A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

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