Cancer: Abnormal, uncontrolled and excessive mitotic division of cells is cancer.
Causes of cancer:
* Mutation in the genes
* Cell death decreases-inactivate suicidal genes.
* Tumor suppressor gene inactive
* Conversion of protooncogene into oncogene that is responsible of excessive mitosis.
* Carcinogens
Carcinogens may be physical, biological and chemical.
Physical: Radiations ;radiations is of two types:ionising and non-ionising.Xrays and gamma rays are ionising while UV rays are non-ionising.
Chemical: Smoking, N-Nitrosodimethylene, hormones imbalanance
Biological: cancer causing viruses;oncogenic virus.
Types of Cancer:
1)Benign tumour: Abnormal mass of cell restricted to a specific area.
2)Malignant tumour: Abnormal mass of cells that grow quickly and spread to other parts of body.
On basis of tissues affected:
1)Carcinoma: Cancer of epithelial tissue (ectodermal).Example-Gastric carcinoma, brain carcinoma.Melanocarcinoma(cancer of melanocytes in skin).
2)Sarcoma: Cancer of mesodermal tissue .
Example:Bone,Cartilage ,muscle cancer(myisarcoma).
3)Leukemia and Lymphoma: Cancer of haemopoeitic cells.
(a)Chronic myclogenous leukemia: translocation betweem chromosome 9 and 22(Philadelphia chromosome).
(b)Burkitt's Lympoma : translocation between chromosome 8 and 14.
Diagnosis:
(1)Blood examination:
WBC number increasing shows person suffer from leukemia.
Detection of tumor markers:
Prostate cancer -prostate specific antigen
Liver cancer - alpha ferroprotein
Bone cancer - alkaline phosphatase
(2)Histopathological study:
Biopsy and FNAC(fine needle aspiration cytology)
*A section of tissue cut into small pieces and then staining of these pieces is done.After staining,tissue is observed in laboratory
*Karyoplasmic index: Count of nucleus/cytoplasm.
*Irregular shaped cells and increased ,number of mitochondria observed.
Example:Pap Smear test ;for cervical cancer (female) ;a section of uterus is observed and studied in laboratory .
(3) Use of X ray ,MRI(Magnetic Resonance Imaging) ,CT scan.
*CT scan is used to make 3D image of that organ.
*Strong magnetic field and non-ionising radiation are used.
(4)Molecular biology
Treatment:
1)Chemotherapy
2)Radiotherapy
3)Surgical therapy
4)Immuno therapy(monoclonal antibodies are used).
Anticancerous substances like Cis-plastin ,Vinblastin.
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