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Cancer
Cancer begins in your cells, which are the building blocks of your body. Normally, your body forms new cells as you need them, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should. These extra cells can form a mass called a tumor. Tumors can be benign or malignant. Benign tumors aren't cancer while malignant ones are. Cells from malignant tumors can invade nearby tissues. They can also break away and spread to other parts of the body.
Cancer is not just one disease but many diseases. There are more than 100 different types of cancer. Most cancers are named for where they start. For example, lung cancer starts in the lung, and breast cancer starts in the breast. The spread of cancer from one part of the body to another is called metastasis. Symptoms and treatment depend on the cancer type and how advanced it is. Most treatment plans may include surgery, radiation and/or chemotherapy. Some may involve hormone therapy, immunotherapy or other types of biologic therapy, or stem cell transplantation.
NIH: National Cancer Institute
Colorectal Cancer
What is colorectal cancer?
Colorectal cancer is cancer that develops in the tissues of the colon or rectum. Your colon and rectum are part of your digestive system:
- Your colon is the first and longest part of your large intestine. It absorbs water and some nutrients from foods. It also changes the leftover waste products into stool (poop).
- Your rectum is the lower part of your large intestine. It's where your body stores stool.
Cancer that begins in the colon is called colon cancer, and cancer that begins in the rectum is called rectal cancer. Cancer that affects either of these parts may also be called colorectal cancer.
What causes colorectal cancer?
Colorectal cancer happens when there are changes in your genetic material (DNA). These changes are also called mutations or variants. Often, the genetic changes that lead to colorectal cancer happen during your lifetime and the exact cause is unknown. But certain genetic changes that raise your risk for colorectal cancer are inherited, meaning that you are born with them.
Besides genetics, other factors, including your lifestyle and the environment, can affect your risk of colorectal cancer.
Who is more likely to develop colorectal cancer?
Anyone can get colorectal cancer, but certain factors make you more likely to develop it:
- Being older; your risk of getting colorectal cancer increases as you age.
- Having a personal or family history of colorectal cancer.
- Having a history of adenomas. Adenomas are colorectal polyps (growths) that look abnormal under a microscope or are 1 centimeter or larger. Adenomas are not cancer, but they can sometimes turn into cancer over time.
- Having a genetic syndrome such as familial adenomatous polyposis (FAP) or Lynch syndrome (hereditary non-polyposis colorectal cancer).
- Having chronic ulcerative colitis or Crohn disease for 8 years or more.
- Having three or more alcoholic drinks per day.
- Smoking cigarettes.
- Being Black; Black people have an increased risk of colorectal cancer and death from colorectal cancer compared to other races.
- Having obesity.
What are the symptoms of colorectal cancer?
Colorectal cancer may not always cause symptoms, especially at first. If you do have symptoms, they could include:
- A change in bowel habits that lasts more than a few days, such as:
- Diarrhea
- Constipation
- Feeling that the bowel does not empty completely
- Your stool is narrower or has a different shape than usual
- Blood (either bright red or very dark) in the stool
- Frequent gas pains, bloating, fullness, or cramps
- Weight loss for no known reason
- Fatigue
What is screening for colorectal cancer and who needs it?
Because colorectal cancer may not cause symptoms at first, it's important to have screening tests for colorectal cancer. Screening tests look for signs of a disease before you have any symptoms. They can help find cancer early, when it may be easier to treat.
Most experts recommend that start screenings at 45 and continue until at least age 75. People over 75 and those who are at high risk should talk to their providers about how often you need screening and what type of test they should get.
The types of tests include different stool tests and procedures such as colonoscopies and flexible sigmoidoscopy. Talk with your provider about how often you need screening and what type of test you should get.
How is colorectal cancer diagnosed?
If you have symptoms that could be caused by colorectal cancer or if your screening test results are abnormal, you may need to have more tests to find out if you have cancer. Possible tests include:
- A physical exam.
- A digital rectal exam. For this exam, your provider inserts a lubricated, gloved finger into your rectum to feel for lumps or anything unusual.
- The tests that are also used for screening (colonoscopy, stool tests, etc.) and biopsy, if you have not already had them.
- Other blood and tissue tests.
What are the treatments for colorectal cancer?
