Podcast
Questions and Answers
What historical observation first connected cancer to an external cause?
What historical observation first connected cancer to an external cause?
The high incidence of scrotal cancer among chimney sweeps.
What discovery in the 1800s led to a better understanding of cancer's cellular origins?
What discovery in the 1800s led to a better understanding of cancer's cellular origins?
The discovery that living tissues are composed of cells and all cells arise from other cells.
How did the observation of high lung cancer rates among pitch blende miners contribute to the understanding of cancer?
How did the observation of high lung cancer rates among pitch blende miners contribute to the understanding of cancer?
It reinforced the idea that cancer could be linked to identifiable and preventable causes, further driving the search for cancer-causing agents.
What two conflicting views about cancer's origin emerged in the late 19th century? Briefly describe each view.
What two conflicting views about cancer's origin emerged in the late 19th century? Briefly describe each view.
What discovery in 1895 provided evidence for the view that cancer could be caused by chronic irritation of tissues?
What discovery in 1895 provided evidence for the view that cancer could be caused by chronic irritation of tissues?
Explain how the discovery of X-rays supports the idea that cancer can be caused by chronic irritation of tissues.
Explain how the discovery of X-rays supports the idea that cancer can be caused by chronic irritation of tissues.
What was the main challenge posed by the conflicting theories about cancer's origin in the mid-20th century?
What was the main challenge posed by the conflicting theories about cancer's origin in the mid-20th century?
How did the varying incidence of cancer in different populations influence the understanding of cancer's origins?
How did the varying incidence of cancer in different populations influence the understanding of cancer's origins?
What was the key discovery in 1910 that helped scientists understand the cause of cancer?
What was the key discovery in 1910 that helped scientists understand the cause of cancer?
What crucial understanding about the role of cellular genes in cancer development arose from studying cancer-causing viruses?
What crucial understanding about the role of cellular genes in cancer development arose from studying cancer-causing viruses?
How did investigations into the association between cancer and tissue damage contribute to understanding the disease?
How did investigations into the association between cancer and tissue damage contribute to understanding the disease?
What connection did Herman Muller's work on X-irradiation of fruit flies suggest?
What connection did Herman Muller's work on X-irradiation of fruit flies suggest?
What was the significance of the work by Bruce Ames and others in 1975 regarding the correlation between carcinogens and mutagens?
What was the significance of the work by Bruce Ames and others in 1975 regarding the correlation between carcinogens and mutagens?
What was Alfred Knudson's contribution to understanding the origins of retinoblastoma?
What was Alfred Knudson's contribution to understanding the origins of retinoblastoma?
What is the key difference between sporadic and familial retinoblastoma based on Knudson's model?
What is the key difference between sporadic and familial retinoblastoma based on Knudson's model?
How did Knudson's model influence scientists' understanding of cancer?
How did Knudson's model influence scientists' understanding of cancer?
What key understanding about cancer cells did cell biologists contribute to the unified view of the disease?
What key understanding about cancer cells did cell biologists contribute to the unified view of the disease?
What is the significance of the understanding that virtually all malignant tumors are monoclonal?
What is the significance of the understanding that virtually all malignant tumors are monoclonal?
How did transplantation studies contribute to understanding the origin of cancer cells?
How did transplantation studies contribute to understanding the origin of cancer cells?
What does tissue-typing reveal about the origin of tumor cells in a cancer patient?
What does tissue-typing reveal about the origin of tumor cells in a cancer patient?
Describe a key method used to determine the monoclonal origin of tumors.
Describe a key method used to determine the monoclonal origin of tumors.
Explain how scientists were able to determine that tumors are monoclonal.
Explain how scientists were able to determine that tumors are monoclonal.
What are the two main scenarios that explain how cancers develop within normal tissues?
What are the two main scenarios that explain how cancers develop within normal tissues?
What is the key cellular marker used to demonstrate the monoclonal origin of tumors?
What is the key cellular marker used to demonstrate the monoclonal origin of tumors?
Describe the process of X-chromosome inactivation and how it aids in understanding tumor development.
Describe the process of X-chromosome inactivation and how it aids in understanding tumor development.
Explain how the development of cancer involves a series of clonal expansions.
Explain how the development of cancer involves a series of clonal expansions.
What is the significance of genetic instability in cancerous cells?
What is the significance of genetic instability in cancerous cells?
How do the nuclei of cancer cells differ from normal cells?
How do the nuclei of cancer cells differ from normal cells?
