Glossary: Definitions & Phonetic Pronunciations

A

abdomen [AB-duh-men]

The part of the body between the chest and the pelvis. It includes the stomach (with the lower part of the esophagus), small and large intestines, liver, gallbladder, spleen, pancreas, and other organs.

ablate [ab-late]

To remove or destroy the function of an organ or body tissue. See also ablation.

ablation [a-BLAY-shun]

Treatment to remove or destroy all or part of a body part or tissue. Can also be used to remove or stop the function of an organ. For example, removing the ovaries or testicles or taking medicines that stop them from making hormones would be called ablation. Besides surgery and drug treatment, other ways of ablating body tissues and tumors include extreme heat, freezing, and chemicals. Also called ablative ( ab-LAY-tive) therapy.

abscess [ab-SES]

A collection of pus in tissues, organs, or other parts of the body.

acquired mutation [uh-KWY-erd myoo-TAY-shun]

A mutation (change) in DNA that starts in one cell of the body after a person is born. This mutation is then passed on to any new cells that arise from that cell. In some cases, acquired mutations can lead to cancer. This is different from inherited mutations, which are present at birth and in almost all the cells of the body. Acquired mutations are not passed on to children.

actinic keratosis [ak-TIH-nik KAYR-uh-TOH-sis]

A rough raised area of skin that can develop after a lot of sun exposure. They are benign (not cancer), but over time a few can develop into squamous cell cancer. It is often found on areas of the skin that are frequently exposed to the sun like face, scalp, neck, forearms, and the back of the hands. Also called solar keratosis.

active surveillance [AK-tiv ser-VAY-lents]

Watching a patient’s condition closely without giving them any treatment. During active surveillance, certain exams and tests are done regularly. If there are changes to these test results, treatment may be recommended. Active surveillance may be part of a treatment plan for certain types of cancers like prostate cancer.

adenocarcinoma [A-deh-noh-KAR-sih-NOH-muh]

Cancer that starts in glandular tissue. Glandular tissue makes and secretes a substance, such as in the breast (milk) or in the gland cells of the prostate (seminal fluid).

adenoma [A-deh-NOH-muh]

A benign growth (not cancer) that starts in glandular tissue. Glandular tissue makes and produces a substance. For example, glandular tissue in the ducts or lobules of the breast produce milk, and the gland cells of the prostate produce seminal fluid.

adenomatous polyp [ad-no-muh-tus or ad-uh-NO-muh-tus pa-lip]

A benign (not cancer) growth of abnormal glandular cells. These can become cancer, so they are usually removed when found. For example, 3 types of adenomas that can grow in the colon are tubular, villous, and tuberovillous. In each type, the cells are arranged differently, but there is some overlap so that an adenoma can have both tubular and villous features. See also glandular cells, hyperplastic polyp, inflammatory polyp, polyp, tubular adenoma,villous adenoma.

adhesions [ad-HEE-zhunz]

Scar tissue that can form after surgery or injury. If the scar tissue tightens, it may bind organs together that are normally separate. This can sometimes cause problems, for instance, if there is partial or total blockage of the intestine.

adjuvant therapy [ad-juh-vunt]

Treatment used in addition to the main treatment. It usually refers to hormone therapy, chemotherapy, radiation therapy, or immunotherapy added after surgery to increase the chances of curing the disease or keeping it in check.

advance directive

A legal document that tells a person’s health care provider and loved ones his or her wishes about their health care if the person later becomes unable to make decisions for him or herself. This may include whether to start or when to stop life-sustaining treatments. Another type of advance directive lets you choose a person to make decisions for you if you become unable to do it for yourself.

advanced cancer

Cancer that has spread from where it started (the primary site) to other parts of the body. When the cancer has grown outside the body part where it started but has not yet spread to other parts of the body, it is called locally advanced cancer. If it has spread to other parts of the body, it is called metastatic cancer.

AJCC Staging System

American Joint Committee on Cancer staging system helps determine how much and where the cancer is in the body using the TNM system. T describes the tumor’s size, location, and if it has grown into nearby areas. N describes the spread of cancer to nearby lymph nodes, and M describes metastasis (the spread of cancer to distant parts of the body).

allogeneic stem cell transplant [A-loh-jeh-NAY-ik bone MAYR-oh TRANZ-plant]

Uses bone marrow or stem cells from a donor whose tissue type closely matches the patient’s to replace blood-forming cells that have been destroyed by disease or cancer treatment. This can be from a related donor or an unrelated donor. See also hematopoietic stem cell transplant, stem cells.

alopecia [al-o-PEE-shuh]

Hair loss, which can include loss of scalp hair, body hair, eyebrows, and eyelashes as well as pubic hair. This often happens with chemotherapy treatment or radiation therapy. In most cases, the hair grows back after treatment ends.

alpha blocker [al-fuh]

A drug that relaxes smooth muscle tissue. Alpha blockers are sometimes used to help men who have trouble passing urine because of benign prostatic hyperplasia (BPH) by improving the flow of urine and blood. See also benign prostatic hyperplasia.

alternative medicine

An unproven or disproven therapy that is used instead of standard (proven) medical treatment. Some examples of alternative medicines are special diets, certain supplements or herbs, or high doses of vitamins. The American Cancer Society recommends that patients thinking about using any alternative therapy discuss it first with a member of their cancer care team. Some alternative therapies are known to cause harmful or even life-threatening side effects. With others, the main danger is that the patient may lose the chance to benefit from standard treatment. See also complementary therapy.

ambulatory [AM-byou-luh-tor-ee]

Being able to walk or walking. Ambulatory care centers treat outpatients, that is, people who are not staying overnight in a hospital. Short procedures or treatments are often done in such centers.  

Amsterdam criteria [am-STIR-dam cry-TEER-ee-uh]

Criteria doctors use to identify families who might have hereditary non-polyposis colon cancer (HNPCC). Not all people who have HNPCC meet these criteria, but people who meet the criteria may want to consider genetic testing

analog [an-uh-log]

A substance that is similar, but not identical to another substance. For example, a man-made version of a naturally occurring substance. See also LHRH analogs.

anastomosis [uh-NAS-toh-MOH-sis]

A procedure in which a diseased part of a tubular body structure is removed, and the ends of healthy sections are reconnected.

androgen [AN-druh-jen]

Hormones found in males and females but with much higher levels in males; commonly called male sex hormones. The major androgen is testosterone.

anecdotal report [an-neck-DOE-tul]

Individual or personal report, an incomplete description from one or more patients. It’s not the same as the results of a scientific study.

anemia [uh-NEE-mee-uh]

A condition caused by a low red blood cell count.

anesthesia [an-es-THEE-zhuh]

The loss of feeling or sensation as a result of medicines or substances to keep patients from feeling pain during surgery or other procedures.

  • General anesthesia causes loss of consciousness (puts you into a deep sleep so you don’t feel pain).
  • .
  •  Local or regional anesthesia numbs only a certain area, so you won’t feel pain there.

anesthesiologist [an-es-thee-zee-AHL-uh-jist]

A doctor who specializes in giving drugs or other agents (like gasses) that can cause a total loss of feeling, put a patient into a deep sleep, or relieve pain, most often during surgery.

aneuploid [AN-you-ploid]

See ploidy.

angiogenesis [an-jee-o-JEN-uh-sis]

The formation of new blood vessels. Some cancer treatments work by blocking angiogenesis, which helps keep blood from reaching (“feeding”) the tumor.

angiography [an-jee-AH-gruh-fee]

A test in which a contrast dye is injected directly into a blood vessel that goes to the area that is being studied. A series of x-rays are then taken to show doctors the blood vessels around a tumor.

angiosarcoma [an-jee-o-sar-KO-muh]

Cancer that starts from cells that line blood vessels or lymph vessels.

anorexia [an-uh-REK-see-uh]

Loss of appetite, which could be caused by either the cancer itself or treatments such as chemotherapy.

anterior [an-teer-ee-yer]

At or near the front.

anti-androgens [an-tee-AN-druh-jens or an-tie-AN-druh-jens]

Drugs that block the body’s ability to use androgens (male hormones). They are pills, taken up to 3 times a day. Anti-androgens are usually used along with orchiectomy (surgery) or LHRH analogs (medicines) to help treat prostate cancer.

anti-angiogenesis agent [an-tee-an-jee-o-JEN-uh-sis or an-tie-an-jee-o-JEN-uh-sis]

A drug that stops a tumor from forming blood vessels, cutting off its blood supply.

anti-emetic [an-tee-ih-MEH-tik or an-tie-ih-MEH-tik]

A drug that prevents or relieves nausea and vomiting.

anti-estrogen [an-tee-ES-tro-jen or an-tie-ES-tro-jen]

Something (for example, the drug tamoxifen) that blocks cells from making estrogen. Anti-estrogens are used to treat breast cancers that depend on estrogen for growth and are being studied for use in treating other types of cancers. An anti-estrogen is a type of hormone antagonist. Also called estrogen blocker.

antibiotic [an-tee-by-AH-tick or an-tie-by-AH-tick]

Drug used for treating infections caused by bacteria and other germs.

antibody [AN-tih-bah-dee]

A protein made by immune system cells and released into the blood. Antibodies defend the body against foreign agents, such as bacteria and are produced in response to antigens (substances that cause the body’s immune system to respond in a specific way).. Each antibody can only work to destroy one certain antigen.

antigen [an-tuh-jen]

A foreign substance that causes the body’s immune system to respond by making antibodies. For example, the immune system responds to antigens that are part of bacteria and viruses to help people resist infections. Certain cancer cells have antigens that can be found by lab tests. The antigens can help in diagnosing those cancers and in watching response to treatment. Other cancer cell antigens play a role in immune reactions that may help the body resist cancer.

antimetabolites [an-tee-muh-TAB-o-lites or an-tie-muh-TAB-o-lites]

Substances that interfere with the body’s chemical processes, such as those that create proteins, such as deoxyribonucleic acid (DNA) and other chemicals needed for cell growth and reproduction. In treating cancer, antimetabolite drugs disrupt DNA production, which in turn prevents cell division and tumor growth.

antioxidants [an-tee-OX-uh-dunts or an-tie-OX-uh-dunts]

Substances that protect cells from damage caused by the process of oxidation during metabolism. Some vitamins, such as vitamins C and E and beta-carotene are antioxidants. Antioxidants that are found in foods are thought to reduce the risk of some cancers. But taking certain antioxidants as supplements has been linked to higher cancer risk in some people.

APC gene

A gene that helps keep cell growth balanced. Inherited changes in this gene can cause familial adenomatous polyposis (FAP) and Gardner syndrome. People who have a mutation (change) in this gene can develop hundreds of polyps in the colon.

apheresis [a-fur-REE-sis]

A procedure that takes blood out of the body, part of the blood is removed, and the rest of the blood is infused back into the body. Called plasmapheresis if plasma is removed, leukapheresis if white blood cells are removed, or platelet pheresis when platelets are removed. Might also be called pheresis (fur-ree-sis).

apoptosis [a-pop-TOE-sis]

Programmed cell death. Apoptosis is controlled by genes that cause cells to die at certain times, for example, when DNA is damaged. The process of apoptosis may be blocked in cancer cells. Some drugs used to treat cancer cause apoptosis.

aromatase inhibitors

Drugs that keep the adrenal glands from making estrogens. They are used to treat hormone-sensitive breast cancer in women after menopause. Examples include anastrozole (Arimidex®), letrozole (Femara®), and exemestane (Aromasin®). Aromatase inhibitors are being tested to find out if they can also be used to reduce breast cancer risk in women after menopause.

aspiration [asp-er-A-shun]

To suction out a liquid, gas, or tissue fragments. It could also mean to accidentally inhale food or liquids into the lungs (aspirate).

asymptomatic [a-simp-tuh-MAT-ik]

Not having any signs or symptoms of a disease.

ataxia-telangiectasia mutation [a-tax-ee-yuh tel-an-jee-eck-TAY-zhuh]

An inherited mutation in a certain gene responsible for repairing damaged DNA. Ataxia-telangiectasia is a rare, inherited, progressive, degenerative disease of childhood that causes loss of muscle control, a weakened immune system, and an increased risk of cancer. If this mutation is present, the carrier may have a higher risk of several types of cancer. Also called ATM.

ATM

See ataxia-telangiectasia mutation.

atypia [a-tip-ee-yuh]

Not normal; atypical. Often refers to the appearance of cancerous or pre-cancerous cells.

atypical [a-tip-uh-kul]

Not usual; abnormal.

autologous [aw-tahl-uh-gus]

Use of a person’s own blood or tissue in a medical procedure. For example, using a woman’s own tissue to rebuild her breast is called autologous tissue construction.

axillary dissection [ax-ill-air-ee di-sek-shun]

Removal of the lymph nodes in the armpit (the axillary nodes). They are looked at with a microscope to see if they contain cancer.

B

B lymphocytes [limf-uh-sites]

A type of white blood cells that help make antibodies. See also antibody, immune system, white blood cells. Also called B cells.

barium sulfate [bear-ee-um sul-fate]

a substance made into a chalky liquid that is used to outline the digestive tract for x-rays. It can be taken by mouth, as part of upper gastrointestinal (GI) series, or put into the rectum as a barium enema (as part of a lower GI series). See also barium enema, gastrointestinal tract.

basal cell carcinoma [bay-sul or bay-zul sell car-sin-O-ma]

the most common type of skin cancer. It begins in the lowest layer of the epidermis (the outer layer of the skin), called the basal cell layer. It usually develops on sun-exposed areas, especially the head and neck. Basal cell cancer grows slowly and is not likely to spread to distant parts of the body.

basic science

Also called pure science, provides the knowledge and background required for later research into human health problems. In cancer research, this is often lab study in fields like biochemistry, cell biology, or genetics that are not aimed at treating a specific cancer, but may be used later as part of the basis for a treatment.

behavioral research

Research into what motivates people to act the way they do. The results of such research can be used to help encourage people to adopt healthy lifestyles and follow life-saving screening and treatment guidelines.

benign [be-nine]

Not cancer; not malignant. Compare with malignant.

benign tumor [be-nine too-mer]

An abnormal growth that is not cancer and does not spread to other areas of the body.

beta carotene [bay-tuh KAIR-uh-teen]

A substance found mainly in yellow and orange vegetables and fruits. It functions as an antioxidant, and converts into vitamin A in the body.

Bethesda criteria [beth-ez-duh cry-teer-ree-yuh]

Criteria that include characteristics common in people with hereditary non-polyposis colon cancer (HNPCC). Most people who meet these criteria actually do not have HNPCC, but might want to consider genetic testing for it.

bilateral [by-lat-er-ul]

On both sides of the body; for example, bilateral breast cancer is cancer in both breasts. Compare to unilateral.

biologic response modifiers [by-o-LA-jick re-spons MOD-uh-fie-urs]

Substances (like the drug interferon) that boost the body’s immune system to fight against cancer. This type of treatment is sometimes called biologic therapy.

biomarker testing [BY-o-mar-ker ]

Testing for genes, proteins, or other substances to find out if:
  • A cancer is more likely to grow and spread
  • A certain treatment is likely or unlikely to be helpful
  • Treatment is working
  • A person might be at higher risk for some cancers
  • Someone might have a certain type of cancer (although a biopsy is typically needed to know for sure
  • Cancer might be returning
Also called tumor testing, tumor genetic testing, tumor subtyping, and genomic testing, or genomic profiling.

biomarkers [BY-o-mar-kers]

Genes, proteins, hormones, or other substances that can be tested for to learn important details about a cancer. They may help find cancer, check how you are responding to treatment, or watch to see if a cancer that has come back (recurred). Also called tumor markers.

biopsy [by-op-see]

Removal of a sample of tissue or cell to see if cancer cells are present. There are several types of biopsies.

biopsy gun [by-op-see]

An instrument used to take core biopsy samples, often used for prostate biopsies.

bisphosphonates [bis-FAHS-fun-ates]

Drugs that slow down the action of osteoclasts which break down bone. When cancer spreads to the bones, it can make osteoclasts overactive. Bisphosphonates can be used to help relieve pain and high calcium levels caused by cancer that has spread to bones, help slow the growth of cancer that has spread to the bones, help delay or prevent fractures, and in some cases, help strengthen bones.

blood count

A count of the number of cells in a given sample of blood.

body image

The way a person thinks about their body and how they think it looks to others.

bone marrow aspiration and biopsy [asp-er-A-shun and by-op-see]

A procedure in which a needle is put into the center of a bone, usually the hip or breast bone, to take out a small amount of bone marrow to look at with a microscope.

bone marrow transplant

A treatment to replace stem cells that have been destroyed by high doses of chemotherapy and/or radiation therapy with healthy stem cells. The bone marrow may come from the patient (autologous) or a donor (allogeneic). Also known as a stem cell transplant.

bone scan

An imaging test that gives important information about bones, including the location of cancer that may have spread to the bones. A small amount of radioactive contrast material (radioisotope) which is given by vein. This material settles in areas of the bone to which the cancer may be. The radioactive substance can be seen in pictures as it collects in the problem areas (“hot spots”).

bone survey

An x-ray of all the bones of the body; it may be done when looking for cancer that has spread to the bones. Also called a skeletal survey

brachytherapy [brake-ee-THER-uh-pee]

Internal radiation treatment that uses a radiation source that’s usually sealed in a small holder called an implant. The implant is placed in the body, very close to or inside the tumor.

brain scan

An imaging method used to find anything that isn’t normal in the brain, including brain cancer and cancer that has spread to the brain from other places in the body. This scan can be done in an outpatient clinic. It is painless, except for the needle stick when a radioactive substance (radioisotope) is put into a vein. The radioactive substance can be seen in pictures as it collects in abnormal areas.

BRCA1

A gene which, when damaged (mutated), puts a person at higher risk of developing breast, ovarian, pancreatic, prostate, and other types of cancer, compared to people who do not have the mutation..

BRCA2

A gene which, when damaged (mutated), puts a person at higher risk of developing breast, ovarian, pancreatic, prostate, and other types of cancer when compared to people who do not have the mutation

BRCAPRO

A tool used to help health professionals estimate a woman’s breast cancer risk. It estimates breast cancer risk based on certain risk factors.

breast specialist

A health care professional who has a dedicated interest in breast health. While he or she may have specialized knowledge in this area, medical licensing boards do not certify a specialty in breast care.

C

CA 19-9

A tumor marker sometimes produced by colorectal, stomach, bile duct, and pancreatic cancers. It may also be produced in non-cancer conditions.

