Mutations in tumor suppressor genes are another common cause of cancer. As you might expect, a tumor suppressor gene is supposed to prevent tumors. But when these genes are damaged, they can allow cancer to develop instead of preventing it. One of these genes, p53, normally prevents cells with abnormal DNA from surviving. When p53 is defective, these cells with abnormal DNA survive and can multiply, increasing the probability of developing cancer.
Certain cancers are associated with chromosomal abnormalities. Chromosomes are located within the nucleus of our cells, and contain our genes. When genes are missing, duplicated, or rearranged, a predisposition to develop a tumor is increased. Certain leukemias, sarcomas, lymphomas, and others tumors are associated with chromosomal abnormalities.
There are also viruses associated with cancer. The human papillomavirus (HPV) that causes genital warts is associated with carcinoma of the cervix, and the Epstein-Barr virus that causes infectious mononucleosis, is associated with Burkitt's lymphoma. Diseases or drugs that affect the immune system can also increase the risk for certain cancers. The disease AIDS, for instance, is associated with a high risk of two types of cancer, namely, Kaposi's sarcoma and lymphoma.
Exposure to ionizing radiation can increase the risk of certain cancers. X-rays used to treat disorders such as acne or adenoid enlargement can increase the risk of certain types of leukemias and lymphomas.
Fortunately, there are also factors under our control that can increase the risk of getting cancer, and can therefore be avoided. There are substances called carcinogens (cancer-forming agents) that can increase the risk of getting cancer. Some common carcinogens include:
Unprotected exposure to sunlight (ultraviolet radiation) is associated with skin cancer. The main cancers caused by sunlight are basal cell carcinoma, squamous cell carcinoma and malignant melanoma.
We'll define some terminology that doctors use when they talk about cancer in the next section.
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