Richard N. Kolesnick, MD

A type of cell death in which a series of molecular steps in a cell leads to its death. This is the body’s normal way of getting rid of unneeded or abnormal cells. The process of apoptosis may be blocked in cancer cells. Also called programmed cell death.

A term for diseases in which abnormal cells divide without control and can invade nearby tissues. Cancer cells can also spread to other parts of the body through the blood and lymph systems. There are several main types of cancer. Carcinoma is a cancer that begins in the skin or in tissues that line or cover internal organs. Sarcoma is a cancer that begins in bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue. Leukemia is a cancer 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 cancers that begin in the cells of the immune system. Central nervous system cancers are cancers that begin in the tissues of the brain and spinal cord. Also called malignancy.

The individual unit that makes up the tissues of the body. All living things are made up of one or more cells.

A type of lipid (fat) found in the membranes of cells and the covers of nerves. Some ceramides are important in signal transduction (the process by which a cell responds to substances in its environment) and may cause some types of cells to die. Ceramides are being studied in the treatment of cancer.

In cancer, the first occurrence of cancer in the body.

The amount of medicine taken, or radiation given, at one time.

The study of genes and heredity. Heredity is the passing of genetic information and traits (such as eye color and an increased chance of getting a certain disease) from parents to offspring.

A type of radiation made (or given off ) by x-ray procedures, radioactive substances, rays that enter the Earth's atmosphere from outer space, and other sources. At high doses, ionizing radiation increases chemical activity inside cells and can lead to health risks, including cancer.

In medicine, a term used to describe a treatment planning approach or team that includes a number of doctors and other health care professionals who are experts in different specialties (disciplines). In cancer treatment, the primary disciplines are medical oncology (treatment with drugs), surgical oncology (treatment with surgery), and radiation oncology (treatment with radiation).

Medical doctor.

Radiosurgery implies the delivery of a single, high dose of radiation using stereotactic techniques. Classically, for cranial radiosurgery, a rigid neurosurgical frame is attached to the patient’s skull, and a stereotactic localizing device is attached to the frame to allow for improved targeting accuracy. Commercial radiosurgery systems are available in which immobilization is achieved without a rigid neurosurgical frame. While there are innumerable commercial radiosurgery and stereotactic radiation therapy systems, all of these systems utilize the same underlying principles: (1) patient immobilization, (2) targeting accuracy, (3) delivery of high doses of radiation, and (4) heterogeneous dose distribution with a steep dose gradient. Commercial radiosurgery systems include Gamma Knife, which utilizes 201 radioactive cobalt sources positioned in a semispherical array, and Cyberknife, which utilizes robotics technology allowing the linear accelerator (LINAC) to track the patient position in real time during treatment. A standard LINAC can be equipped with cones attached to its head, allowing for circular collimation of the beam. The dose distribution from Gamma Knife, Cyberknife, or a standard LINAC equipped with cones is spherical, and thus treating nonspherically shaped targets requires the superposition of multiple spherical dose distributions. A LINAC equipped with multi-leaf collimators can also be used for radiosurgery, which allows more conformal beam shaping. Also called radiation surgery, stereotactic radiosurgery, and stereotaxic radiosurgery.

The use of high-energy radiation from x-rays, gamma rays, neutrons, protons, and other sources to kill cancer cells and shrink tumors. Radiation may come from a machine outside the body (external-beam radiation therapy), or it may come from radioactive material placed in the body near cancer cells (internal radiation therapy). Systemic radiotherapy uses a radioactive substance, such as a radiolabeled monoclonal antibody, that travels in the blood to tissues throughout the body. Also called irradiation and radiation therapy.

A molecule inside or on the surface of a cell that binds to a specific substance and causes a specific physiologic effect in the cell.

In medicine, an improvement related to treatment.

The response of the body to physical, mental, or emotional pressure. This may make a person feel frustrated, angry, or anxious, and may cause unhealthy chemical changes in the body. Untreated, long-term stress may lead to many types of mental and physical health problems.

Having to do with treating disease and helping healing take place.

A protein made by white blood cells in response to an antigen (substance that causes the immune system to make a specific immune response) or infection. TNF can also be made in the laboratory. It may boost a person’s immune response, and also may cause necrosis (cell death) of some types of tumor cells. TNF is being studied in the treatment of some types of cancer. It is a type of cytokine. Also called tumor necrosis factor.

An abnormal mass of tissue that results when cells divide more than they should or do not die when they should. Tumors may be benign (not cancer), or malignant (cancer). Also called neoplasm.