CAB

See combined androgen blockade.

cachexia [ka-kek-see-uh]

A significant loss of weight and muscle mass caused by loss of appetite and poor nutrition.

calcifications [kals-if-ik-A-shuns]

Tiny calcium deposits within the breast, seen alone or in clusters. They are often found on a mammogram. Very small deposits may be called microcalcifications. They are a sign of changes within the breast that may need to be followed by more mammograms, or by a biopsy.

cancer

A group of diseases in which cells in the body change and grow out of control. Most types of cancer cells form a lump, or mass called a tumor. Not all tumors are cancer. A tumor that is not cancer is called benign. A cancerous tumor is called malignant. A cancerous tumor can invade and destroy healthy tissue.

cancer care team

The group of health care professionals who work together to find, treat, and care for people with cancer. Whether the team is linked formally or informally, there is usually one person who coordinates the team.

cancer cell

A cell that divides and reproduces abnormally and can spread throughout the body, crowding out normal cells and tissue. Cancer cells develop because of multiple changes to certain genes.

cancer screening tests

See screening.

cancer surveillance

The ongoing, timely, and systematic collection and analysis of information on new cancer cases, extent of disease, screening tests, treatment, survival, and cancer deaths for public health reasons.

cancer susceptibility genes

Genes that could increase a persons risk for some cancers if they have certain mutations Susceptibility genes are usually inherited from parent(s).

cancer vaccine

A vaccine used to help a person’s immune system attack cancer cells. The goal is to help treat cancer or to help keep it from coming back after other treatments. But there are also some vaccines (the HPV vaccine, for example) that may actually help prevent certain cancers.

cancer-related fatigue

an unusual and ongoing tiredness that can occur with cancer or cancer treatments. It can be overwhelming, last a long time, and interfere with everyday life. Rest does not always relieve it.

cannula

A narrow tube. Different kinds may be used to hold tissues open during laparoscopy, or to give IV medicines and fluids.

capsular contracture

Hardness and deformity in an area caused by scar tissue forming around an implant in the body.

capsule formation

Scar tissue that may form around an implant as the body reacts to the foreign object.

carcinoembryonic antigen [car-sin-o-em-bre-ON-ic an-tuh-jin]

A substance normally found in certain fetal tissues. If found in an adult, it may suggest that a cancer, especially one starting in the digestive system, may be present. Tests for this substance may help doctors find out if a colorectal cancer has come back after treatment.

carcinogen [car-sin-o-jin]

Any substance that causes cancer, or helps cancer grow.

carcinoid syndrome [car-sin-oyd sin-drom]

A group of symptoms produced by carcinoid tumors that release large amounts of hormones, which cause facial flushing, wheezing, diarrhea, a fast heartbeat, and other symptoms.

carcinoma [car-sin-O-ma]

A cancer that begins in the skin or the lining layer (epithelial cells) of organs.

carcinoma in situ [car-sin-O-ma in sy-too]

An early stage of cancer when the tumor is confined to the organ where it first developed. The disease has not invaded other parts of the organ or spread to distant parts of the body. Most in situ carcinomas are highly curable.

case manager

The member of the cancer care team who coordinates the patient’s care throughout diagnosis, treatment, and recovery, often working with the insurance company, and connecting the patient and family to resources.

castration [cass-tray-shun]

Use of surgery, radiation, or medicine to stop the ovaries or testicles from making hormones.

catheter [cath-it-ur]

A thin, flexible tube through which fluids enter or leave the body. For example, a tube to drain urine is called a Foley catheter and a tube used to give intravenous fluids or medicines may be called an IV catheter.

causal association or causal link [kaw-zul]

A relationship in which one factor is thought to be responsible for or cause an outcome; for instance, smoking has a causal link to lung cancer.

CDH1

A mutation in this gene can cause hereditary diffuse gastric cancer (a rare type of stomach cancer) to develop at an early age. Women who inherit changes in this gene also have a higher risk of lobular breast cancer.

CEA

see carcinoembryonic antigen.

cell

The basic building unit of all living things. Cells replace themselves by splitting and forming new cells (this process is called mitosis). The processes that control the formation of new cells and the death of old cells are disrupted in cancer.

cell cycle

The series of steps that a cell must go through to divide; some chemotherapy drugs work by interfering with the cell cycle.

centimeter [SIN-tuh-me-ter]

also written as cm. Metric measure of length, 1/100 of a meter. It takes about 2½ cm to equal 1 inch. See also meter, millimeter.

cerebrospinal fluid [suh-REE-bro-spy-nuhl]

A special clear liquid that surrounds and cushions the brain and spinal cord. Also called CSF.

cGy

See Gray under radiation dose.

chaplain

A member of the clergy who helps manage the spiritual needs of the patient and family and can usually address many denominations, faiths, and beliefs.

CHEK2

A gene that if damaged or mutated, can increase the risk of breast and other types of cancer. A damaged CHEK2 gene can be inherited.

chemo brain [key-mo brain]

A mental change that can be defined as a decrease in mental “sharpness”, inability to remember certain things, and having trouble finishing tasks, concentrating on something, or learning new skills. It can happen at any time during the cancer journey, before or after cancer treatment.

chemoprevention [key-mo-pre-VEN-shun]

Using drugs, chemicals, or other substances to try and lower the risk of developing cancer or of cancer coming back.

chemotherapy [key-mo-THER-uh-pee]

The use of medicines to treat cancer. Chemotherapy may be given alone or with other treatments like surgery, radiation therapy, hormone therapy, targeted therapy, or immunotherapy. It can be given as an infusion, injection, or taken by mouth. Often called chemo.

chromosome [KROM-uh-som]

Long strands of DNA that carry genes, the basic units of heredity. Most human cells have 23 pairs of chromosomes, one of each pair from the mother, the other from the father. Each chromosome can contain hundreds or thousands of individual genes.

chronic inflammatory bowel disease

See inflammatory bowel disease.

chronic obstructive pulmonary disease or COPD [kron-ick ob-struck-tiv PULL-muh-nerr-ee]

Lung disease such as emphysema or chronic bronchitis, that harms the lungs and makes it harder to breathe. More common in people who smoke.

chyme [kime]

the thick, nearly liquid mixture of partly digested food and digestive juices found in the stomach and small intestine.

cirrhosis [seh-ROH-sis]

A disease in which liver cells become damaged and are replaced by scar tissue. People with cirrhosis have an increased risk of liver cancer.

Claus model

A tool used to help health professionals estimate a woman’s breast cancer risk. It gives an estimate of breast cancer risk based on certain risk factors.

clinical breast examination [CBE]

Often shortened to CBE. Examination of the breasts done by a health professional such as a doctor or nurse to check for lumps or other changes.

clinical nurse specialist or CNS

An advanced practice registered nurse (APN or APRN) with a master’s or doctoral degree and special certification who works closely with the entire care team, and has advanced training and clinical experience in a certain area of medical and nursing practice. Oncology CNSs have many different roles, such as direct patient or family care, supervising staff, nursing research related to cancer patients, or teaching about cancer, treatment, and side effects.

clinical stage

An estimate of the extent of cancer based on the results of the physical exam, biopsy, and imaging tests.

clinical trials

Research studies that use human volunteers to test new drugs or other treatments to compare current, standard treatments with others that may be better. They may also test new ways to diagnose or prevent a disease.

colectomy [kuh-lek-tuh-me]

surgery that removes all (total colectomy) or part (partial colectomy or hemicolectomy) of the colon. See also colon, bowel, colostomy, segmental resection, anastomosis.

colitis [kuh-lie-tis]

a general term for inflammation of the large intestine (colon). Colitis can be intermittent (it comes and goes) or chronic (long-lasting, as in ulcerative colitis). See also colon, inflammatory bowel disease.

colonoscope [ko-LAHN-uh-scope]

A thin, flexible, hollow lighted tube (about the thickness of a finger) with a light and small video camera on the end. It is put in through the anus into the rectum and moved up into the colon so the doctor can look closely at the inside of the large intestine.

colony-stimulating factors [CSF]

Substances that stimulate the production of blood cells in the bone marrow. CSFs are naturally produced in the body. They may be given to reduce or prevent certain side effects of chemotherapy that might be caused by not having enough blood cells. They may also be given before taking stem cells from a donor for peripheral blood stem cell transplant.

color Doppler ultrasound

A type of ultrasound that uses a computer to convert sounds into colors to represent blood flow within an organ. It helps make it easier for doctors to find out if cancer has spread into blood vessels.

combination hormone therapy

See combined androgen blockade.

combined androgen blockade [CAB]

Treatments to lower or stop the production of androgens. For example, complete blockage of androgen (male hormone) production that may include removal of the testicles plus the use of anti-androgens can be used to treat prostate cancer. Also called CAB.

combined modality therapy [mo-dal-ih-tee]

Treatments used alternately or together to get the best results. For example, surgery for cancer is often followed by chemotherapy to kill any cancer cells that may have spread from the original site.

comedocarcinoma [kom-id-o-car-sin-NO-muh]

ductal carcinoma in situ that has dead or dying cancer cells in its center. See also ductal carcinoma in situ.

complementary therapy

A non-standard treatment used along with standard medical treatment. Complementary methods are not cancer treatments themselves but may be used to help relieve symptoms of cancer and side effects of treatment. The use of complementary treatments may improve wellbeing and quality of life. Some examples of complementary therapies are meditation, physical activity, acupuncture, yoga, guided imagery, reflexology, and massage. Compare with alternative therapy.

complexed PSA

the amount of PSA (prostate-specific antigen) in the blood that is bound to other proteins (the portion of PSA that is not “free”). This test is done instead of checking the total and free PSA, and it could give the same amount of information as the other two done separately. Studies are now under way to see if this test provides the same level of accuracy. See also percent-free PSA, prostate-specific antigen.

computed tomography scan [toe-mahg-ruh-fee]

An imaging test that takes many x-rays from different angles. These images are combined by a computer to make 3-dimensional (3-D) pictures of internal organs and tissues. CT scans can help doctors find cancers, show things like a tumor’s shape and size, or find out how well treatment is working. Also called a CT scan or CAT scan.

concurrent treatment

Treatment or therapy that is given at the same time as another treatment.

conditioning treatment

Treatment used to destroy the bone marrow or reduce its function to prepare for a stem cell transplant. It helps kill any cancer cells in the body, helps make room for new stem cells to grow, and helps reduce the chance that the patient’s body will reject the transplanted cells.

conformal proton beam therapy

See proton beam therapy.

conformal radiation therapy

Radiation treatment that uses a special computer which helps shape the beams of radiation to the shape of the tumor. It also delivers the beams from several different directions rather than all going in from one angle. This cuts down the amount of exposure that any one section of healthy tissue gets by spreading out the entry points.

control group

In research or clinical trials, the group that does not get the treatment being tested. In cancer research, this group most often gets standard treatment (which has already been tested and is in general use). If no standard treatment exists, the control group may get a placebo or sham treatment. Most cancer clinical trials do not use placebos unless they are given along with an active drug. It’s unethical to give someone a placebo instead of a treatment that’s known to work. Also sometimes called the comparison group.

conventional therapy or treatment

See standard therapy.

COPD

See chronic obstructive pulmonary disease.

cord blood transplant

The use of stem cells in blood that has been taken from the placenta and umbilical cords of newborns to replace the blood-forming stem cells in patients whose own stem cells have been destroyed by radiation or chemotherapy.

core needle biopsy

A procedure used to get tissue samples. The needles are wide and remove a small cylinder of tissue. A pathologist looks at these samples with a microscope to see if cancer cells are present.

corticosteroid [kor-tih-ko-STEER-oyd]

Any of a number of steroid substances that come from the cortex (outer layer) of the adrenal glands. They are sometimes used as cancer treatments or to reduce nausea. They are also used to relieve pain in patients with cancer in the bone.

cranium [cray-nee-um]

The bones that form the head. The part of the skull bones that enclose and protect the brain, and support the structures of the face.

Crohn’s disease or Crohn’s colitis [kronz]

A type of chronic inflammatory bowel disease. In this condition, the small bowel or, less often, the colon is inflamed over a long period of time. This increases a person’s risk of developing colon cancer.

cryoablation [cry-o-ah-BLAY-shun]

The use of extreme cold to freeze and kill cancer cells. Also called cryosurgery or cryotherapy.

cryosurgery [cry-o-SUR-juh-ree]

See cryoablation.

cryotherapy [KRY-oh-THAYR-uh-pee]

The use of extreme cold to freeze and kill cancer cells. Also called cryosurgery or cryotherapy.

CT colonography

See virtual colonoscopy.

CT scan or CAT scan

See computed tomography.

CT-guided needle biopsy

A biopsy procedure that uses a CT scan to help the doctor advance a biopsy needle toward a suspicious area or mass. The images are repeated until the doctor is sure the needle is in the tumor or mass. Tissue is then taken from it and looked at with a microscope.

curative treatment [kur-uh-tiv]

Treatment aimed at completely getting rid of the cancer so that no more treatment is needed, and the cancer is not expected to come back.

cyst [sist]

Pockets of tissue that can form anywhere in the body and may be filled with fluid, air, or pus. Cysts are usually not cancer.

cystoscope [SIS-tuh-skop]

A thin, flexible tube with a lens and a light. It is put into the bladder through the urethra, allowing the doctor to see the insides of these organs.

cytogenetics [sy-toe-juh-NET-icks]

Tests that look for abnormal changes (mutations) in chromosomes by testing samples of tissue, bone marrow, or blood in a laboratory Changes in certain chromosomes can be a sign of some types of cancer or genetic diseases.

cytokine [sy-toe-kine]

A substance that is made by cells of the body’s immune system that can affect the immune response. Cytokines can also be made in the lab and given to people to help the body’s immune responses against cancer. See also immune system.

cytology [sy-tahl-uh-jee]

The study of cells using a microscope. Also refers to tests to diagnose cancer and other diseases by looking at cells under a microscope.

D

D & C

See dilation and curettage.

debulk [de-bulk]

To surgically reduce the volume or amount of cancer, usually by removing all that can be safely taken out. Debulking might increase the chance that other treatments like chemotherapy or radiation therapy will kill all the tumor cells. It may also be done to relieve symptoms.

deoxyribonucleic acid [dee-ok-see-ri-bo-noo-KLEE-ick]

The genetic “blueprint” found in the nucleus (center) of a cell. DNA holds genetic information on cell growth, division, and function and is passed from one generation to the next. Also called DNA.

depot injection [dee-poe or dep-oh]

A method of injection of a drug that allows it to enter the bloodstream slowly over time. These drugs often can be given every month or even once every few months.

dermatologist or dermatological oncologist [der-muh-TAHL-uh-jist]

A doctor who specializes in skin diseases. A dermatological oncologist has specialized training in diagnosing and treating skin cancers.

DES

See diethylstilbestrol.

detection

See early detection.

DHT

See dihydrotestosterone.

diabetes [dai · uh · bee · teez]

A condition that affects how the body turns food into energy. When a person has diabetes, the body does not make enough insulin or use it the way it should. This causes too much sugar to stay in the blood.

diagnosis [die-ug-NO-sis]

Identifying a disease or condition by its signs or symptoms, and by using imaging tests, lab tests, or biopsy.

diaphragm [DIE-uh-fram]

A dome-shaped muscle that separates the chest from the abdomen (belly). The diaphragm moves down to pull air into the lungs, and up to push it out.

dietary supplement

A product, such as a vitamin, mineral, or herb, that is added to the diet with the intention to improve health, and not to diagnose, treat, cure, or prevent disease. Because dietary supplements are not legally considered drugs, their manufacturers can sell them without having to prove they are safe or effective.

diethylstilbestrol [die-ETH-ul-still-bes-trahl]

A man-made form of estrogen prescribed to some pregnant women between 1938 and 1971 to help prevent miscarriages or premature deliveries. It can increase risk of certain cancers for anyone who was exposed to it during gestation (as an embryo or fetus if the mother took it during pregnancy). Women who took this drug while pregnant may be at a slightly higher risk of breast cancer. It is no longer available in the United States. Also known as DES.

dietitian or registered dietitian [die-uh-TISH-un]

An expert in the area of nutrition, food, and diet who has passed a national board exam. Many RDs specialize in areas like weight management, exercise science, cancer care, or cardiac rehabilitation. See also nutritionist.

differentiation [dif-uhr-en-she-A-shun]

The process through which cells mature so they can do the jobs they were meant to do. It describes how much or how little cancer cells look like the normal tissue they came from. Cancer cells that are well-differentiated look more like normal cells and tend to grow and spread more slowly than poorly differentiated or undifferentiated cancer cells.

digital mammography

A way of storing an x-ray picture of the breast as a computer image rather than on the usual x-ray film. Also called 3D mammogram.

digital rectal exam [DRE]

An exam in which the doctor puts a lubricated, gloved finger into the rectum to feel for anything that isn’t normal. This simple test, which is generally not painful, can find some prostate and rectal cancers. Also called DRE.

dihydrotestosterone [die-hi-dro-tes-TOSS-ter-own]

A male hormone made from testosterone. High levels of dihydrotestosterone may increase the growth of prostate cancer and might make it harder to treat.

dilation and curettage [die-lay-shun and cure-uh-TAZH]

A procedure in which the cervix is opened slightly (dilation) so that tissue from the lining of the uterus (womb) can be removed (curettage). This is often used to get tissue for biopsy. In some cases, all of the contents of the uterus are removed. Also called a D & C.

dimpling

A pucker or indentation of the skin. Dimpling on the breast might be a sign of cancer.

discharge

Fluid that comes out of a part of the body.

discharge coordinator or planner

Often a nurse or social worker who helps make sure patients leaving the hospital have what they need to continue their recovery at home. They also may help a patient find other places to go after leaving the hospital, such as a nursing home or rehab, where they can continue to get the care they need.

disease-free survival rate

The percentage of people with a certain cancer who are still living and have no evidence of cancer at a certain period of time (usually 5 years) after treatment.

dissection [di-sek-shun]

Surgery to divide, separate, or remove tissues.

distal

A term used to refer to a part of the body (usually a limb) located further away from the torso than another part. Ex: the knee is distal to the hip or the ankle is distal to the knee.

distant cancer

Cancer that has spread far from its original location or primary site to distant organs or lymph nodes. Sometimes called distant metastases.

diverticulitis [die-ver-tick-you-LIE-tis]

Inflammation or infection of small pouches that form at weak points in the colon wall, which can cause slight bleeding, mild pain, or muscle cramps.

diverticulosis [die-ver-tick-you-LOW-sis]

The presence of small sacs or pouches in the walls of the colon. These pouches can get inflamed or infected and cause diverticulitis.

DNA

See deoxyribonucleic acid.

DNA repair

The process of correcting the genetic mistakes made each time a cell divides. If the repair process does not go right, it can increase the chances of a person having some forms of cancer.

Doctor of osteopathic medicine or DO

A doctor with a licensing and educational background much like that of a medical doctor (MD) who is specially trained to use a “whole person” approach to medicine rather than just treating specific symptoms. See also primary care physician.

dorsal

Relating to the back side of the body or body part.

dose-dense chemotherapy

Giving the usual doses of chemo with less time between treatments than in a standard treatment plan. For people with some types of cancer, this may lower the chance that the cancer will come back. This approach can lead to more side effects and be harder to take, so it’s not an option for everyone.

dosimetrist [doe-sim-uh-trist]

A person with special training and certification who calculates and plans the correct dose of radiation therapy (the amount, rate, and how the dose is spread out) for cancer treatment and/or other diseases.

doubling time

The time it takes for a cell to divide or for a group of cells to double in size. Cancer cells vary in doubling time from. A cancer might be present for many years before it can be found.