What is the key difference between normal and cancerous cells in terms of growth?
What is the key difference between normal and cancerous cells in terms of growth?
What is the significance of the ability of cancer cells to divide for an apparently unlimited number of generations?
What is the significance of the ability of cancer cells to divide for an apparently unlimited number of generations?
What was the key contribution of Ames and others to understanding cancer?
What was the key contribution of Ames and others to understanding cancer?
Explain the model for cancer initiation based on the work of Ames and others.
Explain the model for cancer initiation based on the work of Ames and others.
How can the model based on Ames' work explain the family history of cancer?
How can the model based on Ames' work explain the family history of cancer?
What are the three specific characteristics of cancer cells discussed in the text?
What are the three specific characteristics of cancer cells discussed in the text?
Explain the concept of contact inhibition and how it differs between normal and cancerous cells.
Explain the concept of contact inhibition and how it differs between normal and cancerous cells.
Briefly describe the unified view of cancer that emerged by the mid-1970s.
Briefly describe the unified view of cancer that emerged by the mid-1970s.
What is the main flaw in the early explanation of cancer-causing mutations?
What is the main flaw in the early explanation of cancer-causing mutations?
What two categories of genes play major roles in triggering cancer?
What two categories of genes play major roles in triggering cancer?
What is the key difference between proto-oncogenes and tumor suppressor genes in their normal function?
What is the key difference between proto-oncogenes and tumor suppressor genes in their normal function?
What happens when proto-oncogenes become mutated?
What happens when proto-oncogenes become mutated?
What are the consequences of mutations in tumor suppressor genes?
What are the consequences of mutations in tumor suppressor genes?
What is typically the role of proto-oncogenes in normal cell signaling?
What is typically the role of proto-oncogenes in normal cell signaling?
How do oncogenes contribute to cancer development?
How do oncogenes contribute to cancer development?
What is the role of growth factors in normal cell signaling?
What is the role of growth factors in normal cell signaling?
Explain how oncogenes can lead to the overproduction of growth factors.
Explain how oncogenes can lead to the overproduction of growth factors.
How do mutations in other oncogenes disrupt the normal signaling cascade in cells?
How do mutations in other oncogenes disrupt the normal signaling cascade in cells?
What is the role of tumor suppressor genes in the context of normal cell signaling?
What is the role of tumor suppressor genes in the context of normal cell signaling?
Explain how inactivated tumor suppressor genes contribute to the development of cancer.
Explain how inactivated tumor suppressor genes contribute to the development of cancer.
Describe the purpose and operation of the DNA repair system in cells.
Describe the purpose and operation of the DNA repair system in cells.
What are the consequences of failure in the DNA repair system?
What are the consequences of failure in the DNA repair system?
Explain why the understanding of the specific genes involved in cancer is crucial for cancer research.
Explain why the understanding of the specific genes involved in cancer is crucial for cancer research.
What trend was observed in cancer survival rates from 1974-1976 to 1983-1990?
What trend was observed in cancer survival rates from 1974-1976 to 1983-1990?
Which group has shown particularly dramatic increases in cancer survival rates?
Which group has shown particularly dramatic increases in cancer survival rates?
What is one key factor contributing to the increase in cancer survival rates?
What is one key factor contributing to the increase in cancer survival rates?
What is a major concern regarding cancer symptoms in patients?
What is a major concern regarding cancer symptoms in patients?
In what ways have cancer treatment methods improved over time?
In what ways have cancer treatment methods improved over time?
What metaphor is used by Hellman and Vokes to describe cancer research?
What metaphor is used by Hellman and Vokes to describe cancer research?
What are two potential benefits of using 'molecular fingerprinting' to identify cancerous cells?
What are two potential benefits of using 'molecular fingerprinting' to identify cancerous cells?
What are the three main components of the overall cost of cancer, as estimated by the National Cancer Institute?
What are the three main components of the overall cost of cancer, as estimated by the National Cancer Institute?
Explain the concept of 'time lag' as it relates to the impact of unhealthful habits on cancer development.
Explain the concept of 'time lag' as it relates to the impact of unhealthful habits on cancer development.
Identify the four levels of focus proposed by Willett, Colditz, and Mueller for cancer prevention efforts.
Identify the four levels of focus proposed by Willett, Colditz, and Mueller for cancer prevention efforts.
What is the primary ethical concern related to cancer prevention and treatment in a pluralist society?
