Showing posts with label lung cancer. Show all posts
Showing posts with label lung cancer. Show all posts

Because epidemiological research into the causes of cancer takes so long and may leave crucial questions unanswered, the more direct method of laboratory experimentation is undertaken when possible - as it generally is before the introduction of a newly synthesized chemical into foods or drugs. The two types of techniques often go hand in hand. Some compounds such as soot and certain dyes are known from the findings of epidemiologists to be dangerous. Laboratory tests can identify the components of such compounds that are to blame - benzopyrene in soot, beta-naphthylamine in dyes - and such tests can also provide indisputable proof that a suspected substance or activity does cause cancer.

When materials suspected as carcinogen are being tested, scientists cannot risk a human life; laboratory experiments must be done only on animals. During the 1960s, as epidemiological evidence on the risks of smoking began to pour in, generations of mice at the Imperial Cancer Research Fund in London panted out their lives in smoke-filled enclosures and showed evidence of lung cancer. At a Veterans Administration laboratory in New Jersey in 1970, cigarette smoke was pumped directly into dog's lungs, through openings cut in their throats and generated cancerous growths. And in a bizarre experiment of the early 1980s, baboons at the Southwest Research Foundation in San Antonio, Texas, were taught to smoke cigarettes themselves in the continuing quest for hard experimental evidence.

All such trials somewhat resemble a prospective study, in which a scientist selects a group of subjects and follows their course of health or illness. But there is one critical difference. In the laboratory - but not in everyday life - the scientist can be sure that his subjects differ only in the amounts of carcinogen they are exposed to. What they eat, how they exercise or sleep, the very air they breathe - all can be rigidly controlled. Hereditary differences between animals can be reduced or eliminated; among laboratory mice for example. Scientific breeding has produced strains in which all the individuals are genetically identical. Thus, if a scientist exposes one group of mice to a suspected carcinogen, leaving a second group unexposed, and the first group develops cancer while the second does not, he has proved that the substance causes cancer -  at least in mice. To move beyond this test, he might repeat it with other animal subjects - rabbits perhaps, or dogs or monkeys maybe. If a substance induces cancer in several different kinds of mammals, it probably is a carcinogen for most mammals, including human beings.

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Cancer plays favourites, certain forms strike more virulently in certain places. Although most of these geographical concentrations remain to be explained, they often provide clues to a custom or climate that causes the peculiarly local disease. One form of cancer traced to specific causes, Burkitt's lymphoma, is linked to environment. Six other factors fairly conclusively established as causes of distinctive cancers are illustrated on the following pages. These causes are surprisingly diverse: local foodstuffs or food-preparation techniques, personal habits and a parasite that lives mainly in the Nile River. Among the most puzzling cancer pockets are those where breast cancer is unusually prevalent. The disease is apparently influenced by many factors - heredity, childbearing, possibly viruses and, according to some authorities, a diet high in fats. None of these suspected causes, however, explains why in all the United States, breast cancer is most common around the Great Lakes.

The concentration of lung cancer in Great Britain and the Southern United States is attributed to cigarette smoking - an almost universal habit - and to industrial pollution in those areas. But no one knows why the states of Georgia and South Carolina should suffer so from esophageal cancer - a widely scattered disease whose suspected causes elsewhere have been isolated. In the Transkei (region of South Africa) many Bantu men contract this cancer because - it is speculated - they drink a maize beer that contains a cancer-causing nitrosamine. Alcohol cunsumption, perhaps in combination with smoking, may be the reason for esophageal cancer in France. And among Iran's nomadic Turkomans, the cause could be their regular fare of sooty bread.

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Benign tumors can be harmful despite their name. A small benign tumor inside the skull may block the blood supply to the brain, causing a stroke. Larger tumors can be dangerous anywhere in the body - and benign tumors weighing 70 pounds have been recorded. A medium sized or large tumor can deform vital organs and interfere with their functions. Malignant tumor can have the same effects but their real menace lies in metastasis. The process begins when a cancer cell breaks away from the tumor. The malignant cell may enter the bloodstream and be swept to a distant site almost anywhere in the body. Wherever this wandering parasite comes to rest, it is dangerous. Every cancer cell can do many things that normal cell cant. It grows, regardless of local conditions and its descendants reproduce more or less crudely the tissue from which it came. Thus fragments of intestine, bone or stomach will be found in the lung.

Lung cancer is disease which consists of uncontrolled cell growth in tissues of the lung. This growth may lead to metastasis, which is the invasion of adjacent tissue and infiltration beyond the lungs. The vast majority of primary lung cancers are carcinomas, derived from epithelial cells. Lung cancer - the most common cause of cancer-related death in men women - is responsible for 1,3 million deaths worldwide annually as of 2004. The most common lung cancer symptoms are shortness of breath, coughing and weight loss. 

The bloodstream is only one of the pathways of propagation. Cells from a malignant tumor may be absorbed directly by a clear, watery fluid called lymph that is conveyed throughout the body by a network of lymphatic vessels. The malignant cells picked up by lymph may then lodge in filter-like structures called lymph nodes. (Ironically, the lymphatic system normally serves to protect the body against disease). Malignant cells can even work their way through solid tissue; a cancer in the lining of the stomach for example, can grow through the stomach wall to establish colonies elsewhere in the abdominal cavity.

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