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Bladder/Urethral
Cancer
Bladder cancer begins in the bladder,
the organ that stores urine. Because the
kidneys, ureters, and urethra are lined
with cells similar to those in the bladder,
cancer that affects the bladder can affect
these structures as well.
While
there are other, rare types of bladder
cancer, the three most common types are:
Transitional cell carcinoma (TCC), Squamous
cell carcinomas, and Adenocarcinomas.
Transitional cell carcinoma (TCC) is by
far the most common form of bladder cancer,
accounting for about 90% of these cancers.
Bladder cancer is the fifth most common
cancer in this country, and it is three
times more common among men than among
women. When found and treated early, as
often happens, the chances for survival
are very good. |
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Brain
Cancer
The brain consists of different kinds
of tissues and cells. This is important
to understand, because different types
of benign (not cancerous) and malignant
(cancerous) tumors can start in these
different cell and tissue types. These
different types of tumors vary in prognosis
(survival) and the ways they are treated.
Any
of the different types of tissues or
cells within the brain or spinal cord
can become cancerous. Tumors that start
in other organs such as the lung or
breast and then spread, or metastasize,
to the brain are called metastatic brain
cancers and those that start in the
brain are called primary brain cancers.
Metastatic tumors to the brain are more
common than primary brain tumors. Unlike
other cancers, tumors arising within
the brain or spinal cord rarely metastasize
to distant organs. They cause damage
because they spread locally and destroy
normal tissue in the place where they
arise
Brain
cancer accounts for approximately 1.4%
of all cancers and 2.3% of all cancer-related
deaths. |
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Breast
Cancer
Breast cancer begins in the breast tissue
and is most commonly associated with women,
although on rare occasion, men also get
breast cancer.
There are several types of breast tumors.
Most are benign; that is, they are not
cancer. These lumps are often the result
of fibrocystic changes, which can cause
breast swelling and pain. Cysts are fluid-filled
sacs, and fibrosis refers to connective
tissue or scar tissue formation. The breasts
may feel lumpy and sometimes there is
a clear or slightly cloudy nipple discharge.
Benign breast tumors are abnormal growths,
but they do not spread outside of the
breast and they are not life threatening.
Four of the most common types of breast
cancer are Lobular carcinoma in situ (LCIS),
Ductal carcinoma in situ (DCIS), Infiltrating
(invasive) lobular carcinoma (ILC), and
Infiltrating (invasive) ductal carcinoma
(IDC). IDC is the most common type of
breast cancer; it accounts for nearly
80% of breast cancer. Breast
cancer is the most common cancer among
women, other than skin cancer. It is
the second leading cause of cancer death
in women, after lung cancer. Breast
cancer is the leading cause of cancer
death among women aged 40 to 55. |
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Cervical
Cancer
Cervical cancer begins in the lining of
the cervix. The cervix is the lower part
of the womb (uterus) and it connects the
body of the uterus to the vagina, or birth
canal. Cancer
of the cervix does not form suddenly.
First, some cells begin to change from
normal to pre-cancer and then to cancer.
This can take a number of years, although
sometimes it happens more quickly. For
some women, pre-cancerous changes may
go away without any treatment. More
often, they need to be treated to keep
them from changing into true cancers.
There
are two main types of cancer of the
cervix. About 85%-90% of these cancers
are squamous cell carcinomas. The other
10%-15% are adenocarcinomas.
When
found and treated early, cervical cancer
often can be cured. Cervical cancer
used to be one of the most common causes
of cancer death for American women.
But between 1955 and 1992 the number
of deaths from cervical cancer declined
by 74%. The main reason for this change
is the use of the Pap test to find early
cancer.
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Colon/Rectal
Cancer
Colorectal cancer begins in either the
colon or the rectum. Both are part of
the digestive tract, sometimes called
the GI (gastrointestinal) tract. This
is where food is processed to create energy
and rid the body of waste matter.
The
colon has four sections: the ascending
colon, the transverse colon, the descending
colon, and the sigmoid colon. Cancer
can start in any of the four sections
or in the rectum. Since colon cancer
and rectal cancer have many features
in common, they are often discussed
together.
Before
a true cancer develops, there are often
earlier changes in the lining of the
colon or rectum. One type of change
is a growth of tissue called a polyp.
Removing the polyp early may prevent
it from becoming cancer.
Over
95% of colon and rectal (colorectal)
cancers are adenocarcinomas. These are
cancers of the cells that line the inside
of the colon and rectum. There are some
other, more rare, types of tumors of
the colon and rectum.
The
death rate from colorectal cancer has
been going down for the past 20 years.