Your treatment options usually depend on your age, your general health, how serious the cancer is, and which type of cancer you have.
For colon cancer, your treatment may include one or more of these options:
- Surgery.
- Radiofrequency ablation, a procedure that uses radio waves to heat and destroy abnormal cells. The radio waves travel through electrodes (small devices that carry electricity).
- Cryosurgery, a procedure in which an extremely cold liquid or an instrument called a cryoprobe is used to freeze and destroy abnormal tissue.
- Chemotherapy.
- Radiation therapy.
- Targeted therapy, which uses drugs or other substances that mainly attack specific cancer cells and cause less harm to normal cells.
- Immunotherapy.
For rectal cancer, your treatment may include one or more of these options:
- Surgery.
- Radiation therapy.
- Chemotherapy.
- Active surveillance, which means having regular tests to see if your rectal cancer has changed. If the tests show the cancer is starting to grow, then you will have treatment to try to cure the cancer.
- Targeted therapy, which uses drugs or other substances that mainly attack specific cancer cells and cause less harm to normal cells.
- Immunotherapy.
Can colorectal cancer be prevented?
Avoiding the risk factors that you have control over may help prevent some cancers. That includes:
- Not smoking
- Limiting alcohol to under three drinks per day
- Managing your weight
There are also other steps you can take to try to prevent colorectal cancer. They include:
- Getting regular colorectal cancer screenings
- Having polyps removed before they can become cancerous
- Getting regular exercise
Liver Cancer
Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons. Primary liver cancer starts in the liver. Metastatic liver cancer starts somewhere else and spreads to your liver.
Risk factors for primary liver cancer include :
- Having hepatitis B or C
- Heavy alcohol use
- Having cirrhosis, or scarring of the liver
- Having hemochromatosis, an iron storage disease
- Obesity and diabetes
Symptoms can include a lump or pain on the right side of your abdomen and yellowing of the skin. However, you may not have symptoms until the cancer is advanced. This makes it harder to treat. Doctors use tests that examine the liver and the blood to diagnose liver cancer. Treatment options include surgery, radiation, chemotherapy, or liver transplantation.
NIH: National Cancer Institute
Lung Cancer
What is lung cancer?
Lung cancer is cancer that forms in tissues of the lung, usually in the cells that line the air passages. It is the leading cause of cancer death in both men and women.
There are two main types: small cell lung cancer and non-small cell lung cancer. These two types grow differently and are treated differently. Non-small cell lung cancer is the more common type.
Who more likely to develop lung cancer?
Anyone can develop lung cancer, but certain factors raise your risk of getting it:
- Smoking. This is the most important risk factor for lung cancer. Tobacco smoking causes about 9 out of 10 cases of lung cancer in men and about 8 out of 10 cases of lung cancer in women. The more years you smoke and the more cigarettes you smoke each day, the more your risk goes up. Your risk is also greater if you smoke a lot and drink alcohol every day or take beta carotene supplements. If you have quit smoking, your risk will be lower than if you had kept smoking. But you will still have a higher risk than people who never smoked.
- Secondhand smoke, which is the combination of the smoke that comes from a cigarette and the smoke breathed out by a smoker. When you breathe in secondhand smoke, you are exposed to the same cancer-causing agents as smokers, although in smaller amounts.
- A family history of lung cancer.
- Being exposed to asbestos, arsenic, chromium, beryllium, nickel, soot, or tar in the workplace.
- Being exposed to radiation, for example from:
- Radiation therapy to the breast or chest
- Radon in the home or workplace
- Certain imaging tests such as CT scans
- HIV infection. Your risk is higher if you have HIV. However, smoking rates are higher in people who have HIV, so it's not clear whether the increased risk is from the HIV infection or from smoking.
- Air pollution. Studies show that living in areas with higher levels of air pollution increases your risk of lung cancer.
What are the symptoms of lung cancer?
Lung cancer may not cause any signs or symptoms until the cancer is advanced. Sometimes the cancer is found during a chest x-ray done for another condition.
The symptoms of lung cancer may include:
- Chest pain or discomfort
- A cough that doesn't go away or gets worse over time
- Coughing up blood
- Trouble breathing
- Wheezing
- Hoarseness
- Loss of appetite
- Weight loss for no known reason
- Feeling very tired
- Trouble swallowing
- Swelling in the face and/or veins in the neck
How is lung cancer diagnosed?
