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Cancer• One in three people will develop cancer.
• One in four people will die of cancer.
• In 2005, about 1.4 million new cases of cancer were diagnosed.
• More than 1500 Americans died each day of cancer this year.
• Over 1,000,000 cases of skin cancer will be diagnosed this year.
• Cancer is the leading cause of death among Americans under the age of 85.
US Mortality, 2003
Source: US Mortality Public Use Data Tape 2003, National Center for Health Statistics, Centers for Disease Control and Prevention, 2006.
1. Heart Diseases 685,089 28.0
2. Cancer 556,902 22.7
3. Cerebrovascular diseases 157,689 6.4
4. Chronic lower respiratory diseases 126,382 5.2
5. Accidents (Unintentional injuries) 109,277 4.5
6. Diabetes mellitus 74,219 3.0
7. Influenza and pneumonia 65,163 2.7
8. Alzheimer disease 63,457 2.6
9. Nephritis 42,453 1.7
10. Septicemia 34,069 1.4
Rank Cause of DeathNo. of deaths
% of all deaths
* For those free of cancer at beginning of age interval. Based on cancer cases diagnosed during 2000 to 2002.
Source: DevCan: Probability of Developing or Dying of Cancer Software, Version 6.0 Statistical Research and Applications Branch, NCI, 2005. http://srab.cancer.gov/devcan
Lifetime Probability of Developing Cancer, by Site, Men, 2000-2002*
† All Sites exclude basal and squamous cell skin cancers and in situ cancers except urinary bladder .
Site Risk
All sites† 1 in 2
Prostate 1 in 6
Lung and bronchus 1 in 13
Colon and rectum 1 in 17
Urinary bladder‡ 1 in 28
Non-Hodgkin lymphoma 1 in 46
Melanoma 1 in 52
Kidney 1 in 64
Leukemia 1 in 67
Oral Cavity 1 in 73
Stomach 1 in 82
‡ Includes invasive and in situ cancer cases
Lifetime Probability of Developing Cancer, by Site, Women, US, 2000-2002*
Site Risk
All sites† 1 in 3
Breast 1 in 8
Lung & bronchus 1 in 17
Colon & rectum 1 in 18
Uterine corpus 1 in 38
Non-Hodgkin lymphoma 1 in 55
Ovary 1 in 68
Melanoma 1 in 77
Pancreas 1 in 79
Urinary bladder‡ 1 in 88
Uterine cervix 1 in 135
Source: DevCan: Probability of Developing or Dying of Cancer Software, Version 6.0 Statistical Research and Applications Branch, NCI, 2005. http://srab.cancer.gov/devcan
* For those free of cancer at beginning of age interval. Based on cancer cases diagnosed during 2000 to 2002.† All Sites exclude basal and squamous cell skin cancers and in situ cancers except urinary bladder .‡ Includes invasive and in situ cancer cases
What is Cancer?• Disorder in which some of the body’s cells lose
the ability to control growth• 100’s of different types• Do not respond to internal &/or external signals • Continuously divide – forming masses of cells
called tumors. • Cancer cells can break from a tumor and spread
throughout the body (metastasize)
What’s happening in the petri dish?Section 10-3
How does this represent the healing process?
This is normal the cells eventually stop
Cell Cycle RatesCells do not move through the cell cycle at the same rate
• Cells in a developing embryo replicate rapidly- 3 minutes• Average time of cell cycle- 20 hours• Lining of esophagus- 2-3 days• Lining of small intestine- 1-2 days• Lining of large intestine- 6 days• Red blood cells-120 days• White blood cells- 10hrs-decades
A sample of cytoplasm is removed from a cell in mitosis.
The sample is injected into a second cell in G2
of interphase.
As a result, the second cell enters mitosis.
Hypothesis: Substance X will cause a cell to start mitosis
Substance X = CYCLINSection 10-3
CyclinCyclin cellular protein that regulates the timing of the cell cycle in eukaryotic cells; help create spindle
Cell Cycle Regulators
• INTERNALINTERNAL• Proteins that respond
to signals inside the cell• Checkpoints during
interphase:– Make sure all DNA has
been properly made– Make sure all
chromosomes have attached to a spindle
• EXTERNALEXTERNAL• Proteins that respond to
events outside the cell• Speed up or slow down cell
cycle• Respond to environment
and “crowding”
Causes of CancerEnvironment sun, chemicalsNot exercising obesity is linked to severalGenetics (but not necessarily inherited)Mutations in genes that regulate cell cycle
Example:p53 gene responsible for halting the cell cycle until
all chromosomes have replicated properly Defects in this gene is a precursor to cancer
Kinds of Cancers• SOLID TUMORSSOLID TUMORS• Carcinomas originate from surface cells
(skin, wall of intestine, surface of organs)• Sarcomas bone, cartilage, fat, muscle• ““LIQUID” TUMORSLIQUID” TUMORS• Leukemias circulate in blood stream, from
blood• Lymphomas developed in lymph system
2006 Estimated US Cancer Deaths*2006 Estimated US Cancer Deaths*
ONS=Other nervous system.Source: American Cancer Society, 2006.
Men291,270
Women273,560
26% Lung & bronchus
15% Breast
10% Colon & rectum
6% Pancreas
6% Ovary
4% Leukemia
3% Non-Hodgkin lymphoma
3% Uterine corpus
2% Multiple myeloma
2% Brain/ONS
23% All other sites
Lung & bronchus 31%
Colon & rectum 10%
Prostate 9%
Pancreas 6%
Leukemia 4%
Liver & intrahepatic 4%bile duct
Esophagus 4%
Non-Hodgkin 3%
lymphoma
Urinary bladder 3%
Kidney 3%
All other sites 23%
Treatments
• Surgery – remove the affected cells• Radiation – high-dose X-rays kill cells• Chemotherapy – drugs kill cells• Hormone therapy – hormones stop cell
growth