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Glossary



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Abdomen:
Inside of the body below the chest; contains the digestive system, liver, spleen, kidneys, and female reproductive organs

Ablative therapy:
The use of high doses of chemotherapy and radiotherapy to completely destroy the body's ability to produce blood cells

Adenoids:
Glandular tissue found at the back of the nose that are associated with the lymphatic system

Alkylating agent:
An anticancer drug that interferes with cancer cell division by binding to DNA

Allogeneic:
A form of transplantation that uses tissue from a healthy donor

Alopecia:
Loss of hair; a common side effect of some chemotherapies

Analog:
A drug that differs slightly from the natural substance it mimics

Anaplastic:
Lacking normal cell differentiation

Anemia:
A shortage of hemoglobin within the blood

Anthracycline:
A group of anticancer drugs derived from fungi

Antibiotics:
Drugs used to treat infections caused by bacteria

Antibody:
A protein produced by B cells that specifically recognizes and binds to foreign matter (antigen)

Antigen:
Foreign matter that provokes an immune response in the body it invades

Aplasia:
Failure of development of a tissue

Apoptosis:
A process whereby a cell causes its own breakdown (death)

Aspiration:
Withdrawing a substance via suction

Atypical:
Unusual

Autoantibodies:
Antibodies that bind to the patient's own tissue rather than to foreign protein

Autoimmune:
A condition where the immune system attacks some part of the body that it should not consider as foreign, eg, rheumatoid arthritis

Axillary:
Found in the armpit


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Bacteria:
Very small (thousandths of a millimeter) organisms consisting of a single cell without an organized nucleus. They can be found by the billions virtually anywhere in nature. Most are harmless, but some invade the body and cause infections such as meningitis and pneumonia

Benign:
Not cancerous

Bilateral:
Both sides

Biopsy:
Removal of a sample of tissue for examination

Blast:
A blast cell; blasts are immature blood cells; also known as formative cells

Blood:
A fluid that circulates throughout the body carrying oxygen and nutrients to the tissues and removes waste products such as carbon dioxide

Blood vessel:
Vein, artery, or capillary through which blood flows

Bone marrow transplant:
A procedure used to restore bone marrow that has been destroyed by anticancer treatment. Marrow is harvested from a donor (allogeneic transplant) or from the patient (autologous) before the anticancer treatment, then injected intravenously into the recipient

B-symptoms:
Drenching night sweats, unexplained loss of 10% of body weight, marked weakness, and a fever of more than 38°C (100°F) lasting for more than a week


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Cancer:
Disease characterized by uncontrolled growth of cancerous cells that invade surrounding tissues

CD:
Stands for "cluster of differentiation." Used with a number (eg, CD52) to name a specific antigenic marker found on lymphocytes

Cell:
Cells are the basic unit of life. Some organisms, such as bacteria, are just individual free-living cells. Other multicellular organisms, such as humans, have many different kinds of cells

Cell division:
The process by which cells multiply. They divide into two halves with each having a copy of the parent cell's DNA

Chemotherapy:
The use of drugs to treat cancers

Chromosomes:
Structures within a cell that carry genetic information in the form of DNA

Cisplatin:
Anticancer drug, based on platinum, that interacts with DNA

Cladribine:
An anticancer drug that belongs to the group of purine analogs

Clot:
A plug formed within a blood vessel to stop the loss of blood

CNS:
Central nervous system; consists of the brain and spinal cord

Colony-stimulating factor (CSF):
A type of protein known as a growth factor, which your body normally produces. CSFs stimulate your body to make more blood cells. CSFs such as GM-CSF are commonly used to reduce the incidence of infection in patients whose immune systems have been suppressed by anticancer treatment

Complement:
A group of proteins that play an important role in the immune response

Conditioning:
Treatment to prepare a patient for a bone marrow transplant

Core biopsy:
Sample of tissue taken with a wide-bore needle

Corticosteroid:
A drug that suppresses the immune system

CT:
Computed tomography; a medical imaging technique that uses X-rays to form very clear pictures of the inside of the body; the images appear as slices down the length of the body