To find out if you have lung cancer, your health care provider:
- Will take your medical history, which includes asking about your symptoms
- Will ask about your family history
- Will do a physical exam
- May order certain imaging tests, such as a chest x-ray or chest CT scan
- May order lab tests, including tests of your blood and sputum
- May do a procedure to take a biopsy of the lung
If you do have lung cancer, your provider will do other tests to find out if it has spread through the lungs, lymph nodes, and the rest of the body. This is called staging. Knowing the type and stage of lung cancer you have helps your provider decide what kind of treatment you need.
If you have small-cell lung cancer, your provider may also do genetic testing to look for certain gene changes (variants) in your cancer cells. The results of the testing may help guide treatment.
What are the treatments for lung cancer?
For most patients with lung cancer, current treatments do not cure the cancer.
Your treatment will depend on which type of lung cancer you have, how far it has spread, your overall health, and other factors. You may get more than one type of treatment.
The treatments for small cell lung cancer may include:
- Surgery.
- Chemotherapy.
- Radiation therapy.
- Immunotherapy.
- Laser therapy, which uses a laser beam to kill cancer cells.
- Endoscopic stent placement. An endoscope is a thin, tube-like instrument used to look at tissues inside the body. It may be used to put in a device called a stent. The stent helps to open an airway that has been blocked by abnormal tissue.
The treatments for non-small cell lung cancer may include:
- Surgery.
- Radiation therapy.
- Chemotherapy.
- Targeted therapy, which uses drugs or other substances that attack specific cancer cells with less harm to normal cells.
- Immunotherapy.
- Laser therapy.
- Photodynamic therapy (PDT), which uses a medicine and a certain type of laser light to kill cancer cells.
- Cryosurgery, which uses an instrument to freeze and destroy abnormal tissue.
- Electrocautery, a treatment that uses a probe or needle heated by an electric current to destroy abnormal tissue.
Can lung cancer be prevented?
Avoiding the risk factors may help prevent lung cancer. For example, you can:
- Quit smoking. And if you don't smoke, don't start.
- Lower your exposure to hazardous substances at work.
- Lower your exposure to radon. Radon tests can show whether your home has high levels of radon. You can buy a test kit yourself or hire a professional to do the test.
NIH: National Cancer Institute
Ovarian Cancer
What is ovarian cancer?
Cancer is a disease in which abnormal cells in the body grow out of control and form a tumor. Ovarian cancer is a cancerous tumor that forms in the tissues of an ovary. The ovaries are a pair of female reproductive glands that make eggs and female hormones.
What are the types of ovarian cancer?
There are a few different types of ovarian cancer. The most common type is epithelial cancer. It begins in the cells that cover the ovary.
There are also two related types of epithelial cancer that can spread to the ovaries:
- Fallopian tube cancer forms in the tissue lining a fallopian tube. The fallopian tubes are a pair of long, slender tubes on each side of the uterus. The uterus is the female reproductive organ where a baby grows during pregnancy.
- Primary peritoneal cancer forms in the tissue lining the peritoneum. Your peritoneum is a tissue lining that covers the organs in the abdomen (belly).
These two cancers are similar to ovarian cancer, and they have the same treatments. So some medical experts also consider those two types as ovarian cancer.
Some other rarer types of ovarian cancer are malignant germ cell tumors and stromal tumors.
What causes ovarian cancer?
Ovarian cancer happens when there are changes (mutations) in the genetic material (DNA). Often, the exact cause of these genetic changes is unknown.
Most ovarian cancers are caused by genetic changes that happen during your lifetime. But sometimes these genetic changes are inherited, meaning that you are born with them. Ovarian cancer that is caused by inherited genetic changes is called hereditary ovarian cancer.
There are also certain genetic changes that can raise your risk of ovarian cancer, including changes called BRCA1 and BRCA2. These two changes also raise your risk of breast and other cancers.
Besides genetics, your lifestyle and the environment can affect your risk of ovarian cancer.
Who is more likely to develop ovarian cancer?
Certain people are more likely to develop ovarian cancer. They include those who:
- Have a family history of ovarian cancer in a mother, daughter, or sister
- Have inherited changes in the BRCA1 or BRCA2 genes.