What is the primary ethical concern related to cancer prevention and treatment in a pluralist society?
In the context of ethical considerations regarding cancer, what does the term 'interest' refer to?
In the context of ethical considerations regarding cancer, what does the term 'interest' refer to?
What are the two primary categories of actions or qualities that are considered 'wrong' or 'bad' in relation to ethical considerations?
What are the two primary categories of actions or qualities that are considered 'wrong' or 'bad' in relation to ethical considerations?
Explain the significance of the observation that most cancers are monoclonal in origin.
Explain the significance of the observation that most cancers are monoclonal in origin.
What is the connection between cancer and tissue damage according to current scientific understanding?
What is the connection between cancer and tissue damage according to current scientific understanding?
How does the discovery of X-rays support the idea that cancer can be caused by chronic irritation of tissues?
How does the discovery of X-rays support the idea that cancer can be caused by chronic irritation of tissues?
In what way did the discovery of X-rays contribute to the understanding of cancer's origins?
In what way did the discovery of X-rays contribute to the understanding of cancer's origins?
How does the understanding of cancer development as a multi-step process involving a series of clonal expansions contribute to current approaches to cancer treatment?
How does the understanding of cancer development as a multi-step process involving a series of clonal expansions contribute to current approaches to cancer treatment?
Why is it important for scientists to study the genetic instabilities present in cancerous cells?
Why is it important for scientists to study the genetic instabilities present in cancerous cells?
How do DNA repair gene mutations affect cancer development?
How do DNA repair gene mutations affect cancer development?
What is the significance of the discovery that cancer-causing viruses can induce mutations in the cellular genes?
What is the significance of the discovery that cancer-causing viruses can induce mutations in the cellular genes?
What role does the p53 protein play in preventing cancer?
What role does the p53 protein play in preventing cancer?
Why does the persistence of unhealthful habits pose a significant challenge to public health efforts aimed at reducing cancer rates?
Why does the persistence of unhealthful habits pose a significant challenge to public health efforts aimed at reducing cancer rates?
What is the significance of telomeres in cancer cell proliferation?
What is the significance of telomeres in cancer cell proliferation?
Describe the multistep process of cancer development.
Describe the multistep process of cancer development.
How does age correlate with cancer incidence?
How does age correlate with cancer incidence?
What effect do carcinogen exposures have on cancer risk?
What effect do carcinogen exposures have on cancer risk?
What is the impact of inheriting cancer-susceptibility mutations?
What is the impact of inheriting cancer-susceptibility mutations?
Explain the lag time between cancer-causing exposures and cancer onset.
Explain the lag time between cancer-causing exposures and cancer onset.
What is the role of apoptosis in cancer biology?
What is the role of apoptosis in cancer biology?
How has the understanding of cancer evolved over time?
How has the understanding of cancer evolved over time?
What is the relationship between cell division and cancer?
What is the relationship between cell division and cancer?
What are the three key elements for measuring cancer impact in a population?
What are the three key elements for measuring cancer impact in a population?
Why are cancer cells often resistant to chemotherapy?
Why are cancer cells often resistant to chemotherapy?
How do telomeres and telomerase relate to cancer cell immortality?
How do telomeres and telomerase relate to cancer cell immortality?
What is the purpose of the Surveillance, Epidemiology, and End Results (SEER) Program?
What is the purpose of the Surveillance, Epidemiology, and End Results (SEER) Program?
What is the approximate cancer incidence rate for children under age 15, according to 1991 SEER data?
What is the approximate cancer incidence rate for children under age 15, according to 1991 SEER data?
How do lifetime risks of developing cancer differ between men and women in the United States?
How do lifetime risks of developing cancer differ between men and women in the United States?
What does the term 'relative risk' refer to in cancer epidemiology?
What does the term 'relative risk' refer to in cancer epidemiology?
What is one significant finding regarding children and cancer in the United States?
What is one significant finding regarding children and cancer in the United States?
What percentage of fatal cancer cases does hereditary mutation account for in the population?
What percentage of fatal cancer cases does hereditary mutation account for in the population?
How can the exposure to certain carcinogens affect cancer risk?
How can the exposure to certain carcinogens affect cancer risk?
In cancer research, what does it mean to say a certain factor 'causes' cancer?
In cancer research, what does it mean to say a certain factor 'causes' cancer?
What was the trend in cancer death rates noted by health officials in 1998?
What was the trend in cancer death rates noted by health officials in 1998?
Which two types of cancer were the most common among children as per the SEER data?
