गुरुवार, 25 सितंबर 2008


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Cancer (medical term: malignant neoplasm) is a class of diseases in which a group of cells display uncontrolled growth (division beyond the normal limits), invasion (intrusion on and destruction of adjacent tissues), and sometimes metastasis (spread to other locations in the body via lymph or blood). These three malignant properties of cancers differentiate them from benign tumors, which are self-limited, do not invade or metastasize. Most cancers form a tumor but some, like leukemia, do not. The branch of medicine concerned with the study, diagnosis, treatment, and prevention of cancer is oncology.
Cancer may affect people at all ages, even
fetuses, but the risk for most varieties increases with age.[1] Cancer causes about 13% of all deaths.[2] According to the American Cancer Society, 7.6 million people died from cancer in the world during 2007.[3] Cancers can affect all animals.
Nearly all cancers are caused by abnormalities in the
genetic material of the transformed cells. These abnormalities may be due to the effects of carcinogens, such as tobacco smoke, radiation, chemicals, or infectious agents. Other cancer-promoting genetic abnormalities may be randomly acquired through errors in DNA replication, or are inherited, and thus present in all cells from birth. The heritability of cancers are usually affected by complex interactions between carcinogens and the host's genome. New aspects of the genetics of cancer pathogenesis, such as DNA methylation, and microRNAs are increasingly recognized as important.
Genetic abnormalities found in cancer typically affect two general classes of genes. Cancer-promoting
oncogenes are typically activated in cancer cells, giving those cells new properties, such as hyperactive growth and division, protection against programmed cell death, loss of respect for normal tissue boundaries, and the ability to become established in diverse tissue environments. Tumor suppressor genes are then inactivated in cancer cells, resulting in the loss of normal functions in those cells, such as accurate DNA replication, control over the cell cycle, orientation and adhesion within tissues, and interaction with protective cells of the immune system.
Diagnosis usually requires the
histologic examination of a tissue biopsy specimen by a pathologist, although the initial indication of malignancy can be symptoms or radiographic imaging abnormalities. Most cancers can be treated and some cured, depending on the specific type, location, and stage. Once diagnosed, cancer is usually treated with a combination of surgery, chemotherapy and radiotherapy. As research develops, treatments are becoming more specific for different varieties of cancer. There has been significant progress in the development of targeted therapy drugs that act specifically on detectable molecular abnormalities in certain tumors, and which minimize damage to normal cells. The prognosis of cancer patients is most influenced by the type of cancer, as well as the stage, or extent of the disease. In addition, histologic grading and the presence of specific molecular markers can also be useful in establishing prognosis, as well as in determining individual treatments.


Adult cancers
In the U.S. and other developed countries, cancer is presently responsible for about 25% of all deaths.
[4] On a yearly basis, 0.5% of the population is diagnosed with cancer. The statistics below are for adults in the United States, and may vary substantially in other countries:

Male

most common (by occurrence)
most common (by mortality)
[4]
prostate cancer (33%)
lung cancer (31%)
lung cancer (13%)
prostate cancer (10%)
colorectal cancer (10%)
colorectal cancer (10%)
bladder cancer (7%)
pancreatic cancer (5%)
cutaneous
melanoma (5%)
leukemia (4%)

Female
most common (by occurrence)
most common (by mortality)
[4]
most common (by occurrence)
most common (by mortality)
[4]
prostate cancer (33%)
lung cancer (31%)
breast cancer (32%)
lung cancer (27%)
lung cancer (13%)
prostate cancer (10%)
lung cancer (12%)
breast cancer (15%)
colorectal cancer (10%)
colorectal cancer (10%)
colorectal cancer (11%)
colorectal cancer (10%)
bladder cancer (7%)
pancreatic cancer (5%)
endometrial cancer (6%)
ovarian cancer (6%)
cutaneous
melanoma (5%)
leukemia (4%)
non-Hodgkin lymphoma (4%)
pancreatic cancer (6%)
Child cancers
Cancer can also occur in young children and adolescents, but it is rare (about 150 cases per million yearly in the US). Statistics from the SEER program of the US
NCI demonstrate that childhood cancers increased 19% between 1975 and 1990, mainly due to an increased incidence in acute leukemia. Since 1990, incidence rates have decreased.[5]
There is a reasonable doubt that children living near
nuclear facilities face an increased risk of cancer.[6]