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	{{Redirect\|Malignant}}		{{Redirect\|Malignant}}
	[[File:Types of tumor cells.jpg\|thumb\|300x300px\|Malignant tumor (R) spreads uncontrollably and invades the surrounding tissues, unlike benign tumor (L), which remains self contained from neighbouring tissue.]]		[[File:Types of tumor cells.jpg\|thumb\|300x300px\|Malignant tumor (R) spreads uncontrollably and invades the surrounding tissues, unlike benign tumor (L), which remains self contained from neighbouring tissue.]]
	'''Malignancy''' ~~({{ety\|la\|male\|badly\|\|-gnus\|born}})~~ is the tendency of a medical condition to become progressively worse.		'''Malignancy''' is the tendency of a medical condition to become progressively worse.

	== What is malignancy? ==		== What is malignancy? ==
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	==See also==		==See also==
	* [[Precancerous condition]]		* [[Precancerous condition]]

	~~==References==~~
	~~{{Reflist}}~~

	{{cancer}}		{{cancer}}
	{{Portal bar\|Biology\|Medicine}}		{{Portal bar\|Biology\|Medicine}}

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Prab at 13:22, 2 May 2020

2020-05-02T13:22:49Z

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{{About|medical terminology}}
{{Redirect|Malignant}}
[[File:Types of tumor cells.jpg|thumb|300x300px|Malignant tumor (R) spreads uncontrollably and invades the surrounding tissues, unlike benign tumor (L), which remains self contained from neighbouring tissue.]]
'''Malignancy''' ({{ety|la|male|badly||-gnus|born}}) is the tendency of a medical condition to become progressively worse.

== What is malignancy? ==
Malignancy is one of the most familiar as a characterizations of [[cancer]]. A ''malignant'' [[tumor]] differs from a non-cancerous ''[[benign tumor|benign]]'' tumor in that a malignancy is not self-limited in its growth, is capable of invading into adjacent tissues, and may be capable of spreading to distant tissues through a process called [[metastasis]]. A [[benign tumor]] has none of those properties.

== Features of a malignant tumor ==
Malignancy in cancers is characterized by [[anaplasia]], invasiveness, and [[metastasis]].<ref name="Wilkins">Wilkins, E. M. 2009. clinical practice of the dental hygienist tenth edition. lippincott williams and wilkins, a walters kluwer business. Philadelphia, PA.{{pn|date=September 2017}}</ref>

== Genome instability ==
Malignant tumors are also characterized by [[genome instability]], so that cancers, as assessed by [[whole genome sequencing]], frequently have between 10,000 and 100,000 mutations in their entire genomes.<ref name="pmid23178448">{{cite journal |vauthors=Tuna M, Amos CI |title=Genomic sequencing in cancer |journal=Cancer Lett. |volume=340 |issue=2 |pages=161–70 |date=November 2013 |pmid=23178448 |doi=10.1016/j.canlet.2012.11.004 |pmc=3622788}}</ref>
[[File:3311.fig.1.jpg|alt=Role of EMT and MET in malignancy|thumb|Role of EMT and MET in malignancy]]
== Tumor heterogeneity ==
Cancers usually show [[tumour heterogeneity]], containing multiple subclones.<ref name="pmid23002210">{{cite journal |author=Swanton C |title=Intratumor heterogeneity: evolution through space and time |journal=Cancer Res. |volume=72 |issue=19 |pages=4875–82 |date=October 2012 |pmid=23002210 |pmc=3712191 |doi=10.1158/0008-5472.CAN-12-2217 }}</ref>

== Reduced repair of DNA ==
They also frequently have reduced expression of DNA repair enzymes due to [[Epigenetics#DNA repair epigenetics in cancer|epigenetic]] methylation of DNA repair genes or altered [[MicroRNA#DNA repair and cancer|microRNA]]s that control DNA repair gene expression.

== Types of malignancies ==
There are many types of malignancy.

* [[Carcinoma]] is a malignancy that begins in the skin or in tissues that line or cover internal organs.
* [[Sarcoma]] is a malignancy that begins in [[bone]], [[cartilage]], [[fat]], [[muscle]], [[blood vessels]], or other connective or supportive tissue.
* [[Leukemia]] is a malignancy that starts in blood-forming tissue, such as the [[bone marrow]], and causes large numbers of abnormal blood cells to be produced and enter the [[blood]].
* [[Lymphoma]] and [[multiple myeloma]] are malignancies that begin in the cells of the [[immune system]].
* Central nervous system cancers are malignancies that begin in the tissues of the [[brain]] and [[spinal cord]].

