Cancer: Causes, Symptoms, Types & Tests

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28 Jul, 2025

Dr. Nikunj Jain

Dr. Nikunj Jain

Co-Founder and HOD - Nuclear Medicine ,

MBBS, DRM, DNB, FEBNM, FANMB, Dip. CBNC

Cancer is one of the world’s most challenging and widely studied health conditions. It is not a single disease but a collective term for a group of related diseases where cells in the body begin to grow uncontrollably. This uncontrolled growth can invade nearby tissues and, in many cases, spread to other parts of the body. Despite significant advances in prevention, early detection, and treatment, cancer remains a leading cause of death worldwide. However, awareness, timely diagnosis, and modern medical advancements have made many forms of cancer highly treatable and, in some cases, even curable.

Cancer

Cancer begins when normal cells in the body undergo changes that cause them to divide and grow without the normal regulatory controls. Unlike normal cells, which grow, divide, and die in a controlled way, cancer cells keep multiplying, forming masses called tumors (except in the case of blood cancers, which typically do not form solid tumors). As these cells grow, they can disrupt normal body functions, damage organs, and spread (metastasize) to other areas. The term “malignant” describes cancers that can invade and destroy nearby tissues and spread to distant body parts, whereas “benign” tumors do not spread and are generally less harmful.

Causes of Cancer

The causes of cancer are complex and often involve a combination of factors:

  • Genetic factors: Some people inherit mutations in certain genes that increase their risk of specific cancers. Examples include BRCA1 and BRCA2 mutations that raise the risk of breast and ovarian cancers.
  • Lifestyle factors: Habits such as smoking, excessive alcohol consumption, unhealthy diet, physical inactivity, and obesity can increase cancer risk.
  • Environmental exposures: Radiation (such as ultraviolet rays from the sun or radon gas), asbestos, and certain chemicals can contribute to cancer development.
  • Infections: Certain viruses and bacteria are linked to specific cancers. For example, human papillomavirus (HPV) can cause cervical cancer, and Helicobacter pylori infection is linked to stomach cancer.
  • Age: Cancer risk generally increases with age, partly because genetic damage accumulates over time.
  • Hormonal factors: Hormone imbalances or exposure to hormones can influence the risk of cancers like breast or prostate cancer.

Not everyone exposed to risk factors will develop cancer, as individual genetics and overall health also play significant roles.

Symptoms of Cancer

Cancer symptoms vary widely depending on the type, location, and stage. However, some general warning signs include:

  • Unexplained weight loss: Losing significant weight without trying can be an early sign.
  • Persistent fatigue: Constant tiredness that doesn’t improve with rest.
  • Pain: Chronic pain in specific areas, especially if it worsens over time.
  • Changes in skin: Darker skin patches, yellowing, redness, sores that don’t heal, or unexplained moles.
  • Unusual bleeding or discharge: Blood in urine, stool, coughing up blood, or abnormal vaginal bleeding.
  • Lumps or thickening: Especially in the breast, testicles, or other soft tissues.
  • Persistent cough or hoarseness: Particularly when it lasts for weeks.
  • Changes in bowel or bladder habits: Such as long-term constipation, diarrhea, or difficulty urinating.
  • Difficulty swallowing or indigestion: Persistent discomfort could indicate cancers of the digestive system.

Types of Cancer

There are over 100 different types of cancer, classified mainly based on the cell or tissue of origin. Here are some major categories:

1. Carcinomas:
The most common type, originating in epithelial cells that cover internal and external surfaces. Examples include breast, lung, colon, and prostate cancers.

2. Sarcomas:
Arising from connective tissues like bone, muscle, cartilage, and fat.

3. Leukemias:
Cancers of the bone marrow and blood, leading to excessive production of abnormal white blood cells.

4. Lymphomas:
Develop in the lymphatic system, which helps fight infections. Examples include Hodgkin and non-Hodgkin lymphoma.

5. Myelomas:
Affect plasma cells in the bone marrow.

6. Central nervous system cancers:
Include brain tumors and cancers of the spinal cord.

Other cancers are named according to the organ they affect, like kidney cancer, liver cancer, pancreatic cancer, or ovarian cancer.

Some cancers are classified by molecular features, which help guide targeted treatment options.

Tests Used to Detect Cancer

Early detection plays a critical role in effective treatment. Diagnostic methods may include:

  • Physical examination: Checking for lumps, abnormal swelling, or skin changes.
  • Imaging tests: Such as X-rays, ultrasound, CT scans, MRI, and PET scans to visualize tumors.
  • Laboratory tests: Including blood and urine tests to detect substances produced by cancer cells (tumor markers).
  • Biopsy: Removing a small tissue sample to examine under a microscope, often considered the definitive test for diagnosis.
  • Endoscopy: Using flexible tubes with cameras to view and biopsy internal organs, such as the colon, lungs, or stomach.
  • Molecular and genetic tests: Identify mutations or markers in tumors to personalize treatment plans.

Conclusion

Cancer is not a single disease but a complex group of disorders involving abnormal cell growth that can invade and spread. Its impact depends on where it starts, how quickly it grows, and whether it spreads to other parts of the body. While the word “cancer” can sound frightening, advances in early detection, better diagnostic tools, and innovative treatments mean many people survive cancer and continue to live active, fulfilling lives. Understanding risk factors, recognizing warning signs, and getting regular health check-ups can significantly improve the chances of early detection and successful treatment. For those diagnosed, a combination of medical care, support from loved ones, and lifestyle adjustments can make the journey easier and more hopeful.

Frequently Asked Questions (FAQ’s)

1. What is cancer?
Cancer is a disease where abnormal cells grow uncontrollably and may spread to other parts of the body.

2. What causes cancer?
Causes include genetic factors, lifestyle choices, environmental exposures, and infections.

3. Can cancer be prevented?
While not all cancers are preventable, healthy habits like avoiding smoking, maintaining a healthy weight, and regular screenings can lower risk.

4. Is cancer hereditary?
Some cancers have a hereditary risk, but many occur without a family history.

5. How is cancer diagnosed?
Through physical exams, imaging tests, lab tests, biopsies, and genetic tests.

6. What are the most common cancer symptoms?
Unexplained weight loss, persistent fatigue, lumps, pain, and unusual bleeding.

7. Can cancer be cured?
Many cancers can be treated successfully, especially if detected early; some can be completely cured.

8. What is the difference between benign and malignant tumors?
Benign tumors do not spread, while malignant tumors can invade nearby tissues and metastasize.

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