glossary

# A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

This cancer definition glossary is adapted from the National Cancer Institute online glossary.


S

S-1
A drug that is being studied for its ability to enhance the effectiveness of fluorouracil and prevent gastrointestinal side effects caused by fluorouracil. It belongs to the family of drugs called antimetabolites.

S-phase fraction
A measure of the percentage of cells in a tumor that are in the phase of the cell cycle during which DNA is synthesized. The S-phase fraction may be used with the proliferative index to give a more complete understanding of how fast a tumor is growing.

S100 calcium binding protein A8 (… KAL-see-um … PROH-teen …)
A protein that is made by many different types of cells and is involved in processes that take place both inside and outside of the cell. It is made in larger amounts in inflammatory diseases such as rheumatoid arthritis, and in some types of cancer. It is being studied as a biomarker for breast cancer. Also called calgranulin A.

S100 calcium binding protein A9 (… KAL-see-um … PROH-teen …)
A protein that is made by many different types of cells and is involved in processes that take place both inside and outside of the cell. It is made in larger amounts in inflammatory diseases such as rheumatoid arthritis, and in some types of cancer. It is being studied as a biomarker for breast cancer. Also called calgranulin B.

sacrum (SAY-krum)
The large, triangle-shaped bone in the lower spine that forms part of the pelvis. It is made of 5 fused bones of the spine.

safingol (SA-fin-gol)
A substance that is being studied in the treatment of cancer. It belongs to the family of drugs called protein kinase inhibitors. Also called L-threo-dihydrosphingosine.

SAHA
Suberoylanilide hydroxamic acid. A drug that is used to treat cutaneous T-cell lymphoma that does not get better, gets worse, or comes back during or after treatment with other drugs. It is also being studied in the treatment of other types of cancer. SAHA belongs to the family of drugs called histone deacetylase inhibitors. Also called suberoylanilide hydroxamic acid, vorinostat, and Zolinza.

saline
A solution of salt and water.

saliva (suh-LIE-vuh)
The watery fluid in the mouth made by the salivary glands. Saliva moistens food to help digestion and it helps protect the mouth against infections.

salivary gland (SA-lih-VAYR-ee gland)
A gland in the mouth that produces saliva.

salivary gland cancer (SA-lih-VAYR-ee gland KAN-ser)
A rare cancer that forms in tissues of a salivary gland (gland in the mouth that makes saliva). Most salivary gland cancers occur in older people.

salpingo-oophorectomy (sal-PIN-goh-oh-oh-foh-REK-toh-mee)
Surgical removal of the fallopian tubes and ovaries.

salvage therapy (SAL-vij THAYR-uh-pee)
Treatment that is given after the cancer has not responded to other treatments.

samarium 153 (suh-MAYR-ee-um)
A radioactive substance used in cancer therapy.

samarium Sm 153 lexidronam pentasodium (suh-MAYR-ee-um…LEK-sih-DROH-nam PEN-tuh-SOH-dee-um)
A drug used to treat pain caused by bone cancer and other cancers that have spread to the bones. Samarium Sm 153 lexidronam pentasodium is a type of radiopharmaceutical. Also called Quadramet.

saponin
A substance found in soybeans and many other plants. Saponins may help lower cholesterol and may have anticancer effects.

saquinavir mesylate
A drug that belongs to the family of drugs called protease inhibitors. It interferes with the ability of a virus to make copies of itself.

sarCNU
A substance that is being studied in the treatment of cancer. It belongs to the family of drugs called alkylating agents. Also called sarcosinamide nitrosourea.

sarcoid
An inflammatory disease marked by the formation of granulomas (small nodules of immune cells) in the lungs, lymph nodes, and other organs. Sarcoid may be acute and go away by itself, or it may be chronic and progressive. Also called sarcoidosis.

sarcoidosis
An inflammatory disease marked by the formation of granulomas (small nodules of immune cells) in the lungs, lymph nodes, and other organs. Sarcoidosis may be acute and go away by itself, or it may be chronic and progressive. Also called sarcoid.

sarcoma
A cancer of the bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue.

sarcomatoid carcinoma (sar-KOH-muh-toyd kar-sih-NOH-muh)
A type of cancer that begins in the skin or in tissues that line or cover internal organs and that contains long spindle-shaped cells. Also called spindle cell cancer.

sarcosinamide nitrosourea
A substance that is being studied as a treatment for cancer. It belongs to the family of drugs called alkylating agents. Also called sarCNU.

sargramostim
A substance that helps make more white blood cells, especially granulocytes, macrophages, and cells that become platelets. It is a cytokine that is a type of hematopoietic (blood-forming) agent. Also called granulocyte-macrophage colony-stimulating factor and GM-CSF.

satraplatin
A substance that is being studied in the treatment of cancer. It belongs to the family of drugs called platinum analogs. Also called BMS-182751 and JM 216.

saturated fat (SA-chu-RAY-ted…)
A type of fat with certain chemical properties that is usually solid at room temperature. Most saturated fats come from animal food products, but some plant oils, such as palm and coconut oil, also contain high levels. Eating saturated fat increases the level of cholesterol in the blood and the risk of heart disease.

saw palmetto (...pawl-MEH-toh)
A shrub that is a member of the palm tree family. An extract made from the berries of this shrub has been studied in the treatment of certain urinary and prostate disorders. The scientific name is Serenoa repens.

SB-715992
A substance being studied in the treatment of cancer. SB-715992 blocks a protein that tumor cells need to divide. It is a type of mitotic inhibitor. Also called ispinesib.

SC-70935
A substance being studied for its ability to stimulate the production of blood cells during chemotherapy. It is a type of colony-stimulating factor. Also called leridistim.

scalpel (SKAL-pul)
A small, thin knife used for surgery.

scan
A picture of structures inside the body. Scans often used in diagnosing, staging, and monitoring disease include liver scans, bone scans, and computed tomography (CT) or computerized axial tomography (CAT) scans and magnetic resonance imaging (MRI) scans. In liver scanning and bone scanning, radioactive substances that are injected into the bloodstream collect in these organs. A scanner that detects the radiation is used to create pictures. In CT scanning, an x-ray machine linked to a computer is used to produce detailed pictures of organs inside the body. MRI scans use a large magnet connected to a computer to create pictures of areas inside the body.

scanner
In medicine, an instrument that takes pictures of the inside of the body.

SCF
Stem cell factor. A drug being studied for its ability to increase the number of stem cells in the blood. It is a type of hematopoietic cell growth factor. Also called stem cell factor, ancestim, and Stemgen.

SCH 54031
A drug used to treat hepatitis C infections. It is also being studied in the treatment and prevention of cancer. SCH 54031 is a cytokine that is modified in the laboratory. It is a type of biological response modifier. Also called PEG-Intron and PEG-interferon alfa-2b.

SCH 66336
An anticancer drug that belongs to the family of drugs called enzyme inhibitors. Also called lonafarnib.

SCH-58500
A substance that has been studied in the treatment of some types of cancer. SCH-58500 is a weakened adenovirus that carries the p53 gene into tumor cells, causing them to die. It is a type of gene therapy. Also called recombinant adenovirus-p53, ACN53, and rAd/p53.

schedule (SKEH-jool)
In clinical trials, the step-by-step plan for how patients are to be treated; for example, the drug or type of radiation therapy that is to be given, the method by which it is to be given, the amount of time between courses, and the total length of treatment.

Schiller test (SHIL-er)
A test in which iodine is applied to the cervix. The iodine colors healthy cells brown; abnormal cells remain unstained, usually appearing white or yellow.

schizophrenia (SKIT-soh-FREE-nee-uh)
A group of severe mental disorders in which a person has trouble telling the difference between real and unreal experiences, thinking logically, having normal emotional responses to others, and behaving normally in social situations. Symptoms include seeing, hearing, feeling things that are not there, having false ideas about what is taking place or who one is, nonsense speech, unusual behavior, lack of emotion, and social withdrawal.

Schwann cell
A type of glial cell of the peripheral nervous system that helps separate and insulate nerve cells.

schwannoma (shwah-NO-ma)
A tumor of the peripheral nervous system that arises in the nerve sheath (protective covering). It is almost always benign, but rare malignant schwannomas have been reported.

scientist
A person who has studied science, especially one who is active in a particular field of investigation.

scintimammography (SIN-tih-ma-MAH-gruh-fee)
A type of breast imaging test that is used to detect cancer cells in the breasts of some women who have had abnormal mammograms, or who have dense breast tissue, but is not used for screening or in place of a mammogram. In this test, a woman receives an injection of a small amount of a radioactive substance called technetium 99, which is taken up by cancer cells, and a gamma camera is used to take pictures of the breasts. Also called Miraluma test and sestamibi breast imaging.

sclera (SKLER-uh)
The white layer of the eye that covers most of the outside of the eyeball.

scleroderma
A chronic disorder marked by hardening and thickening of the skin. Scleroderma can be localized or it can affect the entire body (systemic).

screening
Checking for disease when there are no symptoms.

screening mammogram
X-rays of the breasts taken to check for breast cancer in the absence of signs or symptoms.

scrotum (SKRO-tum)
In males, the external sac that contains the testicles.

Scutellaria barbata
An herb that belongs to a group of herbs named the Scutellaria species or scullcap. Both the root and the above-ground part have been used to make herbal medicines. The root has been used in traditional Chinese medicine to treat lung cancer and other medical problems.

SDX-102
A substance that is being studied in the treatment of cancer. It belongs to the family of drugs called antimetabolites. Also called alanosine.

SDX-105
A substance that is being studied in the treatment of cancer. It belongs to the family of drugs called alkylating agents. Also called bendamustine.

sebum (SEE-bum)
An oily substance produced by certain glands in the skin.

second primary cancer
Refers to a new primary cancer in a person with a history of cancer.

second-line therapy (...THAYR-uh-pee)
Treatment that is given when initial treatment (first-line therapy) doesn’t work, or stops working.

second-look surgery
Surgery performed after primary treatment to determine whether tumor cells remain.

secondary cancer
A term that is used to describe either a new primary cancer or cancer that has spread from the place in which it started to other parts of the body.

secondhand smoke
Smoke that comes from the burning of a tobacco product and smoke that is exhaled by smokers. Inhaling secondhand smoke is called involuntary or passive smoking. Also called environmental tobacco smoke and ETS.

sedative (SEH-duh-tiv)
A drug used to calm a person down, relieve anxiety, or help a person sleep.

sedimentation rate
The distance red blood cells travel in one hour in a sample of blood as they settle to the bottom of a test tube. The sedimentation rate is increased in inflammation, infection, cancer, rheumatic diseases, and diseases of the blood and bone marrow. Also called erythrocyte sedimentation rate and ESR.

sedoxantrone trihydrochloride (seh-DOX-an-trone try-HY-droh-KLOR-ide)
A substance being studied as a treatment for cancer. It is a type of DNA-intercalating compound. Also called CI-958.

segmental cystectomy (seg-MEN-tul sis-TEK-toh-mee)
Surgery to remove part of the bladder (the organ that holds urine). Also called partial cystectomy.

segmental mastectomy (seg-MEN-tul ma-STEK-toh-mee)
The removal of cancer as well as some of the breast tissue around the tumor and the lining over the chest muscles below the tumor. Usually some of the lymph nodes under the arm are also taken out. Also called partial mastectomy.

segmental resection (seg-MEN-tul ree-SEK-shun)
A surgical procedure to remove part of an organ or gland. It may also be used to remove a tumor and normal tissue around it. In lung cancer surgery, segmental resection refers to removing a section of a lobe of the lung. Also called segmentectomy.

