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Conclusions

Cancer is caused by a series (~2-8) changes in the

genome

Additional ~10

3

passenger genetic alterations

The changes which occur can be classified, giving rise

to 6 essential acquired properties, 2 emerging

properties and 2 enabling properties

The hallmarks of cancer can be arrived at by many

different genetic routes

As a result tumors are very heterogeneous. For each

type

of

cancer there are several genetic routes

These hallmarks (and accompanying genetic

alterations) affect treatment and radiation sensitivity in

complex ways.

Understanding the molecular basis of cancer is important to

understand radiation responses