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A
Acute: Symptoms or signs that begin and worsen quickly; not chronic.
Acute leukemia: A rapidly progressing cancer of the blood-forming
tissue, such as the bone marrow, which causes large numbers of white blood cells
to be produced and enter the bloodstream.
Acute lymphoblastic leukemia: A fast-growing type of leukemia (blood
cancer) in which too many lymphoblasts (immature white blood cells) are found in
the blood and bone marrow. Also called ALL and acute lymphocytic leukemia.
Acute myeloid leukemia: A quickly progressing disease in which
too many immature white blood cells (not lymphocytes) are found in the blood and
bone marrow. Also called AML, acute myelogenous leukemia, and acute nonlymphocytic
leukemia.
Acute promyelocytic leukemia: An aggressive (fast-growing) type
of acute myeloid leukemia in which there are too many immature blood-forming cells
in the blood and bone marrow. It is usually marked by an exchange of parts of chromosomes
15 and 17. Also called APL and promyelocytic leukemia.
Adenocarcinoma: Cancer that begins in cells that line certain internal
organs and have gland-like (secretory) properties.
Adenoid cystic carcinoma: A rare type of cancer that usually begins
in the salivary glands.
Adjuvant therapy: Treatment given after the primary treatment to
increase the chances of a cure. Adjuvant therapy may include chemotherapy, radiation
therapy, hormone therapy, or biological therapy.
Adrenal cancer: Cancer that forms in the tissues of the adrenal
glands (two glands located just above the kidneys). The adrenal glands make hormones
that control heart rate, blood pressure, and other important body functions. Adrenal
cancer that starts in the outside layer of the adrenal gland is called adrenocortical
carcinoma. Adrenal cancer that starts in the center of the adrenal gland is called
malignant pheochromocytoma.
Adult T-cell leukemia/lymphoma: An aggressive (fast-growing) type
of T-cell non-Hodgkin’s lymphoma caused by the human T-cell leukemia virus type
1 (HTLV-1). It is marked by bone and skin lesions, high calcium levels, and enlarged
lymph nodes, spleen, and liver. Also called ATLL.
Adverse effect: An unwanted side effect of treatment.
AIDS-related cancer: Certain cancer types that are more likely
to occur in people who are infected with the human immunodeficiency virus (HIV).
The most common types are Kaposi’s sarcoma and non-Hodgkin’s lymphoma. Other AIDS-related
cancers include Hodgkin’s disease and cancers of the lung, mouth, cervix, and digestive
system.
Alopecia: The lack or loss of hair from areas of the body where
hair is usually found. Alopecia can be a side effect of some cancer treatments.
Anal cancer: Cancer that forms in tissues of the anus. The anus
is the opening of the rectum (last part of the large intestine) to the outside of
the body.
Anaplastic large cell lymphoma: An aggressive (fast-growing) type
of non-Hodgkin’s lymphoma that is usually of the T-cell type. The cancer cells express
a marker called CD30 or Ki-1 on the surface, and may appear in the lymph nodes,
skin, bones, soft tissues, lungs, or liver.
Anaplastic thyroid cancer: A rare, aggressive type of thyroid cancer
in which the malignant (cancer) cells look very different from normal thyroid cells.
Anemia: A condition in which the number of red blood cells is below
normal.
Angioimmunoblastic T-cell lymphoma: An aggressive (fast-growing)
type of T-cell non-Hodgkin’s lymphoma marked by enlarged lymph nodes and hypergammaglobulinemia
(increased antibodies in the blood). Other symptoms may include a skin rash, fever,
weight loss, or night sweats.
Angiosarcoma: A type of cancer that begins in the cells that line
blood vessels or lymph vessels. Cancer that begins in blood vessels is called hemangiosarcoma.
Cancer that begins in lymph vessels is called lymphangiosarcoma.
Antiangiogenesis: Prevention of the growth of new blood vessels.
Antibody: A type of protein made by plasma cells (a type of white
blood cell) in response to an antigen (foreign substance). Each antibody can bind
to only one specific antigen. The purpose of this binding is to help destroy the
antigen. Antibodies can work in several ways, depending on the nature of the antigen.
Some antibodies destroy antigens directly. Others make it easier for white blood
cells to destroy the antigen.
Antihormone therapy: Treatment with drugs, surgery, or radiation
in order to block the production or action of a hormone. Antihormone therapy may
be used in cancer treatment because certain hormones are able to stimulate the growth
of some types of tumors.
Apoptosis: A type of cell death in which a series of molecular
steps in a cell leads to its death. This is the body’s normal way of getting rid
of unneeded or abnormal cells. The process of apoptosis may be blocked in cancer
cells. Also called programmed cell death.
Ascites: Abnormal buildup of fluid in the abdomen that may cause
swelling. In late-stage cancer, tumor cells may be found in the fluid in the abdomen.
Ascites also occurs in patients with liver disease.
Astrocytoma: A tumor that begins in the brain or spinal cord in
small, star-shaped cells called astrocytes.
Autologous bone marrow transplantation: A procedure in which bone
marrow is removed from a person, stored, and then given back to the person after
intensive treatment.
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B
B-cell lymphoma: A type of cancer that forms in B cells (a type
of immune system cell). B-cell lymphomas usually occur in adults and may be either
indolent (slow-growing) or aggressive (fast-growing). There are many different types
of B-cell lymphomas, and prognosis and treatment depend on the type and stage of
cancer.
Basal cell carcinoma: A type of skin cancer that arises from the
basal cells, small round cells found in the lower part (or base) of the epidermis,
the outer layer of the skin.
Benign: Not cancerous. Benign tumors may grow larger but do not
spread to other parts of the body.
Bilateral cancer: Cancer that occurs in both paired organs, such
as both breasts or both ovaries.
Biological therapy: Treatment to stimulate or restore the ability
of the immune system to fight cancer, infections, and other diseases. Also used
to lessen certain side effects that may be caused by some cancer treatments. Also
called immunotherapy, biotherapy, biological response modifier therapy, and BRM
therapy.
Biopsy: The removal of cells or tissues for examination by a pathologist.
The pathologist may study the tissue under a microscope or perform other tests on
the cells or tissue. When only a sample of tissue is removed, the procedure is called
an incisional biopsy. When an entire lump or suspicious area is removed, the procedure
is called an excisional biopsy. When a sample of tissue or fluid is removed with
a needle, the procedure is called a needle biopsy, core biopsy, or fine-needle aspiration.
Bladder cancer: Cancer that forms in tissues of the bladder (the
organ that stores urine). Most bladder cancers are transitional cell carcinomas
(cancer that begins in cells that normally make up the inner lining of the bladder).
Other types include squamous cell carcinoma (cancer that begins in thin, flat cells)
and adenocarcinoma (cancer that begins in cells that make and release mucus and
other fluids). The cells that form squamous cell carcinoma and adenocarcinoma develop
in the inner lining of the bladder as a result of chronic irritation and inflammation.
Bone cancer: Primary bone cancer is cancer that forms in cells
of the bone. Some types of primary bone cancer are osteosarcoma, Ewing's sarcoma,
malignant fibrous histiocytoma, and chondrosarcoma. Secondary bone cancer is cancer
that spreads to the bone from another part of the body (such as the prostate, breast,
or lung).
Bone marrow: The soft, sponge-like tissue in the center of most
bones. It produces white blood cells, red blood cells, and platelets.
Bone marrow cancer: Cancer that forms in the blood-forming cells
of the bone marrow (soft sponge-like tissue in the center of most bones). Bone marrow
cancer includes leukemias, multiple myeloma, and others.
Brachytherapy: A procedure in which radioactive material sealed
in needles, seeds, wires, or catheters is placed directly into or near a tumor.
Also called internal radiation, implant radiation, and interstitial radiation.
Brain tumor: The growth of abnormal cells in the tissues of the
brain. Brain tumors can be benign (non-cancerous) or malignant (cancerous).
Brain stem glioma: A tumor located in the part of the brain that
connects to the spinal cord (the brain stem). It may grow rapidly or slowly, depending
on the grade of the tumor.
Breast cancer: Cancer that forms in tissues of the breast, usually
the ducts (tubes that carry milk to the nipple) and lobules (glands that make milk).
It occurs in both men and women, although male breast cancer is rare.
Breast-conserving surgery: An operation to remove the breast cancer
but not the breast itself. Types of breast-conserving surgery include lumpectomy
(removal of the lump), quadrantectomy (removal of one quarter, or quadrant, of the
breast), and segmental mastectomy (removal of the cancer as well as some of the
breast tissue around the tumor and the lining over the chest muscles below the tumor).
Also called breast-sparing surgery.