DRE

See digital rectal exam.

drug resistance

When cancer cells or other microorganisms are not affected by the drugs used to destroy them.

durable power of attorney for health care

A legal document in which you appoint a person to make all your health care decisions for you if you become unable to do so for yourself in the future. This is a type of advanced directive.

dysphagia [dis-fay-zhe-uh]

Trouble swallowing.

dysplasia [dis-play-zhuh]

Abnormal changes of groups of cells within a tissue or organ. Dysplasia is not cancer, but the abnormal changes may sometimes lead to cancer.

E

early detection

Finding disease at an early stage, when it is easier to treat, before it has grown large or spread. Certain tests are used before a person has any symptoms to try to find cancer early.

edema [uh-deem-uh]

Build-up of fluid in tissues, causing swelling.

efficacy [EF-ih-kuh-see]

Effectiveness. The ability of a treatment to produce the desired result.

ejaculate [ih-JACK-you-late]

To release semen during male orgasm.

electrocoagulation or electrofulguration [e-lek-tro-ful-ger-A-shun]

A type of treatment that destroys cancer cells by burning with an electrical current. Also known as electrocautery.

embolization [em-buh-li-ZAY-shun]

Treatment to block or reduce the blood supply to the cancer by injecting materials to block the artery that supplies blood to the tumor.

emesis [em-eh-sis]

Vomit or vomiting.

endocavitary radiation therapy [end-oh-KAV-uh-terr-ee]

Radiation for cancer delivered from a handheld device that is placed inside a body opening. It may be given alone or with external beam radiation therapy.

endocrine glands [en-duh-krin]

Organs that release hormones into the bloodstream. The ovaries, testicles, thyroid, and adrenals are all examples of endocrine glands.

endocrine therapy [en-duh-krin]

Manipulation of hormones to treat a disease or condition.

endocrinologist [en-duh-kruh-NAHL-uh-jist]

A doctor who specializes in diseases related to the glands of the endocrine system, such as the thyroid, pituitary, pancreas, pineal, and adrenal glands.

endoscopy [en-dahs-kuh-pee]

Inspection of the inner lining of hollow body organs or cavities using a thin, flexible, lighted tube called an endoscope.

enterostomal therapist [en-ter-oh-STO-mal ther-uh-pist]

A nurse who has been trained and certified to teach people how to care for ostomies (surgically created openings such as a colostomy or urostomy) and wounds. Also called an ostomy nurse or a wound care nurse.

enucleation [ee-noo-klee-AY-shun]

Surgical removal of something without cutting into it. Sometimes used to describe removal of a whole tumor; also may describe removing an entire eyeball while leaving eye muscles and other contents of the eye socket.

enzyme [en-zime]

Proteins that start, help, or speed up the rate of chemical reactions in living cells.

epidemiology [ep-ih-deem-ee-AHL-uh-jee]

The study of diseases in populations (large groups of people from the general population who share a common factor such as age, sex, or health condition) by collecting and analyzing statistical data. In the field of cancer, epidemiologists look at how many people have cancer; who gets certain types of cancer; and what factors (such as environment, job hazards, family patterns, and personal habits, like smoking and diet) are linked to developing cancer.

epidermal growth factor or EGFR [ep-ih-DERM-uhl]

Proteins on the surface of cells that signal them to grow and divide. Also called EGFR. Some cancer cells grow faster because they contain more growth factor receptors than normal cells. Drugs that block EGFR signals (EGFR inhibitors) can be used to treat certain types of cancer.

epidural anesthesia [ep-ih-DUR-uhl an-es-thee-zhuh]

Injection of anesthetic drugs into the space around the spinal cord. This is used to numb the lower part of the body.

erectile dysfunction

Not being able to have or keep an erection of the penis. Also called ED or impotence.

esophageal speech [eh-sof-uh-JEE-uhl]

A special way to speak used by some people after the voice box (larynx) has been removed. With training, some people learn to swallow air into the esophagus (the tube that connects your mouth to your stomach) and force it out through their mouth. As the air passes through the throat, it will cause vibrations which, with training, can be turned into speech. This is the most basic form of speech rehabilitation. New devices and surgical techniques often make learning esophageal speech unnecessary.

estrogen

A hormone found in both men and women, but at higher levels in women. Often called the female sex hormone, it is made mostly by the ovaries, and in smaller amounts by the adrenal cortex. In girls, estrogen helps to regulate puberty, such as growth of breasts. In women, estrogen levels normally cycle on a monthly schedule to regulate menstruation and prepare the body for fertilization and reproduction. Estrogen may promote the growth of cancer cells in breast, endometrial, and adrenal cancers. In men, estrogen is sometimes used to treat advanced prostate cancer by countering the action of testosterone.

estrogen receptor assay

A lab test done on a sample of the cancer to see if estrogen receptors are present. The growth of normal breast cells and some breast cancers is stimulated by estrogen. Breast cancer cells without these receptors (called estrogen-receptor negative or ER-negative) are unlikely to respond to hormone therapy. Estrogen-receptor positive cancers are more likely to respond to hormone therapy.

estrogen therapy

See menopausal hormone therapy.

etiology [ee-tee-AHL-uh-jee]

The study of diseases in populations (large groups of people from the general population who share a common factor such as age, sex, or health condition) by collecting and analyzing statistical data. In the field of cancer, epidemiologists look at how many people have cancer; who gets certain types of cancer; and what factors (such as environment, job hazards, family patterns, and personal habits, like smoking and diet) are linked to developing cancer.

excision [ex-sih-zhun]

Removal by cutting the body (surgery). This can mean cutting out a tumor or cutting off a body part.

excisional biopsy [ex-sih-zhun]

Surgery that cuts through the skin to remove an entire tumor so that it can be looked at in the lab for cancer.

explanation of benefits

A document from the health insurance company that explains what part of a medical or health claim was paid and/or what was not.

external beam radiation therapy

Radiation from a source outside the body that is focused on the cancer. It is much like getting an x-ray, but for a longer time. Also called EBRT. Compare to brachytherapy.

F

false negative

Test result implying a condition does not exist when in fact it does.

false positive

Test result implying a condition exists when in fact it does not.

familial adenomatous polyposis [fa-mil-e-uhl ad-no-muh-tus or ad-uh-NO-muh-tus pa-lih-PO-sis]

An inherited condition in which many polyps form on the inner wall of the colon and rectum. A polyp is an abnormal growth on the inner lining of organs. Also called FAP. Having FAP puts a person at an increased risk for getting colorectal cancer at an early age. FAP can also increase the risk of getting cancers of the stomach, small intestine, liver, adrenal gland, thyroid, brain, pancreas, and bile duct.

fascia [fash-uh]

A sheet or thin band of fibrous tissue that covers muscles and some organs of the body.

fat necrosis [nuh-crow-sis]

The death of fat cells, usually following injury. Fat necrosis is not cancer, but it can cause lumps and pulling of the tissues. When this happens in the breast, it can be confused with breast cancer.

fatigue [fuh-teeg]

An extreme feeling of tiredness or lack of energy, often described as being exhausted. It can last even when a person seems to be getting enough sleep or rest. The fatigue that often comes with cancer is called cancer-related fatigue.

fecal immunochemical test [fee-kuhl im-you-no-KIM-uh-kuhl test]

A test to look for hidden blood in the stool, which could be a sign of colorectal cancer. Also called FIT

fecal occult blood test or FOBT

A test for hidden blood in the stool, which could be a sign of colorectal cancer.

feces [fee-sees]

Solid waste matter; stool.

fiber, dietary

The part of plant carbohydrates such as fruits, vegetables, whole grains, and legumes that can’t be digested. Beans, vegetables, whole grains, and fruits are examples of good sources of fiber. Links between fiber intake alone and risk of cancer are not proven, but eating these foods is still recommended because they contain other substances that may help prevent cancer. They also have other health benefits.

fibrocystic changes [fie-bro-SIS-tick]

Changes in the breast that are not cancer. Symptoms might include breast lumps, swelling, and/or tenderness or pain. These symptoms tend to be worse just before the menstrual period and might change during different stages of the menstrual cycle.

fibrosis [fie-bro-sis]

Formation of scar-like (fibrous) tissue anywhere in the body.

fine needle aspiration biopsy [asp-er-A-shun by-op-see]

A procedure in which a thin needle is used to suction up (aspirate) samples to look at with a microscope. Also called FNA, FNAB.

first-degree relative

A genetically related (blood-related) parent, sibling (brother or sister), or child.

FISH

See fluorescent in situ hybridization.

fistula [fist-chu-luh]

An abnormal passage, opening, or connection between two internal organs or from an internal organ to the outside of the body. A fistula can be created by surgery, or caused by injury or inflammation.

five-year relative survival rate

Five-year relative survival rates compare the number of people who are still alive 5 years after their cancer was found to the survival of others the same age who don’t have cancer. For example, if the 5-year relative survival rate for a specific stage of breast cancer is 90%, it means that women who have that cancer are, on average, about 90% as likely as women who don’t have that cancer to live for at least 5 years after being diagnosed.

five-year survival rate

The percentage of people with the same type and stage of cancer who are alive 5 years or longer after diagnosis. A five-year survival rate can’t tell how long a person will live but may help give them a better understanding of how likely it is that treatment will be successful.

flow cytometry [sy-tahm-uh-tree]

Test of a sample of cells from a biopsy, cytology specimen, or blood specimen by using special antibodies and a laser beam. It is commonly used to find out the exact type of leukemia or lymphoma a person has. It can also be used to measure the amount of DNA in cancer cells.

fluorescent in situ hybridization [floo-res-uhnt in sy-too hi-brid-ih-ZAY-shun]

A test that can help look at chromosomes in cells and tissues. It uses special fluorescent dyes that only attach to certain parts of chromosomes and can find specific deoxyribonucleic acid (DNA) sequences. It can be used to diagnose, to evaluate prognosis (disease outlook), or to look at the remission of a disease. also called FISH.

follicle [fah-lick-uhl]

A sac or pouch-like structure. There are many types and sizes of follicles in the body; for example, in the scalp, one follicle contains one hair. In the ovary, one follicle contains one egg.

follicular [fah-lick-yuh-ler]

Relating to a follicle or follicles. In medicine, might refer to a type of cell in an organ, or to a type of cancer that starts in these follicular cells. .

fracture [frack-chur]

A partial or complete break, usually in bone.

frozen section

A very thin slice of body tissue that has been quick-frozen for the pathologist to look at with a microscope while the patient is still in surgery. This method is sometimes used when information about a tissue sample is needed during surgery to make immediate decisions. The diagnosis is confirmed in a few days by a more detailed study called a permanent section.

full body CT scan

A radiology test that scans the body from the chin to below the hips. This is done to look for early signs of disease in people who have no symptoms. There are currently no proven benefits to this procedure and it may be harmful as people are exposed to relatively high levels of radiation during the test.

G

Gardner syndrome

Gardner syndrome is an inherited condition in which polyps (abnormal growths) develop on the inner linings of the colon and rectum. Having Gardner syndrome puts a person at an increased risk for getting colorectal cancer at an early age. It can also cause benign (not cancerous) tumors of the skin, soft connective tissue, and bones; and increase the risk of other types of cancers.

gastric [gas-trick]

Of or referring to the stomach.

gastroenterologist [gas-tro-en-ter-AHL-uh-jist]

A doctor who specializes in diseases of the digestive (gastrointestinal or GI) tract.

gastrointestinal tract [gas-tro-in-TEST-uh-nul trakt]

It is made up of those organs and structures that process and prepare food to be used for energy, and gets rid of solid waste. The GI tract includes the mouth, throat, esophagus, stomach, small intestine, large intestine, rectum, and anus. Also called the  GI tract or the  digestive tract.

gene

A piece of DNA that is passed on from parent to offspring. Genes have information on inherited traits such as hair color, eye color, and height, as well as susceptibility to certain diseases.

gene therapy

An experimental type of treatment in which defective genes are replaced with normal or modified ones or new genes are added to prevent or treat certain diseases like cancer.

genetic counseling

The process of talking to people who might have a gene that makes them more likely to develop a disease. This is usually done by a specially trained health care professional. The purpose of counseling is to explore the genetic risk, if genetic tests are needed, what the genetic test results might mean, help them decide whether they wish to be tested, and support them before and after the test.

genetic counselor

A specially trained health professional who helps people understand the risk of a genetic disorder and if genetic testing may be helpful based on personal and family history. The counselor also meets with people who have had genetic testing to provide information about screening options and preventive measures based on the results.

genetic testing

Tests that can be done to see if a person has certain gene changes known to increase cancer risk. Such testing is not recommended for everyone, but for people with certain types of family history. Genetic counseling should be part of the genetic testing process.

genome [jee-nome]

The complete set of genetic material in a cell or organism. This includes the total DNA and sometimes ribonucleic acid (RNA). It provides all the information needed for a person to function.

germ cell

The reproductive cells of the body, that is, ova (eggs) in females or sperm cells in males.

GI tract

See gastrointestinal tract.

glands

A cell or group of cells that make and release substances to be used by the body or sent outside of it. The sweat glands are examples of organs that make and release substances.

Gleason grade

A number between 1 and 5 that describes how much cancer cells in the prostate look like normal prostate cells. Those that look a lot like normal cells are graded 1, while those that look the least like normal cells are graded 5.

grade

The grade of a cancer tells how much the cancer cells look like normal cells. A low-grade number usually means the cancer cells look more like normal cells and are slower-growing and less likely to spread. A high-grade number means the cancer cells look less like normal cells and are faster-growing and more likely to spread.

graft-versus-host disease [GVHD]

A condition that results when the immune cells from a donor (usually a bone marrow or other type of stem cell transplant) attack the tissues of the person receiving the transplant.

gray or Gy [Gy]

A unit for measuring radiation.

growth factors

Naturally occurring proteins that make cells grow and divide. Too much growth factor production by some cancer cells helps them grow quickly. New treatments to block these growth factors are being tested in clinical trials. Other growth factors are sometimes used to help normal cells recover from side effects of chemotherapy.

guaiac [gwi-ack]

A substance in the fecal occult blood test used to check for blood in a person’s stool.

gynecologic oncologist [guy-nuh-kuh-LA-jik on-kahl-uh-jist]

A doctor who specializes in cancers of the female sex (reproductive) organs.

gynecologist [guy-nuh-KAHL-uh-jist]

A doctor who specializes in female health issues, including sexual and reproductive function and the diseases of their reproductive organs, except diseases of the breast that require surgery.

gynecomastia [guy-nuh-ko-MAST-tee-uh]

An increase in the amount of a male’s breast tissue (male breast enlargement). It can develop as a button-like or disk-like growth under the nipple and areola (the dark circle around the nipple), which can be felt and sometimes seen. It can also look like small breasts. It can be caused by hormonal changes or imbalances and certain medications.

H

HDR brachytherapy

See high-dose rate brachytherapy.

health care power of attorney

See durable power of attorney for health care.

health disparity

A type of preventable health difference that is closely linked with social, political, economic, and environmental disadvantage. Health disparities may occur because of race, ethnicity, sex, gender identity, sexual orientation, age, religion, disability, education, income, where people live, or other characteristics. For example, certain race and ethnic groups may have higher rates of disease, disability, and death than those in other groups because they are more likely to have problems having access to good health care, healthy food, or the latest medical treatments. Research is being done to learn more about health disparities in certain groups of people and ways to reduce them.

hematochezia [he-muh-toe-KEEZ-ee-uh or hem-at-uh-KEEZ-ee-uh]

Bright red blood in the stool.

hematocrit [he-mat-uh-krit]

The percentage of red blood cells in the blood. A hematocrit test can be used to check for conditions like anemia.

hematologist [he-muh-TAHL-uh-jist]

A doctor who specializes in blood disorders (also called blood dyscrasias), including cancers of the blood and blood-forming tissues.

hematoma [he-muh-TOE-muh]

A collection of blood outside a blood vessel caused by a leak or an injury. A bruise is an example of a hematoma.

hematopoietic stem cell transplant [he-muh-toe-poi-ET-ick]

procedure used to restock the bone marrow when it has been destroyed by chemotherapy, radiation, or disease. Stem cells can be taken from bone marrow or circulating (peripheral) blood to be transfused into the patient. Stem cells may be the patient’s own (autologous), or may come from someone else (allogeneic). Allogeneic stem cell transplants can come from a matched donor or from the banked umbilical cord blood of a newborn. See also autologous stem cell transplant, allogeneic stem cell transplant, bone marrow, stem cells.

hematuria [he-muh-TUR-ee-uh]

Blood in the urine.

hemoglobin [HE-muh-glo-bin]

The part of the red blood cell that carries oxygen. Hemoglobin levels can get very low in people with cancer, especially during certain kinds of treatment.

hemorrhoids [hem-uh-royds]

Painful, swollen veins in the anus that might bleed.

hepatitis [hep-ah-tie-tis]

Inflammation of the liver.

hepatologist [hep-a-TAH-loh-jist]

A doctor who specializes in diseases of the liver and bile ducts.

hepatomegaly [hep-at-o-MEG-uh-lee]

Enlargement of the liver.

HER2 gene [sometimes called HER2/neu]

See human epidermal growth factor receptor 2.

hereditary cancer syndrome

A condition in which inherited changes in genes cause a person to have a higher than normal risk for certain types of cancers.

hereditary non-polyposis colon cancer [huh-RED-ih-ter-ee non-pah-lih-PO-sis]

An inherited condition that greatly increases a person’s risk for developing colorectal cancer, as well as endometrial cancer (cancer of the lining of the uterus), ovarian cancer, stomach cancer, small bowel cancer, and cancer of the lining of the kidney or the ureters. People with this condition tend to develop cancer when they are young without first having many polyps. Also called HNPCC or Lynch syndrome.

hereditary prostate cancer genes

any of a number of genes that are linked to prostate cancer. Inherited deoxyribonucleic acid (DNA) changes in these genes may make prostate cancer more likely to develop in some men. Research on these genes is still in early stages, and genetic tests for most of them are not yet available. See also deoxyribonucleic acid, gene, prostate.

hesitancy

Trouble starting to urinate or continuing urination after it starts.

heterogeneous [HEH-teh-roh-JEE-nee-us]

Having different parts or elements (ex; cells or tissues that don’t look alike).

high risk

When the chance of developing a disease such as cancer is much greater than that normally seen in the general population.

high-dose rate or temporary brachytherapy [brake-ee-THER-uh-pee]

A form of radiation treatment where a radioactive source is placed in or near a cancer for a short period of time then removed. Also called HDR brachytherapy.

histology [hiss-tah-luh-jee]

The study of cells or tissues with a microscope.

home health nurse

A nurse who provides care in the patient’s home, including teaching about and giving medicines and certain treatments, and checking to see if the patient needs other medical care.

homogeneous [home-uh-JEE-ne-us]

cells or tissue that look the same throughout. See also histology.

hormone

Proteins or substances made by glands in the body that help control how certain types of cells and organs work.

hormone receptor

A protein in or on a cell that binds to a certain hormone and changes the cell's ability to grow.

hormone receptor assay

A test used to see if a breast tumor is likely to be affected by hormones or if it can be treated with hormones.

hormone replacement therapy

See menopausal hormone therapy.

hormone therapy

Cancer treatment using medicines that block or alter hormones to help kill or slow the growth of cancer cells that depend on hormones. Also known as endocrine therapy.

hormone-dependent

Any cancer that depends on hormones for growth, such as some breast and prostate cancers.

hormone-refractory

No longer responding to hormone treatments.

hospice

A special kind of care for people in the final phase of an incurable illness. Hospice focuses on quality of life for people and their caregivers who are experiencing an advanced, life-limiting illness.

hospice care specialists or team

Doctors, nurses, other health care professionals, social workers, chaplains, counselors, and trained volunteers who work together in a patient and family-centered approach. The work of a hospice team focuses on the physical, emotional, or spiritual needs of patient who is nearing the end of life and is no longer in active treatment for a serious illness.

hospitalist

A doctor who works only in a hospital.

hot flush or hot flash

Sudden feeling of facial or body warmth, along with flushing of the skin and sweating. Caused by hormone changes of menopause or certain types of cancer treatment.