segmentectomy (seg-men-TEK-toh-mee)
A surgical procedure to remove part of an organ or gland. It may also be used to remove a tumor and normal tissue around it. In lung cancer surgery, segmentectomy refers to removing a section of a lobe of the lung. Also called segmental resection.

seizure (SEE-zhur)
Convulsion; a sudden, involuntary movement of the muscles.

selection bias
An error in choosing the individuals or groups to take part in a study. Ideally, the subjects in a study should be very similar to one another and to the larger population from which they are drawn (for example, all individuals with the same disease or condition). If there are important differences, the results of the study may not be valid.

selective estrogen receptor modulator (sel-EK-tiv ES-truh-jin rih-SEP-ter MOD-yew-lay-tor)
SERM. A drug that acts like estrogen on some tissues but blocks the effect of estrogen on other tissues. Tamoxifen and raloxifene are SERMs. Also called SERM.

selective serotonin reuptake inhibitor
SSRI. A type of drug that is used to treat depression. SSRIs slow the process by which serotonin (a substance that nerves use to send messages to one another) is reused by nerve cells that make it. This increases the amount of serotonin available for stimulating other nerves. Also called SSRI.

selenium (suh-LEE-nee-um)
A mineral that is needed by the body to stay healthy. It is being studied in the prevention and treatment of some types of cancer. Selenium is a type of antioxidant.

self-esteem
A feeling of self-worth, self-confidence, and self-respect.

sella turcica
A depression of the bone at the base of the skull where the pituitary gland is located.

semaxanib (seh-MAX-uh-nib)
A substance that has been studied in the treatment of cancer. It belongs to the families of drugs called angiogenesis inhibitors and tyrosine kinase inhibitors. Also called SU5416.

semen
The fluid that is released through the penis during orgasm. Semen is made up of sperm from the testicles and fluid from the prostate and other sex glands.

seminal fluid (SEM-in-al)
Fluid from the prostate and other sex glands that helps transport sperm out of the man's body during orgasm. Seminal fluid contains sugar as an energy source for sperm.

seminal vesicle (SEM-in-al VES-ih-kul)
A gland that helps produce semen.

seminal vesicle biopsy
The removal of fluid or tissue with a needle from the seminal vesicles for examination under a microscope. The seminal vesicles are glands in the male reproductive tract that produce a part of semen.

seminoma (sem-in-O-ma)
A type of cancer of the testicles. Seminomas may spread to the lung, bone, liver, or brain.

semiparasitic
In botany, a plant that gets food from a host but also contains chlorophyll and is capable of photosynthesis.

semustine
An anticancer drug that belongs to the family of drugs called alkylating agents.

senega root
The root of an herb called Polygala senega. It has been used in some cultures to treat certain medical problems, including problems of the respiratory system.

senile keratosis (SEE-nile KAYR-uh-TOH-sis)
A precancerous condition of thick, scaly patches of skin. Also called solar keratosis and actinic keratosis.

sensitivity
When referring to a medical test, sensitivity refers to the percentage of people who test positive for a specific disease among a group of people who have the disease. No test has 100% sensitivity because some people who have the disease will test negative for it (false negatives).

sensor
A device that responds to a stimulus, such as heat, light, or pressure, and generates a signal that can be measured or interpreted.

sensory
Having to do with the senses.

sentinel lymph node
The first lymph node to which cancer is likely to spread from the primary tumor. When cancer spreads, the cancer cells may appear first in the sentinel node before spreading to other lymph nodes.

sentinel lymph node biopsy
Removal and examination of the sentinel node(s) (the first lymph node(s) to which cancer cells are likely to spread from a primary tumor). To identify the sentinel lymph node(s), the surgeon injects a radioactive substance, blue dye, or both near the tumor. The surgeon then uses a scanner to find the sentinel lymph node(s) containing the radioactive substance or looks for the lymph node(s) stained with dye. The surgeon then removes the sentinel node(s) to check for the presence of cancer cells.

sentinel lymph node mapping
The use of dyes and radioactive substances to identify the first lymph node to which cancer is likely to spread from the primary tumor. Cancer cells may appear first in the sentinel node before spreading to other lymph nodes and other places in the body.

seocalcitol
A substance that is being studied as a treatment for cancer. It belongs to the family of drugs called vitamin D analogs.

sepsis (SEP-sis)
The presence of bacteria or their toxins in the blood or tissues.

septate (SEP-tate)
An organ or structure that is divided into compartments.

septicemia
Disease caused by the spread of bacteria and their toxins in the bloodstream. Also called blood poisoning and toxemia.

sequential treatment
One treatment after the other.

SERM
Selective estrogen receptor modulator. A drug that acts like estrogen on some tissues but blocks the effect of estrogen on other tissues. Tamoxifen and raloxifene are SERMs. Also called selective estrogen receptor modulator.

Seromycin (SAYR-oh-MY-sin)
A drug used to treat tuberculosis. It is also being studied in the treatment of pain and nerve problems (numbness, tingling) caused by chemotherapy and in the treatment of low back pain, autism, certain anxiety disorders, and schizophrenia. Seromycin is a type of antibiotic. Also called D-cycloserine.

serosa (seh-ROH-suh)
The outer lining of organs and body cavities of the abdomen and chest, including the stomach. Also called serous membrane.

serotonin
A hormone found in the brain, platelets, digestive tract, and pineal gland. It acts both as a neurotransmitter (a substance that nerves use to send messages to one another) and a vasoconstrictor (a substance that causes blood vessels to narrow). A lack of serotonin in the brain is thought to be a cause of depression. Also called 5-hydroxytryptamine.

serous (SEER-us)
Having to do with serum, the clear liquid part of blood.

serous membrane
The outer lining of organs and body cavities of the abdomen and chest, including the stomach. Also called serosa.

Sertoli-Leydig cell tumor of the ovary (ser-TOH-lee LY-dig sel TOO-mer...OH-vuh-ree)
A rare type of ovarian tumor in which the tumor cells secrete a male sex hormone. This may cause virilization (the appearance of male physical characteristics in females). Also called androblastoma and arrhenoblastoma.

sertraline
A drug used to treat depression. It is a type of selective serotonin reuptake inhibitor (SSRI). Also called Zoloft.

serum
The clear liquid part of the blood that remains after blood cells and clotting proteins have been removed.

serum albumin
The main protein in blood plasma. Low levels of serum albumin occur in people with malnutrition, inflammation, and serious liver and kidney disease.

serum glutamate pyruvate transaminase
SGPT. An enzyme found in the liver and other tissues. A high level of serum glutamate pyruvate transaminase released into the blood may be a sign of liver damage, cancer, or other diseases. Also called alanine transferase and SGPT.

serum glutamic-oxaloacetic transaminase
SGOT. An enzyme found in the liver, heart, and other tissues. A high level of serum glutamic-oxaloacetic transaminase released into the blood may be a sign of liver or heart damage, cancer, or other diseases. Also called aspartate transaminase and SGOT.

serum tumor marker test
A blood test that measures the amount of substances called tumor markers (or biomarkers). Tumor markers are released into the blood by tumor cells or by other cells in response to tumor cells. A high level of a tumor marker may be a sign of cancer.

Serzone
A drug used to treat depression. It belongs to the family of drugs called antidepressant agents. Also called nefazodone.

sesquiterpene lactone
A substance found in some plants. Sesquiterpene lactones may have anti-inflammatory and anticancer effects. Plants containing sesquiterpene lactones have been used in some cultures to treat certain medical problems.

sestamibi breast imaging
A type of breast imaging test that is used to detect cancer cells in the breasts of some women who have had abnormal mammograms, or who have dense breast tissue. Sestamibi breast imaging is not used for screening, or in place of a mammogram. In this test, a woman receives an injection of a small amount of a radioactive substance called technetium 99, which is taken up by cancer cells, and a gamma camera is used to take pictures of the breasts. Also called scintimammography and Miraluma test.

sestamibi scan (SES-tuh-MIH-bee... )
An imaging test used to find overactive parathyroid glands (four pea-sized glands found on the thyroid) and breast cancer cells, and to diagnose heart disease. The patient receives an injection of a small amount of a radioactive substance called technetium which is bound to another substance called sestamibi. This substance collects in overactive glands, cancer cells, heart muscle, or other tissues and a picture is taken by a gamma camera (a special camera that detects radioactivity).

severe myelosuppression (... MY-eh-loh-suh-PREH-shun)
A severe form of myelosuppression. Myelosuppression is a condition in which bone marrow activity is decreased, resulting in fewer red blood cells, white blood cells, and platelets. It is a side effect of some cancer treatments. Also called myeloablation.

sexuality (SEK-shoo-A-lih-tee)
A person's behaviors, desires, and attitudes related to sex and physical intimacy with others.

Sezary syndrome (say-zah-REE SIN-drome)
A form of cutaneous T-cell lymphoma, a cancerous disease that affects the skin.

SGN-00101
A substance that is being studied in the prevention of cancer. It belongs to the family of drugs called fusion proteins.

SGN-15
A substance being studied in the treatment of cancer. It combines a monoclonal antibody with the anticancer drug doxorubicin. Monoclonal antibodies are substances that are made in the laboratory and that can locate and bind to cancer cells. Doxorubicin is a type of anthracycline antitumor antibiotic. When it is combined with a monoclonal antibody, it forms a type of drug conjugate. Also called cBR96-doxorubicin immunoconjugate.

SGN-30
A monoclonal antibody that binds to cells that have the CD30 antigen on their surface, including Hodgkin disease cells and cells from anaplastic large cell lymphoma, and cutaneous T-cell lymphoma. SGN-30 is being studied in the treatment of cancer. It is a type of monoclonal antibody.

SGN-40
A monoclonal antibody that binds to cells that have the CD40 antigen on their surface, including cells from multiple myeloma, non-Hodgkin lymphoma, and chronic lymphocytic leukemia. SGN-40 is being studied in the treatment of cancer. It is a type of monoclonal antibody.

SGOT
Serum glutamic-oxaloacetic transaminase. An enzyme found in the liver, heart, and other tissues. A high level of SGOT released into the blood may be a sign of liver or heart damage, cancer, or other diseases. Also called aspartate transaminase and serum glutamic-oxaloacetic transaminase.

SGPT
Serum glutamate pyruvate transaminase. An enzyme found in the liver and other tissues. A high level of SGPT released into the blood may be a sign of liver damage, cancer, or other diseases. Also called alanine transferase and serum glutamate pyruvate transaminase.

sham therapy (...THAYR-uh-pee)
An inactive treatment or procedure that is intended to mimic as closely as possible a therapy in a clinical trial. Also called placebo therapy.

shave biopsy (BY-ahp-see)
A procedure in which a skin abnormality and a thin layer of surrounding skin are removed with a small blade for examination under a microscope. Stitches are not needed with this procedure.

sheep sorrel
Rumex acetosella. A plant that has been used in some cultures to treat certain medical problems. It may have anticancer effects. Also called dock and sorrel.

Sheridan’s Formula
A liquid that has been promoted as a treatment for a wide range of diseases, including cancer. The ingredients thought to be in Sheridan’s Formula have been tested, and none of them has been shown to be effective in treating any form of cancer. Sheridan’s Formula is not available in the United States. Also called Protocel, Cancell, Jim’s Juice, Crocinic Acid, JS–114, JS–101, 126–F, and Cantron.

shiitake mushroom
Lentinus edodes. A dark oriental mushroom widely used as a food. Several anticancer substances have been found in shiitake mushrooms, including lentinan, which has been studied in Japan as a treatment for stomach and colorectal cancer.

shinbone
The larger of two bones between the knee and ankle. Also called tibia.