Which two types of cancer were the most common among children as per the SEER data?
How does cancer incidence vary among different population groups?
How does cancer incidence vary among different population groups?
What role does epidemiology play in cancer research?
What role does epidemiology play in cancer research?
What is meant by 'hard core' cancers in the context of population studies?
What is meant by 'hard core' cancers in the context of population studies?
What is the general relationship between the skin tone of individuals and the risk of skin cancer?
What is the general relationship between the skin tone of individuals and the risk of skin cancer?
What is the primary function of tumor suppressor genes in relation to cancer?
What is the primary function of tumor suppressor genes in relation to cancer?
How does ultraviolet (UV) radiation contribute to skin cancer development?
How does ultraviolet (UV) radiation contribute to skin cancer development?
Explain the process of X-chromosome inactivation and its significance.
Explain the process of X-chromosome inactivation and its significance.
What is xeroderma pigmentosum, and how does it relate to cancer risk?
What is xeroderma pigmentosum, and how does it relate to cancer risk?
Why do dermatologists recommend sunscreens that block both UVA and UVB rays?
Why do dermatologists recommend sunscreens that block both UVA and UVB rays?
What term is used to describe public policy when no laws exist to regulate behavior?
What term is used to describe public policy when no laws exist to regulate behavior?
What role does science play regarding personal and public welfare?
What role does science play regarding personal and public welfare?
How is the relationship between scientific knowledge and human choices characterized?
How is the relationship between scientific knowledge and human choices characterized?
What common approach is suggested for lung cancer prevention programs?
What common approach is suggested for lung cancer prevention programs?
What are two core values that influence ethical discussions regarding tobacco regulation?
What are two core values that influence ethical discussions regarding tobacco regulation?
What impact has the decline in cigarette use in the United States had globally in recent years?
What impact has the decline in cigarette use in the United States had globally in recent years?
Why is it important to think about other approaches to address social problems?
Why is it important to think about other approaches to address social problems?
What is emphasized as essential to the process of ethical inquiry?
What is emphasized as essential to the process of ethical inquiry?
How does pluralism affect ethical considerations in health policy?
How does pluralism affect ethical considerations in health policy?
What significant challenge do individuals face despite the abundance of scientific data available?
What significant challenge do individuals face despite the abundance of scientific data available?
What is one of the goals of discussing the relationships among knowledge, choice, behavior, and human welfare?
What is one of the goals of discussing the relationships among knowledge, choice, behavior, and human welfare?
List two considerations that determine the viability of public policy regarding tobacco.
List two considerations that determine the viability of public policy regarding tobacco.
What role does evidence play in shaping public policy about cigarette smoking?
What role does evidence play in shaping public policy about cigarette smoking?
How does access to scientific and medical knowledge influence public behavior?
How does access to scientific and medical knowledge influence public behavior?
What is a potential outcome of allowing unhealthy habits like smoking?
What is a potential outcome of allowing unhealthy habits like smoking?
What does the term 'antismoking ethos' imply?
What does the term 'antismoking ethos' imply?
What type of public policy is emphasized for addressing behavioral issues like smoking?
What type of public policy is emphasized for addressing behavioral issues like smoking?
Why may public policy not fully address issues like smoking addiction?
Why may public policy not fully address issues like smoking addiction?
What relationship must be understood when discussing human behavior and welfare?
What relationship must be understood when discussing human behavior and welfare?
What is an example of a value that might conflict with public health interests?
What is an example of a value that might conflict with public health interests?
What can significantly impact individuals' choices regarding health, despite available knowledge?
What can significantly impact individuals' choices regarding health, despite available knowledge?
Identify a fundamental ethical feature in addressing health-related tradeoffs.
Identify a fundamental ethical feature in addressing health-related tradeoffs.
How can improved education contribute to lung cancer prevention?
How can improved education contribute to lung cancer prevention?
What important aspect of ethics ensures informed decision-making?
What important aspect of ethics ensures informed decision-making?
How do cultural factors influence health policy decisions internationally?
How do cultural factors influence health policy decisions internationally?
What is one challenge faced by public policy in regulating unhealthy behaviors?
What is one challenge faced by public policy in regulating unhealthy behaviors?
How does acknowledgment of diverse ethical values influence discussions on public health issues?
How does acknowledgment of diverse ethical values influence discussions on public health issues?
In the context of health policy, what does de jure public policy refer to?
In the context of health policy, what does de jure public policy refer to?