HPV test [pap-uh-LO-muh vy-rus]

See human papilloma virus test.

human epidermal growth factor receptor 2

A protein that is found in higher amounts in some cancers (HER-2 positive). Cancers that are HER-2 positive tend to grow faster and spread more than those that are HER-2 negative. Also called HER-2.

human papilloma virus or human papillomavirus [pap-uh-LO-muh vy-rus]

A large group of related viruses, some of which can cause cancer. Also called HPV.

human papillomavirus test [pap-uh-LO-muh vy-rus]

Screening test used to look for cervical cancer before any symptoms occur. Might be used alone (primary HPV test) or combined with a Papanicolaou (Pap) test (co-testing). Also called HPV test.

humerus [hyoo-mer-us]

the long bone in the upper arm that goes from the shoulder to the elbow.

hyperalimentation [hi-per-al-ih-men-TAY-shun]

Liquid nutrition given into a vein (intravenously or IV).

hyperplasia [hi-per-PLAY-zhuh]

Benign overgrowth of cells. Also known as hyperplastic.

hyperplastic polyp [hi-per-PLAS-tick pa-lip]

a growth found in the colon (large intestine) that is unlikely to become cancer. Some doctors think that certain hyperplastic polyps can become pre-cancerous, or may mean a risk of developing adenomatous polyps and cancer later, especially if the polyps are in the ascending colon. See also adenomatous polyp, ascending colon, polyp.

hypertension [hi-per-TEN-shun]

High blood pressure.

hyperthermia [hi-per-THERM-ee-uh]

Higher body temperature than normal. Also used to describe treatments that use carefully controlled heat for medical purposes.

hypertrophy [hi-per-truh-fee]

the enlargement of an organ or part due to an increase in the size of its cells.

hysterectomy [hiss-ter-EK-tuh-me]

An operation to remove the uterus.

I

iFOBT

see fecal immunochemical test.

IGF-1

see insulin-like growth factor-1.

image cytometry

Lab test that uses dyes that react with DNA and computers to measure the amount of DNA in cells.

imaging studies

Methods used to make pictures of internal body structures. Some imaging tests used to help diagnose or stage cancer are x-rays, CT scans, magnetic resonance imaging (MRI), PET scans, and ultrasound.

immune system

Cells, tissues, and organs that work together to help find and attack germs that invade the body and cause infections. The immune system may also help find some cancers.

immunocytochemistry [im-yuh-no-sy-toe-KEM-iss-tree]

Lab tests that use antibodies to look for specific proteins on individual or small numbers of cells.

immunohistochemistry [im-yuh-no-his-toe-KEM-iss-tree]

lab tests that use antibodies to detect specific chemical antigens in tissues viewed under a microscope. It is the most common method used for estrogen receptor assays and progesterone receptor assays on breast cancer tissue. See also antibody, antigen, monoclonal antibodies, estrogen receptor assays, progesterone receptor assays.

immunology [im-yuh-NAHL-uh-jee]

Study of the immune system and how the body resists infection and certain other diseases.

immunosuppression [im-yuh-no-suh-PREH-shun]

When the immune system is weak. This condition may be present at birth, or it may be caused by cancer, or cancer treatments (such as chemotherapy and radiation). It leads to a greater risk of infection.

immunotherapy [im-yuh-no-THER-uh-pee]

Treatments that use the body’s immune system to fight cancer by boosting or changing how the immune system works so it can find and attack cancer cells.

implant

An artificial device or tissue inserted into the body, such as breast implants during reconstructive surgery or radiation implants (internal radiation) to treat a cancer.

impotence [im-puh-tense]

Not being able to have or keep enough of an erection of the penis for penetration. Also called erectile dysfunction (ED).

IMRT

see intensity-modulated radiation therapy.

in situ [in sy-too]

In place; localized and confined to one area. Not considered cancer but can increase the risk of cancer developing later.

incidence [in-sih-dens]

The number of new cases of a disease in a certain period of time.

incision [in-sih-zhun]

A cut in the skin or other tissues made during surgery.

incisional biopsy

A cut through the skin to remove a part of a tumor so that it can be looked at in the lab to see if there is cancer in the tumor.

inconclusive

Uncertain finding. A result that cannot say for certain whether a disease, condition, or gene mutation is present; neither positive nor negative.

incontinence [in-kon-tuh-nence]

Partial or complete loss of urinary or bowel control.

indigent [in-dij-ent]

not having enough money to meet one’s needs.

inferior

An anatomical term that means below another part of the body or toward the feet.

infertility

Inability to conceive a child after 12 or more months of regular sexual activity, or after 6 months if the woman is more than 35 years old. This can be the result of certain types of cancer treatment.

inflammatory bowel disease or IBD

A chronic condition (either ulcerative colitis or Crohn’s disease) in which the colon is inflamed over a long period. IBD increases a person’s risk of colorectal cancer.

inflammatory polyp

polyps that commonly occur with some type of irritation or inflammation of the colon, such as ulcerative colitis. They do not seem to increase the risk of colorectal cancer, though the underlying condition can. See also colon, Crohn’s disease, polyp, ulcerative colitis.

informed consent [in-FORMD kun-SENT]

A process of communication between a person and their health care provider to provide a full explanation of the procedure or treatment, and the possible risks, benefits, and possible alternatives, including answering all questions and concerns. This process helps ensure that the person fully understands the procedure or treatment before agreeing to it.

infraclavicular [in-fruh-kluh-VICK-yuh-ler]

Below the collar bone (clavicle).

ingest [in-jest]

To take in to the body by eating, drinking or absorbing it.

inherited disease

Illness that a person is at higher risk for because of a gene mutation passed from their parents at conception.

inpatient

A person whose treatment requires them to stay in the hospital.

insulin-like growth factor-1 [IGF-1]

hormone-like substance thought to affect growth hormone activity. Some studies have shown men with high blood levels of IGF-1 seemed more likely to develop prostate cancer, but not all studies agree. More research is needed.

integrated PET/CT

A scan that combines the detailed image of the CT with the ability to detect areas of increased cell activity.

integrative therapy

The combined use of standard medical treatments and certain complementary methods, most often to relieve the symptoms of cancer and side effects of treatment.

intensity-modulated radiation therapy [IMRT]

an advanced method of conformal radiation therapy in which the beams are aimed from several directions, while the intensity (strength) of the beams is controlled by computers. This lets more radiation reach the treatment area while reducing the radiation to healthy tissues; in some cases, total radiation dose can be higher with IMRT. See also conformal radiation therapy, three-dimensional conformal radiation therapy.

interferon [in-ter-FEAR-on]

A natural chemical produced by cells that helps regulate the body’s immune system, boosting activity when there is a threat, like a virus or cancer. Lab-made Interferons are used to treat some types of cancer.

interleukins [IN-ter-loo-kins]

A group of proteins (cytokines) that act as chemical signals between white blood cells making them do their assigned job.

intermittent hormone therapy

Hormone therapy given in an on-again, off again approach.

internal radiation

treatment in which a radioactive substance is implanted in the body. Compare to external beam radiation therapy. See also brachytherapy, implant.

interstitial radiation therapy [in-ter-STIH-shul]

Internal radiation treatment (brachytherapy) that puts a radioactive implant into the tissue in or near the tumor.

intervertebral disc [IN-ter-ver-tuh-bruhl disk]

a gel-filled disc of cartilage that sits between bones of the spine (vertebrae) and allows them to move more easily. Discs also act as shock absorbers and have ligaments to hold the vertebrae together. See also vertebra, spinal cord.

intestines [in-test-ins]

the part of the digestive tract from the end of the stomach to the anus. This section absorbs nutrients and water from food into the bloodstream. It includes the small intestine, (small bowel), and the large intestine (large bowel), which includes the colon. See also anus, colon, digestive system, gastrointestinal tract, small intestine.

intracavitary radiation therapy

Radiation treatment in which the radioactive source is placed in a body cavity (space) such as the rectum or uterus.

intraductal papillomas [in-truh-DUCK-tul pap-uh-LO-muhs]

small, finger-like, non-cancerous growths in the breast ducts that may cause a clear or bloody nipple discharge. These are most often found in women 45 to 50 years of age. A woman who has had papillomas has a slightly increased risk of breast cancer. See also duct.

intramucosal carcinoma

see carcinoma in situ.

intramuscular [IM]

Injected into a muscle.

intraoperative ultrasound

a test done with sound waves after surgery has started and the abdomen (belly) is opened up. For example, the probe can be placed on the surface of the liver to see if cancer has spread inside it. See also ultrasound.

intravenous [in-truh-VEEN-us]

A method of giving fluids and medicines through a needle or a thin tube (called a catheter) that is put into a vein. Also called IV.

intravenous pyelogram [in-truh-VEEN-us pile-uh-gram]

An kind of x-ray procedure that uses a special dye to look at the structure and function of the urinary system (ureters, bladder, and kidneys). Also called IVP.

invasive cancer

Cancer that has grown into nearby tissues.

investigational

Being studied. Often used to describe medicines or other treatments being studied in clinical trials that are not yet available to the general public.

ionizing radiation

high-energy particles or rays which can cause electrons to split off atoms. Certain types of ionizing radiation (such as x-rays) are used in medical diagnosis to make pictures of what is inside the body. Carefully controlled radiation doses are used in cancer treatment to kill cancer cells and shrink tumors. Large doses of ionizing radiation can also cause cancer. See also radiation dose, x-ray.

IVP

See intravenous pyelogram.

K

K-ras

a gene that can mutate into a cancer accelerator and allow the growth of colorectal cancer. This is not an inherited mutation (passed on from a parent), which would be in every cell in the body from birth. It is a spontaneous mutation that starts in a single cell which then grows and multiplies. See also colorectal cancer, gene, mutation.

Kegel exercises

Exercises to strengthen the muscles in the floor of the pelvis. These exercises may help improve muscle strength and bladder control.

L

lactation [lack-tay-shun]

Production of milk in the breast.

laparoscope [LAP-uh-ruh-scope]

A narrow, lighted tube with a small camera at the end put into the body through a very small cut in the body. Lets the surgeon see organs and lymph nodes inside the body. The lymph nodes or organs can then be removed using special surgical instruments put into the body through small incisions.

laparoscopic lymphadenectomy [lap-uh-ruh-SKAH-pick limf-ad-uh-NECK-tuh-me]

removal of lymph nodes with a laparoscope. See also laparoscope, lymph node.

laparoscopic radical prostatectomy [lap-uh-ruh-SKAH-pick rad-ick-uhl pros-tuh-TECK-tuh-me]

a surgical procedure in which the prostate is removed using a laparoscope. As of late 2011, long-term studies are not yet available comparing survival for men who had this procedure with those who had open surgery to remove their prostates. See also laparoscope, prostate.

laparoscopic surgery [lap-uh-ruh-SKAH-pick]

Surgery using a narrow lighted tube with a camera and special long instruments inserted through several small incisions in the body.

laparoscopy [lap-uh-RAHS-kuh-pee]

Examination of a body cavity with an instrument called a laparoscope.

large cell lung cancer

see non-small cell lung cancer (NSCLC).

laryngectomy [lair-en-JEK-tuh-me]

Surgery to remove part or all of the larynx (voice box).

lateral

Away from the middle of the body.

laxative [lack-suh-tiv]

A medicine that helps make stool (feces) easier to pass (promotes defecation) to prevent or treat constipation. Laxatives work in different ways; for example, by pulling fluid into the intestine or irritating the bowel to stimulate movement. Others add bulk (such as fiber), soften the stool, or lubricate it for easier passage.

leiomyoma [lie-o-my-O-muh]

also called uterine fibroid tumor or fibroma, a benign (not cancer) fibrous tumor of the uterus (womb). About 40% of women have leiomyomas by age 40. Usually there are no symptoms, but the tumors can cause abnormal uterine bleeding and other symptoms depending on their size and location in the uterus. See also tumor, uterus.

lesion [lee-zhun]

An area of body tissue that has been damaged by injury or disease, such as cancer.

leukemia [loo-key-me-uh]

cancer of the blood or blood-forming organs. There are 2 major classes of leukemia, myeloid and non-myeloid types. People with leukemia often have a very high number of white blood cells (leukocytes). See also leukocytosis, myeloid leukemia, non-myeloid cancers, white blood cells.

leukocyte [LOO-ko-site]

White blood cell.

leukocytosis [loo-ko-sy-TOE-sis]

Having more than the usual number of white blood cells.

leukopenia [loo-ko-PEE-nee-uh]

A decrease in the white blood cell count, common in people with cancer, and often a side effect of chemotherapy.

leukoplakia [loo-ko-PLAY-key-uh]

white patches on the tongue or inside the cheeks. These are often pre-cancers.

LH

Seeluteinizing hormone.

LHRH

See luteinizing hormone-releasing hormone.

LHRH agonists

See luteinizing hormone-releasing hormone analogs.

libido [lih-be-doe or lih-by-doe]

Sexual desire.

linear accelerator

A machine (also called a linac) used for external-beam radiation therapy to treat cancer. It delivers one or more beams of radiation based on the treatment plan.

living will

A legal document that allows a person to decide what should be done if they become unable to make health care decisions on their own; a type of advance directive.

lobe

A part of an organ, such as the lungs, brain, liver, and thyroid.

lobectomy [low-bek-tuh-me]

Surgery to remove a lobe of an organ – usually the lung.

local anesthesia

see anesthesia.

local excision [lo-kul eck-si-zhun]

Surgery to remove small superficial (surface) cancers, such as on the skin or in the colon or rectum.

local recurrence

See recurrence.

local therapy

Treatment that focuses on the site of the cancer, so that the rest of the body is not affected. Surgery, radiation, topical treatments, and cryotherapy are examples of local therapy. Compare to systemic therapy.

localized cancer

A cancer that is just in the organ where it started; that is, it has not spread to other parts of the body. Also called local cancer.

low anterior resection [low an-teer-ee-yer re-sek-shun]

a surgical approach used for cancers in the upper two-thirds of the rectum, close to where it connects to the colon. The incision (cut) is made through the abdomen (belly) only, and the cancer is removed along with a margin (edge) of normal tissue, lymph nodes, and fatty and fibrous tissue around the rectum. The colon is re-attached to the part of the rectum that is left so that a colostomy is not needed. See also colo-anal anastomosis, colon, colostomy, lymph node, rectum.

low-dose CT scan

Screening test used to check for signs of lung cancer in people at higher risk for the disease.

low-dose rate brachytherapy [brake-ee-THER-uh-pee]

Treatment that puts pellets or seeds of radioactive material into the cancerous area. The pellets (seeds) are left in place and give off low doses of radiation for weeks or months. Often used for prostate cancer, putting pellets through the skin of the perineum (behind the scrotum) into the prostate. Compare to high-dose rate brachytherapy. Also called LDR brachytherapy or permanent brachytherapy.

lower GI series

A series of x-rays of the intestines taken after a barium enema is given.

lumbar puncture or LP

A procedure that places a thin needle between the bones of the spine (vertebrae) and into the spinal canal to withdraw a small amount of spinal fluid or to put medicine into the central nervous system (brain and spinal cord) through the spinal fluid. Also called a spinal tap.

lump

Any mass or swelling in the body.

lupus

A disease in which the body attacks its own tissues and organs, causing inflammation. Lupus affects many parts of the body and causes different symptoms for different people.

luteinizing hormone [LOO-tee-uh-ny-zing]

also called LH. Pituitary hormone that stimulates the testicles to make testosterone. See also hormone, pituitary, testicles, testosterone.

luteinizing hormone-releasing hormone [LOO-tee-uh-ny-zing]

also called LHRH or gonadotropin-releasing hormone. A hormone made by the hypothalamus, a tiny gland in the brain that affects levels of luteinizing hormone in the body and therefore affects testosterone levels. See also luteinizing hormone, testosterone.

luteinizing hormone-releasing hormone analogs [LOO-tee-uh-ny-zing]

also called LHRH analogs; sometimes called gonadotropin-releasing hormone (GnRH) analogs. Man-made hormones, chemically similar to luteinizing hormone-releasing hormone (LHRH). They stop the body from making the male hormone testosterone and are sometimes used to treat prostate cancer.. See also androgen deprivation therapy, luteinizing hormone, luteinizing hormone-releasing hormone antagonists, prostate.

luteinizing hormone-releasing hormone antagonist [LOO-tee-uh-ny-zing]

A type of drug thought to be able to lower testosterone levels more quickly without causing the tumor symptoms to worsen (this is called tumor flare). Also called LHRH antagonists or gonadotropin-releasing hormone (GnRH) antagonists

lycopenes [lie-kuh-peenz]

Plant compounds thought to have health-protecting qualities. Lycopenes are found in tomatoes, pink grapefruit, and watermelon. The most current research suggests that a balanced diet including these foods as well as other fruits and vegetables is probably of greater benefit than taking specific substances as dietary supplements.

lymph [limf]

Clear fluid that flows through the lymphatic vessels throughout the body.

lymph node [limf node]

Small bean-shaped collection of immune system tissue, such as lymphocytes, found throughout the body along lymphatic vessels. They remove cell waste, germs, and other harmful substances from lymph. They help fight infections and also have a role in fighting cancer, although cancers can spread through them. Sometimes called lymph glands. See also immune system, lymph, lymphatic system.

lymph node biopsy

Removal of all or part of one lymph node to be looked at with a microscope to find out if cancer has spread there.

lymph node dissection

Removal of multiple lymph nodes. After removal, the lymph nodes are looked at with a microscope to see if cancer has spread to them. Also called lymphadenectomy.

lymphadenectomy [limf-ad-uh-NECK-tuh-me]

also called lymph node dissection. Surgical removal of one or more lymph nodes. After removal, the lymph nodes are looked at under a microscope to see if cancer has spread to them. See also lymph, lymph node, lymphatic system, lymphocyte.

lymphadenopathy [limf-A-duh-NAHpuh-thee]

Swelling of the lymph nodes.

lymphedema [limf-uh-DEE-muh]

A build-up of lymph fluid in the tissues just under the skin, causing swelling and discomfort. It most often affects the arms or legs, but can also develop in the face, neck, trunk, abdomen (belly), or genitals. This can occur when the lymph system is damaged by cancer treatment, infections, injury, or other problems. Lymphedema can develop even years after treatment and can be a life-long problem.

lymphocyte [limf-o-site]

A type of white blood cell that helps the body fight infection.

lymphocytosis [limf-o-sy-TOE-sis]

having an excess of lymphocytes. See also lymphocyte.

lymphokine [limf-o-kine]

see cytokine.

lymphoma [lim-foam-uh]

a cancer of the lymphatic system, a network of thin vessels and nodes throughout the body that helps to fight infection. Lymphoma involves the type of white blood cells called lymphocytes. The 2 main types of lymphoma are Hodgkin disease and non-Hodgkin lymphoma. See also Hodgkin disease, lymph node, lymphatic system, lymphocyte, non-Hodgkin lymphoma, white blood cells.