This may be because there are fewer
cases, because more of the cases are
found early, and also because treatments
have improved.
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Hodgkin's
Disease
Hodgkin's disease, sometimes called Hodgkin's
lymphoma, is a cancer that starts in lymphatic
tissue. Lymphatic tissue includes the
lymph nodes and related organs that are
part of the body's immune and blood-forming
systems. Lymph nodes make and store infection-fighting
white blood cells, called lymphocytes.
They are connected throughout the body
by lymph vessels (narrow tubes similar
to blood vessels). Other components of
the lymphatic system include the spleen,
the bone marrow, and the thymus.
Because
lymphatic tissue is present in many
parts of the body, Hodgkin's disease
can start almost anywhere. This cancer
causes enlargement of the lymphatic
tissue that can then cause pressure
on important structures.
Hodgkin's
disease is a type of malignant lymphoma
(cancer of lymphatic tissue). Lymphomas
are divided into two general types:
Hodgkin's disease (named after Dr. Thomas
Hodgkin who first recognized it in 1832)
and non-Hodgkin's lymphomas. The cancer
cells in Hodgkin's disease look different
under a microscope from cells of non-Hodgkin's
lymphomas and other cancers. Doctors
have given names to different types
of Hodgkin's disease: lymphocyte predominance,
nodular sclerosis, mixed cellularity,
lymphocyte depletion, and unclassified.
All of these types are malignant because
as they grow, they may compress, invade,
destroy normal tissue and spread to
other tissues. There is no benign (noncancerous)
form of Hodgkin's disease.
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Non-Hodgkins
Lymphoma
Hodgkin's disease, sometimes called Hodgkin's
lymphoma, is a cancer that starts in lymphatic
tissue. Lymphatic tissue includes the
lymph nodes and related organs that are
part of the body's immune and blood-forming
systems. Lymph nodes make and store infection-fighting
white blood cells, called lymphocytes.
They are connected throughout the body
by lymph vessels (narrow tubes similar
to blood vessels). Other components of
the lymphatic system include the spleen,
the bone marrow, and the thymus.
Because
lymphatic tissue is present in many
parts of the body, Hodgkin's disease
can start almost anywhere. This cancer
causes enlargement of the lymphatic
tissue that can then cause pressure
on important structures.
Hodgkin's
disease is a type of malignant lymphoma
(cancer of lymphatic tissue). Lymphomas
are divided into two general types:
Hodgkin's disease (named after Dr. Thomas
Hodgkin who first recognized it in 1832)
and non-Hodgkin's lymphomas. The cancer
cells in Hodgkin's disease look different
under a microscope from cells of non-Hodgkin's
lymphomas and other cancers. Doctors
have given names to different types
of Hodgkin's disease: lymphocyte predominance,
nodular sclerosis, mixed cellularity,
lymphocyte depletion, and unclassified.
All of these types are malignant because
as they grow, they may compress, invade,
destroy normal tissue and spread to
other tissues. There is no benign (noncancerous)
form of Hodgkin's disease.
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Leukemia
Leukemia is cancer of the white blood
cells. This cancer starts in the bone
marrow but can then spread to the blood,
lymph nodes, the spleen, liver, central
nervous system and other organs. In contrast,
other types of cancer can start in these
organs and then spread to the bone marrow
(or elsewhere). Those cancers are not
leukemia. Both children and adults can
develop leukemia. Leukemia
is a complex disease with many different
types and sub-types. The kind of treatment
given and the outlook for the person
with leukemia vary greatly according
to the exact type and other, individual
factors.
There
are four major types of leukemia: acute
vs. chronic
lymphocytic vs. myelogenous
-- Acute means rapidly growing. Although
the cells grow rapidly, they are not
able to mature properly.
-- Chronic refers to a condition where
the cells look mature but they are not
completely normal. The cells live too
long and cause a build-up of certain
kinds of white blood cells.
-- Lymphocytic and myelogenous (or myeloid)
refer to the two different cell types
from which leukemias start. Lymphocytic
leukemias develop from lymphocytes in
the bone marrow. Myelogenous leukemia
(sometimes referred to as myelocytic)
develops from either of two types of
white blood cells: granulocytes or monocytes.By
looking at whether a leukemia is acute
or chronic and myelogenous or lymphocytic,
most cases of leukemia can be sorted
into one of the four main types shown
in the table below. And, while both
children and adults can develop leukemia,
certain types are more common in one
age group than in another.
