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Questions and Answers
What historical figure is credited with coining the term 'cancer' and what does the term refer to?
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?
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?
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?
What was the Greek term used by Hippocrates to describe tumors, and what does it mean?
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Define cancer based on the provided content.
Define cancer based on the provided content.
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How do cancer cells differ from normal cells in terms of growth signals?
How do cancer cells differ from normal cells in terms of growth signals?
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What process do cancer cells ignore that is usually crucial for normal cell function?
What process do cancer cells ignore that is usually crucial for normal cell function?
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In what way do cancer cells manipulate their environment to sustain tumor growth?
In what way do cancer cells manipulate their environment to sustain tumor growth?
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What characteristic of cancer cells allows them to spread to other areas of the body?
What characteristic of cancer cells allows them to spread to other areas of the body?
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How do normal cells respond when they encounter other cells?
How do normal cells respond when they encounter other cells?
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What ability do cancer cells have that helps them evade the immune system?
What ability do cancer cells have that helps them evade the immune system?
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What types of tumors are characterized as benign compared to malignant tumors?
What types of tumors are characterized as benign compared to malignant tumors?
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What is the significance of apoptosis in the life cycle of normal cells?
What is the significance of apoptosis in the life cycle of normal cells?
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What are proto-oncogenes and how do they contribute to cancer?
What are proto-oncogenes and how do they contribute to cancer?
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Explain the role of tumor suppressor genes in cancer prevention.
Explain the role of tumor suppressor genes in cancer prevention.
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What are DNA repair genes and what happens when they mutate?
What are DNA repair genes and what happens when they mutate?
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Describe how cancer cells utilize nutrients differently from normal cells.
Describe how cancer cells utilize nutrients differently from normal cells.
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What is hyperplasia and how is it related to cancer development?
What is hyperplasia and how is it related to cancer development?
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How do some cancer treatments target the unique features of cancer cells?
How do some cancer treatments target the unique features of cancer cells?
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What are chromosomal changes and how are they related to cancer?
What are chromosomal changes and how are they related to cancer?
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Why is it significant that some cancer therapies can be used regardless of the cancer's origin?
Why is it significant that some cancer therapies can be used regardless of the cancer's origin?
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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
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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.
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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
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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
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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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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.