Understanding cancer

What is cancer?
Cancer is a disease of the body’s cells, which are the body’s basic building blocks. Our bodies constantly make new cells: to help us to grow, to replace worn-out cells, or to heal damaged cells after an injury..
Normally, cells grow and multiply in an orderly way, but sometimes something goes wrong with this process and cells grow in an uncontrolled way. This uncontrolled growth may develop into a lump called a tumour.
A tumour can be benign (not cancer) or malignant (cancer). A benign tumour does not spread outside its normal boundary to other parts of the body. However, if a benign tumour continues to grow at the original site, it can cause a problem by pressing on nearby organs.
The beginnings of cancer

How cancer spreads
A malignant tumour is made up of cancer cells. When it first develops, this malignant tumour may not have invaded nearby tissue. This is known as a cancer in-situ (or carcinoma in-situ). As the tumour grows, it invades surrounding tissue becoming invasive cancer. An invasive cancer that has not spread to other parts of the body is called primary cancer.
Sometimes cells move away from the original (primary) cancer and invade other organs and bones. When these cells reach a new site, they may continue to grow and form another tumour at that site. This is called a secondary cancer or metastasis.

Cancer is not just one disease but many diseases. There are more than 100 different types of cancer. Cancerous groups of cells or tumours are referred to as malignant tumours or a malignant disease. Most cancer forms a lump which is called a tumour, but some cancers, like leukaemia, which is a cancer of the blood or bone marrow do not.
Cancer can be classified into five broad categories:
- Carcinoma - cancer that begins in the skin or tissues that line or cover internal organs.
- Sarcoma - cancer that begins in the bone, cartilage, fat, muscle, blood vessels or other supportive tissues.
- Leukaemia - cancer that starts in blood forming tissue such as bone marrow and causes large numbers of abnormal blood cells to be produced and enter the blood.
- Lymphoma and Myeloma - cancers that begin in the cells of the immune system.
- Central nervous system - cancers that begin in the tissue of the brain and / or the spinal cord.