BRCA1: A gene on chromosome 17 that normally helps to suppress
cell growth. A person who inherits an altered version of the BRCA1 gene has a higher
risk of getting breast, ovarian, or prostate cancer.
BRCA2: A gene on chromosome 13 that normally helps to suppress
cell growth. A person who inherits an altered version of the BRCA2 gene has a higher
risk of getting breast, ovarian, or prostate cancer.
Bronchial adenoma: Cancer that forms in tissues of the bronchi
(large air passages in the lungs including those that lead to the lungs from the
windpipe).
Burkett’s leukemia: A rare, fast-growing cancer of the blood.
Burkett’s lymphoma: An aggressive (fast-growing) type of B-cell
non-Hodgkin's lymphoma that occurs most often in children and young adults. The
disease may affect the jaw, central nervous system, bowel, kidneys, ovaries, or
other organs. There are three main types of Burkitt’s lymphoma (sporadic, endemic,
and immunodeficiency related). Sporadic Burkitt’s lymphoma occurs throughout the
world, and endemic Burkitt’s lymphoma occurs in Africa. Immunodeficiency-related
Burkitt’s lymphoma is most often seen in AIDS patients.
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C
C CA-125 test: A blood test that measures the level of CA-125,
a substance found in blood, other body fluids, and some tissues. Increased levels
of CA-125 may be a sign of cancer.
Cancer of the adrenal cortex: A rare cancer that forms in the outer
layer of tissue of the adrenal gland (a small organ on top of each kidney that makes
steroid hormones, adrenaline, and noradrenaline to control heart rate, blood pressure,
and other body functions). Also called adrenocortical cancer and adrenocortical
carcinoma.
Carcinogenesis: The process by which normal cells are transformed into
cancer cells.
Carcinoma: Cancer that begins in the skin or in tissues that line
or cover internal organs.
Carcinoembryonic antigen (CEA): A substance that is sometimes found
in an increased amount in the blood of people who have certain cancers, other diseases,
or who smoke. It is used as a tumor marker for colorectal cancer.
Carcinosarcoma: A malignant tumor that is a mixture of carcinoma
(cancer of epithelial tissue, which is skin and tissue that lines or covers the
internal organs) and sarcoma (cancer of connective tissue, such as bone, cartilage,
and fat).
Cardiac sarcoma: A rare cancer that develops in tissues of the
heart. Also called heart cancer.
Cellular adoptive immunotherapy: A treatment used to help the immune
system fight cancer. A cancer patient’s T cells (a type of white blood cell) are
collected and grown in the laboratory to increase the number of T cells that are
able to kill the person’s cancer cells. These cancer-specific T cells are given
back to the patient to help the immune system fight the cancer.
Central nervous system sanctuary therapy: Chemotherapy or radiation
therapy given to the central nervous system (CNS) as a preventive treatment. It
is given to kill cancer cells that may be in the brain and spinal cord, even though
no cancer has been detected there. Also called CNS sanctuary therapy, central nervous
system prophylaxis, and CNS prophylaxis.
Cervical cancer: Cancer that forms in tissues of the cervix (the
organ connecting the uterus and vagina). It is usually a slow-growing cancer that
may not have symptoms but can be found with regular Pap tests (a procedure in which
cells are scraped from the cervix and looked at under a microscope).
Chemoembolization: A procedure in which the blood supply to the
tumor is blocked surgically or mechanically and anticancer drugs are administered
directly into the tumor. This permits a higher concentration of drug to be in contact
with the tumor for a longer period of time.
Chemoimmunotherapy: Chemotherapy combined with immunotherapy. Chemotherapy
uses different drugs to kill or slow the growth of cancer cells; immunotherapy uses
treatments to stimulate or restore the ability of the immune system to fight cancer.
Chemoradiotherapy: Treatment that combines chemotherapy with radiation
therapy. Also called chemoradiation.
Chemotherapy: Treatment with drugs that kill cancer cells.
Cholangiocarcinoma: A rare type of cancer that develops in cells
that line the bile ducts in the liver. Cancer that forms where the right and left
ducts meet is called Klatskin tumor.
Chorioadenoma destruens: A type of cancer that grows into the muscular
wall of the uterus. It is formed after conception (fertilization of an egg by a
sperm). It may spread to other parts of the body, such as the vagina, vulva, and
lung. Also called invasive hydatidiform mole.
Choriocarcinoma: A rare cancer in women of childbearing age in
which cancer cells grow in the tissues that are formed in the uterus after conception.
Also called gestational trophoblastic disease, gestational trophoblastic neoplasia,
gestational trophoblastic tumor, or molar pregnancy.
Chronic leukemia: A slowly progressing cancer that starts in blood-forming
tissues, such as the bone marrow, and causes large numbers of white blood cells
to be produced and enter the bloodstream.
Clear cell sarcoma of the kidney: A rare type of kidney cancer.
Clear cell sarcoma can spread from the kidney to other organs, most commonly the
bone, but also including the lungs, brain, and soft tissues of the body.
Clinical trial: A type of research study that tests how well new
medical approaches work in people. These studies test new methods of screening,
prevention, diagnosis, or treatment of a disease. Also called a clinical study.
Colon cancer: Cancer that forms in the tissues of the colon (the
longest part of the large intestine). Most colon cancers are adenocarcinomas (cancers
that begin in cells that make and release mucus and other fluids).
Colorectal cancer: Cancer that develops in the colon (the longest
part of the large intestine) and/or the rectum (the last several inches of the large
intestine before the anus).
Complementary and alternative medicine (CAM): Forms of treatment
that are used in addition to (complementary) or instead of (alternative) standard
treatments. These practices generally are not considered standard medical approaches.
Standard treatments go through a long and careful research process to prove they
are safe and effective, but less is known about most types of CAM. CAM may include
dietary supplements, megadose vitamins, herbal preparations, special teas, acupuncture,
massage therapy, magnet therapy, spiritual healing, and meditation.
Consolidation therapy: A type of high-dose chemotherapy often given
as the second phase (after induction therapy) of a cancer treatment regimen for
leukemia. Also called intensification therapy.
Cutaneous breast cancer: Cancer that has spread from the breast
to the skin.
Cutaneous T-cell lymphoma: A disease in which certain cells of
the lymph system (called T lymphocytes) become cancerous (malignant) and affect
the skin.
CT scan: A series of detailed pictures of areas inside the body
taken from different angles; the pictures are created by a computer linked to an
x-ray machine. Also called computed tomography scan, computerized tomography, computerized
axial tomography scan, and CAT scan.
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D
Differentiation: In cancer, refers to how mature (developed) the
cancer cells are in a tumor. Differentiated tumor cells resemble normal cells and
tend to grow and spread at a slower rate than undifferentiated or poorly differentiated
tumor cells, which lack the structure and function of normal cells and grow uncontrollably.
Diffuse large B-cell lymphoma: A type of B-cell non-Hodgkin’s lymphoma
(cancer of the immune system) that is usually aggressive (fast-growing). It is the
most common type of non-Hodgkin’s lymphoma, and is marked by rapidly growing tumors
in the lymph nodes, spleen, liver, bone marrow, or other organs. Other symptoms
include fever, night sweats, and weight loss. There are several subtypes of diffuse
large B-cell lymphoma.
Disease progression: Cancer that continues to grow or spread.
Disease-free survival: Length of time after treatment during which
no cancer is found. Can be reported for an individual patient or for a study population.
DNA: Deoxyribonucleic acid. The molecules inside cells that carry
genetic information and pass it from one generation to the next.
Dose-dense chemotherapy: A chemotherapy treatment plan in which
drugs are given with less time between treatments than in a standard chemotherapy
treatment plan.
Dosimetry: Measurement of radiation exposure from x-rays, gamma
rays, or other types of radiation used in the treatment or detection of diseases,
including cancer.
Drug interaction: A change in the way a drug acts in the body when
taken with certain other drugs, herbals, or foods, or when taken with certain medical
conditions. Drug interactions may cause the drug to be more or less effective, or
cause effects on the body that are not expected.
Drug resistance: The failure of cancer cells, viruses, or bacteria
to respond to a drug used to kill or weaken them. The cells, viruses, or bacteria
may be resistant to the drug at the beginning of treatment, or may become resistant
after being exposed to the drug.
Duct: In medicine, a tube or vessel of the body through which fluids
pass.
Ductal carcinoma in situ (DCIS): A noninvasive condition in which
abnormal cells are found in the lining of a breast duct. The abnormal cells have
not spread outside the duct to other tissues in the breast. In some cases, ductal
carcinoma in situ may become invasive cancer and spread to other tissues, although
it is not known at this time how to predict which lesions will become invasive.
Also called intraductal carcinoma.
