Two-hit hypothesis: the notion that for tumor suppressor genes, both functionally intact copies of the gene must be inactivated in order for a cell to progress toward cancer.

  Virus: A microorganism that is incapable of reproducing by itself, but capable of creating progeny once it has infected a cell. Viruses come in diverse forms, including DNA viruses and RNA viruses. Viruses possess a core of either DNA or RNA, coated with proteins, and can be bound by an outer membrane made of lipids and proteins.

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  Photograph Credits

  Page 1 (top left to bottom): The New York Academy of Medicine; Public Domain; Public Domain. Page 2: The Alan Mason Chesney Medical Archives, the Johns Hopkins Medical Institutions (three images). Page 3: Photo from Laboratoire Curie, Institut de Physique Nucléaire; courtesy of AIP Emilio Segrè Visual Archives; ©
Keystone/Getty Images; Boston Herald. Page 4: Courtesy of the Albert and Mary Lasker Foundation; the Jimmy Fund; Courtesy of the Brearley Collection. Page 5: National Cancer Institute/Public Domain; National Cancer Institute/Public Domain; National Library of Medicine/Public Domain. Page 6: Courtesy of the Albert and Mary Lasker Foundation/Public Domain; 1971 Herblock cartoon © by the Herb Block Foundation; © Hugo Villalobos/AFP/Newscom.com. Page 7: © Roger Viollet/The Image Works; Corbis (two images); Associated Press. Page 8: Cold Spring Harbor Laboratory Archives; © and courtesy of Dr. Robert A. Weinberg, Whitehead Institute; © Bert Vogelstein. Reprinted with permission from Science 318, no. 5853 (2007): 1108–1113, “The Genomic Landscapes of Human Breast and Colorectal Cancers,” © AAAS; Dean Bradfield.

  Page xv: Swimming Crab illustration © 19th era 2/Alamy

  Index

  Abbott, Edward, 56

  abl gene, 431, 433

  ABMTs, see bone marrow transplants, autologous

  ABO regimen, 204

  abortion, 199

  Achilles, 405

  Actinomyces, 122

  actinomycin D, 122–23, 162–63

  ACT UP, 318–19, 322, 424

  acute lymphoblastic leukemia (ALL), 3, 7, 34, 93, 164, 166, 228, 452

  brain as “sanctuary” for, 127, 442

  cure rate for, 7, 12, 104, 170, 171, 228, 231, 232, 401

  remissions of, 127, 190, 338–39, 400, 448–49

  research consortium for, 130–31, 133, 144

  6-MP and, 92, 338

  acute promyelocytic leukemia (APL), 407–10

  Adams, Jim, 113

  adenoma, 385

  Adriamycin, 127, 206, 427–28

  affluent society, 23

  Africa, sub-Saharan, 175

  age, cancer as related to, 6, 44, 230, 300–303

  age-adjusting, of mortality rates, 230–31, 232–33, 330

  AIDS (acquired immunodeficiency syndrome), 182

  as metaphor for social and political ills, 316

  naming of, 14

  1980s epidemic of, 165, 315–19

  oncologists and, 316–17