Sho-saiko-to
A Japanese formulation of seven Chinese herbs that is being studied as a treatment for cancer.

shunt
In medicine, a passage that is made to allow blood or other fluid to move from one part of the body to another. For example, a surgeon may implant a tube to drain cerebrospinal fluid from the brain to the abdomen. A surgeon may also change normal blood flow by making a passage that leads from one blood vessel to another.

sialic acid (sy-A-lik A-sid)
Any of a group of simple sugar molecules.

sialyl Tn-KLH
A vaccine composed of a substance that enhances immunity plus an antigen found on some tumors of the colon, breast, lung, ovary, pancreas, and stomach.

sickle cell anemia (SIH-kul sel uh-NEE-mee-uh)
An inherited disease in which the red blood cells have an abnormal crescent shape, block small blood vessels, and do not last as long as normal red blood cells. Sickle cell anemia is caused by a mutation (change) in one of the genes for hemoglobin (the substance inside red blood cells that binds to oxygen and carries it from the lungs to the tissues). It is most common in people of West and Central African descent. Also called sickle cell disease.

sickle cell disease (SIH-kul sel dih-ZEEZ)
An inherited disease in which the red blood cells have an abnormal crescent shape, block small blood vessels, and do not last as long as normal red blood cells. Sickle cell disease is caused by a mutation (change) in one of the genes for hemoglobin (the substance inside red blood cells that binds to oxygen and carries it from the lungs to the tissues). It is most common in people of West and Central African descent. Also called sickle cell anemia.

side effect
A problem that occurs when treatment affects healthy tissues or organs. Some common side effects of cancer treatment are fatigue, pain, nausea, vomiting, decreased blood cell counts, hair loss, and mouth sores.

side-to-end coloanal anastomosis
A surgical procedure in which the side of the colon is attached to the anus after the rectum has been removed. A section of the colon about 2 inches long is formed into a mini-pouch in order to replace the function of the rectum and store stool until it can be eliminated. This procedure is similar to the J-pouch coloanal anastomosis but a much smaller pouch is formed.

sideropenic dysphagia
A disorder marked by anemia caused by iron deficiency, and a web-like growth of membranes in the throat that makes swallowing difficult. Having sideropenic dysphagia may increase the risk of developing esophageal cancer. Also called Paterson-Kelly syndrome and Plummer-Vinson syndrome.

SIDS
Sudden infant death syndrome. The sudden and unexpected death of a healthy child who is younger than one year old, usually during sleep. The cause of SIDS is not known. Also called sudden infant death syndrome and crib death.

sigmoid colon (SIG-moyd KO-lun)
The S-shaped section of the colon that connects to the rectum.

sigmoidoscope (sig-MOY-doh-skope)
A thin, tube-like instrument used to examine the inside of the colon. A sigmoidoscope has a light and a lens for viewing and may have a tool to remove tissue.

sigmoidoscopy (sig-MOY-DOS-koh-pee)
Examination of the lower colon using a sigmoidoscope, inserted into the rectum. A sigmoidoscope is a thin, tube-like instrument with a light and a lens for viewing. It may also have a tool to remove tissue to be checked under a microscope for signs of disease. Also called proctosigmoidoscopy.

signal transduction inhibitor
A drug that may prevent the ability of cancer cells to multiply quickly and invade other tissues.

signaling pathway (SIG-nuh-ling …)
A series of specific actions in a cell in which a signal is passed from one molecule to the next in the series. Signaling pathways are used to control many cell functions, such as cell division and programmed cell death.

signature molecule (SIG-nuh-choor MAH-leh-kyool)
A biological molecule found in the blood, other body fluids, or tissues. It can be a sign of a normal or abnormal condition, such as an individual’s state of health or a disease. It may be used to determine the response to a particular treatment for a disease or condition. Examples of signature molecules are enzymes, products of enzyme reactions, hormone levels, and mutated (changed) DNA. Also called molecular marker and biomarker.

signet ring cell carcinoma
A highly malignant type of cancer typically found in glandular cells that line the digestive organs. The cells resemble signet rings when examined under a microscope.

significant
In statistics, describes a mathematical measure of difference between groups. The difference is said to be significant if it is greater than what might be expected to happen by chance alone. Also called statistically significant.

SIL
Squamous intraepithelial lesion. A general term for the abnormal growth of squamous cells on the surface of the cervix. The changes in the cells are described as low grade or high grade, depending on how much of the cervix is affected and how abnormal the cells appear. Also called squamous intraepithelial lesion.

sildenafil
A drug used to treat erectile dysfunction. Sildenafil relaxes the smooth muscle of the penis to allow increased blood flow and erection. It is a type of phosphodiesterase inhibitor. Also called Viagra.

silicon phthalocyanine 4 (SIH-lih-KON THAH-loh-SY-uh-NEEN)
A drug that is being studied in the treatment of cancer. When absorbed by cancer cells and exposed to light, it becomes active and kills the cancer cells. It belongs to the family of drugs called photodynamic therapy agents.

silicone
A synthetic gel that is used as an outer coating on breast implants and as the inside filling of some implants.

Silybum marianum
A plant that has been used in some cultures to treat certain medical problems, including stomach, liver, and gallbladder disorders. The active extract of Silybum marianum seeds is called silymarin. It is being studied in the prevention of liver damage caused by some cancer treatments. Also called milk thistle.

silymarin
A substance obtained from milk thistle seeds that is being studied in the prevention of liver damage caused by certain cancer treatments.

simian virus 40 (SIH-mee-un VY-rus…)
SV40. A virus that infects some types of monkeys. It may also infect humans, and was found in some polio vaccines tested in the early 1960s. Although the virus has been shown to cause cancer in laboratory animals, there is no evidence that it causes cancer in people. Also called SV40.

simple mastectomy (SIM-pul ma-STEK-toh-mee)
Removal of the breast. Also called total mastectomy.

simple nephrectomy (SIM-pul neh-FREK-toh-mee)
Surgery to remove one kidney.

simple vulvectomy (SIM-pul vul-VEK-toh-mee)
Surgery to remove the entire vulva (the external female genital organs, including the clitoris, vaginal lips, and the opening to the vagina).

simulation
In cancer treatment, a process used to plan radiation therapy so that the target area is precisely located and marked.

single blind study
A type of clinical trial in which only the doctor knows whether a patient is taking the standard treatment or the new treatment being tested. This helps prevent bias in treatment studies.

single nucleotide polymorphism (... NOO-klee-oh-TIDE PAH-lee-MOR-fih-zum)
SNP. The most common type of change in DNA (molecules inside cells that carry genetic information). Single nucleotide polymorphisms occur when a single nucleotide (building block of DNA) is replaced with another. These changes may cause disease, and may affect how a person reacts to bacteria, viruses, drugs, and other substances. Also called SNP.

single-photon emission computed tomography (SIN-gul-FOH-ton ee-MIH-shun kum-PYOO-ted toh-MAH-gruh-fee)
SPECT. A special type of computed tomography (CT) scan in which a small amount of a radioactive drug is injected into a vein and a scanner is used to make detailed images of areas inside the body where the radioactive material is taken up by the cells. SPECT can give information about blood flow to tissues and chemical reactions (metabolism) in the body. Also called SPECT.

siplizumab
A monoclonal antibody that is being studied in the treatment of certain lymphoproliferative disorders and psoriasis. Also called MEDI-507.

Sipuleucel-T (SY-puh-LOO-sel...)
A vaccine made from immune system cells collected from a patient with prostate cancer. The cells are treated in the laboratory with a growth factor attached to a protein found on prostate cell cancer cells. Sipuleucel-T injected into patients may stimulate T lymphocytes to kill tumor cells that express the prostate protein. Also called APC8015 and Provenge.

sirolimus
A drug used to help prevent the body from rejecting organ and bone marrow transplants. It is also being studied as a treatment for cancer. Sirolimus belongs to the family of drugs called immunosuppressants. It was previously called rapamycin.

SIRS
Systemic inflammatory response syndrome. A serious condition in which there is inflammation throughout the whole body. It may be caused by a severe bacterial infection (sepsis), trauma, or pancreatitis. It is marked by fast heart rate, low blood pressure, low or high body temperature, and low or high white blood cell count. The condition may lead to multiple organ failure and shock. Also called systemic inflammatory response syndrome.

SJG-136
A substance that is being studied in the treatment of cancer. It belongs to the family of drugs called DNA cross-linking agents.

Sjögren syndrome (SHOH-grin SIN-drome)
An autoimmune disease that affects the tear glands and salivary glands, and may affect glands in the stomach, pancreas, and intestines. The disease causes dry eyes and mouth, and may cause dryness in the nose, throat, air passages, skin, and vagina. It may also cause inflammation in the joints, muscles, and skin; pneumonia; tingling in the fingers and toes; and fatigue. It often occurs with rheumatoid arthritis or other connective tissue diseases.

SK&F106615
A substance being studied in the treatment of certain multiple myelomas and other advanced cancers. SK&F106615 may block the growth of tumors and the growth of blood vessels from surrounding tissue to the tumor. SK&F106615 is a type of signal transduction inhibitor. Also called azaspirane and atiprimod.

skeletal (SKEH-leh-tul)
Having to do with the skeleton (bones of the body).

skeleton
The framework that supports the soft tissues of vertebrate animals and protects many of their internal organs. The skeletons of vertebrates are made of bone and/or cartilage.

skin cancer (skin KAN-ser)
Cancer that forms in tissues of the skin. When cancer forms in cells that make pigment, it is called melanoma. When cancer forms in cells that do not make pigment it may begin in basal cells (small, round cells in the base of the outer layer of skin) or squamous cells (flat cells that form the surface of the skin). Both types of skin cancer usually occur in skin that has been exposed to sunlight, such as the skin on the face, neck, hands, and arms.

skin conduction (... kon-DUK-shun)
A change in the heat and electricity passed through the skin by nerves and sweat. Skin conduction increases in certain emotional states and during hot flashes that happen with menopause. Also called galvanic skin response and electrodermal response.

skin graft
Skin that is moved from one part of the body to another.

skin patch
A bandage-like patch that releases medicine into the body through the skin. The medicine enters the blood slowly and steadily.

skin stimulation
The process of applying pressure, friction, temperature change, or chemical substances to the skin to lessen or block a feeling of pain.

skin test
A test for an immune response to a compound by placing it on or under the skin.

skinning vulvectomy (SKIH-ning vul-VEK-toh-mee)
Surgery to remove the top layer of skin of the vulva (the external female genital organs, including the clitoris, vaginal lips, and the opening to the vagina). A skin graft may be used to replace the skin that was removed.

SL-11047
A substance that is being studied in the treatment of lymphoma. It belongs to the family of drugs called polyamine analogs.

