Cancer Statistics and Overview
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Questions and Answers

What typically happens to a tumor mass by the time it is detected?

  • It has undergone minimal cell doublings.
  • It is usually small and easily treatable.
  • It is often advanced with a large cell mass. (correct)
  • It has only a few surviving malignant cells.
  • Why can there be little reliance on the host immunological defense mechanisms in treating cancer?

  • Cancer cells are recognized as foreign by the immune system.
  • Cancer cells originate from the host's own cells. (correct)
  • Normal immune responses can hinder cancer treatments.
  • Cancer cells are not usually affected by immunotherapy.
  • What is a critical challenge in achieving effective cancer chemotherapy?

  • It is easy to eliminate all cancer cells with minimal drug doses.
  • Cancer cells quickly regenerate after treatment.
  • Leaving behind any viable malignant cells can lead to recurrence. (correct)
  • Chemotherapy drugs specifically target healthy cells.
  • What happens after a therapeutic dose of a cytotoxic drug is administered?

    <p>A constant fraction of cancer cells is destroyed. (D)</p> Signup and view all the answers

    What are the potential consequences of anticancer treatments on normal cells?

    <p>They can also damage normal cells in the process. (C)</p> Signup and view all the answers

    What is the primary reason for the development of cancer in cells?

    <p>Loss of growth control due to mutations (C)</p> Signup and view all the answers

    Which type of mutation is inherited from a parent and exists in all body cells?

    <p>Germ-line mutations (C)</p> Signup and view all the answers

    Which of the following is a characteristic of malignant tumors?

    <p>They can metastasize (A)</p> Signup and view all the answers

    What percentage of cancers is attributed to hereditary mutations?

    <p>5% to 10% (D)</p> Signup and view all the answers

    What are oncogenes?

    <p>Mutated genes that lead to uncontrolled cell growth (B)</p> Signup and view all the answers

    What factor does NOT contribute to the development of acquired mutations?

    <p>Inherited genetic alterations (A)</p> Signup and view all the answers

    Which of the following is NOT a type of mutation involved in cancer development?

    <p>Epigenetic modification (B)</p> Signup and view all the answers

    What does the term 'metastasis' refer to in cancer?

    <p>Spread of cancer to distant sites in the body (A)</p> Signup and view all the answers

    Which phase of the cell cycle is primarily targeted by anticancer chemotherapy drugs?

    <p>M - mitosis (C), S - synthesis phase (D)</p> Signup and view all the answers

    What is one of the risks associated with bone marrow toxicity due to chemotherapy?

    <p>Decreased leukocyte production (D)</p> Signup and view all the answers

    What characterizes primary drug resistance in cancer treatment?

    <p>Present when the drug is first administered (B)</p> Signup and view all the answers

    Which of the following side effects is commonly associated with chemotherapy due to its action on rapidly dividing cells?

    <p>Alopecia (D)</p> Signup and view all the answers

    What is a characteristic of Compartment B in the context of solid tumor heterogeneity?

    <p>Cells are in G0 phase and not dividing (D)</p> Signup and view all the answers

    Acquired drug resistance can result from which of the following mechanisms?

    <p>Mutation of the tumor cells (C)</p> Signup and view all the answers

    What does teratogenicity refer to in the context of cancer chemotherapy effects?

    <p>Developmental abnormalities in a fetus (A)</p> Signup and view all the answers

    Which consequence of chemotherapy is linked to the targeting of rapidly dividing cells?

    <p>Impaired wound healing (D)</p> Signup and view all the answers

    What is the role of growth factor receptors in normal cell function?

    <p>Regulate the rate of cell division and proliferation (D)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of tumor suppressor genes?

    <p>They promote uncontrolled cell division (A)</p> Signup and view all the answers

    What is the primary reason for tumor-directed angiogenesis?

    <p>To provide nutrients and oxygen to the growing tumor mass (C)</p> Signup and view all the answers

    Which of the following correctly describes the role of telomerase in cancer development?