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Liver
Cancer
Liver cancer begins in the liver, the
largest organ in the body. The liver performs
many crucial body functions, including:
--
stores vitamins and nutrients until
they are needed
-- chemically changes (metabolizes)
nutrients so they can be used by the
body
-- produces a blood protein (albumin)
needed for proper fluid balance in the
body
-- makes clotting factors to plug up
damaged blood vessels
-- rids the body of poisonous (toxic)
drugs and chemicals
-- There are a number of tumors that
can form in the liver. Some of these
are cancerous and others are not. The
four main types of malignant liver tumors
are:
Angiosarcoma: a rare cancer that starts
in the blood vessels of the liver Cholangiocarcinoma:
accounts for about 13% of liver cancers.
This tumor begins in the small bile
ducts in the liver. It is also known
as Klatskin tumors. Hepatoblastoma:
a rare type of liver cancer found most
often in young children. It can often
be treated successfully. Hepatocellular
carcinoma: Accounts for about 84% of
liver cancers. It begins in the hepatocytes,
the main type of liver cell.
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Lung
Cancer
Lung cancer begins in the lungs. The lungs
are two sponge-like organs in the chest.
The lining that surrounds the lungs is
called the pleura. The pleura helps to
protect the lungs. The windpipe (trachea)
brings air down into the lungs. It divides
into tubes called bronchi, which divide
into smaller branches called bronchioles.
At the end of these small branches are
tiny air sacs known as alveoli.
Most
lung cancers start in the lining of
the bronchi. But lung cancer can also
begin in other areas like the trachea,
bronchioles, or alveoli. Lung cancer
often takes many years to develop.
Lung
cancer is the leading cause of cancer
death for both men and women. Lung cancer
is fairly rare in people under the age
of 40. The number of cases goes up after
age 50 and even more so after age 65.
Smoking
is by far the leading cause of lung
cancer. Up to 90% of lung cancer is
caused by smoking. Cells in the lungs
of smokers go through changes that can
lead to lung cancer. The longer a person
has been smoking, and the more packs
per day smoked, the greater the risk.
Of course, not every smoker gets lung
cancer, but quitting smoking, at any
age, greatly lowers the chance of getting
lung cancer.
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Myeloma
Multiple myeloma is a type of cancer formed
by malignant plasma cells. Normal plasma
cells are an important part of the immune
system. The
immune system is composed of several
types of cells that work together to
fight off infections and other diseases.
Lymphocytes (lymph cells) are the main
cell type of the immune system. There
are two types of lymphocytes: T-cells
and B-cells. When B-cells respond to
an infection, they mature and change
into plasma cells.
When
plasma cells grow out of control they
can produce a tumor. These tumors can
grow in several sites, particularly
in the soft middle parts of bone called
the bone marrow. When these tumors grow
in multiple sites they are referred
to as multiple myeloma.
The
large growths of plasma cells can damage
the normal blood-forming functions of
the bone marrow. This can result in
a shortage of red blood cells called
anemia leading to fatigue, and a shortage
of blood platelets (clotting cells)
leading to excessive bleeding after
cuts or scrapes. This can also result
in a shortage of normal or "good"
white blood cells called leukopenia,
leading to decreased resistance to infections.
Multiple
myeloma is not the only disease involving
excessive plasma cell growth. There
is also Solitary Plasmacytomas, which
produces only one tumor (rather than
multiple tumors as in multiple myeloma).
Solitary plasmacytomas can develop in
bone marrow or in tissues other than
bone marrow. These tumors are treated
by radiation therapy and/or sometimes
with surgery. Their prognosis (survival
outlook) is usually excellent if no
other plasmacytomas are found; however,
some of these patients may eventually
develop multiple myelomas.
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Head, Oral and Neck Cancer
Oral cancer is cancer that starts
in the oral cavity (mouth). The oral cavity
starts at the skin edge of the lips. It
includes the lips, the buccal mucosa (inside
lining of the lips and cheeks), the teeth,
the gums, the front two-thirds of the
tongue, the floor of the mouth below the
tongue, the hard palate (bony roof of
the mouth), and the retromolar trigone
(area behind the wisdom teeth).
Oropharyngeal
cancer develops in the oropharynx (the
part of the throat just behind the mouth).
The oropharynx begins where the oral
cavity stops. It includes the base of
tongue (back third of the tongue), the
soft palate, the tonsillar area (tonsils
and tonsillar pillars), and the posterior
pharyngeal wall (back wall of the throat).
Many
types of tumors can develop in the oral
cavity and oropharynx. Some of these
tumors are benign, or noncancerous.
