Nanotechnology and Medicine Cancer Detection Updated September 2011 History of Cancer The word cancer comes from Hippocrates, who is known as the father of medicine. Engraving by Peter Paul Rubens Updated September 2011 The Greek words carcinos and carcinoma were used by Hippocrates to describe tumors. Carcino and carcinoma are the Greek words for “crab,” which Hippocrates thought looked similar to cancerous tumors. Photo by Stemonitis Updated September 2011 However, the oldest documented case of cancer is in ancient Egypt around 1500 B.C. Ancient Eqyptian Painting: The GraveChamber of Ramses The Edwin Smith Papyrus, oldest surviving surgical document Recorded on papyrus, it documents eight cases of tumors located on the breast. Updated September 2011 There are clues that even ancient Egyptians could recognize the difference in malignant and benign tumors. Malignant (Melanoma) cc by Klaus D. Peter Updated September 2011 Benign (Lipoma) Image by Ed Uthman, MD Causes of Cancer Hippocrates thought the human body was made up of four fluids: blood, phlegm, yellow bile and black bile. He believed an excess of black bile caused cancer. This was the general thought for the next 1400 years. Blood Yellow Bile Phlegm Black Bile Diagram by HighPoint Learning Updated September 2011 Ancient Egyptians believed cancer was caused by the Gods. cc by Jeff Dahl Updated September 2011 The first autopsy was performed by Giovanni Morgagni of Padua. This new procedure allowed medical personnel to discover blood circulation, which opened doors for more research 1761 Portrait of Giovanni Morgagni on diseases. Updated September 2011 In the 17th century, the lymph theory was developed and replaced the black bile theory of Hippocrates. Discovery of the lymph system gave new insight into what may be the cause of cancer. Abnormalities in the lymphatic system were thought to be the cause. cc by The Emirr Updated September 2011 Late in the 1800s, Rudolph Virchow identified that cells, cancerous cells included, derived from other cells. Portrait of Rudolph Virchow, (National Institutes of Health archive) Updated September 2011 Other theories began to surface, linking trauma and parasites to the cause of cancer. Some thought it spread like a liquid. CT of Brain Trauma by Rehman T, Ali R, Tawil I, Yonas H Updated September 2011 Toxoplasma (blood parasite) Image provided by Ke Hu and John Murray Karl Thiersch, a German surgeon, later concluded that cancer spread through malignant cells. Photograph of Karl Thiersch, circa 1850s Updated September 2011 Today we know that cancer is abnormal, often rapid cell growth. Cancer can be caused by a multitude of things. Some habits we form can cause cancer. Positive habits such as exercise, healthy eating, and stress reduction may help prevent cancer from forming. Updated September 2011 cc by Biswarup Ganguly Cancer Smoking causes 30 percent of all cancer deaths in the U.S. and is the cause of 87 percent of lung cancer cases. Smoking not only affects the lungs, but it can cause cancer in the kidney, pancreas, cervix, and stomach aw well as leukemia. Smoker’s lung Image from the National Cancer Institiute Updated September 2011 Genetics plays a major role in the development of cancer. Individuals with a family history of cancer should take extra care to monitor their health with timely checkups. Updated September 2011 Genetic tests are available for many hereditary cancers. However, having a family history of cancer does not mean a person will develop cancer. It just means the chances are higher. Updated September 2011 Environmental factors are also causes of cancer. Exposure to asbestos, benzene, and the sun are all known to be a cause of cancer. Asbestos has a group of minerals found in housing and is known to cause a rare cancer that involves the lungs. Benzene is a chemical found in gasoline, smoking and pollution. Updated September 2011 Treatment of Cancer In ancient Egypt cancer was treated by cauterization which is a method to destroy tissue with a hot instrument called the fire drill. Cauterization Tool Updated September 2011 cc by David Monniaux According to inscriptions, surface tumors were surgically removed in a manner similar to their removal today. Malignant skin cancer Image from National Cancer Institute Updated September 2011 In the 20th century, the medical field saw the greatest progression in cancer research. Research identified carcinogens, chemotherapy, and radiation therapy. Better means of diagnosis were also discovered. Photo by Linda Bartlett Updated September 2011 Today cancer treatment can involve several different treatments. Surgery, radiation therapy, and chemotherapy are standard methods of treatment. Photo by Rhoda Baer Radiation Therapy Updated September 2011 Photo by Linda Bartlett Photo by Rhoda Baer Surgery Chemotherapy Today some cancers are curable, and research is ongoing. Clinical trials, which are research studies conducted with people who volunteer to take part, are great ways for scientific questions to be answered. Updated September 2011 Photo by Rhoda Baer