Cutaneous:
Relating to the skin

Cycle:
A period of intensive chemotherapy

Cyclophosphamide:
An anticancer drug that belongs to the group of alkylating agents

Cyclosporin:
Drug given to prevent rejection of transplants

Cytochemistry:
Chemistry of the cell

Cytochrome:
A family of proteins involved with many functions, including energy production

Cytogenetics:
The study of genetic changes within cells

Cytokines:
Chemicals produced by one group of cells that affect the growth and function of other cells; also known as "growth factor"

Cytoplasm:
The fluid substance that surrounds the nucleus inside a cell

Cytotoxic:
Poisonous to cells


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De novo:
From new; newly diagnosed

Dermis:
Lower layer of the skin

Diagnosis:
The determination of the nature of a disease through its signs and symptoms and the use of specific tests

Diaphragm:
Sheet of muscle that separates the chest from the abdomen

Differentiation:
Process of change in which stem cells divide and mature to form fully functioning specialized cells

Diffuse:
Widely and evenly spread

Disseminated:
Widely distributed

Distal:
Further away

DNA:
A chemical that is made up of a chain of smaller chemicals called nucleotides. There are 4 different kinds of nucleotides in DNA and the order in which they are arranged forms the genetic code. The nucleotides also form pairs opposite each other when they are arranged as a double helix in a chromosome

Donor:
A healthy person who donates tissue for transplantation into a patient

Doxorubicin:
An anticancer drug that belongs to the class of anthracyclines, which interferes with cell division by binding to DNA as it unwinds

Dystrophy:
Impaired growth of a tissue


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Enzyme:
Protein that causes a specific chemical reaction to occur by binding onto the substance(s) that is to react—DNA polymerase causes nucleotides to join together in a chain

Epidemiology:
The study of the frequency, spread, and control of a disease in a population

Epidermis:
Outer layer of the skin

Epirubicin:
An anticancer drug of the anthracycline class

Epithelium:
The top layer of cells of skin and internal tissues

Erythematous:
Red flushing of the skin

Erythrocytes:
Red blood cells

Etiology:
The cause of a disease

Excision:
Cutting out

Exfoliative dermatitis:
A condition where the top layer of the skin is shed

Expression:
The production of proteins from a gene

Extracorporeal:
Outside the body

Extrapolate:
Project forward from existing data


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Febrile:
Feverish

First-degree relatives:
Children, parents, brothers, and sisters

Flow cytometry:
Automated system for detecting the binding to cells of antibodies labeled with a fluorescent dye

Fluorescence in situ hybridization (FISH):
A technique for determining cytogenetic changes in cancer cells

Fluorescent labeling:
Antibodies "labeled" with a dye that emits light when exposed to a laser

Follicle:
A small cavity; in a lymph node, they are areas of lymphocyte proliferation after antigen challenge

Follicle cell:
One of the special types of cells that make up a lymph node

Fungus:
Organisms, including yeast, that cause infections such as athlete's foot and thrush. They do not usually infect healthy people


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Gamma camera:
Instrument that detect and measure radiation within the body

Gamma-globulins:
A group of large proteins that make up antibodies

Gastrectomy:
Removal of the stomach (total) or part of the stomach (partial)

Gastric:
Relating to the stomach

G-CSF:
Granulocyte colony-stimulating factor—a cytokine that increases the growth of cells called granulocytes or neutrophils

Gene:
A portion of DNA that codes for a specific protein. Also describes the genetic factor that determines a given trait

GM-CSF:
Granulocyte-macrophage colony-stimulating factor; a cytokine (a type of protein referred to as a “growth factor”) that increases the growth of cells called granulocytes (or neutrophils) and monocytes/macrophages

Graft:
The material given to the recipient of a transplant

Graft-versus-tumor effect:
Effect whereby transplanted cells from a healthy donor destroy cancerous cells in the recipient