SLE
Systemic lupus erythematosus. A chronic, inflammatory, connective tissue disease that can affect many organs including the joints, skin, heart, lungs, kidneys, and nervous system. It is marked by many different symptoms; however, not everyone with SLE has all of the symptoms. Also called lupus and systemic lupus erythematosus.

sleep apnea (… AP-nee-uh)
A sleep disorder that is marked by pauses in breathing of 10 seconds or more during sleep, and causes unrestful sleep. Symptoms include loud or abnormal snoring, daytime sleepiness, irritability, and depression.

sleep disorder (sleep dis-OR-der)
A disturbance of normal sleep patterns. There are a number of sleep disorders that range from trouble falling asleep, to nightmares, sleepwalking, and sleep apnea (problems with breathing that cause loud snoring). Poor sleep may also be caused by diseases such as heart disease, lung disease, or nerve disorders.

sleep stage
One of 5 parts or stages of the sleep cycle based on the type of brain activity that occurs during the stage. During stages 1 to 4, a person will feel drowsy, fall asleep, and move into a deep, dreamless sleep. Stage 5 is called rapid eye movement (REM) sleep, and it is during this stage that dreams occur. During several hours of normal sleep, a person will go through several sleep cycles that include REM sleep and the 4 stages of non-REM sleep (light to deep sleep).

sleeve lobectomy (...loh-BEK-toh-mee)
Surgery to remove a lung tumor in a lobe of the lung and a part of the main bronchus (airway). The ends of the bronchus are rejoined and any remaining lobes are reattached to the bronchus. This surgery is done to save part of the lung. Also called sleeve resection.

sleeve resection (...ree-SEK-shun)
Surgery to remove a lung tumor in a lobe of the lung and a part of the main bronchus (airway). The ends of the bronchus are rejoined and any remaining lobes are reattached to the bronchus. This surgery is done to save part of the lung. Also called sleeve lobectomy.

slippery elm
The inner bark of this plant has been used in some cultures to treat certain medical problems. It may have antioxidant effects. Also called gray elm, Indian elm, red elm, sweet elm, Ulmus fulva, and Ulmus rubra.

slit-lamp biomicroscopy (… BY-oh-my-KROS-koh-pee)
An eye exam using an instrument that combines a low-power microscope with a light source that makes a narrow beam of light. The instrument may be used to examine the retina, optic nerve, and other parts of the eye. Also called slit-lamp eye exam.

slit-lamp eye exam
An eye exam using an instrument that combines a low-power microscope with a light source that makes a narrow beam of light. The instrument may be used to examine the retina, optic nerve, and other parts of the eye. Also called slit-lamp biomicroscopy.

small cell lung cancer
An aggressive (fast-growing) cancer that forms in tissues of the lung and can spread to other parts of the body. The cancer cells look small and oval-shaped when looked at under a microscope.

small intestine (... in-TES-tin)
The part of the digestive tract that is located between the stomach and the large intestine.

small intestine cancer (... in-TES-tin KAN-ser)
A rare cancer that forms in tissues of the small intestine (the part of the digestive tract between the stomach and the large intestine). The most common type is adenocarcinoma (cancer that begins in cells that make and release mucus and other fluids). Other types of small intestine cancer include sarcoma (cancer that begins in connective or supportive tissue), carcinoid tumor (a slow-growing type of cancer), gastrointestinal stromal tumor (a type of soft tissue sarcoma), and lymphoma (cancer that begins in immune system cells).

small lymphocytic lymphoma (LIM-foh-SI-tik lim-FOH-muh)
An indolent (slow-growing) type of B-cell non-Hodgkin lymphoma marked by swollen lymph nodes that usually occurs in people older than 50 years. It is very similar to a form of leukemia called chronic lymphocytic leukemia (CLL). Also called well-differentiated lymphocytic lymphoma.

smoldering leukemia
A group of diseases in which the bone marrow does not make enough healthy blood cells. Also called preleukemia and myelodysplastic syndromes.

smoldering myeloma (... MY-eh-LOH-muh)
A very slow-growing type of myeloma in which abnormal plasma cells (a type of white blood cell) make too much of a single type of monoclonal antibody (a protein). This protein builds up in the blood or is passed in the urine. Patients with smoldering myeloma usually have no symptoms, but need to be checked often for signs of progression to fully developed multiple myeloma.

SN-38 liposome (...LY-poh-SOME)
A form of the anticancer drug irinotecan that may have fewer side effects and work better than irinotecan alone. SN-38 liposome is being studied in the treatment of advanced colorectal cancer and other types of cancer. It belongs to the family of drugs called irinotecan (CPT-11) derivatives. Also called liposomal SN-38.

SnET2
An anticancer drug that is also used in cancer prevention. It belongs to the family of drugs called photosensitizing agents. Also called tin ethyl etiopurpurin.

SNP
Single nucleotide polymorphism. The most common type of change in DNA (molecules inside cells that carry genetic information). SNPs occur when a single nucleotide (building block of DNA) is replaced with another. These changes may cause disease, and may affect how a person reacts to bacteria, viruses, drugs, and other substances. Also called single nucleotide polymorphism.

SNX 111
A drug used in the treatment of chronic pain. Also called ziconotide.

soblidotin
A substance that is being studied in the treatment of cancer. It belongs to the family of drugs called tubulin inhibitors. Also called TZT-1027.

social service (SOH-shul SER-vis)
A community resource that helps people in need. Services may include help getting to and from medical appointments, home delivery of medication and meals, in-home nursing care, help paying medical costs not covered by insurance, loaning medical equipment, and housekeeping help.

social support (SOH-shul suh-PORT)
A network of family, friends, neighbors, and community members that is available in times of need to give psychological, physical, and financial help.

social worker
A professional trained to talk with people and their families about emotional or physical needs, and to find them support services.

sodium (SOH-dee-um)
A mineral needed by the body to keep body fluids in balance. Sodium is found in table salt and in many processed foods. Too much sodium can cause the body to retain water.

sodium borocaptate (SOH-dee-um BORE-oh-KAP-tayt)
BSH. A substance used in a type of radiation therapy called boron neutron capture therapy. Sodium borocaptate is injected into a vein and becomes concentrated in tumor cells. The patient then receives radiation treatment with atomic particles called neutrons. The neutrons react with the boron in sodium borocaptate and make radioactive particles that kill the tumor cells without harming normal cells. Also called BSH.

sodium salicylate (SOH-dee-um suh-LIH-sih-LAYT)
A drug that is a type of nonsteroidal anti-inflammatory drug. Sodium salicylate may be tolerated by people who are sensitive to aspirin.

sodium stibogluconate (SOH-dee-um stib-oh-GLOO-kuh-nayt)
SSG. A substance being studied in the treatment of certain solid tumors, lymphoma, and myeloma. Sodium stibogluconate may block enzymes needed for cancer growth. It is a type of pentavalent antimonial. Also called SSG.

sodium sulfite (SOH-dee-um SUL-fite)
A chemical used in photography, paper making, water treatment, and for other purposes.

sodium thiosulfate (SOH-dee-um THY-oh-SUL-fayt)
A substance that is used in medicine as an antidote to cyanide poisoning and to decrease side effects of the anticancer drug cisplatin.

soft diet
A diet consisting of bland foods that are softened by cooking, mashing, pureeing, or blending.

soft palate (PAL-et)
The back, muscular (not bony) part of the roof of the mouth.

soft tissue
Refers to muscle, fat, fibrous tissue, blood vessels, or other supporting tissue of the body.

soft tissue sarcoma (…TIH-shoo sar-KOH-muh)
A cancer that begins in the muscle, fat, fibrous tissue, blood vessels, or other supporting tissue of the body.

solar keratosis
A precancerous condition of thick, scaly patches of skin. Also called actinic keratosis and senile keratosis.

solid tumor
An abnormal mass of tissue that usually does not contain cysts or liquid areas. Solid tumors may be benign (not cancerous), or malignant (cancerous). Different types of solid tumors are named for the type of cells that form them. Examples of solid tumors are sarcomas, carcinomas, and lymphomas. Leukemias (cancers of the blood) generally do not form solid tumors.

Soliris (soh-LAYR-is)
A monoclonal antibody used to prevent red blood cells from being destroyed in patients with paroxysmal nocturnal hemoglobinuria (PNH), a red blood cell disorder. Monoclonal antibodies are made in the laboratory and can locate and bind to substances in the body. Soliris blocks a protein in the blood that causes the breakdown of red blood cells. Also called eculizumab.

soluble (SOL-yoo-bul)
Able to be dissolved in a liquid.

solvent (SOL-vent)
A liquid that is able to dissolve a solid.

somatic (soh-MA-tik)
Having to do with the body.

somatic cell (soh-MA-tik ...)
Any of the body cells except the reproductive (germ) cells.

somatic mutation (soh-MA-tik myoo-TAY-shun)
An alteration in DNA that occurs after conception. Somatic mutations can occur in any of the cells of the body except the germ cells (sperm and egg) and therefore are not passed on to children. These alterations can (but do not always) cause cancer or other diseases.

somatostatin receptor scintigraphy
SRS. A type of radionuclide scan used to find carcinoid and other types of tumors. In SRS, radioactive octreotide, a drug similar to somatostatin, is injected into a vein and travels through the bloodstream. The radioactive octreotide attaches to tumor cells that have receptors for somatostatin. A radiation-measuring device detects the radioactive octreotide, and makes pictures showing where the tumor cells are in the body. Also called octreotide scan and SRS.

somatotropin (SOH-muh-toh-TROH-pin)
A protein made by the pituitary gland that helps control body growth and the use of glucose and fat in the body. Also called growth hormone.

somnolence syndrome (SOM-noh-lens SIN-drome)
Periods of drowsiness, lethargy, loss of appetite, and irritability in children following radiation therapy treatments to the head.

sonogram (SON-o-gram)
A computer picture of areas inside the body created by bouncing high-energy sound waves (ultrasound) off internal tissues or organs. Also called an ultrasonogram.

sorafenib (soh-RAF-eh-nib)
A drug used to treat advanced kidney cancer and a type of liver cancer that cannot be removed by surgery. It is also being studied in the treatment of other types of cancer. Sorafenib stops cells from dividing and may prevent the growth of new blood vessels needed for tumors to grow. It is a type of kinase inhibitor and a type of angiogenesis inhibitor. Also called BAY 43-9006, sorafenib tosylate, and Nexavar.

sorafenib tosylate (soh-RAF-eh-nib TOH-suh-layt)
A drug used to treat advanced kidney cancer and a type of liver cancer that cannot be removed by surgery. It is also being studied in the treatment of other types of cancer. Sorafenib tosylate stops cells from dividing and may prevent the growth of new blood vessels needed for tumors to grow. It is a type of kinase inhibitor and a type of angiogenesis inhibitor. Also called sorafenib, BAY 43-9006, and Nexavar.

sorivudine
An antiviral drug that is being studied as a treatment for herpesvirus. It belongs to the family of drugs called nucleic acid synthesis inhibitors.

sorrel
Rumex acetosella. A plant that has been used in some cultures to treat certain medical problems. It may have anticancer effects. Also called sheep sorrel and dock.

soy
Glycine max. A plant of Asian origin that produces beans used in many food products. Soy products contain isoflavones (estrogen-like substances) that are being studied for the prevention of cancer, hot flashes that occur with menopause, and osteoporosis (loss of bone density). Soy products in the diet may lower cholesterol levels and reduce the risk of heart disease. Also called soya, soybean, and Glycine max.

soya (SOY-uh)
Glycine max. A plant of Asian origin that produces beans used in many food products. Soy products contain isoflavones (estrogen-like substances) that are being studied for the prevention of cancer, hot flashes that occur with menopause, and osteoporosis (loss of bone density). Soy products in the diet may lower cholesterol levels and reduce the risk of heart disease. Also called soy, soybean, and Glycine max.

soybean
Glycine max. A plant of Asian origin that produces beans used in many food products. Soy products contain isoflavones (estrogen-like substances) that are being studied for the prevention of cancer, hot flashes that occur with menopause, and osteoporosis (loss of bone density). Soy products in the diet may lower cholesterol levels and reduce the risk of heart disease. Also called soy, soya, and Glycine max.

spasm (SPA-zum)
A sudden contraction of a muscle or group of muscles, such as a cramp.

specialist (SPEH-shuh-list)
In medicine, a doctor or other health care professional who is trained and licensed in a special area of practice. Examples of medical specialists include oncologists (cancer specialists) and hematologists (blood specialists).

specific immune cell (speh-SIH-fik ih-MYOON SEL)
An immune cell such as a T or B lymphocyte that responds to a single, specific antigen.

specificity
When referring to a medical test, specificity refers to the percentage of people who test negative for a specific disease among a group of people who do not have the disease. No test is 100% specific because some people who do not have the disease will test positive for it (false positive).

