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These studies suggest cancer is a disease characterized by abnormal cell growth and genetic mutations, leading to malignant tumors and requiring various treatment methods.
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Cancer is a complex disease characterized by the uncontrolled growth and spread of abnormal cells in the body. These cells can form malignant tumors, which disrupt normal organ function and can metastasize to other parts of the body through the bloodstream or lymphatic system . The National Cancer Institute (NCI) defines cancer as a disease where some of the body's cells grow uncontrollably and spread to other parts of the body. This definition has evolved to include the concept of cancer cells being transformed and subject to evolution by natural selection, highlighting the genetic and epigenetic changes that contribute to the disease's progression.
Cancer is not a single disease but a collection of over 100 different diseases, each with unique biological and clinical features. Despite this diversity, all cancers share two fundamental processes: genetic mutations and clonal selection. Genetic mutations alter the sequence and expression of cellular genes, while clonal selection promotes the growth of cells with mutations that confer survival advantages. These mutations can affect proto-oncogenes, which become oncogenes with gain-of-function mutations, and tumor suppressor genes, which lose their function due to mutations. The accumulation of these mutations drives the progression from normal cells to pre-cancerous and eventually fully malignant cancer cells .
Cancer can manifest in various forms, each requiring different treatment approaches. Traditional treatments include surgery, chemotherapy, radiation therapy, and hormone therapy. However, advancements in science and technology have led to the development of new treatment methods such as immunotherapy, targeted therapies (e.g., small molecule tyrosine kinase inhibitors and monoclonal antibodies), and gene therapy. Immunotherapy, in particular, has revolutionized cancer treatment by harnessing the body's immune system to fight cancer cells, and personalized vaccines represent a promising advancement in this field.
Cancer is a multifaceted disease involving uncontrolled cell proliferation, genetic mutations, and clonal selection. Understanding these processes is crucial for developing effective treatments. While traditional therapies remain essential, emerging treatments like immunotherapy and targeted therapies offer new hope for patients. Continued research and innovation are vital to improving cancer outcomes and reducing the global burden of this disease.
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