Lynch syndrome

An inherited tendency to develop certain cancers, such as colorectal, endometrial, ovarian, stomach, small intestine, pancreas, kidney, brain, ureter and bile duct cancers. Also called hereditary non-polyposis colorectal cancer (HNPCC).

M

macroglobulinemia [mack-row-glob-yuh-lin-EE-mee-uh]

a condition with abnormally large proteins in the blood, which may reduce or clog blood flow in the smaller blood vessels. Waldenstrom macroglobulinemia is a type of non-Hodgkin lymphoma with such proteins. See also non-Hodgkin lymphoma, Waldenstrom macroglobulinemia.

magnetic resonance imaging [MRI]

A method of taking cross-section pictures of the inside of the body. Instead of using x-rays, MRI uses strong magnets to make images. The images appear on a computer screen as well as on film. MRI creates pictures of soft tissue parts of the body that are sometimes hard to see using other imaging tests. Also known as MRI, magnetic resonance, MR, nuclear magnetic resonance (NMR) imaging.

malignant [muh-lig-nunt]

cancerous; dangerous or likely to cause death if untreated. Compare with benign. See also cancer.

malignant tumor [muh-lig-nunt too-mer or tyoo-mer]

A mass of cancer cells that may invade nearby tissues or spread (metastasize) to distant areas of the body. Not all cancers form tumors and not all tumors are cancer.

mammary lymph nodes

lymph nodes that are inside the chest near the sternum or breastbone. See also lymph nodes.

margin [mar-jin]

in cancer surgery or biopsy, the tissue beyond the visible edge of the tumor or abnormal tissue that is removed along with the tumor or abnormality, in an effort to get all of the cancer. See also surgical margin.

mass

Any sort of lump or abnormal growth of tissue, which may or may not be cancer.

mastitis [mass-tie-tiss]

inflammation or infection of the breast.

medial

An anatomical term that means toward the center of the body.

mediastinal [me-dee-uh-STY-nul]

related to a part of the body that lies between other parts. In cancer care, often refers to the center of the chest. See also mediastinum.

mediastinoscopy [me-dee-uh-stine-AH-skuh-pee]

Examination of the mediastinum (tissues, organs, and lymph nodes between the lungs) using a thin, flexible tube with a light, small video camera and cutting tool on the end inserted under the chest bone (sternum). This lets the doctor see the lymph nodes in this area and remove samples in this area to check for cancer.

mediastinum [me-dee-uh-STY-num]

The area behind the breastbone and between the lungs.

medical oncologist [med-ih-kull on-kahl-uh-jist]

A doctor who specializes in diagnosing and treating cancer with chemotherapy and other drugs. A medical oncologist is different from a surgical oncologist, who mostly treats cancer with surgery.

medical power of attorney

See durable power of attorney for health care.

medullary carcinoma [MED-you-lair-ee]

a special type of invasive ductal carcinoma with especially sharp boundaries between tumor tissue and normal tissue. About 5% of breast cancers are medullary carcinomas. The outlook (prognosis) for this kind of cancer is considered better than average. See also invasive ductal carcinoma.

melanoma [mel-uh-NO-muh]

a cancerous (malignant) tumor that begins in the cells that make the skin coloring (these cells are called melanocytes). Melanoma is almost always curable when found early. But it is likely to spread, and once it has spread to other parts of the body the chances for a cure are much lower.

menarche [men-ar-key or men-ar-key]

When menstrual periods begin. Early menarche (before age 12) is a risk factor for some cancers.

menopausal hormone therapy

the use of estrogen and progesterone from an outside source after the body has stopped making its own supply because of natural or induced menopause. This type of hormone therapy is sometimes given to relieve symptoms of menopause. Studies have found that taking estrogen and progesterone together increases breast cancer risk, as well as the risk of heart disease and blood clots. See also estrogen, estrogen therapy, menopause, progesterone.

menopause [men-uh-paws]

The phase in life when ovaries stop working and menstruation ceases. During this time, hormone levels typically fluctuate before they stabilize at much lower levels. Menopause usually occurs in women in their late 40s or early 50s, but it can also be brought on suddenly by surgical removal of both ovaries (oophorectomy), or by some chemotherapy drugs that destroy ovarian function.

metachronous [muh-tack-ruh-nus]

happening at different times. Compare to synchronous.

metastasis [meh-tas-tuh-sis]

Cancer cells that spread from the primary site where they started to other parts of the body through the lymph system or bloodstream.

metastasize [ meh-TAS-tuh-size]

The spread of cancer cells from where the cancer started (primary site) to one or more sites elsewhere in the body, often by way of the lymph system or bloodstream.

metastatic [meh-tuh-STAT-ick]

A way to describe cancer that has spread from the primary site (where it started) to other structures or organs in the body.

meter

also written as m. A metric measure of length. It takes about 39.37 inches (or 100 centimeters) to equal 1 meter. See also centimeter, millimeter.

microcalcifications

See calcifications.

micrometastases [mike-row-muh-TAS-tuh-sis]

Area of cancer spread that is less than 2 mm (less than 1/10 of an inch).

microsatellite instability [my-crow-SAT-uh-lite in-stuh-BILL-uh-tee]

A type of gene mutation that may happen when mistakes in DNA are not repaired. Most often linked to colorectal cancer, but can be found in other cancers as well. May help guide treatment planning. Also called MSI.

microvascular surgery

An operation that uses a microscope to see and attach very tiny blood vessels to each other.

microwave ablation therapy

A way of treating cancer in a few sites, such as the liver, by using heat to destroy the cells. .

millimeter or mm

Also written as mm, a metric measure of length that is 1/1,000 of a meter (10 mm equals 1 centimeter, and 1,000 mm equals a meter). It takes about 25 mm (or 2.5 cm) to equal 1 inch.

millirem

See radiation dose.

millisievert

See radiation dose.

mini-transplant

an allogeneic bone marrow or stem cell transplant in which lower doses of conditioning treatment are used before the transplant. This allows some of the patient’s own bone marrow stem cells to survive, which lowers the risk of very low blood counts during engraftment. The new stem cells kill off the patient’s stem cells over time, after the transplant engrafts or “takes.” See also allogeneic stem cell transplant, bone marrow, hematopoietic stem cell transplant, reduced-intensity conditioning, stem cells.

monoclonal antibodies [ma-nuh-KLO-nuhl]

man-made antibodies that are designed to lock onto certain antigens (substances that can be recognized by the immune system). Monoclonal antibodies have several uses in diagnosing and treating cancer. Monoclonal antibodies that have been attached to chemotherapy drugs or radioactive substances are able to seek out antigens unique to cancer cells and deliver these treatments directly to the cancer, which kills the cancer cell without harming healthy tissue. “Naked” monoclonal antibodies can attach to cancer cells so that the cancer cells can be found and attacked by the immune system. Research is still going on to learn more ways they can be used to treat cancer. Monoclonal antibodies are also often used to help detect and classify cancer cells under a microscope. Other studies are being done to see if radioactive atoms attached to monoclonal antibodies can be used in imaging tests to detect and locate small groups of cancer cells. See also antibody, antigen, chemotherapy, imaging studies, immunocytochemistry.

morbidity [mor-bid-ih-tee]

Number of people in a group who have a disease or condition.

morphology [mor-fol-uh-jee]

In cancer, how cells look under the microscope, including shape, structure, pattern, color, and other aspects of their appearance. See also pathologist.

mortality [mor-tal-uh-tee]

Rate of death from a disease within a group of people at a certain period of time

MRI

See magnetic resonance imaging.

mRNA or messenger RNA

The molecule (messenger) that carries the information from the deoxyribonucleic acid (DNA) genetic code to the parts of the cell that make proteins.

mucinous carcinoma [mew-sin-us car-sin-O-ma]

Carcinoma that is formed by mucus-producing cancer cells.

mucosa [mew-ko-suh]

see mucous membrane.

mucositis [mew-ko-site-us]

Inflammation of a mucous membrane, such as the lining of the mouth.

mucous membrane

The moist inner lining layer of some organs and body cavities, such as the mouth, throat, nose, vagina, and digestive system. Also called mucosa.

mucus [mew-kus]

The thick, slippery fluid secreted by mucous glands.

multi-cancer early detection tests (MCED) [MCED]

Tests that look for pieces of DNA, RNA, or proteins in a person’s blood that might be signs of cancer. MCED tests may help find some types of cancer early, but these tests are still new, and there are questions that still need to be answered to determine how useful they might be in screening for cancer.

multidrug resistance [MDR]

When cancer cells change in ways that make anti-cancer drugs less effective.

multiple myeloma

a type of cancer that starts in the plasma cells. Normal plasma cells are found in the bone marrow and are an important part of the body’s immune system. When plasma cells grow out of control, they can form a tumor, usually in the bone marrow. This type of tumor is called a myeloma, and if there are many tumors the cancer is called multiple myeloma. If there is only one tumor, it is called solitary plasmacytoma. See also bone marrow, immune system.

multiple sclerosis [MUL-tih-pul skleh-ROH-sis]

A disease that occurs when the immune system attacks nerve fibers in the brain and spinal cord leading to symptoms like weakness, numbness, tingling, and vision and problems.

muscularis mucosae [mus-kyu-LAIR-is myoo-ko-say]

the inner muscle layer of the digestive tube (intestine) that is between the mucosa and the submucosa. See also colon, colon wall.

muscularis propria [mus-kyu-LAIR-is pro-pree-uh]

the muscle layer that covers most parts of the intestine (digestive tube). This layer is furthest away from the center of the tube. Moving outward from the opening, the muscularis propria is beneath the submucosa. Beyond the submucosa is a thin layer of tissue called subserosa, which covers the colon but not the rectum. See also colon, colon wall, intestine, rectum.

mutation [mew-tay-shun]

Abnormal changes in a gene (pieces of DNA) that tell cells what to do and when to grow and divide). Most mutations do not cause cancer, but all types of cancer are thought to be due to gene mutations.

myeloablative treatment [my-uh-lo-uh-BLAY-tiv]

treatment to wipe out the bone marrow before a bone marrow or stem cell transplant. See also bone marrow, hematopoietic stem cell transplant, conditioning treatment.

myeloid leukemia [my-uh-loid loo-key-me-uh]

also called myelocytic leukemia, myelogenous leukemia, or non-lymphocytic leukemia. A type of cancer that starts in the cells that are supposed to mature into different types of blood cells. Myeloid leukemia can be chronic (CML) or acute (AML). There are a number of subtypes of acute myeloid leukemia, some with genetic abnormalities that can affect the outlook for successful treatment. See also leukemia, non-myeloid cancers.

N

naturopathic doctor (ND)

A doctor who is not a medical doctor (MD) but is trained to use therapies that focus on supporting a person's self-healing abilities. Education and licensing of NDs varies by state.

necrosis [nuh-crow-sis]

The death of one or more cells of the body. Necrotic refers to tissue that has died.

needle aspiration [need-ul asp-er-A-shun]

to draw out a liquid, gas, or tissue fragments using suction. In this procedure, a needle is used to reach the cyst or tumor, and with suction, draw up (aspirate) samples to be looked at under a microscope. See also biopsy, needle biopsy.

needle biopsy [need-ul by-op-see]

Removal of fluid, cells, or tissue with a needle so that it can be looked at with a microscope. The main types of needle biopsy are fine needle aspiration (FNA) and core needle biopsy.

needle localization [need-ul lo-cull-ih-ZAY-shun]

a procedure used to guide a surgical biopsy when the lump is hard to find or when there are areas that look suspicious on the x-ray but there is no distinct lump. A thin needle is placed into the area. X-rays are taken and used to guide the needle to the suspicious area. The surgeon then uses the path of the needle as a guide to find the abnormal area to be removed. See also biopsy, x-ray.

negative

A result from lab tests or pathology findings in which the change or problem being looked for was not found. For example, when the results of a biopsy are negative for cancer, it means that no cancer was found there.

negative margin

See surgical margin.

neoadjuvant therapy [nee-o-AD-juh-vunt]

Treatment given before the main treatment. For example, neoadjuvant hormone therapy is sometimes used to shrink a tumor before brachytherapy to make the brachytherapy more effective. Compare to adjuvant therapy.

neonatologist [nee-o-nay-TAHL-uh-jist]

A doctor who specializes in the care of newborn babies (until about 6 weeks of age, but often longer for babies who were born prematurely).

neoplasia [nee-o-PLAY-zee-uh]

Abnormal and uncontrolled cell growth which can be benign (not cancer) or malignant (cancer).

neoplasm [NEE-o-plaz-um]

An abnormal growth (tumor) that may be benign (not cancer) or malignant (cancer). Such a growth may be described as a neoplastic tumor.

nephrologist [neh-frahl-uh-jist]

A doctor who specializes in kidney (renal) diseases.

neuropathy [nur-ah-puth-ee]

nerve abnormality or damage which causes numbness, tingling, pain, muscle weakness, or even swelling. It may be caused by injury, infection, disease (cancer, diabetes, kidney failure, or poor nutrition, for example), or by drugs. Peripheral neuropathy is a type of neuropathy that starts in nerves farthest away from the brain, such as the hands and feet.

neurosurgeon [nur-o-SUR-jun]

A doctor who specializes in operations involving the nervous system, including the brain, spinal cord, or nerves.

neurovascular bundles [nur-o-VAS-kyu-lur]

groups of nerves and blood vessels that run along each side of the prostate and help the penis become erect. Removal or injury of these bundles during surgery, or damage from radiation therapy, can lead to impotence. Women also have these nerve bundles that run along both sides of the vagina and affect erectile tissue in the genital area. See also impotence, nerve-sparing prostatectomy, prostate.

neutropenia [new-trow-PEEN-ee-uh]

A decrease in the number of neutrophils (white blood cells that defend against most types of infection) in the blood. The lower the number of neutrophils and the longer it stays low, the greater the risk of infection.

neutrophils [new-trow-fills]

A type of white blood cell that fights bacteria infections.

nipple discharge

any fluid of any color coming from the nipple.

nipple retraction

An inward turning of the nipple of the breast.

nocturia [nok-toor-ee-uh]

Excessive urination during the night.

nodal status

Indicates whether the cancer has spread to lymph nodes (node-positive) or has not spread to lymph nodes (node-negative).

node

See lymph node.

nodule [nod-yool]

A small, solid lump that can be felt. This term is sometimes used to refer to a small tumor seen on x-ray.

non-steroidal anti-inflammatory drugs [non-steer-OYD-uhl an-tie-in-FLAM-uh-tor-ee or an-tee-in-FLAM-uh-tor-ee]

Medications that reduce pain, inflammation and fever. Before you take any NSAIDs, ask your doctor, pharmacist, or nurse if it’s safe for you to take it with your other medicines, and how long you can take it. Also called NSAIDs.

nuclear medicine

A branch of medicine that uses radioactive substances (radioisotopes) to diagnose and treat illnesses.

nuclear medicine scan

A method for finding tumors, seeing how much a cancer has spread, and checking to see if a treatment is working. Small amounts of a radioactive substance (called an isotope) are put into the bloodstream. The isotope collects in certain organs and a special camera is used to take a picture of the organ and show areas of disease.

nucleus [new-klee-us]

The center of a cell where DNA is found and where it reproduces. Studying the size and shape of a cell’s nucleus under the microscope can help pathologists tell cancer cells from non-cancer cells.

nulliparous [nuh-lip-uh-rus]

Never having given birth to a child.

nurse anesthetist

A nurse with an advanced degree and training in giving drugs or other agents (like gasses) that cause a total loss of feeling or relieve pain, most often during surgery.

nurse practitioner [nurs prak-tih-shun-er]

An advanced practice registered nurse (APN or APRN) with a master’s or doctoral degree and special certification who works closely with a doctor, helps to diagnose and manage care, and has advanced training and clinical experience in a certain area of medical and nursing practice.

nutritionist

A title sometimes used interchangeably with dietitian, but educational requirements for nutritionists vary by state.

O

obesity

A certain level of overweight; in general, a body mass index (BMI) greater than 30. BMI is based on height and weight.

occult [uh-kult or o-kult]

Hidden or concealed. In cancer, may refer to a cancer with an unknown primary or can refer to small amounts of blood in stool that cannot be identified without special tests.

occupational therapist [ok-you-PAY-shun-uhl]

A licensed and specially trained therapist who works with people who have functional impairments or limitations to help them develop, recover, and improve the skills needed for daily living and working. They also work to prevent disability and maintain health. The practice of occupational therapy includes evaluation, treatment, and consultation.

off label

The use of a drug in a way that is different from that described on the FDA-approved drug label, such as for a different disease, or given in a different way or in a different dose.

omentum [o-men-tum]

A layer of fatty tissue that covers the abdomen (belly) like an apron over the stomach, intestines, and other organs.

oncogenes [on-kuh-jeenz]

Mutated (changed) forms of normal genes that cause cells to grow and divide (proto-oncogenes). Oncogenes develop when proto-oncogenes mutate, resulting in cells growing out of control which can lead to cancer.

oncologist [on-kahl-uh-jist]

A doctor who specializes in diagnosing and treating cancer.

oncology [on-kahl-o-jee]

the branch of medicine concerned with the diagnosis and treatment of cancer.

oncology clinical nurse specialist [on-kahl-o-jee]

a registered nurse with a master’s degree in oncology nursing who specializes in the care of cancer patients. Oncology nurse specialists may prepare and give treatments, monitor patients, prescribe and provide supportive care, and teach and counsel patients and their families. See also cancer care team.

oncology social worker [on-kahl-o-jee]

a person with a master’s degree in social work who is an expert in coordinating and providing non-medical care to patients. The oncology social worker counsels and assists people with cancer and their families, especially in dealing with the non-medical issues that can result from cancer, such as financial problems, housing (when treatments are given at a facility away from home), and child care. See also cancer care team.

oncoplastic surgery

Newer techniques that combine cancer surgery and plastic surgery techniques.

ophthalmologist [off-thuhl-MAHL-uh-jist]

A doctor who specializes in eye diseases.

oral

Refers to the mouth. For example, medicines taken orally are taken by mouth. Oral cancer is cancer of the mouth.

oral and maxillofacial surgeon [max-ill-o-FAY-shul]

A surgeon who specializes in surgery of the mouth, jaw, and face.

oral contraceptives

Birth control pills, which contain estrogen and/or a progesterone-like substance, known as progestin.

orthopedic surgeon [or-thuh-pee-dik]

A surgeon who specializes in diseases and injuries of the muscles, joint, and bones (the musculoskeletal system).

osteoporosis [os-tee-o-puh-RO-sis]

Thinning of bones, causing weaker bones and a higher risk for fractures (breaks in the bones). Cancer treatments can also cause osteoporosis.

ostomy [os-tuh-me]

A surgical opening made from inside the body to the outside, i.e., colostomy, ileostomy, tracheostomy, or urostomy. Also called a stoma.

ostomy nurse

see enterostomal therapist.

otolaryngologist [o-toe-lair-in-GOL-uh-jist]

A doctor who specializes in diseases and injuries of the ear, nose, and throat. Also called an ENT (which stands for ears, nose, and throat) or a head and neck doctor.

outpatient

a person being treated without staying in the hospital. Compare to inpatient. See also ambulatory.

ova

Eggs (reproductive cells) released during a woman’s reproductive (fertile) years. The egg must be fertilized by a sperm to grow into a baby. The singular of ova is ovum.

ovarian ablation

Treatment to lower or stop the production of estrogen by the ovaries, through removal of the ovaries, radiation therapy, hormonal therapy or other medicines.

ovary [o-vuh-ree]

reproductive organ in the female pelvis. Normally a woman has 2 ovaries. They contain the eggs (ova) that, when joined with sperm, can result in pregnancy. Ovaries are also the main source of estrogen, the main female sex hormone. See also estrogen, ova, sperm.

overflow incontinence

urine leak that happens when the bladder cannot be emptied. A person with overflow incontinence may need to get up often during the night to urinate, take a long time to urinate, and have a dribbling stream with little force. Overflow incontinence is usually caused by blockage or narrowing of the bladder outlet, either from cancer or scar tissue. Compare with stress incontinence, urge incontinence.

