Overview
Any of the several illnesses characterized by the growth of abnormal cells that divide out of control and have the capacity to invade and destroy healthy bodily tissue are referred to as cancers. The ability of cancer to spread throughout your body is common.
The second most common cause of death worldwide is cancer. On the other hand, because to advancements in cancer detection, treatment, and prevention, survival rates are rising for many cancer types.
Early detection and cutting-edge therapies are treating cancer and extending the lives of cancer patients. In order to help patients avoid getting cancer, medical researchers are simultaneously finding independent risk factors associated to the disease.
Symptoms
Depending on what region of the body is affected, cancer can create a variety of signs and symptoms.
The following are some typical signs and symptoms of cancer that are not particular to this disease:
- Fatigue
- Constant fevers or nocturnal sweats
- Alterations on skin, such as skin that is turning yellow, darkening, or red, sores that won’t heal, or changes to existing moles
- Unintentional weight loss or gain
- A palpable lump or region of thickening under the skin
- Modifications in bowel or bladder patterns
- A persistent cough or breathing issues
- Swallowing problems
- Consistent indigestion or discomfort following a meal
- Consistent, joint or muscle pain of unknown cause
- Bleeding or bruising of unknown cause
- Hoarseness
If you experience any troubling signs or symptoms, schedule a visit with your doctor.
Talk to your doctor about your worries if you don’t have any symptoms or signs of cancer but are concerned about your risk. Find out which cancer screening treatments and tests are suitable for you.
Causes
Cancer arises due to mutations in the DNA of cells. Each cell’s DNA is organized into numerous individual genes, and these genes provide instructions to the cell regarding its functions, growth, and division. When errors occur in these instructions, the cell’s normal behavior may be disrupted, potentially leading to the development of cancerous traits.
Effects of gene mutation
A healthy cell may be instructed by a gene mutation to:
- Allow rapid growth. A gene mutation may instruct a cell to divide and develop more quickly. This results in the creation of numerous additional cells with the same mutation.
- Fail to stop uncontrolled cell growth. In healthy cells, there are mechanisms in place to regulate their growth, ensuring an appropriate balance of each cell type. These mechanisms involve tumor suppressor genes, which play a crucial role in signaling cells to halt their growth when necessary. However, in cancer cells, these controls are compromised due to mutations in the tumor suppressor genes. As a result, cancer cells lose the ability to stop growing, leading to uncontrolled and excessive proliferation. The mutations in tumor suppressor genes enable cancer cells to accumulate and multiply unchecked.
- Make mistakes when repairing DNA errors. DNA repair genes scan a cell’s DNA for faults and correct them. A mutation in a DNA repair gene may prevent additional errors from being fixed, resulting in cancerous cells.
The majority of cancer mutations are characterized by these changes. However, a wide variety of additional gene alterations can also result in cancer.
Causes of gene mutations
Gene mutations can develop for a number of causes, including:
- Gene mutations present at birth. It’s possible that you have an inherited genetic mutation from your parents. Only a small proportion of tumors are caused by this kind of mutation.
- Gene mutations that occur after birth. The majority of gene mutations happen after birth and are not inherited. Gene mutations can be brought on by a variety of factors, including smoking, radiation, viruses, cancer-causing substances (carcinogens), obesity, hormones, chronic inflammation, and inactivity.
During healthy cell growth, gene changes regularly take place. Cells, however, have a system in place that can spot errors and correct them. Sometimes a mistake is overlooked. A cell might develop cancer as a result of this.
How do different gene mutations relate to one another?
Together, the DNA alterations you are born with and those you acquire over your lifetime contribute to the development of cancer.
A genetic mutation that predisposes you to cancer, for example, does not guarantee that you will develop cancer. Instead, one or more additional gene alterations might be required to generate cancer. If you are exposed to a certain substance that causes cancer, your inherited gene mutation may increase your risk of developing cancer compared to other people.
It is unclear exactly how many mutations must assemble before cancer can develop. This most likely differs between cancer types.
Risk factors
The majority of cancers occur in people without any recognized risk factors, despite the fact that doctors have a notion of what may enhance your risk of developing cancer. Some factors that are known to raise your risk of cancer include:
Age
The development of cancer can take decades. The average age of those who receive a cancer diagnosis is 65 or higher. Cancer is not just an adult disease, even though older persons are more likely to develop it. Cancer can be detected at any age.
Habits
It is well recognized that some lifestyle decisions raise your risk of developing cancer. Tobacco use, excessive alcohol use (up to two drinks per day for males and up to one drink per day for women), frequent blistering sunburns, excessive sun exposure, being fat, and unsafe sex are all risk factors for cancer.
Although some habits are easier to modify than others, you can adjust certain behaviors to reduce your risk of developing cancer.
Family history
A very small percentage of cancers are brought on by an inherited disorder. If cancer runs in your family, mutations could be handed down from one generation to the next. If you want to find out if you have inherited mutations that could make you more likely to get a particular cancer, you might be a good candidate for genetic testing. Remember that not everyone who carries an inherited genetic mutation will develop cancer.
Health conditions
Your risk of getting some types of cancer might significantly rise if you have certain chronic health conditions, such ulcerative colitis. Discuss your risk with your doctor.