Dysplasia: Cells that look abnormal under a microscope but are
not cancer.
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E
Efficacy: Effectiveness. In medicine, the ability of an intervention
(for example, a drug or surgery) to produce the desired beneficial effect.
EGFR: Epidermal growth factor receptor. The protein found on the
surface of some cells and to which epidermal growth factor binds, causing the cells
to divide. It is found at abnormally high levels on the surface of many types of
cancer cells, so these cells may divide excessively in the presence of epidermal
growth factor. Also known as ErbB1 or HER1.
Electrofulgeration: A procedure to destroy tissue (such as a tumor)
using an electric current. Also called fulguration.
Electron beam: A stream of electrons (small negatively charged
particles found in atoms) that can be used for radiation therapy.
Electroporation therapy (EPT): Treatment that generates electrical
pulses through an electrode placed in a tumor to enhance the ability of anticancer
drugs to enter tumor cells.
Eligibility criteria: In clinical trials, requirements that must
be met for an individual to be included in a study. These requirements help make
sure that patients in a trial are similar to each other in terms of specific factors,
such as age, type and stage of cancer, general health, and previous treatment. When
all participants meet the same eligibility criteria, it gives researchers greater
confidence that results of the study are caused by the intervention being tested
and not by other factors.
Endocrine cancer: Cancer that occurs in endocrine tissue, the tissue
in the body that secretes hormones.
Endometrial cancer: Cancer that forms in the tissue lining the
uterus (the small, hollow, pear-shaped organ in a woman's pelvis in which a baby
grows). Most endometrial cancers are adenocarcinomas (cancers that begin in cells
that make and release mucus and other fluids).
Epithelial carcinoma: Cancer that begins in the cells that line
an organ.
Epithelial ovarian cancer: Cancer that occurs in the cells on the
surface of the ovary. Also called ovarian epithelial cancer.
Esophageal cancer: Cancer that forms in tissues lining the esophagus
(the muscular tube through which food passes from the throat to the stomach). Two
types of esophageal cancer are squamous cell carcinoma (cancer that begins in flat
cells lining the esophagus) and adenocarcinoma (cancer that begins in cells that
make and release mucus and other fluids).
Estrogen receptor (ER): Protein found on some cancer cells to which
estrogen will attach.
Ewing’s family of tumors (EFTs): A group of cancers that includes
Ewing's tumor of bone (ETB or Ewing's sarcoma of bone), extraosseus Ewing's (EOE)
tumors, primitive neuroectodermal tumors (PNET or peripheral neuroepithelioma),
and Askin's tumors (PNET of the chest wall). These tumors all come from the same
type of stem cell.
Ewing’s sarcoma: A type of cancer that forms in bone or soft tissue.
Also called peripheral primitive neuroectodermal tumor and pPNET.
Extensive-stage small cell lung cancer: Cancer that has spread
outside of the lung in which it began or to other parts of the body.
External-beam radiation: Radiation therapy that uses a machine
to aim high-energy rays at the cancer. Also called external radiation.
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F
Familial adenomatous polyposis (FAP): An inherited condition in
which numerous polyps (growths that protrude from mucous membranes) form on the
inside walls of the colon and rectum. It increases the risk for colorectal cancer.
Also called familial polyposis.
Familial cancer: Cancer that occurs in families more often than
would be expected by chance. These cancers often occur at an early age, and may
indicate the presence of a gene mutation that increases the risk of cancer. They
may also be a sign of shared environmental or lifestyle factors.
Fecal occult blood test (FOBT): A test to check for blood in the
stool. Small samples of stool are placed on special cards and sent to a doctor or
laboratory for testing. Blood in the stool may be a sign of colorectal cancer.
Fibrocystic breast disease: A common condition marked by benign
(non-cancerous) changes in breast tissue. These changes may include irregular lumps
or cysts, breast discomfort, sensitive nipples, and itching. These symptoms may
change throughout the menstrual cycle and usually stop after menopause. Also called
benign breast disease, fibrocystic breast changes, and mammary dysplasia.
Follicular lymphoma: A type of B-cell non-Hodgkin’s lymphoma (cancer
of the immune system) that is usually indolent (slow-growing). The tumor cells grow
as groups to form nodules. There are several subtypes of follicular lymphoma.
Follicular thyroid cancer: Cancer that develops from cells in the
follicular areas of the thyroid. One of the slow-growing, highly treatable types
of thyroid cancer.
Fractionation: Dividing the total dose of radiation therapy into
several smaller, equal doses delivered over a period of several days.
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G
Gallbladder cancer: Cancer that forms in tissues of the gallbladder.
The gallbladder is a pear-shaped organ below the liver that collects and stores
bile (a fluid made by the liver to digest fat). Gallbladder cancer begins in the
innermost layer of tissue and spreads through the outer layers as it grows.
Gamma irradiation: A type of radiation therapy that uses gamma
radiation. Gamma radiation is a type of high-energy radiation that is different
from x-rays.
Gastrectomy: An operation to remove all or part of the stomach.
Gastric cancer: Cancer that forms in tissues lining the stomach.
Also called stomach cancer.
Gastrointestinal carcinoid tumor: An indolent (slow-growing) cancer
that forms in cells that make hormones in the lining of the gastrointestinal tract
(the stomach and intestines). It usually occurs in the appendix (a small fingerlike
pouch of the large intestine), small intestine, or rectum. Having gastrointestinal
carcinoid tumor increases the risk of forming other cancers of the digestive system.
Gene: The functional and physical unit of heredity passed from parent
to offspring. Genes are pieces of DNA, and most genes contain the information for
making a specific protein.
Genetic marker: Alteration in DNA that may indicate an increased
risk of developing a specific disease or disorder.
Germ cell tumor: A type of tumor that begins in the cells that
give rise to sperm or eggs. Germ cell tumors can occur almost anywhere in the body
and can be either benign or malignant.
Germinoma: The most common type of germ cell tumor in the brain.
Gestational trophoblastic disease: A rare cancer in women of childbearing
age in which cancer cells grow in the tissues that are formed in the uterus after
conception. Also called gestational trophoblastic tumor, gestational trophoblastic
neoplasia, molar pregnancy, or choriocarcinoma.
Giant cell fibroblastoma: A rare type of soft tissue tumor marked
by painless nodules in the dermis (the inner layer of the two main layers of tissue
that make up the skin) and subcutaneous (beneath the skin) tissue. These tumors
may come back after surgery, but they do not spread to other parts of the body.
They occur mostly in boys.
Glioma: A cancer of the brain that begins in glial cells (cells
that surround and support nerve cells).
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H
Head and neck cancer: Cancer that arises in the head or neck region
(in the nasal cavity, sinuses, lip, mouth, salivary glands, throat, or larynx [voice
box]).
Hepatic veno-occlusive disease: A condition in which some of the
veins in the liver are blocked. It is sometimes a complication of high-dose chemotherapy
given before a bone marrow transplant and is marked by increases in weight, liver
size, and blood levels of bilirubin.
Hepatocellular carcinoma: A type of adenocarcinoma, the most common
type of liver tumor.
HER1: Human epidermal growth factor receptor. See EGFR.
High grade: When referring to cancerous and precancerous growths,
a term used to describe cells that look abnormal under a microscope. These cells
are more likely to grow and spread quickly than cells in low-grade cancerous and
precancerous growths.
High-grade lymphoma: A type of lymphoma that grows and spreads
quickly, and has severe symptoms. It is seen frequently in patients who are HIV-positive
(AIDS-related lymphoma). Also called aggressive lymphoma and intermediate-grade
lymphoma.
Hodgkin’s disease or Hodgkin’s lymphoma: A cancer of the immune
system that is marked by the presence of a type of cell called the Reed-Sternberg
cell. Symptoms include the painless enlargement of lymph nodes, spleen, or other
immune tissue. Other symptoms include fever, weight loss, fatigue, or night sweats.
Hormonal therapy: Treatment that adds, blocks, or removes hormones.
For certain conditions (such as diabetes or menopause), hormones are given to adjust
low hormone levels. To slow or stop the growth of certain cancers (such as prostate
and breast cancer), synthetic hormones or other drugs may be given to block the
body’s natural hormones. Sometimes surgery is needed to remove the gland that makes
a certain hormone. Also called hormone therapy, hormone treatment, or endocrine
therapy.
Human papillomavirus (HPV): A member of a family of viruses that
can cause abnormal tissue growth (for example, genital warts) and other changes
to cells. Infection with certain types of HPV increases the risk of developing cervical
cancer.
Human T-cell leukemia virus type 1: A type of virus that infects
T cells (a type of white blood cell) and can cause leukemia and lymphoma. HTLV-1
is spread by sharing syringes or needles used to inject drugs, through blood transfusions,
through sexual contact, and from mother to child at birth or through breast-feeding.