What is the primary age group at highest risk for Hodgkin lymphoma?
What is the primary age group at highest risk for Hodgkin lymphoma?
What are the two types of skin cancer classified as nonmelanoma?
What are the two types of skin cancer classified as nonmelanoma?
Define oncogene and its role in cancer.
Define oncogene and its role in cancer.
What is the purpose of palliative treatment in cancer care?
What is the purpose of palliative treatment in cancer care?
What is a precancerous polyp?
What is a precancerous polyp?
Explain the term 'remission' in the context of cancer treatment.
Explain the term 'remission' in the context of cancer treatment.
What role does radon play in cancer risk?
What role does radon play in cancer risk?
Define 'relative risk' in relation to cancer exposure.
Define 'relative risk' in relation to cancer exposure.
What is the significance of the SEER Program in cancer research?
What is the significance of the SEER Program in cancer research?
What is the difference between proto-oncogenes and oncogenes?
What is the difference between proto-oncogenes and oncogenes?
Describe what a sarcoma is.
Describe what a sarcoma is.
What does the term 'staging' refer to in oncology?
What does the term 'staging' refer to in oncology?
What is the function of telomerase in cancer cells?
What is the function of telomerase in cancer cells?
How does radiation therapy work in cancer treatment?
How does radiation therapy work in cancer treatment?
What is a 'secondary tumor'?
What is a 'secondary tumor'?
What is angiogenesis in the context of cancer?
What is angiogenesis in the context of cancer?
Define atypical hyperplasia.
Define atypical hyperplasia.
What is the primary distinction between benign and malignant tumors?
What is the primary distinction between benign and malignant tumors?
What role does apoptosis play in cellular health?
What role does apoptosis play in cellular health?
Explain the term 'carcinogenesis'.
Explain the term 'carcinogenesis'.
What is the significance of the BRCA1 gene?
What is the significance of the BRCA1 gene?
Describe what a biopsy entails.
Describe what a biopsy entails.
What is the primary function of bone marrow?
What is the primary function of bone marrow?
How does chemotherapy function in cancer treatment?
How does chemotherapy function in cancer treatment?
What does the term 'encapsulated' refer to in oncology?
What does the term 'encapsulated' refer to in oncology?
What is the primary source of environmental tobacco smoke (ETS)?
What is the primary source of environmental tobacco smoke (ETS)?
What distinguishes carcinoma in situ from invasive carcinoma?
What distinguishes carcinoma in situ from invasive carcinoma?
What does etiology study in the context of disease?
What does etiology study in the context of disease?
How does gene therapy aim to treat cancer?
How does gene therapy aim to treat cancer?
Explain the purpose of clinical trials in cancer research.
Explain the purpose of clinical trials in cancer research.
What are melanocytes responsible for in the skin?
What are melanocytes responsible for in the skin?
What is the effect of contact inhibition on normal cells?
What is the effect of contact inhibition on normal cells?
Explain what in situ cancer means.
Explain what in situ cancer means.
Describe the concept of combination chemotherapy.
Describe the concept of combination chemotherapy.
What is dysplasia, and how does it relate to cancer?
What is dysplasia, and how does it relate to cancer?
What is the function of the fecal occult blood test?
What is the function of the fecal occult blood test?
Define the term malignant as it relates to cancer.
Define the term malignant as it relates to cancer.
What role do tumor suppressor genes play in cancer prevention?
What role do tumor suppressor genes play in cancer prevention?
What is the significance of the term 'lifetime risk' in cancer epidemiology?
What is the significance of the term 'lifetime risk' in cancer epidemiology?
How can hyperplasia be characterized in relation to cell growth?
How can hyperplasia be characterized in relation to cell growth?
What does the grading system of tumors indicate?
What does the grading system of tumors indicate?
Describe the condition known as familial polyposis.
Describe the condition known as familial polyposis.
What does the term metastasis refer to in cancer terminology?
What does the term metastasis refer to in cancer terminology?
What kind of tumors do benign fibroids represent?
What kind of tumors do benign fibroids represent?
Flashcards
Origin of the term cancer
Origin of the term cancer
The term cancer comes from Greek 'karkinoma' due to its resemblance to crab limbs.
Hippocrates' observation
Hippocrates' observation
Hippocrates noted that veins from breast tumors resemble crab limbs over 2,300 years ago.
Cell theory emergence
Cell theory emergence
In the 1600s and 1800s, it was understood that all cells arise from other cells.