P

p53

An important tumor suppressor gene that normally causes damaged cells to die. When this gene is not working properly, the risk of developing many types of cancer is increased.

pain specialists

Doctors, nurses, and/or pharmacists who are experts in pain control. In many places there’s a team of health professionals who are available to address pain issues.

palliative care or treatment [pal-ee-uh-tiv]

Health care focused on improving quality of life by managing the symptoms of a serious illness and side effects of treatment. Can be given at any time during an illness when a person has symptoms that need to be controlled. Palliative care helps a patient feel more comfortable but does not cure the disease.

palliative care specialists or team [pal-ee-uh-tiv]

Doctors, nurses, pharmacists, and other health care professionals who work together to manage symptoms, such as pain, nausea, or fatigue. A palliative care team approach can be used for any patient (of any age) who has a serious illness. Palliative care teams can and often work alongside cancer care teams to help manage side effects during and after cancer treatment. These teams are often used to help patients during any stage of cancer, from diagnosis, throughout treatment, and to the end of life.

palpation [pal-pay-shun]

Using the hands to examine. A palpable mass is one that can be felt.

pancolitis [pan-ko-LITE-us]

Ulcerative colitis throughout the entire colon.

PAP

see prostatic acid phosphatase. (Not the same as Pap test, the cancer screening method for women. For that, see Pap test.)

Pap test or Pap smear

A test in which cells are collected from the cervix and looked at using a microscope to see if cancer or pre-cancer cells are present. Testing is often done for human papillomavirus (HPV) at the same time.

papillary [PAP-uh-lair-ee]

cancer cells that are arranged in tiny, finger-like projections when looked at under a microscope. This is a common feature of some tumors of the ovaries, uterus, thyroid gland, and other organs. See also histology, ovary, pathologist, thyroid, uterus.

papilloma [PAP-uh-lo-muh]

benign (not cancer) growth.

parafollicular [pair-uh-fah-LICK-yuh-ler]

having to do with a follicle. In cancer, the term can be used to describe the C cells on the thyroid (parafollicular cells). See also follicle, follicular.

partial mastectomy

see mastectomy.

Partin tables

in prostate cancer, a tool that uses the prostate-specific antigen (PSA), Gleason score, and stage that are obtained before surgery to predict the odds that the cancer has spread outside the prostate. See also Gleason score, prostate, prostate-specific antigen, staging.

pathologic stage

see staging.

pathologist [path-all-uh-jist]

A doctor who specializes in diagnosing and classifying diseases by lab tests and by looking at tissues and cells with a microscope. The pathologist determines whether a tumor is cancer, and, if it is cancer, the exact cell type (where it started) and grade (how fast it likely will grow).

patient or nurse navigator

A person who guides patients and their families through complex medical systems and helps them work with the rest of the cancer care team to overcome barriers to care that may come up so they can successfully complete their treatment. Navigators can be lay people with special training and experience or health care professionals, like nurses or social workers.

pediatric oncologist [pee-dee-at-trick on-kahl-uh-jist]

A doctor who specializes in caring for children and teens with cancer (sometimes up to age 21).

pediatrician [pee-dee-uh-TRISH-un]

A doctor who specializes in caring for children and teens, including preventing illness, providing primary health care, and treating of diseases.

pelvic examination [pell-vick ex-am-in-A-shun]

an exam of a woman’s uterus and other pelvic organs. It is used to help find cancers of the reproductive organs. The doctor will look at external structures and palpate (feel) the internal organs such as the ovaries and uterus. See also cervix, ovary, pelvis, uterus.

pelvic exenteration [ex-en-ter-A-shun]

surgery to remove the organs in the pelvis. See also pelvis.

pelvic nodes

pelvic lymph nodes; the lymph nodes to which prostate cancer is most likely to spread. These nodes are often removed and checked for cancer as part of surgery to remove prostate and other cancers in the pelvis. See also lymph node, pelvic lymph node dissection, pelvis, prostate.

percent-free PSA [or fPSA]

The portion of prostate-specific antigen (PSA) in the blood that is not attached to blood proteins. The percentage of free PSA (fPSA) is lower in men who have prostate cancer than in men who do not. A low fPSA may suggest the need for a biopsy.

perforation [per-fuh-RAY-shun]

A hole in the wall of a hollow organ, like the bladder or lung.

perineum [pair-uh-NEE-um]

The area between the anus and the scrotum (in males) or the anus and the vagina (in females). This is called the perineal area.

perineural invasion [pair-uh-NOO-rul]

Growth of cancer cells into areas around nerves.

peripheral blood stem cell transplant

see hematopoietic stem cell transplant.

peripheral neuropathy [peh-RIH-feh-rul noor-AH-puh-thee]

Nerve damage which causes numbness, tingling, burning, pain, weakness, loss of ability to feel hot and cold, and cramps in different parts of the body. It usually starts in the hands or feet. It may be caused by injury, infection, disease (cancer, diabetes, kidney failure, or poor nutrition, for example), or by medicines such as chemotherapy. Also called neuropathy.

peripheral zone [per-if-er-uhl zon]

the outer part, near the outer edges. In the prostate, for instance, it is this area where most prostate cancers occur. See also prostate.

peritoneum [pear-i-tuh-NEE-um]

The membrane that lines the abdomen (belly) and covers most of its organs. Peritoneal cavity refers to the area enclosed by the peritoneum.

permanent brachytherapy

See low-dose rate brachytherapy.

permanent section

Biopsy tissue that has been prepared to be looked at under a microscope. The tissue is soaked in formalin, processed in various chemicals, enclosed in wax, sliced very thin, attached to a microscope slide, and stained. This process takes several days. It allows a clear view of the cells in the sample so that the pathologist can see whether or not cancer is present.

PET scan

See positron emission tomography.

pharmacist (RPh or PharmD)

A licensed health professional who has at least a bachelor's degree in pharmacy. Pharmacists help to make sure treatments and medicines prescribed to patients are safe and effective. See also Pain specialists and Palliative care specialists.

pheresis [fuh-ree-sis]

See apheresis.

phosphodiesterase inhibitors [fos-foe-die-ES-ter-ace in-hib-it-urs]

also called PDE5 inhibitors. Drugs, such as sildenafil (Viagra®), vardenafil (Levitra®), and tadalafil (Cialis®), that can help men get an erection. Not all forms of impotence respond to these drugs. See also impotence.

photocoagulation or photoablation [foe-toe-ko-ag-yu-LAY-shun or foe-toe-uh-blay-shun]

Surgery that uses a laser beam to destroy tissues or seal tissues or blood vessels. Most often used to relieve blockages rather than to cure cancers.

photodynamic therapy [foe-toe-die-NAM-ick]

A treatment that uses special drugs, sometimes called photosensitizing agents, along with light to kill cancer cells. Also called PDT.

photon beam radiation therapy [foe-ton]

standard type of radiation used for external beam radiation treatments. See also conformal radiation therapy, external beam radiation therapy.

phyllodes tumor [fie-loads too-mer]

also called phylloides tumor or cystosarcoma phyllodes. A rare breast tumor, usually not cancer (benign), which grows quickly and can become quite large.

physical therapist

A licensed health professional, who has at least a bachelor’s degree in physical therapy, who helps examine, test, and treat physical problems, and uses exercises, heat, cold, and other methods to restore or maintain the body’s strength, mobility, and function.

physician assistant (PA)

A certified and licensed medical professional with a master’s or doctoral level degree. Physician assistants practice medicine on teams with doctors and other health care professionals, providing a wide range of services. They may specialize in certain diseases or fields of medicine depending on their training and experience.

physiologic [fiz-ee-o-LA-jick]

pertaining to the processes of the body or its systems. May also be used to describe a particular body function or organ as normal.

phytonutrients [fie-toe-KEM-ih-kul]

Plant compounds like carotenoids, lycopene, resveratrol, and phytosterols that are thought to have health-protecting qualities. Also called phytochemicals.

PIN

see prostatic intraepithelial neoplasia.

placebo [pluh-see-bo]

A fake pill or treatment that may be used in studies (clinical trials) to compare the effects of a given treatment with no treatment. Placeboes are not used in studies where a proven treatment is available; instead, the new treatment is tested against the proven one.

plastic or reconstructive surgeon [re-kon-STRUCK-tiv]

A surgeon who specializes in changing the way a body part looks or in rebuilding or replacing removed or injured body parts. In reconstruction (rebuilding body parts), the surgeon may use tissue from the patient or some special material with the right consistency to hold a shape or form over time. Also called a plastic and reconstructive surgeon.

platelet [plate-let]

A type of blood cell that helps stop bleeding by plugging up holes in blood vessels after an injury. Chemotherapy and radiation therapy can cause a drop in the platelet count, a condition called ,thrombocytopenia that carries a risk of excessive bleeding.

pleurodesis [plu-rah-dis-sis or plur-o-DEE-sis]

A procedure to remove fluid that has built up between the lungs and the pleura and keep it from coming back by putting a substance between the layers to fuse them together.

ploidy [ploy-dee]

Number of sets of chromosomes contained in a cell. Cancers with 23 pairs of chromosomes (the same as normal cells) are called diploid(dip-loyd) and those with either more or less than that amount are aneuploid (an-you-ployd).

polycythemia vera [pah-lee-sy-THEME-e-uh vair-uh]

a chronic blood disorder in which the bone marrow makes too many red blood cells, white blood cells, and platelets. This leads to a higher concentration of hemoglobin with larger amounts of red blood cells, which is the main feature of this disease. But with time, the high platelet count may become more of a problem and patients can suffer from problems with blood clots because of this and their “thickened” blood. Often, the spleen is enlarged. Over time, the bone marrow is replaced by fibrous tissue (myelofibrosis). Although it is not a true cancer, it often turns into acute myelogenous leukemia (AML) after many years. See also bone marrow, leukemia, platelet, red blood cells, spleen, white blood cells.

polyp [pah-lip]

An abnormal growth on the inner lining (mucous membrane) of organs such as the colon, rectum, the uterus, and the nose. Polyps may be non-cancerous (benign) or cancerous (malignant).

polypectomy [pah-lup-ECK-tuh-me]

Surgery or procedure to remove a polyp.

portography [por-tahg-ruh-fee]

a procedure that uses computed tomography (CT) and a dye injected into the portal vein of the liver. It takes cross-sectional x-rays of the veins to find cancer that may have spread from the colon or rectum. See also colon, computed tomography, rectum, x-ray.

positive margin

See surgical margin.

positron emission tomography [pahs-uh-trahn ee-mish-uhn tom-ahg-ruh-fee]

An imaging test that uses radioactive sugar to look for cancer cells in the body. Since cancer cells are more likely to take up larger amounts of sugar than normal cells, the test may be able to identify cancer versus normal cells. PET scans may be used to find tumors or see how well a tumor is responding to treatment. Also called a PET scan.

posterior [post-eer-ee-uhr]

The back or near the back of an organ or the body.

poultice [pole-tiss]

soft paste or thick liquid that is usually heated, applied to a cloth, and placed over an inflamed or painful area. Herbs, leaves, or foods are commonly used for this in folk medicine and home remedies.

pre-cancerous

Changes in cells that may, but do not always, become cancer.

pre-malignant

See pre-cancerous.

predisposition [pre-dis-puh-ZISH-un]

A higher likelihood of developing a certain disease. For example, people with certain mutations (changes) in their genes or a family history are more likely to get certain types of cancer.

prevalence [preh-vul-uns]

The number of living people who have ever been diagnosed with cancer, including people diagnosed with cancer in the past and those who were recently diagnosed.

prevention

The reduction of cancer risk by eliminating or reducing contact with things known to cause cancer, by changing conditions that contribute to cancer (such as obesity or lack of exercise), or by using medicines that interfere with cancer development. Lifestyle changes, such as quitting smoking, for example, reduces the number of people who will get lung and other cancers.

previvor

A person who has a higher risk of getting cancer, but hasn’t yet been diagnosed with cancer. Previvors are people who have an inherited gene (genetic) mutation, have a family history of cancer, or have other known risk factors..

primary care physician or provider

The doctor a person would normally see first when a medical symptom or problem comes up. A primary care doctor could be a general practitioner, a family practice doctor, a gynecologist, a pediatrician, or an internal medicine doctor (an internist).

primary HPV test

See human papillomavirus test

primary site

the place where cancer begins. Cancer is usually named after the organ in which it first starts. For example, cancer that starts in the breast is always breast cancer, even if it spreads (metastasizes) to other organs such as bones or lungs. See also metastasize, metastasis.

primary treatment or primary therapy

The first treatment given for a cancer.

progesterone [pro-jes-ter-own]

A female sex hormone released by the ovaries during every menstrual cycle to prepare the uterus (womb) for pregnancy and the breasts for milk production (lactation).

progesterone receptor assay

A test done on breast cancer cells to see whether the cancer is affected by progesterone and might be sensitive to treatment with hormone therapy.

prognosis [prog-no-sis]

The likely course of a disease, including the chance for recovery or of the cancer coming back.

progression

Spreading or growing disease, with or without treatment.

prolactin

a hormone released from the pituitary gland that prompts the breasts to produce milk. See also hormone, pituitary.

proliferative [pro-lih-fer-uh-tiv]

Rapid growth or increasing numbers of new cells.

prospective cohort study

A long, on-going research study that captures and compares years of data from a cohort (a group of people with similar traits) to learn how specific characteristics or risk factors affect the rate of developing diseases such as cancer. Prospective means data is collected before anyone has developed cancer.

prostaglandin E1 [pros-tuh-GLAN-din]

a substance found naturally in the body that can be used to produce erections. It can be injected into the base of the penis or put into the urethra as a suppository or pellet. See also urethra.

ProstaScintTM scan [pros-tuh-sent]

an imaging study that uses low-level radioactive material to find prostate cancer that has spread beyond the prostate. The radioactive material is attached to an antibody made in a lab to recognize and stick to prostate-specific membrane antigen (PSMA), a substance found only in normal and cancerous prostate cells. This test detects spread of prostate cancer to bone, lymph nodes, and other organs, and can clearly distinguish prostate cancer from other cancers and non-cancer disorders. The ProstaScint scan is most commonly used to look for cancer if the prostate-specific antigen (PSA) level is still high after treatment. See also antibody, lymph node, prostate, prostate-specific antigen, radioisotope.

prostate-specific antigen

A protein made by the prostate gland that is found mostly in semen and a small amount in the blood. Blood tests for PSA levels may be used for prostate cancer screening, watching for changes in prostate cancer as part of observation or treatment, and checking to see if prostate cancer has come back after treatment is completed. Also called PSA.

prostatic acid phosphatase [pros-tat-ick a-sid fos-fuh-tace]

also called PAP. A blood test, like the prostate-specific antigen (PSA) test, that may be done when looking for evidence of prostate cancer. Unlike the PSA test, the PAP test is not useful for prostate cancer screening. (This not the same as the Pap screening test for cervical cancer; for that, see Pap test.) See also prostate, prostate-specific antigen, screening.

prostatic intraepithelial neoplasia [pros-tat-ick in-trah-ep-ith-EE-lee-uhl hi-per-play-zhuh]

also called PIN. A condition in which there are changes in how the prostate gland cells look under the microscope. The changes are classified as low-grade, meaning that the cells look almost normal, or high-grade, meaning that they look more abnormal. The condition is not cancer, but it may lead to the development of cancer. High-grade PIN is more likely to become cancer than low-grade PIN. See also prostate, atypia.

prostatitis [pros-tuh-TIE-tus]

Inflammation of the prostate which is sometimes caused by an infection.

prosthesis [pros-thee-sis]

A man-made substitute for a missing body part. Also called a prosthetic.

protein [pro-teen]

A large molecule made up of a chain of smaller units called amino acids. Proteins serve many vital functions inside and outside of the body’s cells.

protocol [pro-tuh-call]

A formal outline or plan, such as a description of what treatments a patient will get and exactly when each should be given.

proton [pro-tahn]

a radioactive particle used in some forms of radiation therapy. See also conformal proton beam radiation therapy, radiation therapy.

proton beam therapy

see conformal proton beam therapy.

proximal

A descriptive term for a body part that is nearer to the center of the body than another part.

PSA

See prostate-specific antigen.

PSA density [PSAD]

Determined by dividing the prostate-specific antigen (PSA) level by the prostate size. A higher PSAD indicates a greater likelihood of cancer.

PSA doubling time [PSADT]

The length of time it takes for the prostate-specific antigen (PSA) level in the blood to double. This is sometimes useful in determining if prostate cancer is present or has come back (recurred).

PSA velocity [PSAV]

A measurement of how fast the prostate-specific antigen (PSA) level rises over time.

psychiatrist [sy-ky-uh-trist]

A medical doctor specializing in the causes, treatment, and prevention of mental, emotional, and behavioral disorders. Psychiatrists provide counseling and can also prescribe medicines or other treatments.

psychologist [sy-koll-uh-jist]

A health professional who has a graduate degree in psychology and training in clinical psychology. This specialist assesses a person’s mental and emotional status and provides testing and counseling services to those who may have an emotional or mental health problem.

psychosocial [sy-ko-SO-shul]

the psychological and/or social aspects of health, disease, treatment, and/or rehabilitation.