Hyperfractionation: A way of giving radiation therapy in smaller-than-usual
doses two or three times a day instead of once a day. Also called hyperfractionated
radiation therapy and superfractionated radiation therapy.
Hypernephroma: The most common type of kidney cancer. It begins
in the lining of the renal tubules in the kidney. The renal tubules filter the blood
and produce urine. Also called renal cell cancer.
Hyperplasia: An abnormal increase in the number of cells in an
organ or tissue.
Hypopharyngeal cancer: Cancer that forms in tissues of the hypopharynx
(the bottom part of the throat). The most common type is squamous cell carcinoma
(cancer that begins in flat cells lining the hypopharynx).
Hysterectomy: Surgery to remove the uterus and, sometimes, the
cervix. When the uterus and part or all of the cervix are removed, it is called
a total hysterectomy. When only the uterus is removed, it is called a partial hysterectomy.
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I
Immune complex hemolytic anemia: A condition in which the body’s
immune system stops red blood cells from forming or causes them to clump together.
Immune complex hemolytic anemia can occur in patients who have chronic lymphocytic
leukemia (CLL). Also called autoimmune hemolytic anemia and immunohemolytic anemia.
Immune system: The complex group of organs and cells that defends
the body against infections and other diseases.
Immunotherapy: Treatment to stimulate or restore the ability of
the immune system to fight cancer, infections, and other diseases. Also used to
lessen certain side effects that may be caused by cancer treatment. Also called
biological therapy, biotherapy, biological response modifier therapy, and BRM therapy.
IMRT: Intensity-modulated radiation therapy. A type of 3-dimensional
radiation therapy that uses computer-generated images to show the size and shape
of the tumor. Thin beams of radiation of different intensities are aimed at the
tumor from many angles. This type of radiation therapy reduces the damage to healthy
tissue near the tumor. Also called intensity-modulated radiation therapy.
In situ cancer: Early cancer that has not spread to neighboring
tissue.
Indolent lymphoma: A type of lymphoma that tends to grow and spread
slowly, and has few symptoms. Also called low-grade lymphoma.
Induction therapy: Treatment designed to be used as a first step
toward shrinking the cancer and in evaluating response to drugs and other agents.
Induction therapy is followed by additional therapy to eliminate whatever cancer
remains.
Infection: Invasion and multiplication of germs in the body. Infections
can occur in any part of the body and can spread throughout the body. The germs
may be bacteria, viruses, yeast, or fungi. They can cause a fever and other problems,
depending on where the infection occurs. When the body’s natural defense system
is strong, it can often fight the germs and prevent infection. Some cancer treatments
can weaken the natural defense system.
Infiltrating cancer: Cancer that has spread beyond the layer of
tissue in which it developed and is growing into surrounding, healthy tissues. Also
called invasive cancer.
Infiltrating ductal carcinoma: The most common type of invasive
breast cancer. It starts in the cells that line the milk ducts in the breast, grows
outside the ducts, and often spreads to the lymph nodes.
Inflammation: Redness, swelling, pain, and/or a feeling of heat
in an area of the body. This is a protective reaction to injury, disease, or irritation
of the tissues.
Inflammatory breast cancer: A type of breast cancer in which the
breast looks red and swollen and feels warm. The skin of the breast may also show
the pitted appearance called peau d'orange (like the skin of an orange). The redness
and warmth occur because the cancer cells block the lymph vessels in the skin.
Informed consent: A process in which a person is given important
facts about a medical procedure or treatment, a clinical trial, or genetic testing
before deciding whether or not to participate. It also includes informing the patient
when there is new information that may affect his or her decision to continue. Informed
consent includes information about the possible risks, benefits, and limits of the
procedure, treatment, trial, or genetic testing.
Intensification therapy: A type of high-dose chemotherapy often
given as the second phase (after induction therapy) of a cancer treatment regimen
for leukemia. Also called consolidation therapy.
Intensity-modulated radiation therapy (IMRT): A type of 3-dimensional
radiation therapy that uses computer-generated images to show the size and shape
of the tumor. Thin beams of radiation of different intensities are aimed at the
tumor from many angles. This type of radiation therapy reduces the damage to healthy
tissue near the tumor. Also called IMRT.
Interferon: A biological response modifier (a substance that can
improve the body's natural response to infections and other diseases). Interferons
interfere with the division of cancer cells and can slow tumor growth. There are
several types of interferons, including interferon-alpha, -beta, and -gamma. The
body normally produces these substances. They are also made in the laboratory to
treat cancer and other diseases.
Intraductal carcinoma: A noninvasive condition in which abnormal
cells are found in the lining of a breast duct. The abnormal cells have not spread
outside the duct to other tissues in the breast. In some cases, intraductal carcinoma
may become invasive cancer and spread to other tissues, although it is not known
at this time how to predict which lesions will become invasive. Also called ductal
carcinoma in situ.
Intraoperative radiation therapy (IORT): Radiation treatment aimed
directly at a tumor during surgery.
Intraperitoneal chemotherapy: Treatment in which anticancer drugs
are put directly into the abdominal cavity through a thin tube.
Intraperitoneal radiation therapy: Treatment in which a radioactive
liquid is put directly into the abdomen through a thin tube.
Intrathecal chemotherapy: Treatment in which anticancer drugs are
injected into the fluid-filled space between the thin layers of tissue that cover
the brain and spinal cord.
Invasive cervical cancer: Cancer that has spread from the surface
of the cervix to tissue deeper in the cervix or to other parts of the body.
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J
Jaundice: A condition in which the skin and the whites of the eyes
become yellow, urine darkens, and the color of stool becomes lighter than normal.
Jaundice occurs when the liver is not working properly or when a bile duct is blocked.
Juvenile myelomonocytic leukemia (JMML): A rare form of childhood
leukemia in which cancer cells often spread into tissues such as the skin, lung,
and intestines.
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K
Kaposi’s sarcoma: A type of cancer characterized by the abnormal
growth of blood vessels that develop into skin lesions or occur internally.
Kidney cancer: Cancer that forms in tissues of the kidneys. Kidney
cancer includes renal cell carcinoma (cancer that forms in the lining of very small
tubes in the kidney that filter the blood and remove waste products) and renal pelvis
carcinoma (cancer that forms in the center of the kidney where urine collects).
It also includes Wilms’ tumor, which is a type of kidney cancer that usually develops
in children under the age of 5.
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L
Laparoscopic prostatectomy: Surgery to remove all or part of the
prostate with the aid of a laparoscope. A laparoscope is a thin, tube-like instrument
with a light and a lens for viewing. It may also have a tool to remove tissue to
be checked under a microscope for signs of disease.
Laparoscopic-assisted colectomy: Surgery done with the aid of a
laparoscope to remove all or part of the colon through several small incisions made
in the wall of the abdomen. A laparoscope is a thin, tube-like instrument with a
light and a lens for viewing. It may also have a tool to remove tissue to be checked
under a microscope for signs of disease. The laparoscope is inserted through one
opening to guide the surgery. Surgical instruments are inserted through the other
openings to perform the surgery. When only part of the colon is removed, it is called
a partial colectomy.
Large cell carcinoma: Lung cancer in which the cells are large
and look abnormal when viewed under a microscope.
Laryngeal cancer: Cancer that forms in tissues of the larynx (area
of the throat that contains the vocal cords and is used for breathing, swallowing,
and talking). Most laryngeal cancers are squamous cell carcinomas (cancer that begins
in flat cells lining the larynx).
Laryngectomy: An operation to remove all or part of the larynx
(voice box.)
Laser therapy: The use of an intensely powerful beam of light to
kill cancer cells.
Leiomyosarcoma: A malignant (cancerous) tumor of smooth muscle
cells that can arise almost anywhere in the body but is most common in the uterus,
abdomen, or pelvis.
Leptomeningeal cancer: A tumor that involves the tissues that cover
the brain and spinal cord.
Lesion: An area of abnormal tissue. A lesion may be benign (non-cancerous)
or malignant (cancerous).
Leukemia: Cancer that starts in blood-forming tissue, such as the
bone marrow, and causes large numbers of blood cells to be produced and enter the
bloodstream.
Light-emitting diode (LED) therapy: Treatment with drugs that become
active and may kill cancer cells when exposed to light. LED therapy is type of photodynamic
therapy, which uses a special type of light to activate the drug.
Limb perfusion: A technique that may be used to deliver anticancer
drugs directly to an arm or leg. The flow of blood to and from the limb is temporarily
stopped with a tourniquet, and anticancer drugs are put directly into the blood
of the limb. This allows the person to receive a high dose of drugs in the area
where the cancer occurred. Also called isolated limb perfusion.
