Cancer is a group of diseases characterized by the uncontrolled growth
and spread of abnormal cells. If the spread is not controlled, it can result in
death. Cancer is caused by external factors, such as tobacco, infectious
organisms, and an unhealthy diet, and internal factors, such as inherited
genetic mutations, hormones, and immune conditions. These factors may act
together or in sequence to cause cancer. Ten or more years often pass between
exposure to external factors and detectable cancer. Treatments include surgery,
radiation, chemotherapy, hormone therapy, immune therapy, and targeted therapy
(drugs that specifically interfere with cancer cell growth)
Can Cancer Be Prevented?
A substantial proportion of cancers could be prevented. All cancers
caused by tobacco use and heavy alcohol consumption could be prevented
completely. In 2015, almost 171,000 of the estimated 589,430 cancer deaths in
the US will be caused by tobacco smoking. In addition, the World Cancer
Research Fund has estimated that up to one-third of the cancer cases that occur
in economically developed countries like the US are related to overweight or
obesity, physical inactivity, and/or poor nutrition, and thus could also be
prevented. Certain cancers are related to infectious agents, such as human
papillomavirus (HPV), hepatitis B virus (HBV), hepatitis C virus (HCV), human
immunodeficiency virus (HIV), and Helicobacter pylori (H. pylori). Many of
these cancers could be avoided by preventing infection, either through
behavioral changes or vaccination, or by treating the infection. Many of the
more than 3 million skin cancer cases that are diagnosed annually could be
prevented by protecting skin from excessive sun exposure and avoiding indoor
tanning. Screening can prevent colorectal and cervical cancers by allowing for
the detection and removal of precancerous lesions. Screening also offers the
opportunity to detect cancer early, before symptoms appear, which usually
results in less extensive treatment and better outcomes. Screening is known to
reduce mortality for cancers of the breast, colon, rectum, cervix, and lung
(among long-term and/or heavy smokers). A heightened awareness of changes in
the breast, skin, or testicles may also result in the early detection of
cancer. For complete cancer screening guidelines,
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