PTEN

a gene that normally helps control cell growth. Inherited changes in this gene cause Cowden syndrome, a rare disorder in which people are at higher risk for both non-cancer and cancer breast tumors. It is also linked to growths in the digestive tract, thyroid, uterus, and ovaries. See also gastrointestinal tract, gene, inherited disease, mutation, ovary, thyroid, uterus.

public health intervention

Measures or steps designed to improve the health of a population. For example, interventions may use tactics at the individual, community, and system level to improve the number of people who get screened for cancer and get HPV vaccinations.

pulmonologist [pull-muh-NAHL-uh-jist]

A doctor who has specialized experience and knowledge in the diagnosing and treating lung (pulmonary) conditions and diseases.

Q

quality of life

Overall enjoyment of life, which includes a person’s sense of well-being and ability to do the things that are important to them.

R

radiation

Energy given off as electromagnetic waves or particles. It can come from natural sources, such as radon gas (from the ground) or from outer space, or be produced for a function, such as x-rays and microwaves. In medicine, radiation may be used to help identify problems (such as x-rays, CT scans) or to treat a disease, such as radiation therapy for cancer.

radiation dose

The amount of radiation an object (such as human tissue) receives. Several units are used to describe radiation doses:
  • rad (acronym for radiation absorbed dose) -- a basic unit of the amount of radiation absorbed by body tissue. The rad largely has been replaced by the gray measurement scale.
  • gray (abbreviated Gy) -- the newer, international unit of measurement of radiation absorbed. One gray equals 100 rads.
  • rem (acronym for roentgen equivalent man) -- -- a conventional unit of radiation exposure used to express the chance that a person will have health effects based on both the dose and the type of radiation. The term has been replaced by the sievert.
  • sievert (see-vert) -- abbreviated Sv. The newer, standard international unit of radiation exposure used to express the chance that a person will have health effects based on both the dose and the type of radiation. One sievert equals 100 rem.

radiation oncologist [ray-dee-A-shun on-kahl-uh-jist]

a doctor who specializes in using radiation to treat cancer. See also cancer care team.

radiation proctitis [ray-dee-A-shun prok-tie-tis]

Anal and rectal irritation caused by radiation therapy to the pelvic area. Problems can include pain, frequent bowel movements, bowel urgency, bleeding, chronic burning, or rectal leakage.

radiation therapist [ray-dee-A-shun ther-uh-pist]

A person with special training to use the equipment that delivers radiation therapy. This expert often helps the patient get into the right position for treatment and then actually gives the treatment.

radiation therapy [ray-dee-A-shun ther-uh-pee]

Treatment with high-energy particles or rays to destroy or damage cancer cells. The radiation be given by a machine outside the body (external radiation) or by radioactive materials placed in the tumor (brachytherapy or internal radiation). Radiation therapy can be used to shrink the cancer before surgery, to kill any remaining cancer cells after surgery, or as the main treatment. It can also be used as palliative (non-curative) treatment for advanced cancer.

radiation therapy nurse [ray-dee-A-shun ther-uh-pee nurse]

A registered nurse who is an expert in the radiation therapy care of patients. This nurse may teach the patient about treatment before it starts and help manage any treatment side effects.

radioactive implant [ray-dee-o-ACT-iv im-plant]

A source of radiation that is placed in or near a tumor to kill the cancer cells.

radiocontrast dye [ray-dee-o-CON-trast]

Any material used in imaging studies such as x-rays, MRIs, and CT scans to help outline the body parts being examined. These may be injected into a vein or you could drink it. Some people can have reactions to radiocontrast dye so before the procedure, let your doctor and the technologist know if you have any allergies or have had a reaction to radiocontrast dye. Also called dye, contrast dye, or radiocontrast medium.

radiofrequency ablation [ray-dee-oh-free-kwin-see uh-blay-shun]

also called RFA. Treatment that uses high-energy radio waves to heat and destroy abnormal tissues. A thin, needle-like probe is guided into the tumor by ultrasound or computed tomography (CT) scan. The probe releases a high-frequency current that heats and kills cancer cells. RFA is sometimes used to treat tumors in the liver, and is being studied for use in other areas of the body. See also computed tomography scan, ultrasound.

radioisotope [ray-dee-oh-EYE-suh-tope]

An unstable compound that releases radiation energy as it breaks down. Radioisotopes are used in imaging tests to find cancer. They may also be used to treat cancer.

radiologic technologist [ray-dee-uh-LAH-jick teck-nah-luh-jist]

A health professional who positions patients for x-rays and other imaging tests, takes the images, and then develops and checks the images for quality. The films taken by the technologist are then sent to a radiologist to be read..

radiologist [ray-dee-AH-luh-jist]

A doctor with special training in diagnosing diseases by interpreting (reading) x-rays and other types of imaging studies that make pictures of the inside of the body.

radionuclide bone scan [ray-dee-oh-NOO-klide]

See bone scan.

radiopharmaceuticals [ray-dee-oh-farm-uh-SUIT-ih-kulz]

Drugs that include radioactive elements or radioisotopes. They are given into a vein (intravenously or IV) to treat certain cancers, such as thyroid, bone, and prostate cancer, as well as bone pain related to cancer that has spread to the bones.

radiotherapy

See radiation therapy.

randomized or randomization

A clinical trial process that uses chance to assign participants to different groups to compare treatments. Randomization means that each person has an equal chance of being in the treatment and control (comparison) groups. This helps reduce bias in the results that might happen, if, for example, the healthiest people all were assigned to a particular treatment group.

re-excision

A second surgery to remove remaining cancer. This may be done if cancer cells were found at the edge of surgically removed tissue.

recurrence

When a cancer that was not detectable after treatment comes back. It may come back where it first started or in a different part of the body.

red blood cells [RBCs]

Blood cells that contain hemoglobin, the substance that carries oxygen to all of the cells of the body. These cells are made in the bone marrow. Low red blood cell counts, a condition called anemia, are a common side effect of many cancer treatments.

reduced-intensity conditioning

doses of radiation or chemotherapy given before an allogeneic stem cell transplant, in which lower doses are used to leave some of the patient’s bone marrow cells while the new marrow engrafts. See also bone marrow, chemotherapy, conditioning treatment, hematopoietic stem cell transplant, mini-transplant, radiation.

refractory [re-frack-tuh-re]

No longer responsive to a certain treatment.

regimen [reh-juh-men]

A treatment plan that outlines the specific doses, schedule and length of treatment which may include different medicines as well as other methods such as radiation treatments.

regional involvement or regional spread

The spread of cancer from its primary (original) site to nearby lymph nodes, organs or tissues, but not to distant sites.

registered nurse (RN)

A professional nurse who has completed a college program and passed a national examination. RNs may assess, educate, and treat patients, families, or even communities. They may work in and can get certified in almost any health specialty. They can also go back to school to become an advanced practice nurse (APN or APRN) such as a clinical nurse specialist, nurse practitioner, or nurse anesthetist.

regression [re-gresh-un]

Decrease in the size of a tumor or the amount of the cancer in the body.

rehabilitation [re-huh-bill-ih-TAY-shun]

Actions taken to help a person adjust, heal, and return to a full, productive life after injury or illness. This may involve physical restoration (such as the use of prostheses, exercises, and physical therapy), counseling, and emotional support.

relapse [re-laps]

Return of cancer or other disease after a period of time when signs and symptoms of the disease improved.

rem

See radiation dose.

remission [re-MISH-un]

A period of time when the cancer is responding to treatment or is under control. In a complete remission, all the signs and symptoms of cancer go away, and cancer cells can’t be found by any tests. In a partial remission, the cancer shrinks but doesn’t completely go away. A remission might not mean the cancer is cured.

replicate [REP-lih-kate]

reproduce exact copies.

rescue treatment

in cancer care, procedures or treatments such as bone marrow transplant that “rescue” a patient’s immune system and blood-forming organs by stopping the actions of high-dose chemotherapy. See also bone marrow transplant, chemotherapy, immune system.

research continuum

The full scope of research—often referred to as bench to bedside. The research can be performed in a research lab, in clinical trials, with health care providers, in health care systems, and within communities.

resection [re-sek-shun]

Surgery to remove part or all of an organ, body tissue, or other structure.

resectoscope [re-SEK-tuh-scope]

Thin, rigid scope with a wire loop at the end that's used to remove abnormal tissue or tumors in the bladder or prostate. Used for transurethral resection of the prostate (TURP) and transurethral resection of bladder tumor.

respiratory therapist [RES-per-uh-tor-ee ther-uh-pist]

A professional who works with people who have breathing problems. This can include breathing treatments and managing patients on ventilators (breathing machines). A CRTT or certified respiratory therapy technician may also examine the patient, collect information about lung function, and set up and maintain equipment, such as ventilators.

respite care [res-pit]

The short-term care of a sick person who is being cared for at home to provide a break (respite) to the regular caregiver(s). May be given in a hospice facility, nursing home, or hospital.

response

Improvement after treatment.

retention

Seeurinary retention.

retinoids [ret-n-oyds]

vitamin A and synthetic (man-made) compounds similar to vitamin A.

retrograde ejaculation [ret-tro-grade e-jack-you-LAY-shun]

A condition in which orgasm causes semen to enter the bladder, rather than leaving the body through the penis. Most often caused by damage to valves in the bladder or nearby nerves after some operations for prostate, testicular, bladder and colorectal cancers. Also known as a dry orgasm.

retropubic [ret-tro-PEW-bick]

behind the pubic bone but in front of the bladder. In prostate cancer, a surgical approach to the prostate through an incision (cut) in the lower abdomen (belly) is called a retropubic prostatectomy. See also bladder, prostate, pubic bone.

reverse transcription polymerase chain reaction [re-verse tran-scrip-shun puh-lim-er-ace]

A very sensitive test (also called RT-PCR) for finding cancer-related genetic changes (mutations), such as those that happen in some cancers. It can detect very small numbers of cancer cells in blood or tissue samples that would be missed by other tests. RT-PCR looks closely at ribonucleic acid (RNA) for changes that might help determine best treatment choices and response to treatment .

ribonucleic acid or RNA [ri-bo-noo-KLEE-ick a-sid]

A molecule found in all cells that and carries genetic messages from the DNA within the cell, leading to certain proteins being made.

risk factor

Anything that increases the chance of getting a disease such as cancer. Different cancers have different risk factors. For example, unprotected exposure to strong sunlight is a risk factor for skin cancer; smoking is a risk factor for lung, mouth, throat, and other cancers. Some risk factors, such as smoking and being inactive, can be controlled. Others, like a person’s age and gene mutations they were born with, can’t be changed.

RNA

See ribonucleic acid.

RT-PCR test

See reverse transcription polymerase chain reaction.

S

s-phase fraction

The percentage of cells in a sample that are copying their DNA as it gets ready to divide into 2 new cells. If the S-phase fraction is high, it means that the cancer cells are dividing more rapidly.

saline [say-lean]

Salt and water solution.

sarcoma [sar-ko-muh]

A cancer that starts in connective tissue, such as cartilage, fat, muscle, or bone.

scan

A test that makes detailed pictures of parts of internal body organs. Includes computed tomography (CT) scans, magnetic resonance imaging (MRI) scans, and nuclear medicine scans (such as bone scans and liver scans).

scintillation camera [sin-till-LAY-shun]

device used in nuclear medicine scans to detect radioactivity and make pictures that help diagnose cancer and other diseases. See also nuclear medicine, nuclear medicine scan.

scintimammography [sin-ti-mam-AHG-gruh-fee]

A nuclear medicine imaging test in which a radioactive tracer is put into a vein to find breast cancer cells. It is a newer technique that may help evaluate women with abnormal mammograms and is still being studied as doctors try to improve its usefulness.

screening

Tests, examinations, or procedures used to find cancer in people who have no symptoms. Screening increases the chances of finding certain cancers early, when they are small, have not spread, and might be easier to treat. This is different from diagnostic testing which focuses on trying to find out the cause of a person’s symptoms.

second cancer

A new, unrelated cancer that develops in people who have already had a different cancer. For example, if someone who has had breast cancer develops colorectal cancer. This is different from cancer coming back after treatment (recurrence).

secondary tumor

A tumor that forms when the cancer spreads (metastasizes) from the place where it started (the primary site).

sedation [suh-day-shun]

To make sleepy, calm, or relaxed. Medicines to cause sedation are often used along with medicines to numb an area for a procedure or certain types of surgery.

sedentary

Not doing much physical activity while awake. Spending a lot of time sitting, reclining, or lying down. People described as sedentary tend to spend a lot of time being physically inactive.

segmental resection [seg-men-tuhl re-sek-shun]

Surgery to remove part of an organ or to remove a tumor and normal tissue around it. With colon cancer, for instance, the cancer and a length of normal colon on either side of the cancer, as well as the nearby lymph nodes are removed, and the remaining sections of the colon are then reattached. In lung cancer, a section of lobe of a lung is removed. Also called segmentectomy.

selective estrogen receptor modulator [SERM]

A drug used in hormone therapy that blocks estrogen from telling breast cancer cells to grow and divide. Acts like an anti-estrogen in breast cells but like an estrogen in other tissues, like the uterus and the bones. Can be used to treat women with breast cancer who have or have not gone through menopause. Tamoxifen is the most commonly used SERM.

semen [see-muhn]

Fluid released during male orgasm that contains sperm and seminal fluid.

sentinel lymph node biopsy [sen-tin-uhl]

Procedure used instead of routine lymph node dissection (removal) for some cancer types. Blue dye and/or a radioactive substance is injected into the tumor during surgery and the first (sentinel) node that picks up the dye is removed and biopsied. If the first node does not have cancer cells, fewer nodes are removed.

seroma

A non-cancerous lump or swelling that is caused by a build-up of clear fluid.

sex therapist

A mental health professional such as a licensed psychiatrist, social worker, clinical nurse specialist, nurse practitioner, or psychologist with special training in counseling people about sexual changes, problems, and communication (for example, after treatment for cancer). It’s common for a sex therapist to work with both sexual partners, rather than just one person.

sextant biopsy [sex-tunt by-op-see]

a biopsy of the prostate in which 6 core biopsy samples are taken, one each from the top, middle, and bottom of each side of the prostate. In most cases, doctors now take 12 or more core needle samples of the prostate for more complete sampling. See also biopsy, core needle biopsy, prostate.

side effects

Unwanted effects of treatment such as hair loss low blood counts, and fatigue (extreme tiredness) and rashes.

sievert or Sv

see radiation dose.

sigmoidoscope [sig-MOYD-uh-scope]

A flexible, lighted tube (about the thickness of a finger) with a small video camera at the end. It is inserted through the anus, into the rectum and into the lower part of the colon. This lets the doctor see the entire rectum, but less than half of the colon to look for cancer or for polyps (small growths that can become cancer).

sign

A physical change that can be seen or measured by someone else, such as fever or bleeding. Compare to symptom.

simulation

A process that uses special x-ray pictures to plan radiation treatment so that the area to be treated is precisely located and marked. The radiation can then be delivered as directly as possible to the tumor while lowering effect on normal, healthy tissues.

SKY

see spectral karyotyping.

smoking rate

Number of people who smoke tobacco products (including cigarettes, cigars, pipes, or any other tobacco or nicotine product) in a defined population. For example, the smoking rate of men age 15 and older in the United States is the percentage of men who smoke out of all men in that age group in the US.

social determinants of health

Conditions into which people are born, grow up, live, work, worship and age that impact their health, functioning, and quality of life. For example, housing and neighborhoods, quality of education, level of income, available transportation, health care access and quality, and social connections.

social worker

A health professional with special training in dealing with social, emotional, and environmental problems that may come with illness or disability. A social worker may help people find community resources and support services, and provide counseling and guidance to help with issues such as insurance coverage, nursing home placement, and emotional distress. An oncology social worker is an expert in coordinating and providing help for the cancer patient and family, such as counseling them and helping to manage financial problems, housing or child care issues (such as when treatments are given at a facility away from home), and coping with different types of emotional distress.

solar keratosis

see actinic keratosis.

somatic mutation [so-mat-ick mew-tay-shun]

A change in DNA that starts in one cell of the body at any time of life after an embryo is formed. All the cells that arise from that cell will typically have the same mutation, which in some cases can lead to cancer. Somatic mutations are not passed on to children.

spectral karyotyping [speck-truhl KAIR-ee-o-type-ing]

abbreviated SKY; also called chromosome painting. A cytogenetic blood test used to see all the pairs of chromosomes in a cell in different colors. See also chromosome, cytogenetics.

speech therapist

A health professional who is specially trained to work with people who have speech and swallowing problems. Speech therapists help people learn skills to communicate and also make sure that patients can safely eat and drink. Also called a speech pathologist.

sperm

the mature male reproductive cell that must combine with an egg (ova) to make a baby. Males start making sperm in their testicles after puberty. See also ova.

sphincter [sfink-ter]

a ring-like muscle that can open and close to control the passage of waste out of the body. The urethral sphincter squeezes the urethra shut and provides bladder control. There are 2 of these muscles in the anus to control stool (feces), called the  external and internal anal sphincters.

spinal cord compression

Any process that puts pressure on the spinal cord, or the nerves that come off it. t Pressure on the spinal cord can cause pain, numbness or weakness in the legs, or stool or urine incontinence. This can occur when cancer spreads to the spine.

spinal tap

See lumbar puncture.

spindle cell [spin-duhl sell]

a cell that, when seen under a microscope, looks like a long oval. Some types of sarcomas, melanomas, and carcinomas have this type of cell. There are also normal cells of the body that are shaped like spindles. See also carcinoma, melanoma, sarcoma.

spiral CT

A special scanner that takes cross-sectional pictures of the body in a spiral or helix pattern. Also called helical CT.

sputum cytology [spew-tum sy-tahl-uh-jee]

A study of sputum (mucus you cough up from your lungs) using a microscope to see if there are cancer cells.

squamous cell carcinoma [skway-mus sell car-sin-O-mah]

Cancer that begins in the squamous cells (thin, flat cells), for example, the skin or the lining of the body’s organs.

stage

The size of a cancer and if and where it has spread from the primary site. Many cancers are given a stage using the TNM system. Other cancers, such as lymphomas and cancer of the female reproductive organs, may use a different system to stage a cancer.

staging

The process of finding out how much cancer is in a person’s body and where it’s located. There is more than one system for staging different types of cancer. The most commonly used is the TNM staging system.

standard therapy

Treatment based on studies that show that the treatment is safe and effective in one or more types of cancer or for managing side effects of treatment. Also called conventional or mainstream treatment.

statistical analysis

Series of methods used to explore and organize large amounts of data to discover patterns and trends. For example, American Cancer Society researchers use statistical analysis to identify which risk factors affect the development of cancer.

stem cell transplant

See bone marrow transplant.

stem cells

Cells that may mature into different types of cells. In cancer, the term usually refers to the immature blood cells (called hematopoietic stem cells) found in the bone marrow and in the blood. These stem cells can mature into all types of blood cells.

stenosis [steh-no-sis]

A narrowing (stricture) of a duct or canal.

stent

A very small tube or “straw-like” device put in to support and hold open a tube-shaped organ, such as a blood vessel, bile duct or intestine.