Limited-stage small cell lung cancer: Cancer is found in one lung,
the tissues between the lungs, and nearby lymph nodes only.
Liver cancer: Primary liver cancer is cancer that forms in the
tissues of the liver. Secondary liver cancer is cancer that spreads to the liver
from another part of the body.
Lobectomy: Surgery to remove a whole lobe (section) of an organ
(such as a lung, liver, brain, or thyroid gland).
Lobular carcinoma: Cancer that begins in the lobules (the glands
that make milk) of the breast. Lobular carcinoma in situ (LCIS) is a condition in
which abnormal cells are found only in the lobules. When cancer has spread from
the lobules to surrounding tissues, it is invasive lobular carcinoma. LCIS does
not become invasive lobular carcinoma very often, but having LCIS in one breast
increases the risk of developing invasive cancer in either breast.
Local cancer: An invasive malignant cancer confined entirely to
the organ where the cancer began.
Localized gallbladder cancer: Cancer found only in the tissues
that make up the wall of the gallbladder. Localized gallbladder cancer can be removed
completely in an operation.
Localized malignant mesothelioma: Cancer is found in the lining
of the chest wall and may also be found in the lining of the lung, the lining of
the diaphragm (the thin muscle below the lungs and heart that separates the chest
from the abdomen), or the lining of the sac that covers the heart on the same side
of the chest. Also called stage I malignant mesothelioma.
Locally advanced cancer: Cancer that has spread only to nearby
tissues or lymph nodes.
Low-grade lymphoma: A type of lymphoma that tends to grow and spread
slowly, and has few symptoms. Also called indolent lymphoma.
Lumpectomy: Surgery to remove the tumor and a small amount of normal
tissue around it.
Lung cancer: Cancer that forms in tissues of the lung, usually
in the cells lining air passages. The two main types are small cell lung cancer
and non-small cell lung cancer. These types are diagnosed based on how the cells
look under a microscope.
Lymph: The clear fluid that travels through the lymphatic system
and carries cells that help fight infections and other diseases. Also called lymphatic
fluid.
Lymph node: A rounded mass of lymphatic tissue that is surrounded
by a capsule of connective tissue. Lymph nodes filter lymph (lymphatic fluid), and
they store lymphocytes (white blood cells). They are located along lymphatic vessels.
Also called a lymph gland.
Lymphadenectomy: A surgical procedure in which the lymph nodes
are removed and examined to see whether they contain cancer. For a regional lymphadenectomy,
some of the lymph nodes in the tumor area are removed; for a radical lymphadenectomy,
most or all of the lymph nodes in the tumor area are removed. Also called lymph
node dissection.
Lymphangiosarcoma: A type of cancer that begins in the cells that
line lymph vessels.
Lymphatic system: The tissues and organs that produce, store, and
carry white blood cells that fight infections and other diseases. This system includes
the bone marrow, spleen, thymus, lymph nodes, and lymphatic vessels (a network of
thin tubes that carry lymph and white blood cells). Lymphatic vessels branch, like
blood vessels, into all the tissues of the body.
Lymphocyte: A type of white blood cell. Lymphocytes have a number
of roles in the immune system, including the production of antibodies and other
substances that fight infection and diseases.
Lymphocytic leukemia: A type of cancer in which the bone marrow
makes too many lymphocytes (white blood cells).
Lymphoepithelioma: A type of cancer that begins in the tissues
covering the nasopharynx (the upper part of the throat behind the nose).
Lymphoma: Cancer that begins in cells of the immune system. There
are two basic categories of lymphomas. One kind is Hodgkin's lymphoma, which is
marked by the presence of a type of cell called the Reed-Sternberg cell. The other
category is non-Hodgkin's lymphomas, which includes a large, diverse group of cancers
of immune system cells. Non-Hodgkin's lymphomas can be further divided into cancers
that have an indolent (slow-growing) course and those that have an aggressive (fast-growing)
course. These subtypes behave and respond to treatment differently. Both Hodgkin's
and non-Hodgkin's lymphomas can occur in children and adults, and prognosis and
treatment depend on the stage and the type of cancer.
Lymphoplasmacytic lymphoma: An indolent (slow-growing) type of
non-Hodgkin’s lymphoma marked by abnormal levels of IgM antibodies in the blood
and an enlarged liver, spleen, or lymph nodes. Also called Waldenström's macroglobulinemia.
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M
Magnetic resonance imaging (MRI): A procedure in which radio waves
and a powerful magnet linked to a computer are used to create detailed pictures
of areas inside the body. These pictures can show the difference between normal
and diseased tissue. MRI makes better images of organs and soft tissue than other
scanning techniques, such as CT or x-ray. MRI is especially useful for imaging the
brain, spine, the soft tissue of joints, and the inside of bones. Also called nuclear
magnetic resonance imaging.
Male breast cancer: Cancer that forms in tissues of the breast
in men. Most male breast cancer begins in cells lining the ducts. It is very rare
and usually affects older men.
Malignant: Cancerous. Malignant tumors can invade and destroy nearby
tissue and spread to other parts of the body.
Malignant ascites: A condition in which fluid containing cancer
cells collects in the abdomen.
Malignant fibrous cytoma: A soft tissue sarcoma that usually occurs
in the limbs, most commonly the legs, and may also occur in the abdomen. Also called
malignant fibrous histiocytoma.
Malignant meningioma: A rare, quickly growing tumor that occurs
in the membranes that cover and protect the brain and spinal cord (meninges).
Malignant mesothelioma: A rare type of cancer in which malignant
cells are found in the sac lining the chest or abdomen. Exposure to airborne asbestos
particles increases one's risk of developing malignant mesothelioma.
Malignant peripheral nerve sheath tumor: A type of soft tissue
sarcoma that develops in cells that form a protective sheath (covering) around peripheral
nerves, which are nerves that are outside of the central nervous system (brain and
spinal cord).
MALT lymphoma: Mucosa-associated lymphoid tissue lymphoma. A type
of cancer that arises in cells in mucosal tissue that are involved in antibody production.
Mantle cell lymphoma: An aggressive (fast-growing) type of B-cell
non-Hodgkin’s lymphoma that usually occurs in middle-aged or older adults. It is
marked by small- to medium-size cancer cells that may be in the lymph nodes, spleen,
bone marrow, blood, and gastrointestinal system.
Mastectomy: Surgery to remove the breast (or as much of the breast
tissue as possible).
Mature T-cell lymphoma: One of a group of aggressive (fast-growing)
non-Hodgkin’s lymphomas that begin in mature T lymphocytes (T-cells that have matured
in the thymus gland and gone to other lymphatic sites in the body, including lymph
nodes, bone marrow, and spleen.) Also called peripheral T-cell lymphoma.
Mature teratoma: A type of benign (non-cancerous) germ cell tumor
(type of tumor that begins in the cells that give rise to sperm or eggs) that often
contains several different types of tissue, such as hair, muscle, and bone. Also
called a dermoid cyst.
Medullary thyroid cancer: A rare type of breast cancer that often
can be treated successfully. It is marked by lymphocytes (a type of white blood
cell) in and around the tumor that can be seen when viewed under a microscope.
Medulloblastoma: A malignant brain tumor that begins in the lower
part of the brain and that can spread to the spine or to other parts of the body.
Medulloblastomas are a type of primitive neuroectodermal tumor (PNET).
Melanoma: A form of skin cancer that begins in melanocytes (the
cells that make the pigment melanin). Melanoma usually begins in a mole.
Meningioma: A type of tumor that occurs in the meninges, the membranes
that cover and protect the brain and spinal cord. Meningiomas usually grow slowly.
Merkel cell cancer: A rare type of cancer that forms on or just
beneath the skin. Merkel cell cancer is divided into three types called trabecular,
intermediate, and small cell.
Mesothelioma: A benign (non-cancerous) or malignant (cancerous)
tumor affecting the lining of the chest or abdomen. Exposure to asbestos particles
in the air increases the risk of developing malignant mesothelioma.
Metaplastic carcinoma: A general term used to describe cancer that
begins in cells that have changed into another cell type (for example, a squamous
cell of the esophagus changing to resemble a cell of the stomach). In some cases,
metaplastic changes alone may mean there is an increased chance of cancer developing
at the site.
Mastastasectomy: Surgery to remove one or more metastases (tumors formed
from cells that have spread from the primary tumor). When all metastases are removed,
it is called a complete metastasectomy.
Metastasis: The spread of cancer from one part of the body to another.
A tumor formed by cells that have spread is called a “metastatic tumor” or a “metastasis.”