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Half-life:
The time required for the amount of a drug in the bloodstream to be reduced by half

Helper cells:
T cells that help stimulate the immune response

Hematologist:
A doctor who specializes in diseases of the blood

Hematopoiesis:
Blood formation

Hemoglobin:
Red iron-containing protein found within red blood cells; binds oxygen for delivery throughout the body

Hemolytic:
A condition where large numbers of blood cells break down

Hepatomegaly:
Enlarged liver

Hepatosplenomegaly:
Enlarged spleen and liver

Histiocyte:
Study of tissues under a microscope

Histology:
The material given to the recipient of a transplant

Homogeneous:
Of uniform composition


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Idiopathic:
Unknown cause

Immune deficiency:
A lack of the normal ability to fight infection

Immune system:
The organs and tissues responsible for fighting infection; identifies invading bacteria, viruses, and fungi as foreign matter and destroys them

Immunity:
The state of being immune, ie, resistant to, an infection because the body's immune system has been primed to fight it

Immunophenotyping:
A way of characterizing cells by the antibodies that they display on their surface

Immunosuppressive:
Treatment that reduces the effectiveness of the immune system

Immunotherapy:
Treatment using products related to the immune system

Incidence:
The number of people experiencing an event; more specifically, the number of new cases of a disease that occur every year as a proportion of the whole population, usually per 100,000 people

Infection:
Invasion of the body by a bacterium, virus, or fungus

Infiltration:
The spread of cancerous cells into other tissue

Interphase:
The stage of the nucleus between cell divisions

Interstitial:
Relating to the small spaces between tissues

Intrathecal:
Injection into the spine

Intravenous:
The delivery of a drug into the bloodstream via a vein

Isotope:
An element (eg, carbon or hydrogen) that exists in a different structural form


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Jaundice:
Yellowing of the skin that is a sign of liver disease


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Karyotype:
The set of chromosomes in a nucleus


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Leukemia:
Cancer of blood-forming tissue; causes overproduction of white blood cells

Leukemogenic:
Causing leukemia

Leukocyte:
White blood cell

Liver:
Large organ situated at the top of the abdomen that has many important functions, especially with regard to the metabolism food and the breakdown of toxins

Lymph node:
Tissue within the lymphatic system where the lymph (a clear fluid that resembles blood plasma) is filtered to remove foreign material

Lymphadenopathy:
Abnormal swelling of a lymph node

Lymphatic system:
A network of tubes—like the blood system, but without a pump—that carries a fluid called lymph throughout the body

Lymphoblastosis:
Condition associated with an increase in the number of lymphoblasts

Lymphoblasts:
Immature cells that eventually develop into lymphocytes

Lymphocyte:
A family of white blood cell responsible for a properly functioning immune system

Lymphocytosis:
Abnormal number of lymphocytes circulating in the blood

Lymphoid:
Tissue associated with the lymphatic system, including tonsils and adenoids

Lymphoma:
Cancer that originates within the tissues of the lymphatic system

Lymphoproliferative:
Diseases of the immune system associated with an abnormal increase in the amount of lymphoid tissue

Lytic:
Breaking down


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Macrophage:
Large white blood cell that scavenges for foreign matter

Malignant:
Cancerous growth, ie, one that invades surrounding tissue and spreads to other parts of the body

Mantle cell:
A special type of cell that makes up a lymph node

Maturation:
Development into a fully functioning cell

Median:
The middle value of a series of values. Of the series 1, 2, 3, 4, and 10, the median is 3, the average is 4.