== Origins of malignancy ==
Malignant growth can begin anyplace in the human body, which is comprised of trillions of cells.Normally, human cells develop and gap to frame new cells as the body needs them. At the point when cells develop old or become harmed, they bite the dust, and new cells have their spot.

At the point when malignant growth grows, be that as it may, this deliberate procedure separates. As cells become increasingly strange, old or harmed cells endure when they should bite the dust, and new cells structure when they are not required. These additional phones can isolate ceaselessly and may shape developments called tumors.

== Differences between Cancer Cells and Normal Cells ==
Disease cells vary from ordinary cells from various perspectives that permit them to develop crazy and become obtrusive. One significant contrast is that malignant growth cells are less particular than ordinary cells. That is, while typical cells develop into unmistakable cell types with explicit capacities, disease cells don't. This is one explanation that, in contrast to typical cells, malignant growth cells keep on isolating ceaselessly.

== Altered apoptosis ==
Moreover, malignant growth cells can disregard flags that regularly advise cells to quit partitioning or that start a procedure known as modified cell demise, or apoptosis, which the body uses to dispose of unneeded cells.

Malignant growth cells might have the option to impact the typical cells, atoms, and veins that encompass and feed a tumor—a zone known as the microenvironment. For example, malignant growth cells can instigate close by typical cells to shape veins that flexibly tumors with oxygen and supplements, which they have to develop. These veins additionally expel squander items from tumors.

Malignancy cells are additionally frequently ready to avoid the insusceptible framework, a system of organs, tissues, and concentrated cells that shields the body from contaminations and different conditions. In spite of the fact that the resistant framework regularly expels harmed or irregular cells from the body, some malignant growth cells can "stow away" from the safe framework.

Tumors can likewise utilize the safe framework to remain alive and develop. For instance, with the assistance of certain resistant framework cells that regularly forestall a runaway invulnerable reaction, malignancy cells can really shield the safe framework from murdering disease cells.

== How Malignant growth Emerges ==

Malignant growth is brought about by specific changes to qualities, the essential physical units of legacy. Qualities are organized in long strands of firmly stuffed DNA called chromosomes.

Malignant growth is a hereditary sickness—that is, it is brought about by changes to qualities that control the manner in which our cells work, particularly how they develop and isolate.

Hereditary changes that cause malignant growth can be acquired from our folks. They can likewise emerge during an individual's lifetime because of mistakes that happen as cells separation or in light of harm to DNA brought about by certain natural exposures. Malignancy causing ecological exposures incorporate substances, for example, the synthetic compounds in tobacco smoke, and radiation, for example, bright beams from the sun. (Our Malignancy Causes and Avoidance segment has more data.)

Every individual's malignant growth has a one of a kind blend of hereditary changes. As the malignant growth keeps on developing, extra changes will happen. Indeed, even inside a similar tumor, various cells may have distinctive hereditary changes.

As a rule, malignant growth cells have progressively hereditary changes, for example, transformations in DNA, than typical cells. A portion of these progressions may have nothing to do with the disease; they might be the aftereffect of the malignancy, instead of its motivation.

== "Drivers" of Malignancy ==

The hereditary changes that add to malignancy will in general influence three primary kinds of qualities—proto-oncogenes, tumor silencer qualities, and DNA fix qualities. These progressions are some of the time called "drivers" of disease.

== Proto-oncogenes ==

Proto-oncogenes are engaged with ordinary cell development and division. Be that as it may, when these qualities are modified in specific manners or are more dynamic than typical, they may become malignancy causing qualities (or oncogenes), permitting cells to develop and endure when they ought not.

Tumor silencer qualities are additionally engaged with controlling cell development and division. Cells with specific modifications in tumor silencer qualities may isolate in an uncontrolled way.

DNA fix qualities are engaged with fixing harmed DNA. Cells with changes in these qualities will in general build up extra transformations in different qualities. Together, these changes may make the cells become destructive.

As researchers have gotten familiar with the atomic changes that lead to malignancy, they have discovered that specific transformations regularly happen in numerous kinds of disease. Along these lines, tumors are some of the time portrayed by the sorts of hereditary changes that are accepted to be driving them, not simply by where they create in the body and how the disease cells look under the magnifying lens.