The metastatic tumor contains cells that are like those in the original (primary)
tumor. The plural form of metastasis is metastases.
Metronomic therapy: Continuous or frequent treatment with low doses
of anticancer drugs, often given with other methods of therapy.
Micrometastases: Small numbers of cancer cells that have spread
from the primary tumor to other parts of the body and are too few to be picked up
in a screening or diagnostic test.
Microwave therapy: A type of treatment in which body tissue is exposed
to high temperatures to damage and kill cancer cells or to make cancer cells more
sensitive to the effects of radiation and certain anticancer drugs. Also called
microwave thermotherapy.
Modified radical mastectomy: Surgery for breast cancer in which
the breast, most or all of the lymph nodes under the arm, and the lining over the
chest muscles are removed. Sometimes the surgeon also removes part of the chest
wall muscles.
Mohs micrographic surgery: A surgical procedure used to treat skin
cancer. Individual layers of cancerous tissue are removed and examined under a microscope
one at a time until all cancerous tissue has been removed. Also called Mohs surgery.
Monoclonal antibody: A type of protein made in the laboratory that
can locate and bind to substances in the body and on the surface of cancer cells.
There are many kinds of monoclonal antibodies; each one is made to find a different
substance. Monoclonal antibodies are being used to treat some types of cancer and
are being studied in the treatment of other types. They can be used alone or to
carry drugs, toxins, or radioactive materials directly to a tumor.
Mucinous carcinoma: A type of cancer that begins in cells that
line certain internal organs and produce mucin (the main component of mucus).
Multicentric breast cancer: Breast cancer in which there is more
than one tumor, all of which have formed separately from one another. The tumors
are likely to be in different quadrants (sections) of the breast. Multicentric breast
cancers are rare.
Multiple myeloma: A type of cancer that begins in plasma cells
(white blood cells that produce antibodies). Also called Kahler’s disease, myelomatosis,
or plasma cell myeloma.
Myelodysplastic syndrome: Disease in which the bone marrow does
not function normally. Also called preleukemia or smoldering leukemia.
Myeloproliferative disorder: A group of slow-growing blood cancers,
including chronic myelogenous leukemia, in which large numbers of abnormal red blood
cells, white blood cells, or platelets grow and spread in the bone marrow and the
peripheral blood.
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N
Nasopharyngeal cancer: Cancer that forms in tissues of the nasopharynx
(upper part of the throat behind the nose). Most nasopharyngeal cancers are squamous
cell carcinomas (cancer that begins in flat cells lining the nasopharynx).
Neck dissection: Surgery to remove lymph nodes and other tissues
in the neck.
Needle biopsy: The removal of tissue or fluid with a needle for
examination under a microscope. Also called fine-needle aspiration.
Neoadjuvant therapy: Treatment given before the primary treatment.
Examples of neoadjuvant therapy include chemotherapy, radiation therapy, and hormone
therapy.
Neoplasia: Abnormal and uncontrolled cell growth.
Neoplasm: An abnormal mass of tissue that results when cells divide
more than they should or do not die when they should. Tumors may be benign (not
cancerous), or malignant (cancerous). Also called tumor.
Nerve-sparing radical prostatectomy: Surgery to remove the prostate
in which an attempt is made to save the nerves that help cause penile erections.
Non-small cell lung cancer: A group of lung cancers that includes
squamous cell carcinoma, adenocarcinoma, and large cell carcinoma.
Nonseminoma: A group of testicular cancers that begin in the germ
cells (cells that give rise to sperm). Nonseminomas are identified by the type of
cell in which they begin and include embryonal carcinoma, teratoma, choriocarcinoma,
and yolk sac carcinoma.
Nutrition therapy: Treatment based on nutrition. It includes checking
a person’s nutrition status, and giving the right foods or nutrients to treat conditions
such as those caused by diabetes, heart disease, and cancer. It may involve simple
changes in a person’s diet, or intravenous or tube feeding. Nutrition therapy may
help patients recover more quickly and spend less time in the hospital. Also called
medical nutrition therapy.
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O
Occult primary tumor: Cancer in which the site of the primary (original)
tumor cannot be found. Most metastases from occult primary tumors are found in the
head and neck.
Ocular melanoma: A rare cancer of melanocytes (cells that produce
the pigment melanin) found in the eye. Also called intraocular melanoma.
Off-label: Describes the legal use of a prescription drug to treat
a disease or condition for which the drug has not been approved by the U.S. Food
and Drug Administration.
Oligoastrocytoma: A rare type of brain tumor made up of two kinds
of cells, oligodendrocytes and astrocytes, which are brain cells that nourish and
support nerve cells. Also called mixed glioma.
Oncolytic virotherapy: Treatment using a virus that has been changed
in the laboratory to find and destroy cancer cells without harming healthy cells.
It is a type of targeted therapy. Also called virotherapy and viral therapy.
Oral cancer: Cancer that forms in tissues of the lip or mouth.
This includes the front two thirds of the tongue, the upper and lower gums, the
lining inside the cheeks and lips, the bottom of the mouth under the tongue, the
bony top of the mouth, and the small area behind the wisdom teeth.
Oropharyngeal cancer: Cancer that forms in tissues of the oropharynx
(the part of the throat at the back of the mouth, including the soft palate, the
base of the tongue, and the tonsils). Most oropharyngeal cancers are squamous cell
carcinomas (cancer that begins in flat cells lining the oropharynx).
Osteosarcoma: A cancer of the bone that usually affects the large
bones of the arm or leg. It occurs most commonly in young people and affects more
males than females. Also called osteogenic sarcoma.
Ovarian cancer: Cancer that forms in tissues of the ovary (one
of a pair of female reproductive glands in which the ova, or eggs, are formed).
Most ovarian cancers are either ovarian epithelial carcinomas (cancer that begins
in the cells on the surface of the ovary) or malignant germ cell tumors (cancer
that begins in egg cells).
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P
Palliative care: Care given to improve the quality of life of patients
who have a serious or life-threatening disease. The goal of palliative care is to
prevent or treat as early as possible the symptoms of the disease, side effects
caused by treatment of the disease, and psychological, social, and spiritual problems
related to the disease or its treatment. Also called comfort care, supportive care,
and symptom management.
Pancreatic endocrine cancer: A rare cancer that forms in the islets
of Langerhans cells (a type of cell found in the pancreas). Also called islet cell
carcinoma.
Papillary serous carcinoma: An aggressive cancer that usually affects
the uterus/endometrium, peritoneum, or ovary.
Papillary thyroid cancer: Cancer that forms in cells in the thyroid
and grows in small finger-like shapes. It grows slowly, is more common in women
than in men, and often occurs before age 40. It is the most common type of thyroid
cancer.
Paranasal sinus and nasal cavity cancer: Cancer that forms in tissues
of the paranasal sinus (hollow spaces behind the lower part of the forehead, nose,
and cheeks, or below the eyes) or nasal cavity (the inside of the nose from the
nostrils to the part of the throat between the nose and windpipe). The most common
type of this cancer is squamous cell carcinoma (cancer that begins in flat cells
lining the paranasal sinus and nasal cavity).
Parathyroid cancer: A rare cancer that forms in tissues of one
or more of the parathyroid glands (four pea-sized glands in the neck that make parathyroid
hormone, which helps the body store and use calcium).
Parenteral nutrition: A form of nutrition that is delivered into
a vein. Parenteral nutrition does not use the digestive system. It may be given
to people who are unable to absorb nutrients through the intestinal tract because
of vomiting that won't stop, severe diarrhea, or intestinal disease. It may also
be given to those undergoing high-dose chemotherapy or radiation and bone marrow
transplantation. It is possible to give all of the protein, calories, vitamins and
minerals a person needs using parenteral nutrition. Also known as hyperalimentation
or total parenteral nutrition (TPN).
Parotid gland cancer: Cancer that forms in a parotid gland, the
largest of the salivary glands, which make saliva and release it into the mouth.
There are 2 parotid glands, one in front of and just below each ear. Most salivary
gland tumors begin in parotid glands.
Partial cystectomy: The removal of cancer in the bladder as well
as some of the bladder tissue around the tumor. Also called segmental cystectomy.
Partial mastectomy: The removal of cancer in the breast as well
as some of the breast tissue around the tumor and the lining over the chest muscles
below the tumor. Usually some of the lymph nodes under the arm are also taken out.
Also called segmental mastectomy. Partial remission, a decrease in the size of a
tumor, or in the extent of cancer in the body, in response to treatment. Also called
partial response.