Cancer incidence variation
Cancer incidence variation
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Infectious disease theory
Infectious disease theory
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Chronic irritation theory
Chronic irritation theory
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Hereditary cancer theory
Hereditary cancer theory
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Confusion about cancer
Confusion about cancer
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Roussarcoma virus
Roussarcoma virus
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Cancer-causing agents
Cancer-causing agents
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Mutagen
Mutagen
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Carcinogen
Carcinogen
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Herman Muller's discovery
Herman Muller's discovery
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Knudson's model
Knudson's model
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Familial vs sporadic retinoblastoma
Familial vs sporadic retinoblastoma
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Monoclonal tumors
Monoclonal tumors
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Cancer cell origin
Cancer cell origin
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Tissue matching
Tissue matching
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Gene damage and cancer
Gene damage and cancer
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Submicroscopic agents
Submicroscopic agents
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Chemical carcinogens
Chemical carcinogens
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Radioactive mutation
Radioactive mutation
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Cell biology contributions
Cell biology contributions
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Mutation in DNA repair genes
Mutation in DNA repair genes
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Apoptosis
Apoptosis
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Polyclonal Tumor
Polyclonal Tumor
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p53 protein
p53 protein
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Telomeres
Telomeres
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Telomerase
Telomerase
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X-Chromosome Inactivation
X-Chromosome Inactivation
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Tumor Formation
Tumor Formation
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Multistep cancer development
Multistep cancer development
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Clonal Expansion
Clonal Expansion
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Cancer incidence with age
Cancer incidence with age
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Genetic Instability
Genetic Instability
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Unlimited Cell Division
Unlimited Cell Division
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Cancer susceptibility mutation
Cancer susceptibility mutation
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Loss of Contact Inhibition
Loss of Contact Inhibition
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Lag time before cancer development
Lag time before cancer development
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Incidence rate
Incidence rate
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Reduced Growth Factor Dependence
Reduced Growth Factor Dependence
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Mortality rate
Mortality rate
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Mitosis in Cancer Cells
Mitosis in Cancer Cells
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Survival rate
Survival rate
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Genetic crisis in cells
Genetic crisis in cells
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Mutagenicity and Carcinogenicity
Mutagenicity and Carcinogenicity
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Family Cancer Risk
Family Cancer Risk
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Chemotherapy efficacy
Chemotherapy efficacy
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Ancestral Cell
Ancestral Cell
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Tumor Cell Characteristics
Tumor Cell Characteristics
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Cancer-causing mutations
Cancer-causing mutations
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Proto-oncogenes
Proto-oncogenes
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Tumor suppressor genes
Tumor suppressor genes
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Oncogenes
Oncogenes
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Cell cycle
Cell cycle
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Growth factors
Growth factors
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Signal transduction
Signal transduction
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Aberrant receptors
Aberrant receptors
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Inhibitory pathways
Inhibitory pathways
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DNA repair system
DNA repair system
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Mutations
Mutations
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Malignant growth
Malignant growth
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Cell signaling
Cell signaling
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Excessive division
Excessive division
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Cancer registries
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SEER Program
SEER Program
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Lifetime risk
Lifetime risk
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Relative risk
Relative risk
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Epidemiology
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Childhood cancer statistics
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Cancer mortality
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Genetic mutations
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Screening programs
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Cancer risk factors
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Cancer death rate decline
Cancer death rate decline
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Specific cancer types risk
Specific cancer types risk
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Molecular Fingerprinting
Molecular Fingerprinting
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Early Detection
Early Detection
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Cancer-Specific Treatments
Cancer-Specific Treatments
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Cancer Cost Estimates
Cancer Cost Estimates
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Preventable Cancer Deaths
Preventable Cancer Deaths
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Morbidity Costs
Morbidity Costs
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Carcinogen Exposure
Carcinogen Exposure
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Behavioral Changes for Prevention
Behavioral Changes for Prevention
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Public Health Policies
Public Health Policies
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Health Care Provider's Role
Health Care Provider's Role
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Ethical Considerations in Cancer Treatment
Ethical Considerations in Cancer Treatment
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Cancer Prevention Strategies Levels
Cancer Prevention Strategies Levels
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Long Time Lag in Health Effects
Long Time Lag in Health Effects
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Information Dissemination
Information Dissemination
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Population Data Limitations
Population Data Limitations
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Ethical considerations
