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Chapter 1 - Cancer Overview

Published online by Cambridge University Press:  10 August 2023

Monica Kathleen Wattana
Affiliation:
University of Texas, MD Anderson Cancer Center

Summary

Tumor: a mass of tissue formed via disruption of the normal cell cycle resulting in abnormal cell growth.

Information

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2023

Chapter 1 Cancer Overview

Introduction

  • Tumor: a mass of tissue formed via disruption of the normal cell cycle resulting in abnormal cell growth.

    • Benign: noncancerous due to the inability to invade neighboring tissues or spread to distant sites.

    • Malignant: cancerous due to ability to invade other tissues.

  • Cancer: group of 100+ different diseases due to mutations in genetic material resulting in abnormal and uncontrolled cell growth.

  • Metastasis: when cancer cells spread from the location of origin to another anatomical location.

Two main cancer classes and groupings:

HematologicSolid
Leukemiaoriginates in blood-forming tissues, including bone marrow and spleenCarcinomaoriginates in major organs, skin, or tissues covering glands
Lymphomaoriginates in the lymphatic systemSarcomaoriginates in connective tissue like muscle or bone, or soft tissues like adipose
Myelomaoriginates in plasma cells

Metastasis

RouteDefinitionCommon
Canalicularspread via the anatomical canalicular spacescarcinomas
Hematogenousspread via bloodstreamsarcomas, renal cell, follicular thyroid, and hepatocellular carcinoma
Lymphatictumor cells reach regional lymph nodes and spread via the lymphatic systemcarcinomas
Transcoelomicmalignancy spreads to body cavities via surface penetration of the peritoneal, pleural, pericardial, or subarachnoid spacesovarian
  • Common during late-stage cancer and major contributor to morbidity and mortality.

Cancer-specific metastasis locations:

Cancer TypeMain Sites of Metastasis
Bladderbone, liver, lung
Breastbone, brain, liver, lung
Colonliver, lung, peritoneum
Kidneyadrenal gland, bone, brain, liver, lung
Lungadrenal gland, bone, brain, liver, other lung
Melanomabone, brain, liver, lung, skin, muscle
Ovaryliver, lung, peritoneum
Pancreasliver, lung, peritoneum
Prostateadrenal gland, bone, liver, lung
Rectalliver, lung, peritoneum
Stomachliver, lung, peritoneum
Thyroidbone, liver, lung
Uterusbone, liver, lung, peritoneum, vagina

General Statistics

  • ≈1.9 million new cancer cases diagnosed in 2022 and 609,360 cancer deaths in the United States.

  • Most commonly diagnosed cancers in 2022:

MaleFemale
Prostate 27%Breast 31%
Lung 12%Lung 13%
Colorectal 8%Colorectal 8%
Lowest 5-Year SurvivalHighest 5-Year Survival
Mesothelioma 6.5%Testicular cancer 95.3%
Pancreatic cancer 7.3%Melanoma of skin 91.3%
Brain cancer 12.2%Thyroid cancer 87.4%

Cancer in the Emergency Department Statistics

  • Emergency Department (ED) usage rate for cancer patients is more than double that of the general US population with ≈51% of visits resulting in hospital admission.

Time Frame from DiagnosisED Usage Rate
First 30 days16%
First 6 months35%
First year44%

Cancer Treatment Modalities

Chemotherapydrugs given orally, infused, or injected that are cytotoxic and/or inhibit cell division
Radiotherapyutilization of high dose radiation to kill and shrink tumors
Targeted cell therapyprecisely identifies and attacks specific cellular proteins and genes involved in cancer cell growth and survival
Hormone therapytargets individual hormones to slow or stop breast and prostate cancers that utilize these hormones for growth
Immunotherapyassists immune system in fighting cancer either by amplifying or suppressing the innate immune response
Surgeryphysical removal or debulking of the tumor
Stem cell transplantreplaces damaged stem cells with healthy ones from an unrelated or related donor, or from patients themselves
  • Treatment for each patient may include one or more modalities at any given time.

References

American Cancer Society. Cancer Facts & Figures 202 [Internet]. [cited 2022 Jul 21]. Available from: www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer-facts-figures-2022.htmlGoogle Scholar
Lash, RS, Bell, JF, Reed, SC, Poghosyan, H, Rodgers, J, Kim, KK, Bold, RJ, Joseph, JG. A systematic review of emergency department use among cancer patients. Cancer Nursing. 2017 Mar;40(2):135144.CrossRefGoogle ScholarPubMed
Meleth, S, Whitehead, N, Evans, TS, Lux, L. Technology Assessment on Genetic Testing or Molecular Pathology Testing of Cancers with Unknown Primary Site to Determine Origin [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Feb 20. PMID: 25855837.Google Scholar
Rivera, DR, Gallicchio, L, Brown, J, Liu, B, Kyriacou, DN, Shelburne, N. Trends in adult cancer-related emergency department utilization. JAMA Oncology. 2017 Oct 12;3(10):e172450.CrossRefGoogle ScholarPubMed
SEER. Common Cancer Sites: Cancer Stat Facts [Internet]. [cited 2022 Jul 21]. Available from: https://seer.cancer.gov/statfacts/html/common.htmlGoogle Scholar
Siegel, RL, Miller, KD, Fuchs, HE, Jemal, A. Cancer statistics, 2022. CA: A Cancer Journal for Clinicians. 2022 Jan;72(1):733.Google Scholar

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  • Cancer Overview
  • Monica Kathleen Wattana, University of Texas, MD Anderson Cancer Center
  • Book: Pocket Guide to Oncologic Emergencies
  • Online publication: 10 August 2023
  • Chapter DOI: https://doi.org/10.1017/9781009052900.002
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  • Cancer Overview
  • Monica Kathleen Wattana, University of Texas, MD Anderson Cancer Center
  • Book: Pocket Guide to Oncologic Emergencies
  • Online publication: 10 August 2023
  • Chapter DOI: https://doi.org/10.1017/9781009052900.002
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Cancer Overview
  • Monica Kathleen Wattana, University of Texas, MD Anderson Cancer Center
  • Book: Pocket Guide to Oncologic Emergencies
  • Online publication: 10 August 2023
  • Chapter DOI: https://doi.org/10.1017/9781009052900.002
Available formats
×