== Metastasis ==

In metastasis, disease cells split away from where they originally shaped (essential malignant growth), travel through the blood or lymph framework, and structure new tumors (metastatic tumors) in different pieces of the body. The metastatic tumor is a similar kind of malignancy as the essential tumor.

A malignant growth that has spread from where it initially began to somewhere else in the body is called metastatic disease. The procedure by which malignant growth cells spread to different pieces of the body is called metastasis.

Metastatic disease has a similar name and indistinguishable sort of malignancy cells from the first, or essential, disease. For instance, bosom disease that spreads to and structures a metastatic tumor in the lung is metastatic bosom malignancy, not lung disease.

Under a magnifying lens, metastatic malignant growth cells for the most part look equivalent to cells of the first disease. In addition, metastatic malignancy cells and cells of the first disease for the most part share some atomic highlights for all intents and purpose, for example, the nearness of explicit chromosome changes.

Treatment may help drag out the lives of certain individuals with metastatic malignancy. When all is said in done, however, the essential objective of medications for metastatic malignancy is to control the development of the disease or to mitigate manifestations brought about by it. Metastatic tumors can make serious harm how the body capacities, and a great many people who kick the bucket of malignant growth bite the dust of metastatic sickness.

== Tissue Changes that Are Not Malignancy ==

Here are a few instances of tissue changes that are not malignant growth but rather, at times, are observed:

[[Hyperplasia]] happens when cells inside a tissue isolate quicker than ordinary and additional cells develop, or multiply. Be that as it may, the cells and the manner in which the tissue is composed look ordinary under a magnifying instrument. Hyperplasia can be brought about by a few factors or conditions, including incessant bothering.

[[Dysplasia]] is a more genuine condition than hyperplasia. In dysplasia, there is likewise a development of additional cells. In any case, the cells look anomalous and there are changes in how the tissue is sorted out. When all is said in done, the more irregular the cells and tissue look, the more prominent the possibility that malignancy will frame.

A few sorts of dysplasia may should be observed or treated. A case of dysplasia is an irregular mole (called a dysplastic nevus) that structures on the skin. A dysplastic nevus can transform into melanoma, albeit most don't.

A much progressively genuine condition is carcinoma in situ. In spite of the fact that it is once in a while called malignant growth, carcinoma in situ isn't disease on the grounds that the unusual cells don't spread past the first tissue. That is, they don't attack close by tissue the way that disease cells do. Be that as it may, on the grounds that a few carcinomas in situ may become malignancy, they are generally treated.

Ordinary cells may become malignancy cells. Before malignancy cells structure in tissues of the body, the phones experience irregular changes called hyperplasia and dysplasia. In hyperplasia, there is an expansion in the quantity of cells in an organ or tissue that seem ordinary under a magnifying lens. In dysplasia, the cells look strange under a magnifying instrument yet are not malignant growth. Hyperplasia and dysplasia could possibly become disease.

There are in excess of 100 kinds of malignant growths. Types of malignancies are generally named for the organs or tissues where the malignancies structure. For instance, lung malignant growth begins in cells of the lung, and mind disease begins in cells of the cerebrum. Diseases additionally might be depicted by the sort of cell that framed them, for example, an epithelial cell or a squamous cell.

== Other uses of the term ==
Uses of "malignant" in [[oncology]]:
*''Malignancy'', ''malignant neoplasm'' and ''malignant tumor'' are synonymous with [[cancer]]
*''Malignant [[ascites]]''
*''[[Malignant transformation]]''

Non-oncologic disorders referred to as "malignant":
*''[[Malignant hypertension]]''
*''[[Malignant hyperthermia]]''
*''[[Otitis externa#Complications|Malignant otitis externa]]
*''[[Malaria#Signs and symptoms|Malignant tertian malaria]]'' (malaria caused specifically by ''[[Plasmodium falciparum]]'')
*''[[Neuroleptic malignant syndrome]]''

==See also==
* [[Precancerous condition]]

==References==
{{Reflist}}

{{cancer}}
{{Portal bar|Biology|Medicine}}
[[Category:Medical terminology]]
[[Category:Oncology]]
{{oncology-stub}}

Malignancy - Revision history

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