They do not invade other tissues and
do not spread to other parts of the
body. Others are cancerous, which means
they can penetrate into surrounding
tissues and spread to other parts of
the body. There are also some growths
that start off harmless, but sometimes
develop into cancer. These are known
as precancerous conditions.
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Ovarian
Cancer
Ovarian cancer starts in a woman's ovaries,
which are in the pelvis. The ovaries contain
eggs. There is one ovary on each side
of the spine. The ovaries are the main
source of the female hormones estrogen
and progesterone. There
are three main types of ovarian tumors.
They are named for the kind of cells
they start from. The most common starts
from the cells that cover the surface
of the ovary, called the epithelial
cells. Most epithelial ovarian tumors
are harmless, but some are cancerous.
Most ovarian cancers are the epithelial
type.
The
second kind of tumor starts in the germ
cells that form the eggs in the ovary.
As used here, the word germ refers to
an early or seed cell. Most germ cell
tumors are also benign, although some
are ca
ncerous. Germ cell cancers account for
about 5% of ovarian cancers.
The third type of tumor starts from
the tissue that holds an ovary together
and produces female hormones, the stromal
cells. Stromal tumors are fairly rare,
accounting for only about 5% of ovarian
tumors.
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Pancreatic
Cancer
Think of the pancreas as two separate
glands found inside the same organ. Over
95% of the cells in the pancreas form
exocrine glands and ducts. A small percentage
of the cells in the pancreas are endocrine
cells. Exocrine
cells of the pancreas can form benign
tumors, although they are much more
likely to form cancers. About 95% of
cancers of the exocrine pancreas are
adenocarcinomas. Less common cancers
of the exocrine pancreas include adenosquamous
carcinomas, squamous cell carcinomas,
and giant cell carcinomas. Treatment
of an exocrine pancreatic cancer is
mostly based on how far it metastasized,
however, and not its exact type.
Tumors
of the endocrine pancreas are much less
common. As a group, they are known as
neuroendocrine tumors, or more specifically,
islet cell tumors. There are several
subtypes of islet cell tumors that are
named according to the type of hormone
they produce. Most islet cell tumors
are benign.
It
is very important to distinguish exocrine
and endocrine cancers of the pancreas
from one another. Each type of tumor
has distinct risk factors and causes;
produces different signs and symptoms;
are diagnosed using different tests,
are treated in different ways, and have
a different prognosis (outlook for survival).
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Prostate
Cancer
Prostate cancer starts in the prostate
gland. The prostate gland is found only
in men; therefore, only men get prostate
cancer. The prostate is about the size
of a walnut. It is just below the bladder
and in front of the rectum. The tube that
carries urine (urethra) runs through the
prostate. Most
of the time, prostate cancer grows very
slowly. Autopsy studies show that many
elderly men who died of other diseases
also had prostate cancer that neither
they nor their doctor were aware of.
But sometimes it can grow quickly, spreading
to other parts of the body. Cancer cells
may enter the lymph system and spread
to lymph nodes (small, bean-shaped collections
of cells that help in fighting infections).
If cancer is in the lymph nodes, it
is more likely to have spread to other
organs of the body as well.
Prostate
cancer is the most common type of cancer
found in American men, other than skin
cancer. Although men of any age can
get prostate cancer, it is found most
often in men over 50. In fact, more
than 8 out of ten of the men with prostate
cancer are over the age of 65.
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Renal
Cancer
Kidney cancer begins in the kidneys, two
large, bean-shaped organs. One is just
to the left and the other to the right
of the backbone. The
main job of the kidneys is to filter
the blood and rid the body of liquid
waste. This waste, called urine, leaves
the kidneys through a long slender tube
called a ureter. The ureters connect
to the bladder, where the urine is stored
until it leaves the body.
Although
we have two kidneys, it is possible
to survive with less than even one complete
kidney. Some people live without any
kidneys at all. Their blood is filtered
by a machine in a process called dialysis.
Renal
is the Latin word for kidney. The most
common type of kidney cancer is called
renal cell cancer. It accounts for about
85% of kidney tumors.
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Skin/Melanoma
Skin cancers are divided into two general
types - melanoma and nonmelanoma skin
cancers. Melanoma is a cancer that begins
in the melanocytes, the cells that produce
the skin coloring or pigment known as
melanin. Other names for this cancer include
malignant melanoma, melanoma skin cancer,
and cutaneous melanoma. Because most melanoma
cells still produce melanin, melanoma
tumors are often brown or black.
Melanoma
is much less common than basal cell
and squamous cell skin cancers, but
it is far more serious.
