(Last Updated On: May 12, 2023)

Cancer is a complex and multifactorial disease that affects millions of people worldwide. It is characterized by the uncontrolled growth of abnormal cells in the body, which can progress through several stages of development. The progression of cancer is important to understanding how severe the disease is and determining the best course of treatment. 

There are many causes and risk factors associated with cancer, and they can vary based on an individual’s genetic makeup,  lifestyle choices, and environmental exposures. Genetic mutations that occur as a result of exposure to certain chemicals, such as asbestos and radiation, can cause changes in cells that lead to cancer. Lifestyle choices like smoking or excessive alcohol consumption can also damage DNA and increase the risk of developing cancer. Additionally, individuals may have a greater likelihood of developing certain types of cancers based on their family history or ethnicity.

Cancer can generally be divided into five main categories: Carcinomas, Sarcomas, Leukemias, Lymphomas, and Central Nervous System Cancers. Carcinomas are the most common type of cancer and account for about 85% of all diagnoses in the United States. This stages of cancer usually begins in the skin or internal organs such as the lungs, breast, or colon/rectum. Sarcomas are rarer than carcinomas and makeup only 1% of all cancers diagnosed in the US each year. These tumors tend to start in cells that connect different parts of the body such as bones and muscles but may also involve other organs like fat tissue or blood vessels.

The first step in any cancer diagnosis is obtaining a medical history from the patient. This includes questions about past illnesses or family medical history that might suggest a risk for developing certain types of cancer. The physician will then conduct a physical exam including palpation (feeling) for any suspicious lumps or other changes in body tissue or organs that could be indicative of cancer growth. They may also perform imaging tests such as X-rays, CT scans, MRI scans, and PET scans to look for tumors inside the body. If these imaging tests reveal anything abnormal, further testing may be necessary such as blood tests or biopsies to confirm whether cells are malignant (cancerous).

Once a diagnosis has been made, physicians typically use tumor markers combined with imaging studies to stage cancers according to the TNM system. The TNM system uses three key pieces of information to describe the extent of cancer within the body: Tumor size and location (T), involvement of nearby lymph nodes (N), metastasis (M), or the spread of cancer to other parts of the body. The stage of cancer is important for determining the best course of treatment, as well as predicting outcomes. 

There are many treatment options available for cancer, and each type of cancer has its own unique set of treatment options. These treatments range from medications and chemotherapy to surgery and radiation therapy. Medications used in the treatment of cancer can be either systemic (taken orally or intravenously) or localized (injected directly into a tumor). Systemic medications are designed to attack cancer cells throughout the body, while localized medications are designed to target a specific tumor without affecting other parts of the body. 

Chemotherapy uses powerful drugs that destroy rapidly-dividing cells to kill off malignant tumors or reduce them in size before they can spread further throughout the body. The drugs may be administered orally or through an IV line directly into a vein; they may also be given as an injection near the site of the tumor. Chemotherapy can have several side effects, including hair loss, fatigue, nausea and vomiting, and a weakened immune system.

Radiation therapy uses high-energy radiation to kill cancer cells. It can be given externally or internally, depending on the type of cancer and the location of the tumor. External radiation therapy involves a machine that delivers radiation to the affected area of the body, while internal radiation therapy involves placing a radioactive source inside the body near the cancer. Radiation therapy can also have side effects, including fatigue, skin irritation, and damage to nearby healthy tissue.

Surgery is often used to remove cancerous tumors or to biopsy suspicious tissue to determine if it is cancerous. In some cases, surgery may be the only treatment needed for early-stage cancers. In other cases, surgery may be combined with other treatments such as chemotherapy or radiation therapy.

Immunotherapy is a newer type of cancer treatment that harnesses the power of the immune system to fight cancer. It involves using drugs or other substances to help the immune system recognize and attack cancer cells. Immunotherapy has shown promise in treating certain types of cancer, but it is still being studied and developed.

Overall, cancer is a complex disease that requires a multidisciplinary approach to treatment. Early detection and treatment can improve outcomes and increase the chances of a successful recovery. It is important for individuals to be aware of their risk factors and to seek medical attention if they notice any unusual changes in their body.