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Terms that are on use on this site as well as general cancer-related words and definitions.

There are 81 entries in this glossary.
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C

Term Definition
CA125

Ca-125 is a cancer associated antigen that can be tested for by a blood test. If the test value is greater than 35, then the antigen is present in the blood meaning that cancer cells may be present. The test is useful in patients who we know have ovarian cancer, to monitor their response to therapy. Unfortunately, Ca125 is not specific for ovarian cancer and many many other benign conditions can also cause a positive test. It is also not usually elevated in early ovarian cancer. Therefore it is not a good screening test.
When used for monitoring known ovarian cancer patients, if it was initially elevated and does not normalize to less than 35, then the cancer is still present. The best prognosis is in those patients in whom the Ca125 becomes less than 35 within 3 treatments of chemotheapy. If it becomes normal after chemotherapy, it is a good sign but about one half of these patients still have persistent cancer. So, a normal value may give false reassurance.

Cancer

Cancer is an abnormal growth of cells which are damaged and unregulated by the body's normal mechanisms. These cells divide and grow in colonies which eventually become malignant tumors. These tumors invade or grow into nearby organs and structures. Cancer cells from the tumors can break off and spread through the blood stream or the immune system (lymph nodes) to other areas; a process called metastasis.

carcinoma

A carcinoma is a very general term for cancer of the epithelium, such as skin or the lining of the intestinal tract. (see EPITHELIUM also). It is not a term which is specific for any one organ.

choriocarcinoma

Pronounced "korio carcinoma". Other terms in this area include gestational trophoblastic disease, GTN, GTD, invasive mole, molar pregnancy. This constellation of related diseases is based on abnormal placental development. The placenta in a genetically abnormal pregnancy becomes very abnormal and no baby develops. In a small percentage, this abnormal placenta can become cancerous and invade the muscle of the uterus or spread to other organs. All of these conditions are extremely curable with a combination of surgery and chemotherapy. (see MOLE).

CIN

Cervical Intraepithelial Neoplasia (see DYSPLASIA ). A precancerous condition of the uterine cervix.

clinical trials

New anti-cancer treatments are first evaluated in the laboratory. When a new treatment is initially tested in humans, it is referred to as a Phase I Trial. The purpose is to determine what an appropriate dose is and generally whether or not it has any specific anti-cancer activity. When an appropriate dose is determined, then the treatment is evaluated by a Phase II Trial, in which the object is to determine if the treatment has any effect against a variety of different types of cancer. If it does, then a Phase III Trial is done in which this new treatment is tested against what is currently thought to be the best standard treatment. Usually, Phase III trials are randomized, which means that the treatment you receive, new/experimental vs. standard, is determined by chance;an example would be a flip of the coin, although the techniques uses are more sophisticated and often use computers to determine who gets which treatment. This prevents any bias from influencing the outcome when the results are evaluated. All of the current major chemotherapy drugs have gone through this type of testing. Not all experimental trials involve chemotherapy; some may involved surgical procedures or radiation therapy or other diagnostic or treatment options.

cone biopsy

A cone shaped piece of cervical tissue is removed, usually requiring a general anesthetic in the operating room. This is a usually used as a bigger biopsy as well as a treatment for precancerous conditions of the cervix.

cure

A cancer is considered to have been cured if, after treatment, remains undetectable for a long period of time. In many cases 5 year survival rate is used as an equivalent to cure. This means that for most cancers, if one lives past 5 years, it is highly unlikely that the cancer will come back. This is not true for all cancers, but is a pretty good rule for gynecologic cancers.

cyst

A cyst is simply a fluid filled structure. A "complex" cyst has internal structures or septations. A cyst with no internal structures (simple cyst) is extremely unlikely to be cancerous at any age. A complex cyst, especially if it contains many solid areas and is larger has a higher chance of being malignant. The chances of malignancy in a complex cyst are also related to age. If the age is greater than 50 and there are more than a few septations, the chances of malignancy approaches 50%. However, it is extremely important that the particulars of your situation and the actual ultrasound films are reviewed by an expert before treatment decision-making.

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