RT Book, Section A1 Klaunig, James E. A1 Kamendulis, Lisa M. A2 Klaassen, Curtis D. A2 Watkins, John B. SR Print(0) ID 6480913 T1 Chapter 8. Chemical Carcinogenesis T2 Casarett & Doull's Essentials of Toxicology, 2e YR 2010 FD 2010 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-162240-0 LK accesspharmacy.mhmedical.com/content.aspx?aid=6480913 RD 2024/04/23 AB The term cancer describes a subset of neoplastic lesions.A neoplasm is defined as a heritably altered, relatively autonomous growth of tissue with abnormal regulation of gene expression.Metastases are secondary growths of cells from the primary neoplasm.A carcinogen is an agent whose administration to previously untreated animals leads to a statistically significant increased incidence of neoplasms of one or more histogenetic types as compared with the incidence in appropriate untreated animals.Initiation requires one or more rounds of cell division for the “fixation” of the DNA damage.Promotion results from the selective functional enhancement of the initiated cell and its progeny by the continuous exposure to the promoting agent.Progression is the transition from early progeny of initiated cells to the biologically malignant cell population of the neoplasm.