SPECT
Single-photon emission computed tomography. A special type of computed tomography (CT) scan in which a small amount of a radioactive drug is injected into a vein and a scanner is used to make detailed images of areas inside the body where the radioactive material is taken up by the cells. SPECT can give information about blood flow to tissues and chemical reactions (metabolism) in the body. Also called single-photon emission computed tomography.

speculum (SPEK-yoo-lum)
An instrument used to widen an opening of the body to make it easier to look inside.

speech pathologist (... puh-THAH-loh-jist)
A specialist who evaluates and treats people with communication and swallowing problems. Also called a speech therapist.

speech therapist
A specialist who evaluates and treats people with communication and swallowing problems. Also called a speech pathologist.

sperm (spurm)
The male reproductive cell, formed in the testicle. A sperm unites with an egg to form an embryo.

sperm banking (spurm...)
Freezing sperm for use in the future. This procedure can allow men to father children after loss of fertility.

sperm count (spurm kownt)
A count of the number of sperm in a sample of semen. A sperm count may be used as a measure of fertility.

sperm retrieval (spurm rih-TREE-vul)
Removal of sperm from a man's testis or epididymis by a doctor using a fine needle or other instrument.

SPF
Sun protection factor. A scale for rating the level of sunburn protection in sunscreen products. The higher the SPF, the more sunburn protection it gives. Sunscreens with a value of 2 through 11 give minimal protection against sunburns. Sunscreens with a value of 12 through 29 give moderate protection. SPFs of 30 or higher give high protection against sunburn. Also called sun protection factor.

sphincter
A ring-shaped muscle that relaxes or tightens to open or close a passage or opening in the body. Examples are the anal sphincter (around the opening of the anus) and the pyloric sphincter (at the lower opening of the stomach).

spiculated mass (SPIK-you-lay-ted...)
A lump of tissue with spikes or points on the surface.

spinal column (SPY-nul KAH-lum)
The bones, muscles, tendons, and other tissues that reach from the base of the skull to the tailbone. The spinal column encloses the spinal cord and the fluid surrounding the spinal cord. Also called spine, backbone, and vertebral column.

spinal cord
A column of nerve tissue that runs from the base of the skull down the back. It is surrounded by three protective membranes, and is enclosed within the vertebrae (back bones). The spinal cord and the brain make up the central nervous system, and spinal cord nerves carry most messages between the brain and the rest of the body.

spinal tap
A procedure in which a needle is put into the lower part of the spinal column to collect cerebrospinal fluid or to give drugs. Also called lumbar puncture.

spindle cell cancer (... KAN-ser)
A type of cancer that begins in the skin or in tissues that line or cover internal organs and that contains long spindle-shaped cells. Also called sarcomatoid carcinoma.

spindle cell sarcoma
A type of connective tissue cancer in which the cells are spindle-shaped when examined under a microscope.

spine
The bones, muscles, tendons, and other tissues that reach from the base of the skull to the tailbone. The spine encloses the spinal cord and the fluid surrounding the spinal cord. Also called backbone, spinal column, and vertebral column.

spine cancer
Cancer that begins in the spinal column (backbone) or spinal cord. The spinal column is made up of linked bones, called vertebrae. The spinal cord is a column of nerve tissue that runs from the base of the skull down the back. It is surrounded by three protective membranes, and is enclosed within the vertebrae. Many different types of cancer may form in the bones, tissues, fluid, or nerves of the spine.

spiral CT scan
A detailed picture of areas inside the body. The pictures are created by a computer linked to an x-ray machine that scans the body in a spiral path. Also called helical computed tomography.

spirituality (SPIR-ih-choo-A-lih-tee)
Having to do with deep, often religious, feelings and beliefs, including a person’s sense of peace, purpose, connection to others, and beliefs about the meaning of life.

spleen
An organ that is part of the lymphatic system. The spleen produces lymphocytes, filters the blood, stores blood cells, and destroys old blood cells. It is located on the left side of the abdomen near the stomach.

splenectomy (spleh-NEK-toh-mee)
An operation to remove the spleen.

splenic (SPLEH-nik)
Having to do with the spleen (an organ in the abdomen that makes immune cells, filters the blood, stores blood cells, and destroys old blood cells).

splenomegaly
Enlarged spleen.

spotted thistle (... THIH-sel)
A plant whose leaves, stems, and flowers have been used in some cultures to treat certain medical problems. Spotted thistle may have anti-inflammatory and anticancer effects. The scientific name is Cnicus benedictus. Also called blessed thistle, St. Benedict's thistle, cardin, and holy thistle.

Sprycel (SPRY-sel)
A drug used to treat certain types of chronic myeloid leukemia and acute lymphoblastic leukemia. Sprycel is also being studied in the treatment of certain other blood diseases and types of cancer. Sprycel binds to and blocks BCR-ABL and other proteins that help cancer cells grow. It is a type of tyrosine kinase inhibitor. Also called dasatinib and BMS-354825.

sputum (SPYOO-tum)
Mucus and other matter brought up from the lungs by coughing.

sputum cytology (SPYOO-tum sy-TAH-loh-jee)
Examination under a microscope of cells found in sputum (mucus and other matter brought up from the lungs by coughing). The test checks for abnormal cells, such as lung cancer cells.

squalamine lactate
A drug that belongs to the family of drugs called angiogenesis inhibitors. It prevents the growth of new blood vessels into a solid tumor.

squamous cell (SKWAY-mus sel)
Flat cell that looks like a fish scale under a microscope. These cells cover inside and outside surfaces of the body. They are found in the tissues that form the surface of the skin, the lining of the hollow organs of the body (such as the bladder, kidney, and uterus), and the passages of the respiratory and digestive tracts.

squamous cell carcinoma (SKWAY-mus sel KAR-sih-NOH-muh)
Cancer that begins in squamous cells, which are thin, flat cells that look like fish scales. Squamous cells are found in the tissue that forms the surface of the skin, the lining of the hollow organs of the body, and the passages of the respiratory and digestive tracts. Also called epidermoid carcinoma.

squamous intraepithelial lesion (SKWAY-mus IN-truh-eh-pih-THEEL-ee-ul LEE-zhun)
SIL. A general term for the abnormal growth of squamous cells on the surface of the cervix. The changes in the cells are described as low grade or high grade, depending on how much of the cervix is affected and how abnormal the cells appear. Also called SIL.

SR-29142
A drug that may protect healthy tissue from the toxic effects of anticancer drugs.

SR-45023A
An anticancer drug that belongs to the family of drugs called bisphosphonates. It affects cancer cell receptors governing cell growth and cell death.

SR49059
A substance that is being studied in the treatment of cancer. It inhibits a hormone growth factor that causes some cancer cells to divide. It belongs to the family of drugs called vasopressin receptor antagonists.

SRS
Somatostatin receptor scintigraphy. A type of radionuclide scan used to find carcinoid and other types of tumors. In SRS, radioactive octreotide, a drug similar to somatostatin, is injected into a vein and travels through the bloodstream. The radioactive octreotide attaches to tumor cells that have receptors for somatostatin. A radiation-measuring device detects the radioactive octreotide, and makes pictures showing where the tumor cells are in the body. Also called somatostatin receptor scintigraphy and octreotide scan.

SSG
Sodium stibogluconate. A substance being studied in the treatment of certain solid tumors, lymphoma, and myeloma. SSG may block enzymes needed for cancer growth. It is a type of pentavalent antimonial. Also called sodium stibogluconate.

SSRI
Selective serotonin reuptake inhibitor. A type of drug that is used to treat depression. SSRIs slow the process by which serotonin (a substance that nerves use to send messages to one another) is reused by nerve cells that make it. This increases the amount of serotonin available for stimulating other nerves. Also called selective serotonin reuptake inhibitor.

St. Benedict's thistle (SAYNT BEH-neh-diktz THIH-sel)
A plant whose leaves, stems, and flowers have been used in some cultures to treat certain medical problems. St. Benedict's thistle may have anti-inflammatory and anticancer effects. The scientific name is Cnicus benedictus. Also called blessed thistle, cardin, holy thistle, and spotted thistle.

St. John's wort
An herbal product sold as an over-the-counter treatment for depression. It is being studied for its ability to lessen certain side effects of cancer treatment. The scientific name is Hypericum perforatum.

ST1481
A substance that is being studied in the treatment of cancer. It belongs to the family of drugs called topoisomerase inhibitors. Also called gimatecan.

stable disease
Cancer that is neither decreasing nor increasing in extent or severity.

stage
The extent of a cancer in the body. Staging is usually based on the size of the tumor, whether lymph nodes contain cancer, and whether the cancer has spread from the original site to other parts of the body.

stage 0 anal carcinoma in situ (... AY-nul KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the innermost lining of the anus. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 bladder carcinoma in situ (... BLA-der KAR-sih-NOH-muh in SY-too)
Abnormal cells are found on tissue lining the inside of the bladder. These abnormal cells may become cancer and spread into nearby normal tissue. Stage 0 is divided into stage 0a (papillary carcinoma) and stage 0is (carcinoma in situ), depending on the type of tumor. Stage 0a may look like tiny mushrooms growing from the lining of the bladder. Stage 0is is a flat tumor on the tissue lining the inside of the bladder.

stage 0 breast carcinoma in situ (... brest KAR-sih-NOH-muh in SY-too)
In stage 0, abnormal cells are found in the breast. There are 2 types of stage 0: ductal carcinoma in situ (DCIS) and lobular carcinoma in situ (LCIS). DCIS is a noninvasive, precancerous condition in which abnormal cells are found in the lining of a breast duct (a tube that carries milk to the nipple). The abnormal cells have not spread outside the duct to other tissues in the breast. In some cases, DCIS may spread to other tissues, although it is not known how to predict which lesions will become invasive cancer. LCIS is a condition in which abnormal cells are found in the lobules (small sections of tissue involved with making milk) of the breast. This condition seldom becomes invasive cancer; however, having LCIS in one breast increases the risk of developing breast cancer in either breast.

stage 0 cervical carcinoma in situ (... SER-vih-kul KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the cervical epithelium (the innermost lining of the cervix). These abnormal cells may become cancer and spread into nearby normal tissue. Also called cervical squamous intraepithelial neoplasia 3 and CIN 3.

stage 0 chronic lymphocytic leukemia (... KRAH-nik LIM-foh-SIH-tik loo-KEE-mee-uh)
There are too many lymphocytes in the blood, but there are no other symptoms of leukemia. Stage 0 is indolent (slow-growing).

stage 0 colorectal carcinoma in situ (...KOH-loh-REK-tul KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the innermost lining of the colon and/or rectum. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 esophageal carcinoma in situ (...ee-SAH-fuh-JEE-ul KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the innermost layer of tissue lining the esophagus. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 extrahepatic bile duct carcinoma in situ (... EK-struh-heh-PA-tik bile dukt KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the innermost layer of tissue lining the extrahepatic bile duct. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 gallbladder carcinoma in situ (... GAWL-bla-der KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the innermost (mucosal) layer of the gallbladder. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 gastric carcinoma in situ (... GAS-trik KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the inside lining of the mucosal (innermost) layer of the stomach wall. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 hypopharyngeal carcinoma in situ (... HY-poh-fuh-RIN-jee-ul KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the lining of the hypopharynx. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 laryngeal carcinoma in situ (...luh-RIN-jul KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the lining of the larynx. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 lip and oral cavity carcinoma in situ (... OR-ul KA-vih-tee KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the lining of the lips and oral cavity (mouth). These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 maxillary sinus carcinoma in situ (... MAK-sih-layr-ee SY-nus KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the innermost lining of the maxillary sinus. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 medullary thyroid carcinoma in situ (... MED-yoo-LAYR-ee THY-royd KAR-sih-NOH-muh in SY-too)
No tumor is found in the thyroid but abnormal cells are found by screening tests. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 melanoma (... MEH-luh-NOH-muh)
Abnormal melanocytes (cells that make melanin, the pigment that gives skin its color) are found in the epidermis (outer layer of the skin). These abnormal melanocytes may become cancer and spread into nearby normal tissue. Also called melanoma in situ.