Ethical considerations
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Value in ethics
Value in ethics
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Pluralism in ethics
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De jure public policy
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Cost considerations in policy
Cost considerations in policy
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Effectiveness of policies
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Social factors in policy
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Autonomy
Autonomy
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Ethical inquiry process
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Health regulation trade-offs
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Public policy urgency
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Effective tobacco policies
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Cultural differences in health policy
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Government action and law
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Importance of knowledge in ethics
Importance of knowledge in ethics
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Tumor Markers
Tumor Markers
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Ultraviolet (UV) Radiation
Ultraviolet (UV) Radiation
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Xeroderma Pigmentosum
Xeroderma Pigmentosum
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Angiogenesis
Angiogenesis
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Angiosarcoma
Angiosarcoma
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Atypical Hyperplasia
Atypical Hyperplasia
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Basal Cell Carcinoma
Basal Cell Carcinoma
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Benign Tumor
Benign Tumor
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Biopsy
Biopsy
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Bone Marrow Aspiration
Bone Marrow Aspiration
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Brachytherapy
Brachytherapy
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BRCA1
BRCA1
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Cancer
Cancer
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Carcinogenesis
Carcinogenesis
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Chemotherapy
Chemotherapy
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Dysplastic Nevi
Dysplastic Nevi
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Endometrial
Endometrial
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Cancer Survival Rate Increase
Cancer Survival Rate Increase
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Early Detection Importance
Early Detection Importance
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Conventional Cancer Treatments
Conventional Cancer Treatments
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Cancer Research Metaphor
Cancer Research Metaphor
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Cancer Genome Anatomy Project (CGAP)
Cancer Genome Anatomy Project (CGAP)
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Oncogenes Role in Cancer
Oncogenes Role in Cancer
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Telomerase in Cancer
Telomerase in Cancer
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Molecular Changes in Cancer
Molecular Changes in Cancer
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Apoptosis Restoration
Apoptosis Restoration
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Cancer Symptoms Timeline
Cancer Symptoms Timeline
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Cancer Screening Education
Cancer Screening Education
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Cancers with No Symptoms
Cancers with No Symptoms
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Surrounding Cell Changes
Surrounding Cell Changes
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Molecular Signatures Comparison
Molecular Signatures Comparison
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De facto public policy
De facto public policy
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Antismoking ethos
Antismoking ethos
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Role of science in choices
Role of science in choices
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Knowledge-Choice-Behavior Model
Knowledge-Choice-Behavior Model
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Non-linear relationships
Non-linear relationships
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Human choice and science
Human choice and science
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Access to scientific knowledge
Access to scientific knowledge
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Cancer treatment evidence
Cancer treatment evidence
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Acute lymphocytic leukemia
Acute lymphocytic leukemia
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Adenocarcinoma
Adenocarcinoma
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Alpha-fetoprotein
Alpha-fetoprotein
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Ames test
Ames test
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Anaplastic cells
Anaplastic cells
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Human welfare
Human welfare
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Environmental Tobacco Smoke
Environmental Tobacco Smoke
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Epidermis
Epidermis
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Epstein-Barr Virus
Epstein-Barr Virus
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Estrogen
Estrogen
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Familial Polyposis
Familial Polyposis
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Fecal Occult Blood Test
Fecal Occult Blood Test
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Gene Therapy
Gene Therapy
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Malignant
Malignant
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Grading
Grading
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Metastasis
Metastasis
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Hyperplasia
Hyperplasia
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Leukemia
Leukemia
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Hodgkin lymphoma
Hodgkin lymphoma
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Non-Hodgkin lymphoma
Non-Hodgkin lymphoma
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Oncology
Oncology
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Palliative treatment
Palliative treatment
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Pre-cancerous polyp
Pre-cancerous polyp
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Prognosis
Prognosis
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Radiation therapy
Radiation therapy
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Remission
Remission
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Risk factor
Risk factor
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Sarcoma
Sarcoma
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Secondary tumor
Secondary tumor
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Screening
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Tumor
Tumor
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Study Notes
Cancer: Causes, Development, and Impacts
- Historical Perspective: Cancer's name originates from Hippocrates' observation of crab-like veins in breast tumors (karkinoma in Greek, later cancer in Latin). The understanding of cells as building blocks of living tissue, developed by Hooke and Virchow, sparked questions about cancer's origins and progression.
Clues from Epidemiology
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Incidence Variations: Cancer rates differ significantly between populations. Scrotal cancer was high among 18th-century chimney sweeps; lung cancer among 19th-century pitch blende miners. Use of snuff and cigars were associated with mouth/throat cancers. These observations suggest external causes.