Mediastinal:
Found in the space between the lungs in the chest

Membrane:
A thin sheet of tissue or the outer layer surrounding a cell

Memory cells:
Lymphocytes that store information on antigens previously encountered

Meta-analysis:
A statistical review of the results of several clinical trials

Metabolism:
All the chemical processes that take place in the body

Metastasis:
A secondary tumor formed when a cancer cell breaks off from the original site and implants in another location

Methotrexate:
A drug used to treat diseases associated with abnormally rapid cell growth such as cancer; also used to prevent transplant rejection because it suppresses the immune response

MHC:
Major histocompatibility complex; a group of molecules on the cell surface that act as markers, enabling the cell to be recognized by the immune system

Mitotic index:
Rate of cell division; an index that is used to determine the rate of cell growth

Mitoxantrone:
An anticancer drug that inhibits the growth of cancer cells; its activity is similar to that of anthracyclines

Monomorphic:
One shape

Monotherapy:
Chemotherapy with one drug

Morphology:
Shape

MRI:
Magnetic resonance imaging; a medical imaging technique that uses strong magnet fields and high-frequency radio waves to form very clear pictures of the inside of the body

Mucosa:
Also known as mucous membrane; the lining of cavities, such as the digestive tract, that produces a watery secretion as a lubricant

Multicenter:
A clinical trial conducted at more than one site

Mutation:
An alteration in the genetic material caused by a change to the sequence of the building blocks of DNA, the nucleotides

Myeloablative:
Causing the destruction of bone marrow


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Neoplastic:
Cancerous

Neurological:
Relating to the nervous system

Neurotoxicity:
Toxic to nerves

Neutropenia:
Shortage of a type of white blood cell (neutrophil) that gives an indication of a patient's inability to resist infection

Neutrophil:
A type of white blood cell that plays an important role in resisting infection

NK cells:
Natural killer cells; a type of lymphocyte that recognizes and kills cells infected with a virus; can also kill tumor cells

Nodular:
Lumpy

Normochromic:
Containing the normal amount of hemoglobin

Normocytic:
Normal cells

Nucleolus:
A structure within the nucleus containing RNA

Nucleotides:
The chemical building blocks of DNA (deoxynucleotides) and RNA (ribonucleotides)

Nucleus:
The structure within a cell that contains the chromosomes

Numbness:
Lack of feeling


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Oncogenic:
Cancer producing

Oncologist:
A doctor who specializes in the treatment of cancer

Opportunistic:
Describes an infection in patients with a depressed immune system by an organism that does not normally cause disease

Oxygen:
A gas that makes up 20% of the atmosphere; plays an essential role in the body’s ability to produce energy from food


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Palliative:
Treatment given for relief of symptoms

Pan-:
Covering all

Paraprotein:
Abnormal immunoglobulin produced during some leukemias

Pathologist:
A doctor who assists in the diagnosis and treatment of disease by studying samples of body tissues and fluid

Pentostatin:
An anticancer drug that belongs to the group of purine analogs

Phase II studies:
Early stage of clinical trials that tests the safety of a drug in humans

Phenotype:
The observable characteristics of an organism determined by its genetic makeup

Photochemotherapy:
Treatment with a combination of drugs and light

Plasma:
The liquid portion of the blood that remains the cells have been removed

Plasmapheresis:
A process that separates cells and unwanted proteins from plasma

Platelet:
Tiny blood cells that are important in blood clotting

Pleomorphic:
Occurring in multiple forms

PLL:
Prolymphocytic leukemia; a rare variant of chronic lymphocytic leukemia (CLL)

Pluripotent:
The ability to affect a variety of tissues; also, the ability to form a variety of different cell types

Prevalence:
The number of cases of a disease that exist within a population as a proportion of it, usually per 100,000 people

Progenitor cells:
Cells that differentiate into specialized cells

Prognosis:
The assessment of the expected course of a disease

Proteins:
A basic building block of the body. As well as forming the structure of tissues such as muscle, they also act as enzymes, which catalyze the chemical processes of the body

Purging:
Removal of cancer cells from stem cells extracted from a cancer patient; the stem cells are ultimately re-implanted

Purine:
One of the chemical building blocks that make up the nucleotides that form DNA and RNA; included adenine and guanine

Purine analog:
An anticancer drug that interferes with cancer cell division and causes their death. The enzyme that is responsible for DNA replication tries to use the analog rather than the proper purine, and thus does not function correctly