stage 0 nasal cavity and ethmoid sinus carcinoma in situ (... NAY-zul KA-vih-tee … ETH-moyd SY-nus KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the innermost lining of the nasal cavity or ethmoid sinus. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 nasopharyngeal carcinoma in situ (...NAY-zoh-fuh-RIN-jee-ul KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the lining of the nasopharynx (the upper part of the throat behind the nose). These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 non-small cell lung carcinoma in situ (... KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the innermost lining of the lung. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 oropharyngeal carcinoma in situ (...or-oh-fuh-RIN-jee-ul KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the lining of the oropharynx (the part of the throat at the back of the mouth). These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 pancreatic carcinoma in situ (...PAN-kree-A-tik KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the lining of the pancreas. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 penile carcinoma in situ (... PEE-nile KAR-sih-NOH-muh in SY-too)
Abnormal cells are found on the surface of the skin of the penis. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 skin carcinoma in situ (... KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the squamous cell or basal cell layer of the epidermis (topmost layer of the skin). These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 testicular carcinoma in situ (...tes-TIH-kyuh-ler KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in the tiny tubules where the sperm cells begin to develop. These abnormal cells may become cancer and spread into nearby normal tissue. All tumor marker levels are normal.

stage 0 transitional cell carcinoma in situ of the renal pelvis and ureter (...tran-ZIH-shuh-nul sel KAR-sih-NOH-muh in SY-too...REE-nul PEL-vus and YER-eh-ter)
Abnormal cells are found in tissue lining the inside of the renal pelvis or ureter. These abnormal cells may become cancer and spread into nearby normal tissue. Stage 0 is divided into stages 0a (papillary carcinoma) and 0is (carcinoma in situ), depending on the type of tumor. Stage 0a may look like tiny mushrooms growing from the lining of the renal pelvis or ureter. Stage 0is is a flat tumor on the tissue lining the inside of the renal pelvis or ureter.

stage 0 urethral carcinoma in situ (... yoo-REE-thrul KAR-sih-NOH-muh in SY-too)
Abnormal cells are found on the inside lining of the urethra. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 vaginal carcinoma in situ (...VA-jih-nul KAR-sih-NOH-muh in SY-too)
Abnormal cells are found in tissue lining the inside of the vagina (birth canal). These abnormal cells may become cancer and spread into nearby normal tissue.

stage 0 vulvar carcinoma in situ (... KAR-sih-NOH-muh in SY-too)
Abnormal cells are found on the surface of the vulvar skin. These abnormal cells may become cancer and spread into nearby normal tissue.

stage 1 neuroblastoma (NUR-oh-blas-TOH-muh)
Tumor is only found in one area; all of the tumor that can be seen is completely removed during surgery.

stage 2 neuroblastoma (NUR-oh-blas-TOH-muh)
Stage 2 is divided into stages 2A and 2B. In stage 2A, the tumor is in one area only and not all of the tumor that can be seen can be completely removed during surgery. In stage 2B, the tumor is in one area only and all of the tumor that can be seen may be completely removed during surgery, but cancer cells are found in nearby lymph nodes.

stage 3 neuroblastoma (NUR-oh-blas-TOH-muh)
In stage 3 neuroblastoma, the tumor (1) cannot be completely removed during surgery and has spread from one side of the body to the other side and may also have spread to nearby lymph nodes; or (2) is in one area of one side of the body only, but has spread to lymph nodes on the other side of the body; or (3) is in the middle of the body and has spread to tissues or lymph nodes on both sides of the body, and the tumor cannot be removed by surgery.

stage 4 neuroblastoma (NUR-oh-blas-TOH-muh)
Stage 4 neuroblastoma is divided into stages 4 and 4S. In stage 4, the tumor has spread to distant lymph nodes, the skin, and/or other parts of the body. In stage 4S, (1) the child is younger than 1 year; and (2) the cancer has spread to the skin, liver, and/or bone marrow; and (3) the tumor is in one area only and all of the tumor that can be seen may be completely removed during surgery; and/or (4) cancer cells may be found in the lymph nodes near the tumor.

stage A1 prostate cancer
Cancer is found in the prostate only. It cannot be felt during a digital rectal exam and is not visible by imaging. It is usually found accidentally during surgery for other reasons, such as benign prostatic hyperplasia (a condition in which an overgrowth of prostate tissue occurs). Also called stage I prostate cancer.

stage A2 prostate cancer
Cancer is more advanced than in stage I, but has not spread outside the prostate. Also called stage II prostate cancer, stage B1 prostate cancer, and stage B2 prostate cancer.

stage B1 prostate cancer
Cancer is more advanced than in stage I, but has not spread outside the prostate. Also called stage II prostate cancer, stage A2 prostate cancer, and stage B2 prostate cancer.

stage B2 prostate cancer
Cancer is more advanced than in stage I, but has not spread outside the prostate. Also called stage II prostate cancer, stage A2 prostate cancer, and stage B1 prostate cancer.

stage C prostate cancer
Cancer has spread beyond the outer layer of the prostate to nearby tissues and may be found in the seminal vesicles (glands that help produce semen). Also called stage III prostate cancer.

stage D1 prostate cancer
Cancer has metastasized (spread) to lymph nodes near or far from the prostate, or to other parts of the body, such as the bladder, rectum, bones, liver, or lungs. Metastatic prostate cancer often spreads to the bones. Also called stage IV prostate cancer and stage D2 prostate cancer.

stage D2 prostate cancer
Cancer has metastasized (spread) to lymph nodes near or far from the prostate, or to other parts of the body, such as the bladder, rectum, bones, liver, or lungs. Metastatic prostate cancer often spreads to the bones. Also called stage IV prostate cancer and stage D1 prostate cancer.

stage I adrenocortical cancer
Cancer that is smaller than 5 centimeters (smaller than 2 inches) and has not spread into tissues around the adrenal gland.

stage I adult Hodgkin lymphoma (... HOJ-kin lim-FOH-muh)
Stage I is divided into stage I and stage IE. In stage I, cancer is found in a single group of lymph nodes. In stage IE, cancer is found in one area or organ other than the lymph nodes.

stage I adult non-Hodgkin lymphoma (... non-HOJ-kin lim-FOH-muh)
Stage I is divided into stage I and stage IE. In stage I, cancer is found in a single lymph node area. In stage IE, cancer is found in an organ or tissue other than the lymph nodes.

stage I adult primary liver cancer
There is one tumor and it has not spread to nearby blood vessels.

stage I AIDS-related lymphoma
Stage I AIDS-related lymphoma is divided into stages I and IE. In stage I, cancer is found in one group of lymph nodes. In stage IE, cancer is found in one area of one organ or tissue that is not part of the lymph system.

stage I anal cancer
The tumor is no larger than 2 centimeters.

stage I bladder cancer
Cancer has spread to the connective tissue layer below the inner lining of the bladder.

stage I breast cancer
The tumor is 2 centimeters or smaller and has not spread outside the breast.

stage I cancer of the uterus
Cancer found in only the main part of the uterus, not the cervix.

stage I cancer of the vulva
Cancer found in the vulva only or the space between the opening of the rectum and the vagina (perineum). The tumor is 2 centimeters (about 1 inch) or smaller.

stage I cervical cancer (... SER-vih-kul KAN-ser)
Cancer is found in the cervix only. Stage I is divided into stages IA and IB, based on the amount of cancer that is found. In stage IA, a very small amount of cancer that can only be seen with a microscope is found in the tissues of the cervix. The cancer is not deeper than 5 millimeters and not wider than 7 millimeters. In stage IB, the cancer is still within the cervix and either (1) can only be seen with a microscope and is deeper than 5 millimeters or wider than 7 millimeters; or (2) can be seen without a microscope and may be larger than 4 centimeters.

stage I childhood Hodgkin lymphoma (...HOJ-kin lim-FOH-muh)
Stage I is divided into stages I and IE. In stage I, cancer is found in only one group of lymph nodes. In stage IE, cancer is found in only one group of lymph nodes and has spread to a nearby organ or tissue that is not part of the lymph system.

stage I childhood liver cancer
All of the cancer was removed by surgery.

stage I childhood non-Hodgkin lymphoma (... non-HOJ-kin lim-FOH-muh)
Cancer is found in a single area or lymph node outside of the abdomen or chest.

stage I chronic lymphocytic leukemia
There are too many lymphocytes in the blood and the lymph nodes are larger than normal.

stage I colorectal cancer (...KOH-loh-REK-tul KAN-ser)
Cancer has spread beyond the innermost lining of the colon and/or rectum to the second and third layers and involves the inside wall of the colon and/or rectum, but it has not spread to the outer wall or outside the colon and/or rectum. Also called Dukes A colorectal cancer.

stage I cutaneous T-cell lymphoma
May be either of the following: (1) stage IA cancer affecting less than 10% of the skin's surface and appearing as red, dry, scaly patches; (2) stage IB cancer affecting 10% or more of the skin's surface and appearing as red, dry, scaly patches.

stage I endometrial cancer
Cancer is found in the uterus only. Stage I is divided into stage IA, IB, and IC, based on how far the disease has spread. In stage IA, cancer is in the endometrium only; in stage IB, cancer has spread into the inner half of the myometrium (muscle layer of the uterus); in stage IC, cancer has spread into the outer half of the myometrium.

stage I esophageal cancer (...ee-SAH-fuh-JEE-ul KAN-ser)
Cancer has spread beyond the innermost layer of tissue to the next layer of tissue in the wall of the esophagus.

stage I extrahepatic bile duct cancer (EK-struh-hih-PA-tik bile dukt)
Stage I is divided into stage IA and IB. In stage IA, cancer is found only in the bile duct. In stage IB, cancer has spread through the wall of the bile duct.

stage I gastric cancer
Stage I is divided into stage IA and stage IB, depending on where the cancer has spread. In stage IA, cancer has spread completely through the mucosal (innermost) layer of the stomach wall. In stage IB, cancer has spread completely through the mucosal (innermost) layer of the stomach wall and is found in up to 6 lymph nodes near the tumor, or has spread to the muscularis (middle) layer of the stomach wall.

stage I hypopharyngeal cancer
The tumor is found only in one area of the hypopharynx and is 2 centimeters or smaller.

stage I kidney cancer
The tumor is 7 centimeters or smaller and is found in the kidney only. Also called stage I renal cell cancer.

stage I laryngeal cancer (...luh-RIN-jul...)
Cancer is found only in the area where it started. Stage I laryngeal cancer depends on where cancer is found in the larynx. If it started in the supraglottis, then cancer is in one area of the supraglottis only and the vocal cords can move normally. If it started in the glottis, then cancer is in one or both vocal cords and the vocal cords can move normally. If it started in the subglottis, then cancer is in the subglottis only.

stage I lip and oral cavity cancer
Cancer that is no larger than 2 centimeters (about 1 inch) and has not spread to nearby lymph nodes.

stage I malignant mesothelioma (...muh-LIG-nunt meh-zuh-thee-lee-OH-muh)
Cancer is found in the lining of the chest wall and may also be found in the lining of the lung, the lining of the diaphragm (the thin muscle below the lungs and heart that separates the chest from the abdomen), or the lining of the sac that covers the heart on the same side of the chest. Also called localized malignant mesothelioma.