    <p>Telomerase prevents the shortening of telomeres, allowing unlimited cell divisions (B)</p> Signup and view all the answers

    How does the activation of proto-oncogenes contribute to cancer development?

    <p>By stimulating uncontrolled cell division and proliferation (C)</p> Signup and view all the answers

    Which of the following correctly describes the relationship between metalloproteinases and cancer development?

    <p>Metalloproteinases degrade the extracellular matrix, facilitating invasion and metastasis (C)</p> Signup and view all the answers

    Which of the following is considered a key characteristic of invasive cancer?

    <p>The ability of cancer cells to invade surrounding tissues and spread to distant sites (A)</p> Signup and view all the answers

    Which of the following is a common example of a tumor suppressor gene involved in regulating cell division?

    <p>RB1 (D)</p> Signup and view all the answers

    Flashcards

    Proto-oncogenes

    Genes that regulate cell division and differentiation; may become oncogenes when mutated.

    Oncogenes

    Mutated proto-oncogenes that are permanently activated, causing uncontrolled cell division.

    Types of Oncogenes

    Growth factors, their receptors, signal transducers, transcription factors, and apoptosis regulators that can become oncogenic.

    Tumor Suppressor Genes

    Normal genes that regulate cell division, repair DNA, and trigger apoptosis; their dysfunction can lead to cancer.

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    p53 Gene

    A well-known tumor suppressor gene that regulates the cell cycle and prevents tumor formation by triggering apoptosis.

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    Cancer Development Stages

    Steps in cancer progression: uncontrolled proliferation, dedifferentiation, invasiveness, and metastasis.

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    Invasive Cancer Mechanisms

    Processes like breaking down the extracellular matrix and promoting blood vessel growth that contribute to cancer invasiveness.

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    Tumoral Angiogenesis

    The process by which solid tumors grow blood vessels when they exceed 2 mm3 to cope with low oxygen levels.

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    Cancer Definition

    A group of more than 100 diseases developing over time, affecting body tissues.

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    Causes of Cancer

    Both hereditary and environmental factors contribute to cancer development.

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    Loss of Growth Control

    Cancer develops due to uncontrolled cell growth from mutations in cell cycle genes.

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    Types of Cancer

    Solid tumors versus hematological cancers like leukemia; benign versus malignant.

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    Mutations in Cancer

    Genetic changes leading to cancer; types include point mutations, amplification, translocation.

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    Hereditary Mutations

    Gene changes from a parent, present in all cells; 5% to 10% of cancers.

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    Acquired Mutations

    Mutations from environmental influences, not passed to offspring; also called somatic mutations.

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    Neoplasia

    An abnormal growth of tissue, which can be benign or malignant.

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    Cytotoxic Drugs

    Medications that kill cancer cells by disrupting their growth and division.

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    Cell Doublings

    The process where a cell divides, exponentially increasing the cell count.

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    Therapeutic Dose

    The amount of a drug needed to effectively kill a certain percentage of cancer cells.

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    Silent Tumor

    A tumor that develops without noticeable symptoms until it reaches an advanced stage.

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    Cell Cycle Phases

    The phases of a cell's life cycle include G0, G1, S, G2, and M.

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    Target of Chemotherapy

    Chemotherapy drugs mainly target rapidly dividing cells.

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    Myelosuppression

    A reduction in bone marrow activity leading to decreased white blood cells.

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    Effects of Chemotherapy

    Chemotherapy can cause hair loss, impaired healing, and sterility.

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    Solid Tumor Heterogeneity

    Tumors contain different compartments such as dividing, resting, and non-dividing cells.

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    Primary Drug Resistance

    Resistant cells present before the chemotherapy treatment begins.

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    Acquired Drug Resistance

    Resistance that develops during therapy due to adaptation or mutation of tumor cells.

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    Drug Resistance Mechanisms

    Various biological processes through which cancer cells resist chemotherapy.

