16.1 Cancer Is a Group of Diseases Characterized by Cell Proliferation

One of every five people in the United States will die from cancer, and cancer treatments cost billions of dollars per year. Cancer is not a single disease; rather, it is a heterogeneous group of disorders characterized by the presence of cells that do not respond to the normal controls on division. Cancer cells divide rapidly and continuously, creating tumors that crowd out normal cells and eventually rob healthy tissues of nutrients (Figure 16.2). The cells of an advanced tumor can separate from the tumor and travel to distant sites in the body, where they may take up residence and develop into new tumors. The most common cancers in the United States are those of the breast, prostate gland, lung, colon and rectum, and blood (Table 16.1).

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Figure 16.2: Abnormal proliferation of cancer cells produces a tumor that crowds out normal cells. (a) Metastatic breast cancer masses (white protrusions) growing in a human liver. (b) A light micrograph of a liver section with tumors. The cancer cells are the light, pale-stained cells; the darker cells are healthy liver cells.
[CNRI/Science Source.]
TABLE 16.1 Estimated incidences of various cancers and cancer mortality in the United States in 2014
Type of cancer New cases per year Deaths per year
Breast 235,030 40,430
Prostate 233,000 29,480
Lung and bronchus 224,210 159,260
Colon and rectum 136,830 50,310
Lymphoma 79,990 20,170
Melanoma 76,100 9,710
Bladder 74,690 15,580
Uterus corpus 52,630 8,590
Leukemias 52,380 24,090
Pancreas 46,420 39,590
Oral cavity and pharynx 42,440 8,390
Liver 33,190 23,000
Brain and nervous system 23,380 14,320
Stomach 22,220 10,990
Ovary 21,980 14,270
Uterine cervix 12,360 4,020
Cancers of soft tissues including heart 12,020 4,740
All cancers 1,665,540 585,720

Source: American Cancer Society, Cancer Facts and Figures, 2014 (Atlanta: American Cancer Society, 2014), p. 6.