- Have certain other genetic conditions, such as Lynch syndrome
- Have endometriosis
- Took hormone replacement therapy
- Are overweight or have obesity
- Are tall
- Are older, especially those who have gone through menopause
What are the symptoms of ovarian cancer?
Ovarian cancer may not cause early signs or symptoms. By the time you do have signs or symptoms, the cancer is often advanced.
The signs and symptoms may include:
- Pain, swelling, or a feeling of pressure in the abdomen or pelvis
- Sudden or frequent urge to urinate (pee)
- Trouble eating or feeling full
- A lump in the pelvic area
- Gastrointestinal problems, such as gas, bloating, or constipation
How is ovarian cancer diagnosed?
To find out if you have ovarian cancer, your health care provider:
- Will ask about your medical history, including your symptoms
- Will ask about your family health history, including relatives who have had ovarian cancer
- Will do a physical exam, including a pelvic exam
- Will likely do imaging tests
- May do blood tests such as a CA-125 blood test
Often the only way to know for sure that you have ovarian cancer is by having a biopsy of the tissue. A biopsy is done during surgery to remove the tumor.
What are the treatments for ovarian cancer?
Treatments for ovarian cancer may include:
- Surgery to remove as much of the cancer as possible
- Chemotherapy
- Targeted therapy, which uses drugs or other substances that attack specific cancer cells with less harm to normal cells
Your provider may suggest that you have genetic testing to look for the gene changes that raise the risk for ovarian cancer. Knowing whether or not you have the gene change may help your provider decide on your treatment plan.
NIH: National Cancer Institute
Prostate Cancer
What is prostate cancer?
Cancer is a disease in which cells in the body grow out of control. Prostate cancer begins in the cells of the prostate. The prostate is a gland in the male reproductive system. It lies just below the bladder. It makes fluid that is part of semen.
Prostate cancer is one of the most common types of cancer. It often grows very slowly. If it does not spread to other parts of the body, it may not cause serious problems. But sometimes prostate cancer can grow quickly and spread to other parts of the body. This kind of prostate cancer is serious.
What causes prostate cancer?
Researchers don't know for sure what causes prostate cancer. They do know that it happens when there are changes in the genetic material (DNA).
Sometimes these genetic changes are inherited, meaning that you are born with them. There are also certain genetic changes that happen during your lifetime that can raise your risk of prostate cancer. But often the exact cause of these genetic changes is unknown.
Who is more likely to develop prostate cancer?
Anyone who has a prostate can develop prostate cancer. But certain factors can make you more likely to develop it:
- Age. Your chance of developing prostate cancer increases as you get older. Prostate cancer is rare in people under age 50.
- Family health history. Your risk of prostate cancer is higher if you have a parent, sibling, or child who has or has had prostate cancer.
- Race. African Americans are more likely to get prostate cancer. They're also more likely to:
- Get prostate cancer at a younger age.
- Have more serious prostate cancer.
- Die from prostate cancer.
What are the symptoms of prostate cancer?
Prostate cancer doesn't always cause symptoms, especially at first. If it does cause symptoms, they may include:
- Problems urinating (peeing), such as:
- A urine stream that's weak, hard to start, or starts and stops
- Suddenly needing to urinate right away
- Urinating often, especially at night
- Pain or burning when urinating
- Blood in your urine or semen
- Pain in your lower back, hips, or pelvis that does not go away
- Painful ejaculation (the release of semen through the penis during orgasm)
But many of these symptoms may be from other common prostate problems that aren't cancer, such as an enlarged prostate.
You should discuss your prostate health with your health care provider if you:
- Have symptoms that could be prostate cancer
- Have a high risk for developing prostate cancer
- Had a screening test that suggests you could have prostate cancer
What are prostate tests and how is prostate cancer diagnosed?
Tests which check for prostate cancer include:
- A digital rectal exam (DRE). In this exam, your provider feels your prostate for lumps or anything unusual by inserting a lubricated, gloved finger into your rectum.
- A prostate-specific antigen (PSA) blood test. A high PSA blood level may be a sign of prostate cancer. But many other things can cause high PSA levels, too.
