Introduction to Cancer Biology
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Questions and Answers

What historical figure is credited with coining the term 'cancer' and what does the term refer to?

The term 'cancer' is credited to the Roman physician Celsus, and it refers to tumors that resemble the shape of a crab.

Explain the process that normally regulates cell division in the human body?

Normally, human cells grow and divide to replace old or damaged cells as needed, maintaining a balance in cell growth.

What happens to cells when the process of normal cell division breaks down?

When the process breaks down, abnormal or damaged cells can grow and multiply uncontrollably, potentially forming tumors.

What was the Greek term used by Hippocrates to describe tumors, and what does it mean?

<p>Hippocrates used the term 'carcinos' to describe non-ulcer forming tumors, which means crab in Greek.</p> Signup and view all the answers

Define cancer based on the provided content.

<p>Cancer is a disease caused by the uncontrolled division of cells that spread into surrounding tissues.</p> Signup and view all the answers

How do cancer cells differ from normal cells in terms of growth signals?

<p>Cancer cells grow in the absence of signals telling them to grow, while normal cells only grow when they receive such signals.</p> Signup and view all the answers

What process do cancer cells ignore that is usually crucial for normal cell function?

<p>Cancer cells ignore signals that normally tell cells to stop dividing or to die, a process known as programmed cell death or apoptosis.</p> Signup and view all the answers

In what way do cancer cells manipulate their environment to sustain tumor growth?

<p>Cancer cells tell blood vessels to grow toward tumors, supplying them with oxygen and nutrients.</p> Signup and view all the answers

What characteristic of cancer cells allows them to spread to other areas of the body?

<p>Cancer cells invade nearby areas and can spread to other parts of the body.</p> Signup and view all the answers

How do normal cells respond when they encounter other cells?

<p>Normal cells stop growing when they encounter other cells.</p> Signup and view all the answers

What ability do cancer cells have that helps them evade the immune system?

<p>Cancer cells can hide from the immune system, which normally eliminates damaged or abnormal cells.</p> Signup and view all the answers

What types of tumors are characterized as benign compared to malignant tumors?

<p>Benign tumors do not invade nearby tissues and, when removed, usually do not grow back.</p> Signup and view all the answers

What is the significance of apoptosis in the life cycle of normal cells?

<p>Apoptosis helps to eliminate damaged or abnormal cells, maintaining healthy tissue function.</p> Signup and view all the answers

What are proto-oncogenes and how do they contribute to cancer?

<p>Proto-oncogenes are normal genes involved in cell growth and division, but when altered or overactive, they can become oncogenes that promote uncontrolled growth.</p> Signup and view all the answers

Explain the role of tumor suppressor genes in cancer prevention.

<p>Tumor suppressor genes prevent excessive cell growth and division, but when they are inactivated, it can lead to uncontrolled cell proliferation.</p> Signup and view all the answers

What are DNA repair genes and what happens when they mutate?

<p>DNA repair genes help fix mutations in the DNA; when they mutate, it can lead to further mutations and chromosomal changes, increasing cancer risk.</p> Signup and view all the answers

Describe how cancer cells utilize nutrients differently from normal cells.

<p>Cancer cells often rely on different kinds of nutrients and may generate energy through alternative pathways, allowing for faster growth.</p> Signup and view all the answers

What is hyperplasia and how is it related to cancer development?

<p>Hyperplasia is the excessive multiplication of cells in a tissue, which can lead to an increased risk of developing cancer if it becomes uncontrolled.</p> Signup and view all the answers

How do some cancer treatments target the unique features of cancer cells?

<p>Cancer treatments may focus on specific mutations or the abnormal behaviors of cancer cells, such as preventing blood vessel growth to starve tumors.</p> Signup and view all the answers

What are chromosomal changes and how are they related to cancer?

<p>Chromosomal changes, such as duplications and deletions, occur in cancer cells and contribute to the development of mutations that promote tumor growth.</p> Signup and view all the answers

Why is it significant that some cancer therapies can be used regardless of the cancer's origin?

<p>The significance lies in the ability to treat various cancers based on their genetic mutations, rather than the location of the cancer, enhancing personalized medicine.</p> Signup and view all the answers

Study Notes

Course Information

  • Course Title: CEXP 538 CANCER
  • Course Term: Fall 2024
  • Module: 11

Cancer Outline

  • Introduction
  • Etiology
  • Treatment
  • Risk Factors
  • Physical Activity

Cancer Introduction

  • Origin of the word "cancer":

    • Greek physician Hippocrates (460-370 BC) used the terms carcinos and carcinoma to describe non-ulcer forming and ulcer-forming tumors.
    • Carcinos and carcinoma relate to a crab, due to the finger-like spreading projections resembling a crab.
    • Roman physician Celsus (25 BC - 50 AD) translated the Greek term to cancer, the Latin word for crab.
    • Galen (130-200 AD) used the word oncos (Greek for swelling) to describe tumors.
  • Disease definition:

    • Uncontrollable cell division and spread into surrounding tissues.
    • Originates anywhere in the body.
    • Normally, cells grow, multiply, die, and new cells take their place.
    • Abnormal cells grow and multiply when they shouldn't, eventually forming tumors (lumps of tissue).

Cancer: Benign vs Malignant Tumors

  • Malignant tumors:

    • Spread to nearby tissues and can travel to distant places (metastasis)
    • Can be solid or blood-based tumors like leukemia.
    • Sometimes tumors return or grow back
  • Benign tumors:

    • Do not spread to nearby tissues
    • Usually do not grow back after removal
    • Can sometimes be large and life-threatening (e.g. brain tumors)

Prevalence/Mortality (Siegel et al., 2024)

  • Cancer is the second leading cause of death in the US
  • The National Cancer Institute’s (NCI) Surveillance, Epidemiology, and End Results (SEER) program has collected data since 1973.
  • Estimated new cases and deaths (2024 data) provided in a table

Cancer Incidence (Siegel et al., 2024)

  • Tables present incidence probabilities for specific cancers based on demographics.
  • Data on incidence and probability expressed in different age categories.