Clinical studies try to find better ways to prevent, screen for, diagnose, or treat a disease. People taking part in clinical studies have an opportunity to contribute to the knowledge of, and progress against, cancer. They also receive up to date care from experts. Photo by Rhoda Baer Updated September 2011 Nanotechnology is being used in the medical field to identify and treat tumors. Intravenous injections of liposomes carrying a gene known to kill cancer cells and other molecules have been injected in mice and have effectively destroyed pancreatic tumors while leaving healthy tissues intact. Image by Cradel Updated September 2011 Liposome Rendering by Dennis Barten We are learning more and more about cancer treatments every day. Nanotechnology is the newest and perhaps the most promising treatment in modern civilization. Gold particles injected into cancer patients could be the answer for which we’ve been looking. Gold Nanoparticle Graphic by Jaakko Akola and Michael Walter, University of Jyväskylä. Updated September 2011 This module is one of a series designed to introduce faculty and high school students to the basic concepts of nanotechnology. Each module includes a PowerPoint presentation, discussion questions, and hands-on activities, when applicable. The series was funded in part by: The National Science Foundation Grant DUE-0702976 and the Oklahoma Nanotechnology Education Initiative Any opinions, findings and conclusions or recommendations expressed in the material are those of the author and do not necessarily reflect the views of the National Science Foundation or the Oklahoma Nanotechnology Education Initiative. Updated September 2011 Image Credits Akola, Jaako and Walter, Michael (Designers) hakkinen_nanopartikkelit [Digital Image]. CSC-IT Center for Science. Finland.. Artist Unknown. Portrait of Rudolf Virchow. [Painting]. United States. National Institutes of Health. Baer, Rhoda (Photographer) Treatment: Drugs/Chemotherapy [Photograph]. United States. National Cancer Institute. (http://visualsonline.cancer.gov) Baer, Rhoda. (Photographer) Treatment: Chemotherapy [Photograph]. United States. National Cancer Institute. (http://visualsonline.cancer.gov) Baer, Rhoda. (Photographer) Treatment: Radiation [Photograph]. United States. National Cancer Institute. (http://visualsonline.cancer.gov) Barten, Dennis (Designer). Liposoom [Digital Image]. The Netherlands. Wikimedia Commons (commons.wikimedia.org) Bartlett, Linda. (Photographer) Diagnosis: Biopsy [Photograph]. Unites States. National Cancer Institute. (http://visualsonline.cancer.gov) Bartlett, Linda. (Photographer) Technology: Lab [Photograph]. United States. National Cancer Institute. (http://visualsonline.cancer.gov) Updated September 2011 Image Credits Cradel (Designer) Illu pancrease.svg [Digital Image]. United States. Wikimedia Commons (commons.wikimedia.org) Dahl, Jeff (Artist). Isis. [Digital Image]. Wikimedia Commons (commons.wikimedia.org) Ganguly, Biswarup. (Photographer) Vegetables 0006.jpg [Digital Image]. India. Wikimedia Commons (commons.wikimedia.org Hu, Ke and Murray, John. (Photographers) Toxoplasma_Gondii.jpg [Digital Image]. United States. The Public Library of Science (www.plos.org) Monniaux, David. (Photographer). Cauter DXC09457.jpg [Digital Image]. United States. Wikimedia Commons (commons.wikimedia.org) Peter, Klaus d. (Photographer). Lipoma of the skin. [Photograph]. Germany. Wikimedia Commons (commons.wikimedia.org) Portrait of Giovanni Battista Morgagni [Painting] Wikimedia Commons (commons.wikimedia.org) Rubens, Peter Paul (Artist) Hippocrates [Engraving]. Belgium. Wikimedia Commons (commons.wikimedia.org) Updated September 2011 Image Credits Stemonitis (Photographer). Crab Icon.png [Digital Image]. United States. Wikimedia Commons (commons.wikimedia.org) The Edwin Smith Papyrus. [Surgical Writings on Papyrus]. Egypt. Wikimedia Commons (commons.wikimedia.org) The Emirr (Designer). The Lymphatic System [Digital Image]. United States. Wikimedia Commons (commons.wikimedia.org) The Grave chamber of Ramses, Vizier and head of Thebes under Amenhotep III. And IV, Scene: Funeral procession, detail [Painting]. Egypt. Wikimedia Commons (commons.wikimedia.org) Unknown artist. Carl Thiersch (1822-1895), German surgeon [Photograph]. Germany. Wikimedia Commons (commons.wikimedia.org) Unknown Photographer. Melanoma: Pathology [Photograph]. United States. National Cancer Institute. (http://visualsonline.cancer.gov) Unknown Photographer. Pathology: Organ: Lung (Cancer) [Photograph]. United States. National Cancer Institute. (http://visualsonline.cancer.gov) Uthman, Ed, MD. (Photographer). Metastatic Melanoma in Lymph Node. [Photograph] Wikimedia Commons (commons.wikimedia.org) Updated September 2011 References Going Small for Big Advances (2004). National Institutes of Health Publication Number 04-5489. [Kindle Edition] Retrieved from http://www.amazon.com The History of Cancer (2010). The American Cancer Society. Retrieved from http://www.cancer.org/acs/groups/cid/documents/webcontent/002048-pdf.pdf Updated September 2011