
What causes cells to become abnormal and reproduce wildly?
Damage to the DNA, the brain of the cell, which causes mutations and activation of oncogenes. Usually one mutation isn't enough; most cells must undergo several mutations before they become cancerous. (Sometimes the mutations must occur in sequence to create a cancer, sometimes random order will do it.)
What causes DNA damage?
Radiation, free radicals, genetic defects, electrical fields, chemicals, drugs, viruses, and metabolic stresses.
Injury to DNA is the initiating event for most types of cancer.
When mutations accumulate and oncogenes turn on, the cell is initiated. It is abnormal, but not cancerous. Initiated cells are diagnosed as atypia, dysplasia, or hyperplasia.
Damaged cells alone offer no threat to long life. To become threatening, the abnormal cells must be promoted. Promoters bring the cells nutrients so they can reproduce. (One of the strongest promoters of breast cancer is estrogen.) Although promoted cells can disguise themselves so the immune system won't recognize them, most of them are seen and eaten, or encapsulated by the body so they do no harm. Promoted cells are called carcinoma in situ. In situ cancer cells are frequently found in the breasts of women who die of causes other than cancer. In situ cells are reversible without invasive treatments and shouldn't be thought of as cancers.
The Cancer Cascade

Promoted breast cells, no matter how many of them there are, are not classified as invasive unless they spread out of the tissues of origin and into the surrounding tissues. This is the growth phase. When promoted cells enter the growth phase, they begin to form a tumor and to recruit blood vessels to help supply their immense need for nutrients. (The tumor may grow so quickly that cells in its center die from lack of nourishment.) The diagnosis now becomes infiltrating or invasive carcinoma.
The Cancer Cascade can be halted or reversed
Once a mass of abnormal, quickly-replicating cells has created a network of blood vessels, individual cancer cells can separate from the tumor and travel to other parts of the body. Because the breast is not vital to life, a breast cancer that stays in the breast is not life-threatening. But if breast cancer cells get to the liver, lungs, bone marrow, or the brain and continue to grow, they can hinder the functioning of processes necessary for life. The body attempts to check this spread by locking breast cancer cells in lymph node prisons and by sending immune system cells out to eat traveling cancer cells. If cancer cells are found in the axillary lymph nodes, the diagnosis is aggressive or metastasized carcinoma.
Not everyone whose cellular DNA is damaged will get cancer. Why not? All cells have the capacity to repair themselves or to shut down if they are mutated or damaged. Good lifestyle habits and ordinary foods such as lentils also reverse DNA damage.
Immunity against Cancer cells
The wear-and-tear of life gives rise to so many mutated, abnormal, initiated cells (even in a healthy person) that the immune system forms a constant stream of specialized cells to seek out and consume them. So long as the immune system is strong, and well supplied with nutrients, initiated and promoted cells can be harmlessly eliminated, checking the possibility of cancer.
Building powerful immunity isn't always enough, though. Cancer cells can trick the immune system into leaving them alone, and they can replicate so rapidly that they overwhelm the immune system with sheer force of numbers. One of the reasons breast cancer is so difficult to treat is that cancer cells are full of life. They no longer have the inner signal that tells them to die after reproducing.
Lets consider the incidence, types, treatment and other aspects of breast cancer in the subsequent posts...