Peripheral stem cell transplantation: A method of replacing blood-forming
cells destroyed by cancer treatment. Immature blood cells (stem cells) in the circulating
blood that are similar to those in the bone marrow are given to the patient after
treatment. This helps the bone marrow recover and continue producing healthy blood
cells. Transplantation may be autologous (an individual's own blood cells saved
earlier), allogeneic (blood cells donated by someone else), or syngeneic (blood
cells donated by an identical twin). Also called peripheral stem cell support.
Peripheral T-cell lymphoma: One of a group of aggressive (fast-growing)
non-Hodgkin’s lymphomas that begin in mature T lymphocytes (T-cells that have matured
in the thymus gland and gone to other lymphatic sites in the body, including lymph
nodes, bone marrow, and spleen.) Also called mature T-cell lymphoma.
Peritoneal cancer: Cancer of the tissue that lines the abdominal
wall and covers organs in the abdomen.
PET scan: Positron emission tomography scan. A procedure in which
a small amount of radioactive glucose (sugar) is injected into a vein, and a scanner
is used to make detailed, computerized pictures of areas inside the body where the
glucose is used. Because cancer cells often use more glucose than normal cells,
the pictures can be used to find cancer cells in the body.
Pharyngeal cancer: Cancer that forms in tissues of the pharynx
(the hollow tube inside the neck that starts behind the nose and ends at the top
of the windpipe and esophagus). Pharyngeal cancer includes cancer of the nasopharynx
(the upper part of the throat behind the nose), the oropharynx (the middle part
of the pharynx), and the hypopharynx (the bottom part of the pharynx). Cancer of
the larynx (voice box) may also be included as a type of pharyngeal cancer. Most
pharyngeal cancers are squamous cell carcinomas (cancer that begins in thin, flat
cells that look like fish scales). Also called throat cancer.
Photon-beam radiation: A type of radiation therapy that reaches deep
tumors with high-energy x-rays made by a machine called a linear accelerator.
Plasma cell myeloma: A type of cancer that begins in plasma cells
(white blood cells that produce antibodies). Also called multiple myeloma, Kahler’s
disease, or myelomatosis.
Plasmacytoma: A type of cancer that begins in plasma cells (white
blood cells that produce antibodies). A plasmacytoma may turn into multiple myeloma.
Pleuropulmonary blastoma: A rare and very aggressive (fast-growing)
cancer that forms in tissues of the lung and pleura (a thin layer of tissue covering
the lungs and the inside wall of the chest cavity). Pleuropulmonary blastoma is
most common in children.
Primary central nervous system lymphoma: Cancer that forms in the
lymph tissue of the brain, spinal cord, meninges (outer covering of the brain),
or eye (called ocular lymphoma). Also called primary CNS lymphoma.
Primary effusion lymphoma: A rare, aggressive (fast-growing) type of
B-cell non-Hodgkin’s lymphoma marked by an abnormal build-up of fluids in a body
cavity. It usually occurs together with a human herpes virus in people who have
weakened immune systems, such as in AIDS.
Prophylactic surgery: Surgery to remove an organ or gland that
shows no signs of cancer, in an attempt to prevent development of cancer of that
organ or gland. Prophylactic surgery is sometimes chosen by people who know they
are at high risk for developing cancer.
Prostate cancer: Cancer that forms in tissues of the prostate (a
gland in the male reproductive system found below the bladder and in front of the
rectum). Prostate cancer usually occurs in older men.
Prostate-specific antigen (PSA) test: A blood test that measures the
level of prostate-specific antigen (PSA), a substance produced by the prostate and
some other tissues in the body. Increased levels of PSA may be a sign of prostate
cancer.
Proton-beam radiation therapy: A type of radiation therapy that
uses protons generated by a special machine. A proton is a type of high-energy radiation
that is different from an x-ray.
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R
Radiation therapy: The use of high-energy radiation from x-rays,
gamma rays, neutrons, and other sources to kill cancer cells and shrink tumors.
Radiation may come from a machine outside the body (external-beam radiation therapy),
or it may come from radioactive material placed in the body near cancer cells (internal
radiation therapy, implant radiation, or brachytherapy). Systemic radiation therapy
uses a radioactive substance, such as a radiolabeled monoclonal antibody, that circulates
throughout the body. Also called radiotherapy.
Radical cystectomy: Surgery to remove the bladder as well as nearby
tissues and organs.
Radical mastectomy: Surgery for breast cancer in which the breast,
chest muscles, and all of the lymph nodes under the arm are removed. For many years,
this was the breast cancer operation used most often, but it is used rarely now.
Doctors consider radical mastectomy only when the tumor has spread to the chest
muscles. Also called the Halsted radical mastectomy.
Radical prostatectomy: Surgery to remove the entire prostate. The
two types of radical prostatectomy are retropubic prostatectomy (surgery through
an incision in the wall of the abdomen) and perineal prostatectomy (surgery through
an incision between the scrotum and the anus).
Rectal cancer: Cancer that forms in the tissues of the rectum (the
last several inches of the large intestine before the anus).
Remission induction therapy: Initial treatment with anticancer
drugs to decrease the signs or symptoms of cancer or make them disappear.
Renal cell cancer: The most common type of kidney cancer. It begins
in the lining of the renal tubules in the kidney. The renal tubules filter the blood
and produce urine. Also called hypernephroma.
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S
Salivary gland cancer: A rare cancer that forms in tissues of a
salivary gland (gland in the mouth that makes saliva). Most salivary gland cancers
occur in older people.
Salvage therapy: Treatment that is given after the cancer has not
responded to other treatments.
Sarcoma: A cancer of the bone, cartilage, fat, muscle, blood vessels,
or other connective or supportive tissue.
Second-line therapy: Treatment that is given when initial treatment
(first-line therapy) doesn’t work, or stops working.
Second-look surgery: Surgery performed after primary treatment
to determine whether tumor cells remain.
Seminoma: A type of cancer of the testicles. Seminomas may spread
to the lung, bone, liver, or brain.
Sentinal lymph node: The first lymph node to which cancer is likely
to spread from the primary tumor. When cancer spreads, the cancer cells may appear
first in the sentinel node before spreading to other lymph nodes.
Skin cancer: Cancer that forms in tissues of the skin. When cancer
forms in cells that make pigment, it is called melanoma. When cancer forms in cells
that do not make pigment, it may begin in basal cells (small, round cells in the
base of the outer layer of skin) or squamous cells (flat cells that form the surface
of the skin). Both types of skin cancer usually occur in skin that has been exposed
to sunlight, such as the skin on the face, neck, hands, and arms.
Small cell lung cancer: An aggressive (fast-growing) cancer that
usually forms in tissues of the lung and spreads to other parts of the body. The
cancer cells look small and oval-shaped when looked at under a microscope. Also
called oat cell cancer.
Small intestine cancer: A rare cancer that forms in tissues of the
small intestine (the part of the digestive tract between the stomach and the large
intestine). The most common type is adenocarcinoma (cancer that begins in cells
that make and release mucus and other fluids). Other types of small intestine cancer
include sarcoma (cancer that begins in connective or supportive tissue), carcinoid
tumor (a slow-growing type of cancer), gastrointestinal stromal tumor (a type of
soft tissue sarcoma), and lymphoma (cancer that begins in immune system cells).
Small lymphocytic lymphoma: An indolent (slow-growing) type of
B-cell non-Hodgkin’s lymphoma marked by swollen lymph nodes that usually occurs
in people older than 50 years. It is very similar to a form of leukemia called chronic
lymphocytic leukemia (CLL). Also called well-differentiated lymphocytic lymphoma.
Spindle cell cancer: Cancer that arises in cells that appear spindle-shaped
when viewed under a microscope. These cancers can occur in various places in the
body, including the skin, lungs, kidney, breast, gastrointestinal tract, bone, and
muscle.
Spine cancer: Cancer that begins in the spinal column (backbone)
or spinal cord. The spinal column is made up of linked bones, called vertebrae.
The spinal cord is a column of nerve tissue that runs from the base of the skull
down the back. It is surrounded by three protective membranes, and is enclosed within
the vertebrae. Many different types of cancer may form in the bones, tissues, fluid,
or nerves of the spine.
Squamous cell carcinoma: Cancer that begins in squamous cells,
which are thin, flat cells that look like fish scales. Squamous cells are found
in the tissue that forms the surface of the skin, the lining of the hollow organs
of the body, and the passages of the respiratory and digestive tracts. Also called
epidermoid carcinoma.
Steotactic radiation therapy: A radiation therapy procedure that
uses special equipment to position the patient and precisely deliver a large radiation
dose to a tumor and not to normal tissue. This procedure does not use surgery. It
is used to treat brain tumors and other brain disorders. It is also being studied
in the treatment of other types of cancer, such as lung cancer. Also called radiation
surgery, radiosurgery, stereotactic external-beam radiation, stereotactic radiosurgery,
and stereotaxic radiosurgery.
