Cancer – Patient Education

Dr. Waseem Abbas

Cancer Treatment Specialist
Director Research, Max Hospital, Shalimar Bagh

How to contact me

 Max Superciality Hospital, FC 50, C and D Block, Shalimar Place Site, Shalimar Bagh, New Delhi,    Delhi 110088
Phone: 098106 19717
Email: drabbasdoc@gmail.com

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Common Cancers in India

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What is Cancer?

Cancer is a group of more than 100 different diseases. It can develop almost anywhere in the body.

In brief, cancer can be defined as a condition where the normal cells of the body become abnormal and start growing and multiplying uncontrollably and gain the ability to spread throughout the body.

In the normal state of the body, cells of the body need to divide to replace cells which are lost in day to day activities. For example, old cells in the intestine die and are lost in faeces. To replace these cells, new cells are created by the division of old cells. The division of these cells is tighly controlled by the body so that only as many cells are created as are needed for normal functioning of the body.

How cancer begins

Cells are the basic units that make up the human body. Cells grow and divide to make new cells as the body needs them. Usually, cells die when they get too old or damaged. Then, new cells take their place.

Cancer begins when genetic changes interfere with this orderly process. Cells start to grow uncontrollably. These cells may form a mass called a tumor. A tumor can be cancerous or benign. A cancerous tumor is malignant, meaning it can grow and spread to other parts of the body. A benign tumor means the tumor can grow but will not spread.

Some types of cancer do not form a tumor. These include leukemias, most types of lymphoma, and myeloma.

Types of cancer

Doctors divide cancer into types based on where it begins. Four main types of cancer are:

Carcinomas. A carcinoma begins in the skin or the tissue that covers the surface of internal organs and glands. Carcinomas usually form solid tumors. They are the most common type of cancer. Examples of carcinomas include prostate cancer, breast cancer, lung cancer, and colorectal cancer.

Sarcomas. A sarcoma begins in the tissues that support and connect the body. A sarcoma can develop in fat, muscles, nerves, tendons, joints, blood vessels, lymph vessels, cartilage, or bone.

Leukemias. Leukemia is a cancer of the blood. Leukemia begins when healthy blood cells change and grow uncontrollably. The 4 main types of leukemia are acute lymphocytic leukemia, chronic lymphocytic leukemia, acute myeloid leukemia, and chronic myeloid leukemia.

Lymphomas. Lymphoma is a cancer that begins in the lymphatic system. The lymphatic system is a network of vessels and glands that help fight infection. There are 2 main types of lymphomas: Hodgkin lymphoma and non-Hodgkin lymphoma.

How cancer spreads

As a cancerous tumor grows, the bloodstream or lymphatic system may carry cancer cells to other parts of the body. During this process, the cancer cells grow and may develop into new tumors. This is known as metastasis.

One of the first places a cancer often spreads is to the lymph nodes. Lymph nodes are tiny, bean-shaped organs that help fight infection. They are located in clusters in different parts of the body, such as the neck, groin area, and under the arms.

Cancer may also spread through the bloodstream to distant parts of the body. These parts may include the bones, liver, lungs, or brain. Even if the cancer spreads, it is still named for the area where it began. For example, if breast cancer spreads to the lungs, it is called metastatic breast cancer, not lung cancer.

Diagnosing cancer

Often, a diagnosis begins when a person visits a doctor about an unusual symptom. The doctor will talk with the person about his or her medical history and symptoms. Then the doctor will do various tests to find out the cause of these symptoms.

But many people with cancer have no symptoms. For these people, cancer is diagnosed during a medical test for another issue or condition.

Sometimes a doctor finds cancer after a screening test in an otherwise healthy person. Examples of screening tests include colonoscopy, mammography, and a Pap test. A person may need more tests to confirm or disprove the result of the screening test.

For most cancers, a biopsy is the only way to make a definite diagnosis. A biopsy is the removal of a small amount of tissue for further study. Learn more about making a diagnosis after a biopsy.

Why does cancer happen to some people who do not have any possible cause?

Unfortunately, in many patients there is no apparent cause of cancer. Even if they never smoke or drink alcohol and live a very healthy lifestyle, they may still get cancer. Cancer can even affect children. Research indicates that cells may get damaged and turn into cancer even without any known causative factors. Thus, it is common for people to develop cancer even if they have no risk factors whatsover.

How is cancer treated?

Even those cancers which are incurable can often be controlled for long periods of time. At it’s most basic, treatment of cancer encompasses three main modalities:

  • Surgery, to remove cancer from the body by operations
  • Systemic therapy, to control and eliminate cancer in the body using chemotherapy,
  • targeted therapy, hormones, immunotherapy etc
  • Radiation therapy, which uses beams of high energy to “burn” and destroy cancer cells
  • Your oncologist can help you navigate the complexity of treating your cancer. You can send me a free query by using our E-consultation form.