stereotactic body radiation [steer-e-o-TACK-tick ]

Using stereotactic radiosurgery techniques for areas outside the brain, such as to the lung, spine or liver.

stereotactic needle biopsy [steer-e-o-TACK-tick need-ul by-op-see]

A type of needle biopsy that is useful when calcifications or a small mass can be seen on imaging tests but cannot be felt (such as in a breast) or tumors are in a location where surgery to remove them is risky (such as a brain tumor). A computer maps the location of the mass to guide the placement of the needle.

stereotactic radiosurgery [steer-e-o-TACK-tick ray-dee-o-SUR-jer-ee]

External radiation treatment (not surgery) that uses special equipment to focus a large dose of radiation to a small tumor area, usually in one session. The radiation is very precisely aimed to affect nearby tissues as little as possible. This treatment is used for brain tumors and other tumors in the head.

sterility

The inability to have children, which can result from some types of cancer treatment. Also called infertility.

sternum

breastbone, the flat bone where the ribs meet in the center at the front of the chest.

stoma [sto-muh]

An opening made during surgery to connect a body part to the outside. Stomas may be created in the neck to allow a person to breathe (also called a tracheostomy or trach) or to allow elimination of stool or urine, such as colostomy, ileostomy, or urostomy.

stomatitis [sto-muh-TIE-tus]

Inflammation, sores, or ulcers of the mouth. Stomatitis can be a side effect of some kinds of chemotherapy, radiation treatment, targeted therapy, and immunotherapy. Also known as mucositis.

stool

Solid waste matter from the bowels that is eliminated through the anus. Also called feces or poop.

stool DNA testing

A method to detect abnormal deoxyribonucleic acid (DNA) in cells that are shed by polyps or colorectal cancers in the large intestine and come out in the stool. This test can be helpful in screening for colorectal cancer.

stool softener

A mild type of laxative that helps keep the stool from becoming hard, dry, and difficult to pass. See also laxative.

stress incontinence

Leaking a small amount of urine when coughing, laughing, sneezing, lifting heavy objects, or exercising.

stricture, urethral [strick-chure, yoo-ree-thrul]

A narrowing of the urethra due to scar tissue that blocks the flow of urine from the bladder to the outside. This can result in overflow incontinence (leaking urine). This can be treated by stretching the urethra, placing a stent, or surgery to open the stricture.

stroma [stro-muh]

Connective tissue that supports organs and other structures in the body.

stromal tumor

see gastrointestinal stromal tumors.

strontium-89 [stron-tee-um]

a radioactive substance (radioisotope) that is used for treatment of bone pain from cancer that has spread to the bones. It is injected into a vein and is attracted to areas of bone containing cancer. The radiation given off by the strontium-89 kills the cancer cells, and helps relieve pain. See also radioisotope.

submucosa [sub-mew-KO-suh]

a layer of the colon between the muscularis mucosae and the muscularis propria. See also colon wall.

superior

Higher than another part of the body or organ; closer to the head.

supraclavicular lymph nodes [sue-pruh-klah-VICK-you-lar]

Above the collarbone (clavicle).

surgeon [sur-jun]

A doctor with special training to cut or remove tumors or parts of the body affected by a disease. A surgical oncologist is a doctor who specializes in surgery to treat cancer. A thoracic surgeon is a doctor who operates on organs in the thorax or chest, including the lungs, ribs, the sternum (breast bone), the diaphragm (the muscle that helps breathing).

surgical biopsy

Removal of tissues through an incision (open cut) so that they can be looked at under a microscope to find out if they contain cancer cells.

surgical margin

Edge of the tissue removed during surgery. A negative surgical margin means that no cancer cells were found on the outer edge of the removed tissue and is considered a sign that none of the cancer was left behind. A positive surgical margin means that cancer cells are found at the outer edge of the tissue removed so more surgery may be needed.

surgical oncologist

a doctor who specializes in using surgery to treat cancer. See also cancer care team.

survival rate

The percentage of people who are alive at a certain time after diagnosis. For cancer, a 5-year survival rate is often given. This does not mean that people can’t live more than 5 years, nor does it mean that those who live for 5 years are cured.

survivor

Anyone who has ever been diagnosed with cancer no matter where they are in the course of their disease. For example, someone living with cancer may be considered a survivor. Some people use the term to refer to someone who has completed cancer treatment. Others call a person a survivor if they have lived several years past a cancer diagnosis. The American Cancer Society believes that each person has the right to define their own experience with cancer and considers a cancer survivor to be anyone who describes themselves this way, from diagnosis throughout the rest of their life.

survivorship

The state of being a cancer survivor, that is, having been diagnosed with cancer.

symptom [simp-tuhm]

A change in the body that is noticed by the person who has it, such as pain or fatigue.

synchronous [sin-kruh-nus]

Diagnosis with more than one primary cancer at the same time. This may be separate primary tumors of the same type of cancer (such as colorectal cancers or cancer in both breasts) or different types of cancer (such and breast and ovarian cancer).

synergistic [sin-er-JIS-tick]

acting together. A synergistic agent can act together with one or more other agents to produce an effect greater than that of the sum of their individual effects. Some chemotherapy drugs act synergistically. See also chemotherapy.

systemic disease [sis-tem-ick]

in cancer, this term means that a cancer that started in one place has spread to distant organs or structures. Compare to in situ, localized cancer.

systemic radiation therapy [sis-tem-ick]

Radiation therapy in which a radioactive substance, such as radioactive iodine or a radioactively labeled monoclonal antibody, is swallowed or injected into the body to find and kill cancer cells.

systemic therapy [sis-tem-ick]

Treatment that reaches and affects cells throughout the body; for example, chemotherapy, hormone therapy, targeted therapy, and immunotherapy.

T

T-cells [limf-o-sites]

A type of immune cell (white blood cell) that plays a large role in the immune response against foreign substances such as viruses, transplanted organs and tissues, and cancer cells. T-cells recognize these foreign substances and release chemical messages called cytokines help trigger other parts of the immune system to destroy the foreign substance. Also known as t-lymphocytes,/b>.

targeted therapy

Treatment that uses drugs or other substances to identify and attack certain cancer cells. Targeted therapies tend to affect normal cells less and therefore cause fewer side effects than other cancer treatments.

temporary brachytherapy

See high-dose rate brachytherapy.

terminal illness [ter-min-uhl]

An illness that cannot be cured and is expected to lead to the person’s death.

testosterone [tes-toss-ter-own]

Called the male hormone, it is made mostly in the testicles. It controls sex drive (libido), production of sperm, growth in certain tissues, and secondary sexual characteristics. It can also make prostate cancers grow.

therapy

Any of the measures taken to treat a disease. Also called treatment.

thermography [thur-mog-ruh-fee]

A method in which heat from the breast is measured and mapped. The FDA states that this method should not be used instead of mammogram for breast cancer screening or diagnosis. There is no valid research showing that thermography is an effective screening tool for any medical condition.

thoracic surgeon [thuh-ras-ick sur-jun]

a doctor who operates on organs in the chest cavity. The word thoracic refers to the thorax, another name for the chest.

three-dimensional conformal radiation therapy

also called 3DCRT. Treatment that uses sophisticated computers to very precisely map the location of the cancer within the body. The patient may be fitted with a plastic mold much like a cast to keep them still and in the same position for each treatment so that the radiation can be more precisely aimed. Radiation beams are then aimed from several directions. This reduces the radiation effects on normal tissues and may allow higher doses of radiation to be used. See also external beam radiation therapy, radiation.

thriver

Someone who uses their cancer experience as an opportunity for personal growth and focuses on quality of life and living as well as possible.

thrombocytopenia [throm-bo-sy-toe-PEEN-ee-uh]

A condition in which there is a decrease in the number of platelets in the blood. It can be a side effect of chemotherapy and radiation therapy and might increase the risk of bruising and bleeding;

tissue [tish-oo]

A collection of cells that work together to perform a particular function.

TNM staging system

The most commonly used system to stage cancers. The TNM staging system uses 3 key pieces of information.
  • T refers to the size of the tumor
  • N describes whether the cancer has spread to nearby lymph nodes, and if so, how many
  • M shows whether the cancer has spread (metastasized) to other organs of the body

Letters or numbers after the T, N, and M give more details about each of these factors. To make this information clearer, the TNM descriptions can be grouped together into a simpler set of stages, labeled with Roman numerals (usually from I to IV). In general, the lower the number, the less the cancer has spread. A higher number means a more serious cancer. Also called AJCC staging system.

total androgen blockade

See combined androgen blockade.

total colon exam

also called TCE. An exam that looks at the entire colon (the large intestine); for examples, see colonoscopy or double contrast barium enema.

toxic [tock-sick]

Something harmful or poisonous, usually resulting in more severe side effects. .

transfusion [trans-few-zhun]

Blood or blood products that are given into a vein (intravenous or IV). Most blood products are taken from unrelated donors and tested for disease before use, but a person can donate their own blood ahead of time to be given during certain planned surgeries or procedures.

transition zone [tran-zi-shun]

in the prostate, this is the innermost area that surrounds the urethra. This is where benign prostatic hyperplasia (BPH) develops. See also benign prostatic hyperplasia (BPH), prostate, urethra.

translocation [tranz-low-KAY-shun]

Genetic material that is not in its normal place, as when DNA from one chromosome breaks off and gets attached to a different chromosome. Translocations might be responsible for diseases such as leukemia, breast cancer, schizophrenia, muscular dystrophy, and Down syndrome.

transrectal ultrasound [trans-rek-tul ul-truh-sound]

An imaging test in which a probe is put in the rectum, where it gives off sound waves to create a picture of the prostate on a computer screen to help find tumors. Also called TRUS.

transurethral resection of the prostate [trans-yoo-REE-thrul re-sek-shun]

An operation to remove the part of the prostate that surrounds the urethra (the tube through which urine exits the bladder). An instrument called a resectoscope is passed through the tip of the penis into the urethra. Electricity or a laser is then used to remove tissue in the urethra. For prostate cancer, this procedure is used to relieve symptoms caused by a tumor, such as trouble urinating. It is not used to cure or remove all of the cancer. It is more often used to relieve symptoms of benign prostatic hyperplasia (BPH). Also called TURP

TRUS

See transrectal ultrasound.

tubular adenoma [tube-yoo-ler ad-no-muh or ad-uh-NO-muh]

a benign (non-cancerous) polyp made of gland cells formed into tubes, in which the tubular structure generally makes up more than 75% of the adenoma. They usually cause no symptoms, and are often found during screening procedures such as colonoscopy. Because they are pre-cancerous, they are generally removed when found. See also adenomatous polyp, colonoscopy, polyp, tubulovillous adenoma, villous adenoma.

tubular carcinoma [tube-yoo-ler car-sin-O-muh]

a rare type of low-grade invasive breast cancer that accounts for about 2% of invasive breast cancers. The outlook for this kind of cancer is considered to be better than average. See also invasive cancer.

tubulovillous adenoma [tube-yoo-lo-VIH-lus ad-no-muh or ad-uh-NO-muh]

a benign (not cancer) polyp made of gland cells formed into tubes, along with finger-like projections of gland cells when seen under a microscope. In these, the finger-like parts usually make up 25% to 50% of the adenoma. These adenomas are pre-cancerous, and are generally removed when found. See also adenomatous polyp, polyp, tubular adenoma, villous adenoma.

tumor [too-mer or tyoo-mer]

An abnormal growth of tissue. Tumors can be benign (not cancer) or malignant (cancer).

tumor flare

Temporary worsening of symptoms or tumor markers for a short time after starting treatment.

tumor markers

See biomarkers.

tumor necrosis factor [too-mer or tyoo-mer neck-row-sis]

A substance given off by activated white blood cells that can cause the death of tumor cells. Also called  TNF.

tumor suppressor genes

Genes that slow down cell division, repair DNA mistakes, or cause cells to die at the right time. Changes or mutations in these genes can lead to too much cell growth and development of cancer.

tumor volume

Measure of the amount of cancer present.

TURP

See transurethral resection of the prostate.

two-step procedure

a method in which the procedure to diagnose the presence of breast cancer (biopsy) and breast surgery for cancer treatment (such as lumpectomy or mastectomy) are done as 2 separate procedures, days or even weeks apart. This method is often preferred by women and their health care teams because it gives them time to consider all options. Compare to one-step procedure. See also biopsy, lumpectomy, mastectomy.

U

ulcerative colitis [ul-suh-ruh-tiv kuh-lie-tis]

A type of inflammatory bowel disease. In this condition, the colon is inflamed over a long period of time. This increases a person’s risk of developing colon cancer, so starting colorectal cancer screening earlier and doing these tests more often is recommended.

ultrasound or ultrasonography [ul-truh-sound or ul-truh-son-AH-gruf-ee]

Imaging test that uses high-frequency sound waves to show body organ structure, movement, and flow through blood vessels. The sound waves create echoes that are picked up and displayed on a computer screen.

umbilical cord blood transplant

the use of stem cells in blood that has been taken from the umbilical cords of newborns to replace the blood-forming stem cells in patients whose own stem cells have been destroyed by radiation or chemotherapy. See also chemotherapy, hematopoietic stem cell transplant, radiation, stem cells.

unilateral [yoo-nih-LAT-uh-ruhl]

Affecting only one side of the body. For example, unilateral breast cancer occurs in one breast only.

unproven therapy

any therapy that has not been scientifically tested and shown to work.

unstaged cancer

cancer that has been diagnosed but has not yet been staged, so the full extent of the cancer is not yet known. See also staging.

urge incontinence

A sudden and uncontrollable urge to urinate even when the bladder is not full. This can be caused by a bladder infection or irritation from radiation therapy. Also called an overactive bladder.

urgency (urinary)

Feeling the need to urinate (pass urine) right away.

urinary frequency

The need to urinate (pass urine) often..

urinary incontinence

partial or complete loss of urine control. See also overflow incontinence, stress incontinence, urge incontinence.

urinary retention

Being unable to empty the bladder or unable to urinate.

urinate [YUR-uh-nate]

To pass urine from the bladder to the outside of the body.

urine cytology [yur-in sy-tahl-uh-jee]

Tests on a sample of urine to find cancer or pre-cancer cells in it. These tests can also be done on bladder washings. Bladder washings are taken by putting a salt solution into the bladder through a tube (called a catheter) and then removing the solution for testing.

urodynamic study [yur-o-die-NAM-ick]

test to evaluate function of the bladder muscle and sphincters. See also bladder, sphincter.

urologist [yur-ahl-uh-jist]

A doctor who specializes in treating problems of the urinary tract (in both sexes) and the male reproductive tract.

urostomy [yur-ahs-tuh-me]

An opening in the belly that re-directs urine away from a bladder that’s diseased, has been injured, or isn't working as it should. Urine then passes out of the body through an opening on the belly called a stoma.

uterine fibroid tumor [yew-ter-in fi-broyd too-mer or tyoo-mer]

also called a fibroma. A non-cancerous tumor that is made of fibrous or connective tissue. It is the most common tumor found in women. It can be in the uterine wall or protrude into the lining of the uterus. Usually there are no symptoms, but it can cause abnormal bleeding and other symptoms depending on its size and location in the uterus. See also uterus, leiomyoma.

V

vaccine [vack-seen]

A substance designed to help the immune system resist or treat a specific infection or disease. Used to prevent certain infections, such as human papillomavirus (HPV), or help the body fight a specific kind of cancer.

vaginal dryness and atrophy [va-juh-nuhl drai-nuhs and a-truh-fee]

Loss of moisture and the ability of the walls of the vagina to stretch and move comfortably. Usually occurs after menopause or the decrease in estrogen because of cancer treatment. Can make intercourse difficult and sometimes painful.

vaginal stenosis [va-juh-nuhl steh-no-sis]

Shortening or narrowing of the vagina because of scar tissue formation after surgery or radiation treatment.

vascular endothelial growth factor or VEGF [vas-ku-lur en-doe-THEE-lee-uhl]

A protein that helps tumors form new blood vessels to get nutrients they need to grow.

ventral

The front or near the front of the body.

villous adenoma [vih-lus ad-no-muh or ad-uh-NO-muh]

a benign (not cancer) polyp inside the colon or rectum with finger-like projections of gland cells that can be seen under the microscope. These finger-like structures generally make up at least half of the adenoma. Villous adenomas are usually broad-based, pre-cancerous lesions, and often cause rectal bleeding. They are usually removed when found. See also adenomatous polyp, colon, polyp, rectum, tubular adenoma, tubulovillous adenoma.

villous changes [vih-lus]

a polyp or mass that has some finger-like projections of gland cells when seen under the microscope. If there are enough of these, the mass would be considered a villous or tubulovillous polyp. See also adenomatous polyp, colon, polyp, tubular adenoma, tubulovillous adenoma, villous adenoma.

virtual colonoscopy

Examination of the colon and rectum for polyps or masses using special imaging tests. Special computer programs use both x-rays and a CT scan to make 3-dimensional pictures of the inside of the colon and rectum.

virus [vy-rus]

Very small organisms (called micro-organisms) that cause infections. Some viruses can also increase the risk for certain types of cancer, such as human papillomavirus (HPV) and cervical cancer.

W

Waldenstrom macroglobulinemia [wal-den-strom mack-row-glob-yuh-lin-EE-mee-uh]

also called lymphoplasmacytic lymphoma. A type of non-Hodgkin lymphoma that makes large amounts of an abnormal protein (called a macroglobulin). The lymphoma cells grow mainly in the bone marrow and crowd out normal blood cells. See also bone marrow, macroglobulinemia, non-Hodgkin lymphoma.

watchful waiting

See observation.

white blood cells [WBCs]

Blood cells that help defend the body against infections. There are many types of white blood cells. Certain cancer treatments such as chemotherapy can reduce the number of these cells and make a person more likely to get infections.

Whitmore-Jewett staging system

classification system for prostate cancer using the categories A, B, C, or D. It has largely been replaced by the TNM system. Whitmore-Jewett staging can be translated into the TNM system, or the doctor can explain how this staging system will affect treatment options. See also prostate, staging, Gleason score.

wire localization [lo-cull-ih-ZAY-shun]

A method used during a surgical biopsy when the lump is hard to find or when there is an area that looks suspicious on the x-ray. A thin, hollow needle is placed into the tissue and x-rays are taken to guide the needle to the area of concern. A fine wire is put through the center of the needle. A small hook at the end of the wire keeps it in place. The hollow needle is then removed, and the surgeon uses the path of the wire as a guide to find the abnormal area to be removed.

X

x-ray

One form of radiation that can be used at low levels to make an image of the body on film or at high levels to kill cancer cells.

0-9

3D-CRT

see three-dimensional conformal radiation therapy.

5-alpha reductase [al-fuh re-duck-tace]

an enzyme that converts testosterone to a more active hormone called dihydrotestosterone (DHT). Drugs such as finasteride (Proscar® or Propecia®) that prevent this conversion are called 5-alpha reductase inhibitors and may help reduce the risk of prostate cancer. See also prostate, testosterone.

5-year relative survival rate

see five-year relative survival rate.

5-year survival rate

see five-year survival rate.