Melanoma,
like basal cell and squamous cell cancers,
is almost always curable in its early
stages. However, melanoma is much more
likely than basal or squamous cell cancer
to metastasize (spread) to other parts
of the body.
Cancer
of the skin is the most common of all
cancers. Melanoma accounts for about
4% of skin cancer cases, but causes
about 79% of skin cancer deaths.
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Skin/Non-melanoma
There are two major groups of skin cancers:
malignant melanoma and nonmelanoma skin
cancers. Nonmelanoma skin cancers are
the most common cancers of the skin, and
the two types that are most common are
basal cell carcinoma and squamous cell
carcinoma. Basal
cell carcinoma begins in the lowest
layer of the epidermis, the basal cell
layer. About 75% of all skin cancers
are basal cell carcinomas. They usually
begin on areas exposed to the sun such
as the head and neck. Basal cell carcinoma
is slow growing. It is highly unusual
for a basal cell cancer to spread to
distant parts of the body. After treatment,
basal cell carcinoma can come back (recur)
in the same place on the skin or can
start elsewhere on the skin.
Squamous
cell carcinomas begin in the upper part
of the epidermis and account for about
20% of all skin cancers. They usually
appear on sun-exposed areas of the body
such as the face, ear, neck, lips, and
backs of the hands. They can also begin
within scars or skin ulcers elsewhere
on the body. Squamous cell carcinomas
are more likely to invade tissues beneath
the skin, and slightly more likely to
spread to distant parts of the body
than are basal cell carcinomas. Even
so, very few squamous cell skin carcinomas
spread to lymph nodes and/or other organs.
Cancer
of the skin (including melanoma and
nonmelanoma skin cancer) is the most
common of all cancers. It accounts for
nearly half of all cancers.
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Stomach/Gastric
Cancer
Stomach cancer is a cancer that starts
in the stomach. The medical name for stomach
cancer is gastric cancer. The stomach
is divided into five different sections.
Cancer can develop in any of these sections.
Cancers beginning in these different sections
may produce different symptoms and tend
to have different outcomes. The location
can also affect some of the treatment
options that are available. Stomach
cancers are believed to develop slowly
over many years. Before a true cancer
develops, there are usually precancerous
changes that occur in the lining of
the stomach. These early changes rarely
produce symptoms and therefore often
go undetected. If left untreated, stomach
cancers can spread by several different
means. They can grow through the wall
of the stomach and involve the nearby
organs. They can also spread through
the bloodstream or lymph system to form
distant colonies of cancer called metastasis.
Approximately
90% to 95% of the malignant (cancerous)
tumors of the stomach are adenocarcinomas.
The terms stomach cancer or gastric
cancer almost always refer to adenocarcinoma
of the stomach. This cancer develops
from the cells that form the inner lining
of the stomach called the epithelium.
Most
people diagnosed with stomach cancer
are in their 60s and 70s.
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Endometrial/Uterine
Cancer
Endometrial cancer is a cancer that has
developed from the endometrium, which
is the inner lining of the uterus (womb).
Nearly
all endometrial cancers are adenocarcinomas
(cancers of glandular cells). In addition,
over 75% of these are endometrioid adenocarcinomas.
Although "endometrial" and
"endometrioid" have similar
spelling, they are not identical. Endometrioid
cancers are a specific type of endometrial
cancer. One-third to one-half of endometrioid
cancers have glandular areas as well
as areas formed by squamous cells (the
type of cells found on the surface of
the cervix and the skin). If the squamous
cells look benign (noncancerous) under
a microscope, and the glandular cells
look cancerous these tumors are called
adenoacanthomas. If the squamous areas
and glandular areas both look malignant
(cancerous), these tumors are called
adenosquamous carcinomas. However, both
adenocanthomas and adenosquamous carcinomas
are cancerous tumors.
Papillary
serous adenocarcinomas (about 10% of
endometrial cancers) and clear cell
adenocarcinoma (less than 5%) are less
common types of endometrial cancer which
often grow and spread rapidly. The above
cancers of the endometrium form in the
lining layer, or epithelium, of the
uterus. Three less common uterine cancers
that are also called uterine sarcomas
can involve the endometrium. These include
(1) stromal sarcomas which develop in
the stroma (supporting connective tissue)
of the endometrium, (2) malignant mixed
mesodermal tumors (MMMT, or carcinosarcomas)
which may combine features of endometrial
carcinoma and those of sarcomas, and
(3) leiomyosarcomas which start in the
muscular wall of the uterus.
In
the United States, cancer of the endometrium
is the most common cancer of the female
reproductive organs.
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| Source:
American Cancer Society. |
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