Pyrimidine:
One of chemical building blocks that make up the nucleotides that form DNA and RNA; includes thymine, cytosine, and uracil


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Radioactive:
A compound that emits radiation

Radioimmunotherapy:
Treatment using a radioactive isotope attached to a monoclonal antibody

Radiology:
The use of medical imaging techniques for diagnosis, such as X-ray, CT, ultrasound, or MRI

Radionuclide:
A radioactive element

Radiotherapy:
The use of radiation to kill cancer cells. X-rays and gamma-rays are the most commonly used forms

Rai:
The doctor who devised a staging system for lymphoma

Receptor:
Site on a cell surface that recognizes a particular molecule

Red blood cells (RBCs):
Cells that carry oxygen throughout the body; make up about half the volume of blood

Refractory:
A cancer that does not respond to particular treatment

Rejection:
The process whereby transplanted tissue is attacked by the recipient's immune system

Remission:
Reduction in the severity or temporary disappearance of a cancer

Renal:
Relating to the kidney

Replication:
The process of the copying of DNA that occurs during cell division. The two strands of DNA unwind and each strand is copied by an enzyme called DNA polymerase

Rescue:
Describes the process whereby patients who have received ablative therapy are "rescued" by a stem cell transplant

Resistant:
Describes an organism or cell type that is able to resist harmful influences. For example, some cancer cells can develop a resistance to a class of anticancer drugs

Response rate:
The proportion of patients in which a treatment has an effect. Responses can be partial or complete

Reticulocytes:
Immature red cells found in the blood

Reticulocytopenia:
Shortage of reticulocytes

RNA:
Similar to DNA, but composed of slightly different nucleotides. RNA is formed in the nucleus by reading the code sequence of the DNA. It then moves out of the nucleus into the cytoplasm where the code is read to make the proteins the cell requires to function


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Salvage:
Therapy given to patients who failed to respond to or have relapsed after their initial therapy

sIg:
Surface antibody

Sign:
An indication of disease that a doctor recognizes and the patient does not

Sinus:
A cavity or channel in the body

Soft tissue:
Muscle and similar tissues

Spleen:
An organ located just below the liver that screens the blood for foreign particles and old blood cells

Splenectomy:
Removal of the spleen

Splenomegaly:
Enlarged spleen

Staging:
The use of a set of criteria, such as spread of disease, to decide how far a cancer has advanced so that the correct treatment can be offered

Stem cell (SC):
Cells that divide to produce the many types of cells within an organ. For blood cells, these are mostly found in the marrow, but some move into the blood

Suppressor:
T cells that regulate the immune response by inhibiting certain cellular activities

Surrogate marker:
A parameter that is measured to assess progression of a disease or outcome of a treatment that is only indirectly relevant to the patient's health. An example would be the number of cancerous cells in the patient's blood

Symptom:
An indication of disease that a patient reports

Synergy:
When the effect of 2 actions is greater than the sum of their individual contributions


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T cell:
A type of lymphocyte produced in the thymus; T cells control many key functions of the immune system

Thrombocytopenia:
A shortage of platelets in the blood

Translocation:
Change in position of a length of genetic material within a chromosome

Transplant:
Replacement of an organ or tissue with one from a donor

Trephine:
An instrument with a hollow needle that is used to remove samples of bone marrow

Trisomy:
The presence in the nucleus of three copies of a chromosome instead of the usual two

Tumor:
An abnormal growth of solid tissue that may be malignant or benign


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Ultrasound:
A technique that uses high-frequency sound waves to form an image of the inside of the body

Unilateral:
On one side


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Vein:
Blood vessel that returns blood to the heart

Virus:
Particles made up of a shell of protein containing a core of DNA or RNA. They can only reproduce by taking over the mechanisms of a cell that they have infected. Viruses cause diseases such as mumps, colds, influenza, and chicken pox


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White blood cell:
Leukocytes—cells found in the blood which do not contain hemoglobin; play an important role in defending the body by attacking invading organisms and other foreign material

WHO:
World Health Organization


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