Chapter 50
Cancer Chemotherapy
Uncontrolled growth, invasion, and metastasis
Principles of Oncology
Cancer is a heterogeneous group of diseases caused by genetic damage that impairs normal gene function. Cancer cells (tumors/neoplasms) show uncontrolled growth, the ability to invade local tissue, and the ability to metastasize. Carcinogenesis is a multistage process: initiation (carcinogen causes genetic damage), promotion (preferential growth of mutated cells), and progression (proliferation, invasion, metastasis).
Cancer is the second leading cause of US death; the most common cancers are breast, prostate, and colorectal, while lung cancer is the leading cause of cancer death. Malignant tumors include carcinomas (epithelial), sarcomas (connective tissue), lymphomas (lymphatic), and leukemias (blood-forming).
Tumor Markers
Tumor markers support (but do not confirm) diagnosis: CEA for colorectal cancer, AFP for hepatocellular carcinoma, and PSA for prostate cancer. A biopsy with pathological examination is the definitive diagnostic test.
📖 “Cancer = genetic damage; cells show uncontrolled growth, invasion, metastasis. Carcinogenesis: initiation, promotion, progression. Second leading cause of US death; common: breast/prostate/colorectal; leading death: lung. Carcinomas (epithelial), sarcomas (connective), lymphomas, leukemias. Markers: CEA, AFP, PSA. Biopsy is definitive.”