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Cancer and the Cell Cycle Cell Death and Cell Suicide  Sometimes cells leave the cell cycle to die [apoptosis] because they are damaged beyond repair or they are simply not needed.  Other times cells will undergo cell suicide when their survival would be a threat to the organism  For example, cells infected by a bacterium or virus, or if there is a problem with its DNA. Cell Cycle Checkpoints How Cancer Develops  When the cell cycle fails (ignores the checkpoints) and abnormal cell division begins (this is caused by mutations)  Mutations can occur due to chance (mistakes) or carcinogens  Carcinogens include toxic chemicals, radiation and viral infections  Instead of dying (as instructed by checkpoints) these cells start dividing excessively and form a tumor  After a tumor forms, cancer may then develop when further changes to the cells occur and they start to divide uncontrollably Healthy vs. Cancer Cells Healthy Cells Cancer Cells  Usually don’t reproduce when  Don’t mature or carry out a isolated from their other tissue function. cells. This is because they  Cancer cells will reproduce in communicate cell to cell. isolation (1 cell every 24 hours  They adhere to each other = 1 billion/month). well and communicate to  Cancer cells do not adhere work together. They keep a well with other cells, forming a balance between cell tumor and increasing the risk destruction and cell growth. of metastasis [spread to other areas in the body].  Cancer invades healthy tissue, which then cannot do its job properly. Normal vs Cancer cells  Shape of cell and nucleus changes  Large nucleus, small amount of cytoplasm Lung Cancer development over years Normal Skin and Squamous Cell Carcinoma Detection of Cancer  Screening:  When a person does not have any signs or symptoms of cancer  Includes prostate exam, mammogram, breast self-exam, testicular self-exam, pap smear, blood tests, colonoscopy  Typically done as a regular medical checkup once you reach a certain age, but can be requested or done by YOU at any time  When signs and symptoms are present:  Usually confirmed through blood tests, biopsies, MRIs and/or ultrasound Treatment of Cancer  Before treatment begins, your doctor must determine:  The type and progression of the cancer  Scientific evidence that the treatment works for that type of cancer  Patient’s age and general health  Any other medical problems that may exist Treatment Options  Typically there are three treatments available to patients:  Surgery to remove part or all of the tumor  Chemotherapy: the use of drugs to treat cancer. These drugs slow or even stop the growth of the cancer cells.  Radiation therapy: the use of high energy radiation to damage or destroy cancer cells. High doses of radiation induce apoptosis [cell death]. Homework: READ Chapter 2