- Imaging tests. These tests may use ultrasound or MRI to make pictures of your prostate.
If these tests show that you might have prostate cancer, the next step is usually a prostate biopsy. A biopsy is the only way to diagnose prostate cancer.
During a biopsy, a doctor uses a hollow needle to remove some prostate tissue. The tissue is studied under a microscope to look for cancer cells.
What are the treatments for prostate cancer?
Your treatment options usually depend on your age, your general health, and how serious the cancer is. Your treatment may include one or more of options:
- Observation,which is mostly used if you are older, your prostate cancer isn't likely to grow quickly, and you don't have symptoms or you have other medical conditions. Your doctor will keep checking on your cancer over time so to see whether you will need to start treatment for the cancer. There are two types of observation:
- Watchful waiting means having little or no testing. If symptoms begin or change, you will get treatment to relieve them, but not to treat the cancer.
- Active surveillance means having regular tests to see if your prostate cancer has changed. If the tests show the cancer is starting to grow or if you develop symptoms, then you will have treatment to try to cure the cancer.
- Surgery to remove your prostate gland may be an option if your cancer hasn't spread outside of your prostate.
- Radiation therapy uses high energy to kill cancer cells or prevent them from growing.
- Hormone therapy blocks cancer cells from getting the hormones they need to grow. It may include taking medicines or having surgery to remove the testicles.
- Chemotherapy uses medicines to kill cancer cells, slow their growth, or stop them from spreading. You might take the drugs by mouth, as an injection (shot), as a cream, or intravenously (by IV).
- Targeted therapy uses drugs or other substances that attack specific cancer cells. This treatment causes less harm to healthy cells than radiation therapy or chemotherapy.
- Immunotherapy helps your own immune system to fight cancer.
Can prostate cancer be prevented?
Making healthy lifestyle changes may help to prevent some prostate cancers. These changes include:
- Being at a healthy weight
- Quitting smoking
- Getting enough exercise
- Eating healthy foods
NIH: National Cancer Institute
Thyroid Cancer
What is thyroid cancer?
Thyroid cancer is a cancer that starts in the tissues of the thyroid. Your thyroid is a small, butterfly-shaped gland in the front of your neck. It makes hormones that control the way the body uses energy. These hormones affect nearly every organ in your body and control many of your body's most important functions. For example, they affect your breathing, heart rate, weight, digestion, and moods.
What are the different types of thyroid cancer?
There are different types of thyroid cancer; the main ones include:
- Differentiated thyroid cancer, which includes papillary cancer and follicular cancer
- Medullary thyroid cancer
- Anaplastic thyroid cancer
Who is more likely to develop thyroid cancer?
Certain people are more likely to develop thyroid cancer. Your risk is higher if you:
- Are between ages 25 and 65
- Are a woman
- Are Asian
- Were exposed to certain types of radiation, including from radiation treatments to your head or neck as a child or from a radiation emergency
- Have had a goiter (enlarged thyroid)
- Having certain genetic conditions, including certain types of multiple endocrine neoplasia
- Have a family history of thyroid cancer or thyroid disease
What are the symptoms of thyroid cancer?
Thyroid cancer may not cause symptoms at first. It is sometimes found during a routine physical exam. You may get signs or symptoms as the cancer gets bigger. The symptoms may include:
- A lump (nodule) in the neck
- Trouble breathing
- Trouble swallowing
- Pain when swallowing
- Hoarseness or other changes to your voice that do not get better
How is thyroid cancer diagnosed?
To find out if you have thyroid cancer, your health care provider may use:
- A physical exam, including checking your neck for swelling, lumps, or anything that seems unusual
- A medical history
- Thyroid tests
- Other blood or imaging tests
- A biopsy
What are the treatments for thyroid cancer?
Treatment for thyroid cancer depends on the type of cancer you have and whether the cancer has spread. Often, more than one type of treatment may be needed. The treatment options include:
- Surgery.
- Radiation therapy, including radioactive iodine therapy.
- Chemotherapy.
- Thyroid hormone therapy.
- Targeted therapy, which uses drugs or other substances that attack specific cancer cells with less harm to normal cells.
- Watchful waiting, which means that you don't get treatment right away. Your regularly checks to see if your signs or symptoms appear or change.
NIH: National Cancer Institute