Environment
Hazardous chemicals in the environment may raise your risk of developing cancer. If you go places where people are smoking or if you live with someone who smokes, even if you don’t smoke, you could inhale secondhand smoke. Additionally, exposure to chemicals like benzene and asbestos at work or home is linked to a higher chance of developing cancer.
Diagnosis
Cancer screening
The best opportunity for a cure is frequently found in early cancer diagnosis. Talk to your doctor about the many cancer screening options that might be suitable for you in light of this.
Studies reveal that by detecting some cancers early, screening tests can save lives. Screening tests for various types of cancers are advised exclusively for individuals with heightened risk factors.
Recommendations and guidelines for cancer screening have been developed by numerous medical organizations and patient advocacy organizations. Together, you and your doctor may decide which recommendations are appropriate for you based on your individual cancer risk factors after reviewing the various guidelines.
Cancer diagnosis
To diagnose cancer, your doctor might employ one or more of the following methods:
- Physical exam. Your doctor might check several parts of your body for lumps that could be cancerous. Your doctor may check for abnormalities during a physical examination, such as skin color changes or organ enlargements that could be signs of cancer.
- Laboratory tests. Your doctor may employ laboratory testing, such as blood and urine tests, to find abnormalities that could be brought on by cancer. For instance, a routine blood test called a complete blood count may detect an unusually high or particular kind of white blood cell in leukemia patients.
- Imaging tests. Your doctor can inspect your internal organs and bones by using noninvasive imaging scans. A Computed Tomography (CT) scan, a bone scan, a Magnetic Resonance Imaging (MRI), a Positron Emission Tomography (PET) scan, an ultrasound, and an X-ray are a few examples of imaging procedures that can be used to diagnose cancer.
- Biopsy. Your doctor takes a sample of cells during a biopsy to examine in a lab. There are numerous approaches to sample collection. The sort of cancer you have and where it is located will determine which form of biopsy is best for you. Most of the time, a biopsy is required to make a certain cancer diagnosis.
Doctors examine cell samples under a microscope in a laboratory setting. Normal cells have a consistent appearance, similar sizes, and a well-organized layout. Cancer cells appear less organized, with a range of sizes and no discernible organization.
Cancer stages
Your doctor will attempt to ascertain the extent (stage) of your cancer after a diagnosis has been made. The stage of your cancer is used by your doctor to determine your treatment options and prospects of recovery.
Imaging examinations, including bone scans or X-rays, are sometimes used as staging tests and procedures to determine whether cancer has spread to other body areas.
The numbers 0 through 4, which are sometimes expressed as the Roman numerals 0 through IV, represent the various stages of cancer. A more advanced cancer is indicated by higher numbers. The cancer stage for several types of cancer is denoted by letters or phrases.
Treatment
There are numerous cancer therapies available. Your cancer’s type and stage, overall health, and personal preferences are just a few of the variables that will affect your treatment options. You can assess the advantages and disadvantages of each cancer treatment with the help of your doctor to decide which is best for you.
Goals of cancer treatment
Different goals for cancer therapy include:
- Cure. The purpose of treatment is to eradicate your cancer and restore your ability to lead a normal life. Depending on your particular circumstances, this might or might not be doable.
- Primary treatment. A primary treatment aims to eradicate the cancer from the body entirely or to destroy the cancer cells.
Any cancer treatment can be employed as the first line of treatment, however surgery is the most common initial cancer treatment for the most prevalent cancers. You might get one of those treatments as your main course of treatment if your cancer is highly susceptible to radiation therapy or chemotherapy.
- Adjuvant treatment. Adjuvant therapy aims to eliminate any cancer cells that might still exist after primary treatment to lessen the likelihood that the disease will return.
Adjuvant therapy can be applied to any cancer treatment. Chemotherapy, radiation therapy, and hormone therapy are examples of common adjuvant treatments.
Cancer treatments
When it comes to treating cancer, doctors have a variety of options. Options for cancer treatment include:
- Surgery. Surgery’s main objective is to completely remove the malignancy, if possible.
- Chemotherapy. Chemotherapy use medication to destroy cancer cells.
- Radiation therapy. High-powered energy beams, such as X-rays and protons, are used in radiation therapy to kill cancer cells. Radiation therapy can be administered inside the body (brachytherapy) or from a machine outside the body (external beam radiation).
- Bone marrow transplant (stem cell transplant). The substance that produces blood cells in your bones is called bone marrow. Either your own cells or cells from a donor can be used in a bone marrow transplant. A bone marrow transplant enables doctors to administer higher doses of chemotherapy for cancer treatment and can also serve as a method to replace diseased bone marrow.
- Immunotherapy. The biological therapy known as immunotherapy makes use of the immune system to treat cancer. Because your immune system does not detect cancer as an outside invader, it can thrive unchecked inside your body. Your immune system can see the cancer and fight it with the aid of immunotherapy.
- Hormone therapy. Your body’s hormones can fuel certain cancers. Breast cancer and prostate cancer are two examples. It may be possible to inhibit the growth of the cancer cells by eliminating those hormones from the body or by blocking their effects.
- Targeted drug therapy. Targeted medication therapy focuses on particular cancer cell defects that enable cancer cells to survive.
Depending on the type of cancer you have, you might be eligible for other therapies.
