| Term 
 
        | exposure to carcinogen leading to cellular damage (irreversible): Activation of proto-oncogenes, oncogenes, inactivation of tumor suppressor genes |  | Definition 
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        | Alterations in cellular environment that favor the growth of the mutated cells (reversible) |  | Definition 
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        | Mutated cell becomes cancerous; clinically detectable (need amt of tumor burden to detect) |  | Definition 
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        | Increased cell proliferation, tumor invasion into tissue, development of metastases |  | Definition 
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        | normal genes, essential in regulation of normal cellular function |  | Definition 
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        | Mutant form of a proto-oncogene, play an important role in carcinogenesis |  | Definition 
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        | Example of an oncogene in breast cancer |  | Definition 
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        | Normally regulate and inhibit inappropriate growth and proliferation |  | Definition 
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        | Example of a tumor suppressor gene that usually activated by damaged DNA |  | Definition 
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        | increase in the size of cells in a specific tissue or organ |  | Definition 
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        | increase in number of cells in a specific tissue or organ |  | Definition 
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        | Abnormal change in size, shape, or organization |  | Definition 
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        | abnormal proliferation of cells, may be benign, pre-malignant, or malignant |  | Definition 
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        | direct migration and penetration into neighboring tissues |  | Definition 
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        | Term 
 
        | cancer cells penetrate into lymphatic system and/or blood vessels and spread from a primary location to a distant site |  | Definition 
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        | Term 
 
        | cancerous cells release molecules that send signals to surrounding tissue, activating the proliferation of blood vessels which penetrate the tumor, supplying it with oxygen and nutrients |  | Definition 
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        | Term 
 
        | tumors of epithelial and epidermal origin |  | Definition 
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        | Term 
 
        | cancers of connective tissue origin |  | Definition 
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        | arise in LN and tissue of immune system |  | Definition 
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        | Term 
 
        | cancers of immature blood cells |  | Definition 
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        | Term 
 
        | time it takes for tumor to double in size, as tumor size increases, this time will increase. |  | Definition 
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        | Term 
 
        | only a certain percentage of cells will be killed with each chemo course |  | Definition 
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        | Term 
 
        | post operative treatment, kill remaining cancer cells and prevent recurrence, goal is to cure |  | Definition 
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        | Term 
 
        | pre-operative treatment, reduce tumor size prior to surgery |  | Definition 
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        | Term 
 
        | goal is to relieve symptoms, used to slow tumor growth, prolong life, reduce symptoms, and decrease tumor size, may include surgery, radiation, and or chemotherapy, no curative intent |  | Definition 
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        | Term 
 
        | patient is entirely free of disease (usually for at least 5  years) and has an equal life expectancy as a cancer free person |  | Definition 
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        | Term 
 
        | no evidence of new disease for at least 1 month after treatment |  | Definition 
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        | Term 
 
        | 50% or greater reduction in tumor size or other objective marker and no evidence of new disease for at least 1 month |  | Definition 
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        | Term 
 
        | tumor size doesn't grow or shrink by more than 25% |  | Definition 
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        | Term 
 
        | 25% increase in tumor size or development of new lesions while receiving treatment |  | Definition 
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        | Term 
 
        | Tumors are composed of various cell types, combination chemo regimens are important to cover numerous cell types |  | Definition 
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        | Term 
 
        | ECOG scale: how strong the patient is 0= fully active, 5 = dead |  | Definition 
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        | Term 
 
        | patient is entirely free of disease (usually for at least 5  years) and has an equal life expectancy as a cancer free |  | Definition 
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        | Term 
 
        | Oldest treatment available and treatment of choice in early diagnosed solid tumors |  | Definition 
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        | Term 
 
        | effective at treating many local tumor types |  | Definition 
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        | Term 
 
        | targets rapidly dividing cells, both cancerous and normal |  | Definition 
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        | Term 
 
        | systemic treatment designated to more specifically target malignant cells |  | Definition 
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        | Term 
 
        | management of cancers from tissues whose growth is under gonadal hormone control |  | Definition 
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        | Term 
 | Definition 
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