Cancer

Cancer is a group of diseases involving uncontrolled cell growth typically resulting in tumors with the potential to invade or spread to other parts of the body. These malignant tumors contrast with benign tumors, which do not spread. Over 100 types of cancers affect humans. About 33% of deaths from cancer are caused by tobacco and alcohol, obesity, lack of fruit and vegetables in the diet and lack of exercise. Other factors include certain infections, exposure to ionizing radiation, and environmental pollutants. Infection with specific viruses, bacteria, and parasites causes approximately 16–18% of cancers worldwide. These infectious agents include Helicobacter pylori, hepatitis B, hepatitis C, and HPV. Human immunodeficiency virus (HIV) does not directly cause cancer, but it causes immune deficiency that can increase the risk of cancer from other infections, sometimes up to several thousandfold. Vaccination against the hepatitis B virus and the human papillomavirus have been shown to nearly eliminate the risk of cancers caused by these viruses. These environmental factors act, at least partly, by changing the genes of a cell. Typically, many genetic changes are required before cancer develops. Approximately 5–10% of cancers are due to inherited genetic defects. Cancer can be detected by certain signs and symptoms or screening tests. It is then typically further investigated by medical imaging and confirmed by biopsy. The risk of developing cancer can be reduced by not smoking, maintaining a healthy weight, limiting alcohol intake, eating plenty of vegetables, fruits, and whole grains, vaccination against certain infectious diseases, limiting consumption of processed meat and red meat, and limiting exposure to direct sunlight. Early detection through screening is useful for cervical and colorectal cancer. The benefits of screening for breast cancer are controversial. Cancer is often treated with some combination of radiation therapy, surgery, chemotherapy and targeted therapy. More personalized...