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Potential Causes: Early ideas included infection, chronic tissue irritation, heredity. Discovery of X-rays and their ability to induce cancer added to the complexity of understanding its causes.
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Single Cause: The 1910 discovery of Rous sarcoma virus (a chicken tumor agent) inducing tumors in healthy chickens demonstrated a clear single cause to some cancers. This led to a focus on cellular genes as major players in cancer development.
Clues from Cell Biology
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Monoclonal Origin: Virtually all malignant tumors arise from a single abnormal cell of the body's own tissue. This contrasts with polyclonal cancers where many cells become malignant, making tumor cell origins difficult to determine.
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Tissue Transplantation: Transplants between identical twins are far more successful than between unrelated individuals, because of immune system distinctions between self and foreign cells. This principle is applied in tissue typing to check for compatibility in transplants, also revealing that tumor cells originate from the patient's own tissues.
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X-Chromosome Inactivation: The consistent inactivation of the same X chromosome in all tumor cells, in female patients, indicates one ancestral cell for the tumor cells. This is random.
A Unified View of Cancer
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Multistep Process: Cancer develops gradually over time via a series of genetic alterations—that is, as a complex chain of genetic mutations. These acquired traits give rise to cancerous characteristics.
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Proto-Oncogenes and Tumor Suppressor Genes:
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Proto-oncogenes: Normally stimulate cell division. When mutated, they become oncogenes, causing uncontrolled cell division.
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Tumor suppressor genes: Normally inhibit cell division. When mutated, this inhibition is lost, allowing for excessive cell growth. Mutated proto-oncogenes and mutated tumor suppressors are major contributors to uncontrolled cell division in cancers.
The Role of Oncogenes
- Overactive Growth-Promoting Pathways: Oncogenes drive faster proliferation through overproduction of growth factors, aberrant receptor signaling, or disrupted signal cascades, ultimately activating cell growth in the nucleus.
The Role of Tumor Suppressor Genes
- Inhibitory Messages: Tumor suppressor proteins block excessive growth; when mutated they lose their ability, resulting in uncontrolled proliferation. These genes are fundamental in growth controls.
The Body's Backup Systems
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DNA Repair System: The DNA repair system minimizes mutations. Mutations in DNA repair genes damage the system, increasing mutation rates.
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Apoptosis: The cell suicide mechanism eliminates damaged cells. Cancer cells often evade apoptosis, making them resistant to treatments. The p53 protein is a key tumor suppressor in this process, critical for cell death induction.
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Telomeres and Telomerase: Telomeres shorten with each cell division, inducing cell division cessation. Telomerase, present in most cancer cells, replenishes telomeres, enabling cells to divide indefinitely.
Cancer Incidence, Mortality, and Survival
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Lifetime Risks: Lifetime risk of developing cancer is different for men and women.
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Epidemiology: Epidemiology studies reveal factors that correlate with cancer development, such as smoking and sunburns, although it cannot predict individual risks.
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Hereditary Factors: Even without exposure, hereditary factors determine individual susceptibility. Inherited mutations can greatly increase a person’s cancer risk.
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Natural Incidence: Approximately 25% of cancer is thought to arise purely internally, even without external influences.
Cancer Treatment and Prevention
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Early Detection and Improved Treatments: Advancements in cancer detection (imaging, tests) and targeted therapies (for specific cancers) are dramatically increasing survival rates. Cancer treatment increasingly targets the molecular abnormalities of cancer cells.
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CGAP (Cancer Genome Anatomy Project): This project aims to identify the genes responsible for cancer development, in order to advance detection, diagnosis, and treatments, using molecular signatures.
Cancer and Society
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Financial Costs: Cancer treatment and care pose significant financial burdens.
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Prevention Strategies: Effective cancer prevention depends on a multifaceted approach, encompassing individual lifestyle choices, provider-patient relationships, governmental regulation, and international cooperation.
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Ethics and Public Policy: Considerations of ethics, like conflicting values and public policies in a pluralist society, are important as we strive to reduce suffering and increase well-being, while respecting individual freedom.
Science, Choice, and Behavior
- Knowledge and Behavior: Scientific knowledge can empower choices affecting health and well-being, but choices sometimes contradict this guidance. Public awareness concerning cancer, health decisions, and behaviors is critical for improved outcomes, despite these limitations.
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