Rate of New Cases by Race/Ethnicity and Sex: Cancer Any Site

  • Male and female rates for all races categorized by ethnicity
  • Statistical data presented in a table, showing rates of cancer per 100,000 people by Race/Ethnicity & Sex

Death Rate by Race/Ethnicity and Sex: Cancer Any Site

  • Male and female rates for all races categorized by ethnicity from previous years
  • Statistical data presented in a table, showing cancer mortality rates per 100,000 people by Race/Ethnicity & Sex, Age Adjusted.

Prevalence/Mortality by Race and Ethnicity (Siegel et al., 2024)

  • Table showing 5-year relative survival rates for all races and ethnicities categorized by race (White, Black), and time periods from 1975 to 2019

Cancer Averted Deaths

  • The number of avoided cancer deaths in men significantly exceeds the number in women across years.

Cancer Prevention and Treatment

  • Cancer relies heavily on abnormal behaviors (e.g., cell division, blood vessel growth).
  • Treatments sometimes target these abnormal behaviors.
    • Example: therapies that prevent blood vessel growth starve tumors of nutrients.

Cancer Etiology: Introduction/Cancer Cells

  • Grow without signals
  • Invade nearby tissues and spread to other body areas
  • Stimulate blood vessel growth to deliver oxygen and nutrients.
  • Hide from the immune system
  • Accumulate mutations in their chromosomes.
  • Rely on different nutrients and energy production than normal cells.

Cancer Etiology: Normal Cells

  • Grow only via signals.
  • Ignore signals to stop dividing or die (apoptosis).
  • Do not typically move around the body.

Cancer Etiology, Tumor Origin

  • Carcinomas: originate from epithelial tissues
    • Adenocarcinomas: produce mucus
    • Basal cell carcinomas: originate in the base layers of the epidermis
    • Squamous cell carcinomas: lie beneath the outer skin surface
    • Transitional cell carcinomas: found in tissues that stretch (e.g., bladder)
  • Sarcomas: originate in bone and soft tissues (e.g., muscle, fat, tendons).

Cancer Etiology, Specific Cancers

  • Leukemia
  • Lymphoma
  • Multiple Myeloma
  • Melanoma
  • Brain and Spinal Cord Tumors

Cancer Staging

  • Stage 0: Carcinoma in situ (pre-cancerous)
  • Stages 1-3: Cancer present, with increasing tumor size/spread to nearby tissues.
  • Stage 4: Cancer has spread to distant parts of the body

Cancer Risk Factors

  • Age
  • Alcohol
  • Cancer-causing substances
  • Chronic inflammation
  • Diet
  • Hormones
  • Immunosuppression
  • Infectious agents
  • Obesity
  • Radiation
  • Sunlight
  • Tobacco

Cancer Physical Activity, Effects

  • Alteration of metabolic pathways
  • Reduction in steroid synthesis
  • Improved immune function
  • Reduction in systemic inflammation
  • Interruption of angiogenesis
  • Variable responses based on tumor characteristics.

Cancer Treatment

  • Cancer treatments may target genetic mutations, interrupting abnormal behaviors
  • Surgery (excision of tumors)
  • Chemotherapy (drugs to kill cancer cells)
  • Radiation therapy (high doses of radiation to destroy cancer cells)
  • Targeted therapies using antibodies, hormones, and immune system stimulants.

Cancer, Side Effects of Treatment

  • Anemia
  • Ascites
  • Bleeding/bruising
  • Bowel obstruction
  • Cachexia
  • Constipation
  • Delirium
  • Diarrhea
  • Edema
  • Fatigue
  • Fertility Issues
  • Flu-like symptoms
  • Hair loss & Infection
  • Lymphedema
  • Memory problems
  • Mouth/throat issues
  • Nausea/vomiting
  • Nerve problems
  • Nutrition problems
  • Organ-related inflammation & immunity
  • Pain
  • Sexual health issues in men and women
  • Skin changes
  • Sleep problems
  • Urinary and bladder problems
  • Weight changes/malnutrition

Cancer Metastasis

  • Cancer cells move from the primary tumor and form new tumors in distant parts, also called metastatic cancer.
  • Metastatic cells share characteristics with the primary tumor's cells, such as mutations.

Effects of Cancer Physical Activity

  • Higher volumes of physical activity linked to lower risk of certain cancer types.
  • Exercise can reduce cancer-related mortality and side effects of cancer treatment.
  • Varying responses depending on characteristics of the tumor or cancer type.

Cancer Physical Activity, Evidence

  • Temporal sequence (before, during, after exercise)
  • Consistency of results across studies
  • Biological plausibility (hormonal, metabolic pathways, immunology, cardiovascular)
  • Risks
  • Inverse relationship between risk and treatment side effects
  • Use of FITT methodology for appropriate and safe cancer-focused exercise programming.

Cancer, Resources

  • ACSM (American College of Sports Medicine) exercises guidelines.
  • Cancer Exercise specialist resources
  • Links to websites and articles with relevant information on cancer-related exercises and guidelines.

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CEXP 538 Module 11 PDF

Description

This quiz covers essential aspects of cancer biology, including the historical origins of the term 'cancer' and how normal cell division is regulated. It also explores the differences between cancerous and normal cells, focusing on growth signals, tumor manipulation, and the immune system evasion capabilities of cancer cells.

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