stage I melanoma
Stage I is divided into stages IA and IB. In stage IA, the tumor is not more than 1 millimeter thick, with no ulceration. The tumor is in the epidermis (outer layer of skin) and upper layer of the dermis (inner layer of skin). In stage IB, the tumor is either not more than 1 millimeter thick, with ulceration, and may have spread into the dermis or the tissue below the skin; or 1 to 2 millimeters thick, with no ulceration.

stage I Merkel cell carcinoma (... MER-kul ...)
Stage I Merkel cell carcinoma is divided into stages IA and IB. In stage IA, the cancer is smaller than 2 centimeters in diameter and has not spread to lymph nodes or other parts of the body. In stage IB, the cancer is 2 centimeters or larger in diameter and has not spread to lymph nodes or other parts of the body.

stage I multiple myeloma (... MUL-tih-pul MY-eh-LOH-muh)
Relatively few cancer cells have spread throughout the body. There may be no symptoms of disease.

stage I mycosis fungoides and the Sézary syndrome (...my-KOH-sis fun-GOY-deez...)
Stage I is divided into stages IA and IB. In stage IA, less than 10% of the skin surface is covered with patches and/or plaques (areas of abnormal tissue). In stage IB, 10% or more of the skin surface is covered with patches and/or plaques. Stage I may also be classified based on how many abnormal lymphocytes (white blood cells) are found in the blood.

stage I nasopharyngeal cancer (...NAY-zoh-fuh-RIN-jee-ul KAN-ser)
Cancer is found in the nasopharynx (the upper part of the throat behind the nose) only.

stage I non-small cell lung cancer
Cancer is in the lung only. Stage I is divided into stages IA and IB based on the size or location of the tumor.

stage I oropharynx cancer
Cancer that is no larger than 2 centimeters (about 0.75 inch) and is confined to the oropharynx.

stage I ovarian cancer (...oh-VAYR-ee-un KAN-ser)
Cancer is found in one or both of the ovaries and has not spread. Stage I is divided into stage IA, stage IB, and stage IC. In stage IA, cancer is found in a single ovary. In stage IB, cancer is found in both ovaries. In stage IC, cancer is found in one or both ovaries and one of the following is true: cancer is found on the outside surface of one or both ovaries; the capsule (outer covering) of the tumor has ruptured (broken open); or, cancer cells are found in fluid from the peritoneal cavity (the body cavity that contains most of the organs in the abdomen).

stage I ovarian germ cell tumor (...oh-VAYR-ee-un jerm sel TOO-mer)
Stage I ovarian germ cell tumor is divided into stages IA, IB, and IC. In stage IA, cancer is found in a single ovary. In stage IB, cancer is found in both ovaries. In stage IC, cancer is found in one or both ovaries and one of the following is true: cancer is found on the outside surface of one or both ovaries; or the capsule (outer covering) of the tumor has ruptured (broken open); or cancer cells are found in the fluid of the peritoneal cavity (the body cavity that contains most of the organs in the abdomen) or in washings of the peritoneum (the tissue that lines the peritoneal cavity).

stage I pancreatic cancer
Cancer is found in the pancreas only. Stage I is divided into stage IA and stage IB based on tumor size. In stage IA, the tumor is no larger than 2 centimeters and in stage IB, the tumor is larger than 2 centimeters.

stage I penile cancer (... PEE-nile ...)
Cancer is found in connective tissue just under the skin of the penis.

stage I prostate cancer (...PROS-tayt KAN-ser)
Cancer is found in the prostate only. It cannot be felt during a digital rectal exam and is not visible by imaging. It is usually found accidentally during surgery for other reasons, such as benign prostatic hyperplasia (a condition in which an overgrowth of prostate tissue occurs). Also called stage A1 prostate cancer.

stage I renal cell cancer (REE-nul)
The tumor is 7 centimeters or smaller and is found in the kidney only. Also called stage I kidney cancer.

stage I skin cancer
The tumor is no larger than 2 centimeters.

stage I testicular cancer (...tes-TIH-kyuh-ler KAN-ser)
Stage I is divided into stage IA, stage IB, and stage IS, and is determined after a radical inguinal orchiectomy (surgery to remove the testicle) is done. In stage IA, cancer is in the testicle and epididymis and may have spread to the inner layer of the membrane surrounding the testicle; all tumor marker levels are normal. In stage IB, the cancer is in the testicle and the epididymis and has spread to the blood or lymph vessels in the testicle; or has spread to the outer layer of the membrane surrounding the testicle; or is in the spermatic cord or the scrotum and may be in the blood or lymph vessels of the testicle; all tumor marker levels are normal. In stage IS, cancer is found anywhere within the testicle, spermatic cord, or the scrotum, and either all tumor marker levels are slightly above normal or one or more tumor marker levels are moderately above normal or high.

stage I transitional cell cancer of the renal pelvis and ureter (... tran-ZIH-shuh-nul sel KAN-ser ... REE-nul PEL-vus and YER-eh-ter)
Cancer has spread through the lining of the renal pelvis and/or ureter, into the layer of connective tissue.

stage I uterine sarcoma (…YOO-teh-rin sar-KOH-muh)
Stage I uterine sarcoma is divided into stages IA, IB, and IC based on how far the cancer has spread into the wall of the uterus. In stage IA, cancer is in the endometrium only. In stage IB, cancer has spread into the inner half of the myometrium (muscle layer of the uterus). In stage IC, cancer has spread to the outer half of the myometrium.

stage I Wilms tumor
The tumor was completely removed by surgery and all of the following are true: (1) cancer was found only in the kidney and did not spread to blood vessels of the kidney; (2) the outer layer of the kidney did not break open; (3) the tumor did not break open; (4) a biopsy of the tumor was not done; and (5) no cancer cells were found at the edges of the area where the tumor was removed.

stage IA gallbladder cancer
Stage I gallbladder cancer is divided into stages IA and IB. In stage IA, cancer has spread beyond the innermost (mucosal) layer to the connective tissue or to the muscle layer.

stage IA soft tissue sarcoma
Cancer in which the cells look very much like normal cells. The cancer is smaller than 5 centimeters (about 2 inches) and has not spread to lymph nodes or other parts of the body.

stage IB gallbladder cancer
Stage I gallbladder cancer is divided into stages IA and IB. In stage IB, cancer has spread beyond the muscle layer to the connective tissue around the muscle.

stage IB soft tissue sarcoma
Cancer in which the cells look somewhat different from normal cells. The cancer is larger than 5 centimeters (about 2 inches) and has not spread to lymph nodes or other parts of the body.

stage II adrenocortical cancer
Cancer that is larger than 5 centimeters (about 2 inches) and has not spread into tissues around the adrenal gland.

stage II adult Hodgkin lymphoma (... HOJ-kin lim-FOH-muh)
Stage II is divided into stage II and stage IIE. In stage II, cancer is found in two or more lymph node groups on the same side of the diaphragm (the thin muscle below the lungs that helps breathing and separates the chest from the abdomen). In stage IIE, cancer is found in one area or organ other than the lymph nodes and in the lymph nodes near that area or organ, and may have spread to other lymph node groups on the same side of the diaphragm.

stage II adult non-Hodgkin lymphoma (... non-HOJ-kin lim-FOH-muh)
Stage II is divided into stage II and stage IIE. In stage II, cancer is found in two or more lymph node areas on the same side of the diaphragm. In stage IIE, cancer is found in an organ or tissue other than the lymph nodes and may have spread to one or more lymph nodes on the same side of the diaphragm.

stage II adult primary liver cancer
There is either (1) one tumor that has spread to nearby blood vessels; or (2) there is more than one tumor, none of which is larger than 5 centimeters.

stage II AIDS-related lymphoma
Stage II AIDS-related lymphoma is divided into stages II and IIE. In stage II, cancer is found in two or more lymph node groups on the same side of the diaphragm (the muscle below the lungs and heart that separates the chest from the abdomen). In stage IIE, cancer is found in one area of one organ or tissue that is not part of the lymph system and in nearby lymph nodes. Cancer may also be found in other lymph node groups on the same side of the diaphragm.

stage II anal cancer
The tumor is larger than 2 centimeters.

stage II bladder cancer
Cancer has spread to either the inner layer or outer layer of the muscle wall of the bladder.

stage II breast cancer
Stage II is divided into stage IIA and stage IIB based on tumor size and whether it has spread to the axillary lymph nodes (the lymph nodes under the arm). In stage IIA, the cancer is either no larger than 2 centimeters and has spread to the axillary lymph nodes, or between 2 and 5 centimeters but has not spread to the axillary lymph nodes. In stage IIB, the cancer is either between 2 and 5 centimeters and has spread to the axillary lymph nodes, or larger than 5 centimeters but has not spread to the axillary lymph nodes.

stage II cancer of the uterus
Cancer that has spread to the cervix.

stage II cancer of the vulva
Cancer that is found in the vulva, the space between the opening of the rectum and the vagina (perineum), or both. The tumor is larger than 2 centimeters (larger than 1 inch).

stage II cervical cancer (... SER-vih-kul KAN-ser)
Cancer has spread beyond the cervix but not to the pelvic wall (the tissues that line the part of the body between the hips). Stage II is divided into stages IIA and IIB, based on how far the cancer has spread. In stage IIA, cancer has spread to the upper two thirds of the vagina but not to tissues around the uterus. In stage IIB, cancer has spread to the upper two thirds of the vagina and to the tissues around the uterus.

stage II childhood Hodgkin lymphoma (...HOJ-kin lim-FOH-muh)
Stage II is divided into stages II and IIE. In stage II, cancer is found in two or more lymph node groups on the same side of the diaphragm (the thin muscle below the lungs and heart that separates the chest from the abdomen). In stage IIE, cancer is found in two or more lymph node groups on the same side of the diaphragm and has spread from one of those lymph nodes to a nearby organ or tissue that is not part of the lymph system.

stage II childhood liver cancer
All of the cancer was removed by surgery, except for a small amount of cancer that can be seen only with a microscope, or tumor cells that may have spilled into the abdomen during surgery.

stage II childhood non-Hodgkin lymphoma (... non-HOJ-kin lim-FOH-muh)
Cancer is found (1) in only one area and in the lymph nodes around it; or (2) in two or more areas or lymph nodes on one side of the diaphragm (the thin muscle under the lungs that divides the chest and abdominal cavity and helps with breathing); or (3) to have started in the stomach or intestines and has been completely removed by surgery, and lymph nodes in the area may or may not contain cancer.

stage II chronic lymphocytic leukemia
There are too many lymphocytes in the blood, the liver or spleen is larger than normal, and the lymph nodes may be larger than normal.

stage II colorectal cancer (...KOH-loh-REK-tul KAN-ser)
Cancer has spread outside the colon and/or rectum to nearby tissue, but it has not gone into the lymph nodes. Also called Dukes B colorectal cancer.

stage II cutaneous T-cell lymphoma
Stage II cutaneous T-cell lymphoma may be either of the following: (1) stage IIA, in which the skin has red, dry, scaly patches but no tumors, and lymph nodes are enlarged but do not contain cancer cells; (2) stage IIB, in which tumors are found on the skin, and lymph nodes are enlarged but do not contain cancer cells.

stage II endometrial cancer
Cancer has spread from the uterus to the cervix, but not beyond the cervix. Stage II is divided into stage IIA and IIB, based on how far the cancer has spread into the cervix. In stage IIA, cancer has spread to the glands where the cervix and uterus meet. In stage IIB, cancer has spread into the connective tissue of the cervix.

stage II esophageal cancer (...ee-SAH-fuh-JEE-ul KAN-ser)
Stage II is divided into stage IIA and stage IIB, depending on where the cancer has spread. In stage IIA, cancer has spread to the layer of esophageal muscle or to the outer wall of the esophagus. In stage IIB, cancer may have spread to any of the first three layers of the esophagus and to nearby lymph nodes.