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    Study Notes

    Cancer Statistics

    • Cancer is the leading cause of death in Canada
    • 86,700 Canadians die from cancer each year (in 2023)
    • 239,100 Canadians are diagnosed with cancer each year (in 2023)
    • About 1.3 million potential years of life are lost annually due to cancer
    • 2 in 5 Canadians will develop cancer in their lifetime
    • 5-year cancer survival is approximately 64%
    • 1 in 4 Canadians will die from cancer

    Cancer in Males

    • Prostate cancer accounts for 37.1% of cancers in males
    • Lung and bronchus cancers account for 3.6%
    • Other cancers in males include, testes, leukemia, kidney and renal pelvis, head and neck, non-Hodgkin lymphoma, melanoma, bladder and colorectal cancers

    Cancer in Females

    • Breast cancer accounts for 37.1% of cancers in females
    • Other cancers include: ovary, kidney and renal pelvis, cervix, non-Hodgkin lymphoma, lung and bronchus, melanoma, thyroid, uterus, and colorectal

    Cancer Definition

    • Cancer is a group of more than 100 diseases
    • Cancers develop across time
    • Cancers can develop in many body tissues
    • Both hereditary and environmental factors influence cancer development

    Cancer Types

    • Solid tumors vs. hematological cancers (e.g., leukemia)
    • Benign vs. malignant
    • Different cancer types react differently to treatment

    Cancer Causation

    • Caused by loss of growth control in cells
    • Mutations in genes controlling cell cycle are a contributing factor
    • Mutations include point mutations, gene amplification, and chromosomal translocations

    Mutations

    • Hereditary (inherited) mutations: mutations passed from a parent and present in all body cells
      • 5-10% of all cancers are hereditary
    • Acquired mutations: mutations resulting from environmental factors (toxins, radiation) and not inherited
      • These mutations are not passed to offspring

    Multiple-Hit Hypothesis (Knudson Hypothesis)

    • Cancer development involves multiple mutations
    • Hereditary mutations increase the chance of acquiring secondary mutations

    Oncogenes

    • Mutated proto-oncogenes become oncogenes
    • Oncogenes cause normal cells to grow and divide uncontrollably
    • Oncogene types include growth factors, growth factor receptors, signal transducers, transcription factors, and programmed cell death regulators

    Tumor Suppressor Genes

    • Normal genes that slow cell division and repair DNA
    • Prevent uncontrolled cell growth
    • Examples of tumor suppressor genes include p53, BRCA1, BRCA2, APC, and RB1

    Cancer Development

    • Uncontrolled proliferation
    • Loss of differentiation and function
    • Invasiveness
    • Metastasis
    • Mutations leading to invasive cancer include:
      • Production of metalloproteinases to break down extracellular matrix
      • Telomerase expression
      • Factors leading to growth of blood vessels

    Angiogenesis and Cancer

    • Solid tumors < 2mm³ are not vascularized
    • Hypoxic solid tumors (>2mm³) trigger angiogensis resulting in vascularization
    • New blood vessel development supports tumor progression (from hyperplasia to neoplasia)

    Chemotherapy

    • Focuses on rapidly dividing cells
    • Targets the cell cycle

    Cancer Chemotherapy Fundamental Issues

    • Cancer is often far advanced by the time it's detected
    • Cell doublings frequently occur before diagnosis
    • Significant tumor growth often goes unnoticed
    • Chemotherapy frequently targets the proliferating cancer cells, however, non-proliferating cells might also be affected
    • Chemotherapy can have side effects on rapidly dividing normal cells like bone marrow, hair, gastrointestinal tract, and even a decrease in fertility or other complications
    • Resistance to chemotherapy can develop due to genetic adaptation or mutations in tumor cells.
    • Differing biological modes of acquired drug resistance exist and include drug compartmentalization, altered drug metabolism, and changes in drug target or drug target levels.

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    Description

    This quiz explores crucial statistics about cancer in Canada, including incidence and survival rates. We dive into gender-specific cancer types and their prevalence among males and females. Understand the broader impact of cancer on Canadian lives and health.

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