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Acquired (environmental DNA Normal Cell

damaging agents: Inherited Mutations


in:
 Chemicals Successful DNA repair
 Radiation  Genes
 Viruses affecting DNA
DNA damage
repair
Failure of DNA repair  Genes
affecting cell
growth
Mutations in the Genome of
apoptosis
Somatic Cells

Activavtion of growth
Alterations of genes Inactivation of Cancer
promoting Oncogenes
that regulate Apoptosis Suppressor Genes

Expression of altered Gene products


And loss of regulatory Gene products

Colonal expansion

Additional mutations (progression)

Heterogenity

Malignant Neoplasm

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