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A cell that degenerates into a tumor cell does usually not acquire all these properties at once, but its daughter cells are selected to build them. This process is called cellular evolution. A first step in the development of a tumor cell is usually a small change in the DNA, often a point mutation, which leads, among other things, to a genetic instability of the cell. The instability increases to a point where the cell loses whole chromosomes, or has double ones. Also, the DNA methylation pattern of the cell changes, activating and deactivating genes more or less at random. Cells that divide at a high rate, such as stem cells, show a higher risk of becoming tumor cells than those which divide less or not at all, for example neurons. If the initial tumor cell (or group of tumor cells) is not removed by the immune system, it will develop into cancer.

Cancers are capable of spreading through the body by two mechanisms: local invasion and distant metastasis. Invasion refers to the direct migration and penetration by cancer cells into neighboring tissues. Metastasis refers to the ability of cancer cells to penetrate into lymphatic and blood vessels, circulate through the bloodstream, and then invade normal tissues elsewhere in the body. Cancer is most deadly when it metastasizes.

The term cancer is very broad and covers many different illnesses including:

  • Carcinoma (arising from epithelial cells)
  • Bladder carcinoma
  • Breast cancer
  • Cervical cancer
  • Colorectal cancer (includes colon, rectum, anus, and appendix)
  • Esophageal cancer
  • Endometrial cancer (uterus)
  • Hepatocellular carcinoma (liver)
  • Laryngeal cancer
  • Lung cancer
  • Oral cancer
  • Ovarian cancer
  • Pancreatic cancer
  • Prostate cancer
  • Renal cell carcinoma (kidney)
  • Skin cancer
  • Stomach cancer
  • Testicular cancer
  • Thyroid cancer
  • Sarcoma (arising from connective tissue and related)
  • Gastrointestinal stromal cell tumor (GIST)
  • Rhabdomyosarcoma (muscle)
  • Osteosarcoma (bone)
  • Hematological malignancies (blood and bone marrow)
  • Leukemia
  • Lymphomas
  • Hodgkin's disease
  • Non-Hodgkin's lymphoma
  • Multiple myeloma
  • Miscellaneous
  • Brain tumor
  • Melanoma, Moles and dysplastic nevi
  • Teratoma

  • DIPEx: Cancer
    Includes audio and video interviews of patient experiences.
  • OncoLink
    Extensive information including news, prevention, clinical trials, conferences and psychosocial support from the University of Pennsylvania Cancer Center.
  • Cancer Forums
    Online discussions on various types of cancers. Includes topics such as coping, support, clinical trials and treatment options.
  • People Living With Cancer
    Patient information from the American Society of Clinical Oncology.
  • ACS: Statistics
    American Cancer Society presents an array of related statistics.