Stomach cancer: Cancer that forms in tissues lining the stomach.
Also called gastric cancer.
Systemic chemotherapy: Treatment with anticancer drugs that travel
through the blood to cells all over the body.
Systemic radiation: Treatment with a radioactive substance, such
as a radioactively-labeled monoclonal antibody, that travels through the blood to
cells all over the body.
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T
T-cell: One type of white blood cell that attacks virus-infected
cells, foreign cells, and cancer cells. T-cells also produce a number of substances
that regulate the immune response. Also called T lymphocyte.
T-cell acute lymphoblastic leukemia: A type of leukemia (blood
cancer) in which too many T-cell lymphoblasts (immature white blood cells) are found
in the blood and bone marrow. Also called T-cell acute lymphocytic leukemia and
precursor T-lymphoblastic leukemia.
T-cell lymphoma: A disease in which certain cells of the lymph
system (called T lymphocytes) become cancerous.
T-cell lymphoblastic lymphoma: A type of non-Hodgkin’s lymphoma
in which too many T-cell lymphoblasts (immature white blood cells) are found in
the lymph nodes and spleen. It is most common in young men. Also called precursor
T-lymphoblastic lymphoma.
Targeted therapy: A type of treatment that uses drugs or other
substances to identify and attack specific cancer cells without harming normal cells.
A monoclonal antibody is a type of targeted therapy. Teratoma A type of germ cell
tumor that may contain several different types of tissue, such as hair, muscle,
and bone. Teratomas occur most often in the ovaries in women, the testicles in men,
and the tailbone in children. Not all teratomas are malignant.
Testicular cancer: Cancer that forms in tissues of the testis (one
of two egg-shaped glands inside the scrotum that make sperm and male hormones).
Testicular cancer usually occurs in young or middle-aged men. Two main types of
testicular cancer are seminomas (cancers that grow slowly and are sensitive to radiation
therapy) and nonseminomas (different cell types that grow more quickly than seminomas).
Throat cancer: Cancer that forms in tissues of the pharynx (the
hollow tube inside the neck that starts behind the nose and ends at the top of the
windpipe and esophagus). Throat cancer includes cancer of the nasopharynx (the upper
part of the throat behind the nose), the oropharynx (the middle part of the pharynx),
and the hypopharynx (the bottom part of the pharynx). Cancer of the larynx (voice
box) may also be included as a type of throat cancer. Most throat cancers are squamous
cell carcinomas (cancer that begins in thin, flat cells that look like fish scales).
Also called pharyngeal cancer.
Thymic carcinoma: A rare type of thymus gland cancer. It usually
spreads, has a high risk of recurrence, and has a poor survival rate. Thymic carcinoma
is divided into subtypes, depending on the types of cells in which the cancer began.
Also called type C thymoma.
Thyroid cancer: Cancer that forms in the thyroid gland (an organ
at the base of the throat that makes hormones that help control heart rate, blood
pressure, body temperature, and weight). Four main types of thyroid cancer are papillary,
follicular, medullary, and anaplastic thyroid cancer. The four types are based on
how the cancer cells look under a microscope.
Tongue cancer: Cancer that begins in the tongue. When the cancer
begins in the front two-thirds of the tongue, it is considered to be a type of oral
cavity cancer; when the cancer begins in the back third of the tongue, it is considered
to be a type of oropharyngeal or throat cancer.
Total nodal irradiation: Radiation therapy to the mantle field,
the spleen, the lymph nodes in the upper abdomen, and the lymph nodes in the pelvic
area.
Total body irradiation: Radiation therapy to the entire body. It
is usually followed by bone marrow or peripheral stem cell transplantation.
Trabecular cancer: A rare type of cancer that forms on or just
beneath the skin and in hair follicles. Trabecular cancer is a type of Merkel cell
cancer.
Transitional cell cancer: Cancer that forms in transitional cells
in the lining of the bladder, ureter, or renal pelvis (the part of the kidney that
collects, holds, and drains urine). Transitional cells are cells that can change
shape and stretch without breaking apart.
Type C thymoma: A rare type of thymus gland cancer. It usually
spreads, has a high risk of recurrence, and has a poor survival rate. Thymic carcinoma
is divided into subtypes, depending on the types of cells in which the cancer began.
Also called thymic carcinoma.
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U
Ultraviolet (UV) radiation: Invisible rays that are part of the
energy that comes from the sun. UV radiation also comes from sun lamps and tanning
beds. UV radiation can damage the skin and cause melanoma and other types of skin
cancer. UV radiation that reaches the Earth's surface is made up of two types of
rays, called UVA and UVB rays. UVB rays are more likely than UVA rays to cause sunburn,
but UVA rays pass deeper into the skin. Scientists have long thought that UVB radiation
can cause melanoma and other types of skin cancer. They now think that UVA radiation
also may add to skin damage that can lead to skin cancer and cause premature aging.
For this reason, skin specialists recommend that people use sunscreens that reflect,
absorb, or scatter both kinds of UV radiation.
Umbilical cord blood transplantation: The injection of umbilical
cord blood to restore an individual's own blood production system suppressed by
anticancer drugs, radiation therapy, or both. It is being studied in the treatment
of cancer and severe blood disorders, such as aplastic anemia. Cord blood contains
high concentrations of stem cells needed to produce new blood cells.
Unresectable gallbladder cancer: Cancer that has spread to the
tissues around the gallbladder (such as the liver, stomach, pancreas, intestine,
or lymph nodes in the area) and cannot be surgically removed.
Urethral cancer: A rare cancer that forms in tissues of the urethra
(the tube through which urine empties the bladder and leaves the body). Types of
urethral cancer include transitional cell carcinoma (cancer that begins in cells
that can change shape and stretch without breaking apart), squamous cell carcinoma
(cancer that begins in flat cells lining the urethra), and adenocarcinoma (cancer
that begins in cells that make and release mucus and other fluids).
Uterine sarcoma: A rare type of uterine cancer that forms in muscle
or other tissues of the uterus (the small, hollow, pear-shaped organ in a woman's
pelvis in which a baby grows). It usually occurs after menopause. The two main types
are leiomyosarcoma (cancer that begins in smooth muscle cells) and endometrial stromal
sarcoma (cancer that begins in connective tissue cells).
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V
Vaccinia CEA vaccine: A cancer vaccine containing the carcinoembryonic
antigen (CEA) gene.
Vaginal cancer: Cancer that forms in the tissues of the vagina
(birth canal). The vagina leads from the cervix (the opening of uterus) to the outside
of the body. The most common type of vaginal cancer is squamous cell carcinoma,
which starts in the thin, flat cells lining the vagina. Another type of vaginal
cancer is adenocarcinoma, cancer that begins in glandular cells in the lining of
the vagina.
Viral therapy: Treatment using a virus that has been changed in
the laboratory to find and destroy cancer cells without harming healthy cells. It
is a type of targeted therapy. Also called virotherapy and oncolytic virotherapy.
Vulvar cancer: Cancer of the vulva (the external female genital
organs, including the clitoris, vaginal lips, and the opening to the vagina).
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W
Waldenström’s macroglobulinemia: An indolent (slow-growing) type
of non-Hodgkin’s lymphoma marked by abnormal levels of IgM antibodies in the blood
and an enlarged liver, spleen, or lymph nodes. Also called lymphoplasmacytic lymphoma.
Well-differentiated lymphocytic lymphoma: An indolent (slow-growing)
type of B-cell non-Hodgkin’s lymphoma marked by swollen lymph nodes that usually
occurs in people older than 50 years. It is very similar to a form of leukemia called
chronic lymphocytic leukemia (CLL). Also called small lymphocytic lymphoma.
Whipple procedure: A type of surgery used to treat pancreatic cancer.
The head of the pancreas, the duodenum, a portion of the stomach, and other nearby
tissues are removed.
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X
X-ray therapy: The use of high-energy radiation from x-rays to
kill cancer cells and shrink tumors. Radiation may come from a machine outside the
body (external-beam radiation therapy) or from materials called radioisotopes. Radioisotopes
produce radiation and can be placed in or near the tumor or in the area near cancer
cells. This type of radiation treatment is called internal radiation therapy, implant
radiation, interstitial radiation, or brachytherapy. Systemic radiation therapy
uses a radioactive substance, such as a radiolabeled monoclonal antibody, that circulates
throughout the body. X-ray therapy is also called radiation therapy, radiotherapy,
and irradiation.
Note: The terms and definitions used in this glossary were excerpted
from the National Cancer Institute’s Dictionary of Cancer Terms. The complete
dictionary is available online at the Institute’s Web site, www.cancer.gov