Are rapidly growing cancers more lethal?

Hans Olov Adami, Peter Csermely, Daniel V. Veres, Louise Emilsson, Magnus Løberg, Michael Bretthauer, Mette Kalager

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The view, that rapidly growing tumours are more likely than slow-growing tumours to metastasize and become lethal, has remained almost axiomatic for decades. Unaware of any solid evidence supporting this view, we undertook an exhaustive system-level analysis of intra- and intercellular signalling networks. This analysis indicated that rapid growth and metastasis are often different outcomes of complex integrated molecular events. Evidence from humans can be derived chiefly from screening interventions because interval cancers that surface clinically shortly after a negative screening test are, on average, more rapidly growing than cancers not detected by screening. We reviewed all available data limited to cancers of the breast, cervix and large bowel. The evidence from humans provides no support for the theory that rapidly growing cancers are more prone to metastasize. These findings indicate that the prevailing view should be reconsidered, as should the impact of length-biased sampling in cancer screening, and the findings provide no support for treating interval cancers more aggressively than non-interval cancers.

Original languageEnglish
Pages (from-to)210-214
Number of pages5
JournalEuropean Journal of Cancer
Volume72
DOIs
Publication statusPublished - Feb 1 2017

    Fingerprint

Keywords

  • Breast cancer
  • Cancer stem-like cells
  • Cervical cancer
  • Colorectal cancer
  • Dormancy
  • Lethality
  • Metastasis
  • Signalling networks
  • Tumour growth

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Adami, H. O., Csermely, P., Veres, D. V., Emilsson, L., Løberg, M., Bretthauer, M., & Kalager, M. (2017). Are rapidly growing cancers more lethal? European Journal of Cancer, 72, 210-214. https://doi.org/10.1016/j.ejca.2016.11.011