stage II extrahepatic bile duct cancer (EK-struh-hih-PA-tik bile dukt)
Stage II is divided into stage IIA and IIB. In stage IIA, cancer has spread to the liver, gallbladder, pancreas, and/or to either the right or left branches of the hepatic artery or of the portal vein (major blood vessels that carry blood to the liver). In stage IIB, cancer has spread to nearby lymph nodes and (1) is found in the bile duct; or (2) has spread through the wall of the bile duct; or (3) has spread to the liver, gallbladder, pancreas, and/or the right or left branches of the hepatic artery or portal vein.

stage II gastric cancer
Cancer has spread (1) completely through the mucosal (innermost) layer of the stomach wall and is found in 7 to 15 lymph nodes near the tumor, or (2) to the muscularis (middle) layer of the stomach wall and is found in up to 6 lymph nodes near the tumor, or (3) to the serosal (outermost) layer of the stomach wall but not to lymph nodes or other organs.

stage II hypopharyngeal cancer
The tumor is either (1) larger than 2 centimeters but not larger than 4 centimeters and has not spread to the larynx (voice box); or (2) found in more than one area of the hypopharynx or in nearby tissues.

stage II kidney cancer
The tumor is larger than 7 centimeters and is found in the kidney only. Also called stage II renal cell cancer.

stage II laryngeal cancer (...luh-RIN-jul...)
Cancer that is found in the larynx. The exact definition of stage II depends on where the cancer started. If it started in the supraglottis, then cancer is in more than one area of the supraglottis or glottis or region near the supraglottis. If it started in the glottis, then cancer has spread to the supraglottis and/or the subglottis, and/or the vocal cords do not move normally. If it started in the subglottis, then cancer has spread to the vocal cords, which may not move normally.

stage II lip and oral cavity cancer
Cancer that is larger than 2 centimeters (about 1 inch) but not larger than 4 centimeters (about 2 inches) and has not spread to lymph nodes.

stage II malignant mesothelioma (...muh-LIG-nunt meh-zuh-thee-lee-OH-muh)
Cancer is found in the lining of the chest wall and the lymph nodes on the same side of the chest. Cancer may also be found in the lining of the lung, the lining of the diaphragm (the thin muscle below the lungs and heart that separates the chest from the abdomen), or the lining of the sac that covers the heart on the same side of the chest. Stage II malignant mesothelioma is advanced malignant mesothelioma.

stage II melanoma
Stage II is divided into stages IIA, IIB, and IIC. In stage IIA, the tumor is either 1 to 2 millimeters thick, with ulceration; or 2 to 4 millimeters thick, with no ulceration. In stage IIB, the tumor is either 2 to 4 millimeters thick, with ulceration; or more than 4 millimeters thick, with no ulceration. In stage IIC, the tumor is more than 4 millimeters thick, with ulceration.

stage II Merkel cell carcinoma (... MER-kul ...)
The cancer may be any size and has spread to nearby lymph nodes, but has not spread to other parts of the body.

stage II multiple myeloma (... MUL-tih-pul MY-eh-LOH-muh)
Cancer in which a moderate number of cancer cells have spread throughout the body.

stage II mycosis fungoides and the Sézary syndrome (...my-KOH-sis fun-GOY-deez...)
Stage II is divided into stages IIA and IIB. In stage IIA, any amount of the skin surface is covered with patches and/or plaques (areas of abnormal tissue). Lymph nodes are enlarged but cancer has not spread to them. In stage IIB, one or more tumors (lumps of malignant cells) are found on the skin. Lymph nodes may be enlarged but cancer has not spread to them. Stage II may also be classified based on how many abnormal lymphocytes (white blood cells) are found in the blood.

stage II nasopharyngeal cancer (...NAY-zoh-fuh-RIN-jee-ul KAN-ser)
Stage II is divided into stage IIA and stage IIB. In stage IIA, cancer has spread from the nasopharynx (the upper part of the throat behind the nose) to the oropharynx (the middle part of the throat that includes the soft palate, the base of the tongue, and the tonsils), and/or to the nasal cavity. In stage IIB, cancer is found in the nasopharynx and has spread to lymph nodes on one side of the neck, or has spread to the area surrounding the nasopharynx and may have spread to lymph nodes on one side of the neck.

stage II non-small cell lung cancer
Cancer has spread to nearby lymph nodes or to the chest wall, the diaphragm, the mediastinal pleura (the thin membrane that covers the outside of the lungs in the area near the heart), or the parietal pericardium (the outer layer of tissue that surrounds the heart). Stage II is divided into stage IIA and stage IIB based on the size of the tumor and whether it has spread to the lymph nodes.

stage II oropharynx cancer
Tumor that is between 2 and 4 centimeters (0.75 and 1.5 inches) and is confined to the oropharynx.

stage II ovarian cancer (...oh-VAYR-ee-un KAN-ser)
Cancer is found in one or both ovaries and has spread into other areas of the pelvis. Stage II is divided into stage IIA, stage IIB, and stage IIC. In stage IIA, cancer has spread to the uterus and/or the fallopian tubes. In stage IIB, cancer has spread to other tissues within the pelvis. In stage IIC, cancer has spread to the uterus and/or fallopian tubes and/or other tissue within the pelvis and cancer cells are found in fluid from the peritoneal cavity (the body cavity that contains most of the organs in the abdomen).

stage II ovarian germ cell tumor (...oh-VAYR-ee-un jerm sel TOO-mer)
Stage II ovarian germ cell tumor is divided into stages IIA, IIB, and IIC. In stage IIA, cancer has spread to the uterus and/or the fallopian tubes (the long slender tubes through which eggs pass from the ovaries to the uterus). In stage IIB, cancer has spread to other tissue within the pelvis. In stage IIC, cancer has spread to the uterus and/or fallopian tubes and/or other tissue within the pelvis and cancer cells are found in the fluid of the peritoneal cavity (the body cavity that contains most of the organs in the abdomen) or in washings of the peritoneum (the tissue that lines the peritoneal cavity).

stage II pancreatic cancer
Stage II is divided into stages IIA and IIB, based on where the cancer has spread. In stage IIA, cancer has spread to nearby tissue and organs but has not spread to nearby lymph nodes. In stage IIB, cancer has spread to nearby lymph nodes and may have spread to nearby tissue and organs.

stage II penile cancer (... PEE-nile ...)
Cancer has spread to connective tissue just under the skin of the penis and to one lymph node in the groin; or cancer has spread to erectile tissue (spongy tissue that fills with blood to make an erection) and may have spread to one lymph node in the groin.

stage II prostate cancer (...PROS-tayt KAN-ser)
Cancer is more advanced than in stage I, but has not spread outside the prostate. Also called stage A2 prostate cancer, stage B1 prostate cancer, and stage B2 prostate cancer.

stage II renal cell cancer (REE-nul)
The tumor is larger than 7 centimeters and is found in the kidney only. Also called stage II kidney cancer.

stage II skin cancer
The tumor is larger than 2 centimeters.

stage II testicular cancer (...tes-TIH-kyuh-ler KAN-ser)
Stage II is divided into stage IIA, stage IIB, and stage IIC, and is determined after a radical inguinal orchiectomy (surgery to remove the testicle) is done. In stage IIA, the cancer is anywhere within the testicle, spermatic cord, or scrotum; and has spread to up to 5 lymph nodes in the abdomen (none larger than 2 centimeters). In stage IIB, the cancer is anywhere within the testicle, spermatic cord, or scrotum; has spread to up to 5 lymph nodes in the abdomen (at least one of the lymph nodes is larger than 2 centimeters, but none is larger than 5 centimeters) or has spread to more than 5 lymph nodes (the lymph nodes are not larger than 5 centimeters). In stage IIC, the cancer is anywhere within the testicle, spermatic cord, or scrotum; and has spread to a lymph node in the abdomen that is larger than 5 centimeters. All tumor marker levels are normal or slightly above normal.

stage II transitional cell cancer of the renal pelvis and ureter (... tran-ZIH-shuh-nul sel KAN-ser ... REE-nul PEL-vus and YER-eh-ter)
Cancer has spread through the layer of connective tissue to the muscle layer of the renal pelvis and/or ureter.

stage II uterine sarcoma (…YOO-teh-rin sar-KOH-muh)
Stage II uterine sarcoma is divided into stages IIA and IIB based on how far the cancer has spread into the cervix. In stage IIA, cancer has spread to the glands where the cervix and uterus meet. In stage IIB, cancer has spread into the connective tissue of the cervix.

stage II Wilms tumor
Cancer spread out of the kidney to nearby soft tissue or to blood vessels of the kidney and was completely removed by surgery. No cancer cells were found at the edges of the area where the cancer was removed.

stage IIA breast cancer
Stage II breast cancer is divided into stages IIA and IIB. In stage IIA, (1) no tumor is found in the breast, but cancer is found in the axillary (under the arm) lymph nodes; or (2) the tumor is 2 centimeters or smaller and has spread to the axillary lymph nodes; or (3) the tumor is larger than 2 centimeters but not larger than 5 centimeters and has not spread to the axillary lymph nodes.

stage IIA gallbladder cancer
Stage II gallbladder cancer is divided into stages IIA and IIB. In stage IIA, cancer has spread beyond the tissue that covers the gallbladder and/or to the liver and/or to one nearby organ, such as the stomach, small intestine, colon, pancreas, or bile ducts outside the liver.

stage IIA soft tissue sarcoma
The cancer cells look somewhat different from normal cells. The cancer is larger than 5 centimeters (about 2 inches) and has not spread to lymph nodes or other parts of the body.

stage IIB breast cancer
Stage II breast cancer is divided into stages IIA and IIB. In stage IIB, (1) the tumor is larger than 2 centimeters but not larger than 5 centimeters and has spread to the axillary (under the arm) lymph nodes; or (2) the tumor is larger than 5 centimeters but has not spread to the axillary lymph nodes.

stage IIB gallbladder cancer
Stage II gallbladder cancer is divided into stages IIA and IIB. In stage IIB, cancer has spread in one of the following ways: (1) beyond the innermost layer to the connective tissue and to nearby lymph nodes; or (2) to the muscle layer and nearby lymph nodes; or (3) beyond the muscle layer to the connective tissue around the muscle and nearby lymph nodes; or (4) through the tissue that covers the gallbladder and/or to the liver and/or to one nearby organ, such as the stomach, small intestine, colon, pancreas, or bile ducts outside the liver, and to nearby lymph nodes.

stage IIB melanoma
Melanoma in which the tumor is more than 4 millimeters thick. It has spread through the lower part of the inner layer of skin (dermis) and into subcutaneous (under the skin) tissue, but not to nearby lymph nodes.

stage IIB soft tissue sarcoma
The cancer cells look very different from normal cells. The cancer is smaller than 5 centimeters (about 2 inches) and has not spread to lymph nodes or other parts of the body.

stage IIC soft tissue sarcoma
The cancer cells look very different from normal cells. The cancer is larger than 5 centimeters (about 2 inches) and has not spread to lymph nodes or other parts of the body.

stage III adrenocortical cancer
The cancer has spread into tissues around the adrenal gland or has spread to the lymph nodes around the adrenal gland.

stage III adult Hodgkin lymphoma (... HOJ-kin lim-FOH-muh)
Stage III is divided into stage III, stage IIIE, stage IIIS, and stage IIIS+E. In stage III, cancer is found in lymph node groups on both sides of the diaphragm (the thin muscle below the lungs that helps breathing and separates the chest from the abdomen). In stage IIIE, cancer is found in lymph node groups on both sides