopherols, selenium (glutathione peroxidase), zinc, flavanoids
Normal vs Cancer Cells
- Normal cells: Characterized by exact reproduction, stopping when appropriate, sticking together as a group, self-destruction when damaged, specialization, and normal functioning.
- Cancer cells: Differ from normal cells; do not properly stop dividing, can migrate to other body parts, generally don't specialize and stick together, don't self-destruct, and may invade surrounding tissues; increased tendency to metastasize (travel outside the original site).
Carcinogenesis (Cancer Development)
- Viral theory: Viruses as a cause for carcinogenesis.
- Two-stage mechanism: Cancer development through initiation, promotion, and progression.
- Steps in Chemical Carcinogenesis: Biotransformation, initiation, fixation, gene expression/transformation, neoplastic growth/proliferation, progression, metastasis.
Prevention
- Better dietary practices
- Regular screening
- Better social practices
- Avoiding contamination
- Taking proper medication
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