What is the difference between aggressive and non aggressive cancer

It has been established that not all cancer cells are equally aggressive -- most can be neutralized with radiation and chemotherapy. Researchers at Lund University in Sweden have now discovered that some cancer cells can accumulate fat droplets, which appear to make them more aggressive and increase their ability to spread.

The interior of a cancer tumour is a hostile environment with oxygen deficiency, low pH levels and lack of nutrients. The cells that survive in this environment are called "stressed cells" and are considered to be more aggressive.

Professor Mattias Belting's research group recently published an article on a possible way of delivering chemotherapy drugs into these cells (Link Below). Now, they are reporting new findings from another research track that they have been pursuing for several years, concerning the similarities between stressed cells and fat cells.

"In order to survive inside the tumour, the stressed cells go into a resting phase. They then become inaccessible to radiation and chemotherapy, but can still accumulate fat droplets. The fat serves as fuel for them, when they later leave their resting phase to grow and spread," explains Mattias Belting.

That cells of a cancerous tumour experience a shift between "good and bad times" has been known for some time. From a cancer cell's point of view, "good times" is when the cancer can spread and cause a relapse.

"We know that only a very small percentage of the cancer cells that enter the blood stream are capable of forming metastases. We believe that it is the cancer cells that are similar to fat cells that are most capable of forming metastases. They can either use fat deposits for energy, to build their cell membranes, or to manufacture signal substances -- or do all of this at the same time," says doctoral student Julien Menard, who is the lead author of the research article, which the group has now published in Cancer Research.

This new knowledge can be used to fight the spread of cancer cells, which is the cause of most cancer-related deaths. Once we know more about how the stressed cells accumulate fat reserves, we can prevent them from acquiring this additional energy.

There might already be a drug with this effect on the market. Heparin, a known anti-thrombotic drug, does not only have the capacity to dissolve blood clots, but also to reduce cancer cells' uptake of fat particles.

"Studies of several thousand patients have shown that cancer patients who received heparin as a blood-thinning medication had a better outcome compared with patients without heparin treatment. Therefore, several clinical studies investigating the effect of heparin against cancer are already underway. If the treatment works, it may be partly because the stressed cells are prevented from building up fat reserves," according to the Lund researchers.

The article published in Cancer Research includes pictures from patient samples that show that cancer cells similar to fat cells are located precisely in those parts of a tumour where there is oxygen deficiency, i.e. where the cells are stressed. The connection between fat and cancer is also consistent with the well-known fact that obesity involves an increased risk of developing certain types of cancer. Obese persons have more fat particles in their blood, which could become accessible to the stressed cancer cells. It is also known that tumours in obese patients can be more aggressive.

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Materials provided by Lund University. Note: Content may be edited for style and length.

The stage of a cancer describes the size of a tumour and how far it has spread from where it originated. The grade describes the appearance of the cancerous cells.

If you're diagnosed with cancer, you may have more tests to help determine how far it has progressed. Staging and grading the cancer will allow the doctors to determine its size, whether it has spread and the best treatment options.

Cancer stages

There are 2 main types of staging systems used for different types of cancer.

Number staging system

Sometimes doctors use a number staging system.

The number stages are:

  • stage 0 – the cancer is where it started (in situ) and hasn't spread
  • stage 1 – the cancer is small and hasn't spread anywhere else
  • stage 2 – the cancer has grown, but hasn't spread
  • stage 3 – the cancer is larger and may have spread to the surrounding tissues and/or the lymph nodes (or "glands", part of the immune system)
  • stage 4 – the cancer has spread from where it started to at least 1 other body organ, also known as "secondary" or "metastatic" cancer

TNM staging system

The TNM system uses letters and numbers to describe the cancer. This system is used in different ways depending on the kind of cancer you have.

For the TNM system:

  • T describes the size of the tumour, with numbers 1 to 4 (1 for small, 4 for large)
  • N stands for lymph nodes, with numbers 0 to 3 (0 means no lymph nodes have cancer, 3 means many do)
  • M stands for metastases or whether the cancer has spread to another part of the body, with numbers 0 or 1 (0 means it has not spread, 1 means it has)

Find out more about cancer stages

Stages of cancer on Cancer Research UK website

Cancer grades

The grade of a cancer depends on what the cells look like under a microscope.

In general, a lower grade indicates a slower-growing cancer and a higher grade indicates a faster-growing one. The grading system that's usually used is as follows:

  • grade 1 – cancer cells that resemble normal cells and aren't growing rapidly
  • grade 2 – cancer cells that don't look like normal cells and are growing faster than normal cells
  • grade 3 – cancer cells that look abnormal and may grow or spread more aggressively

Find out more about the grades of a cancer

Cancer grading on Cancer Research UK website

Further information

  • Breast cancer
  • Lung cancer
  • Bowel cancer
  • Prostate cancer
  • Am I more at risk if my relatives have cancer?

Page last reviewed: 16 December 2021
Next review due: 16 December 2024

What is non aggressive cancer?

What is noninvasive cancer? Noninvasive cancer does not spread outside of the tissue in which it initially formed. Some doctors may refer to it as carcinoma in situ or precancer. Invasive cancer, on the other hand, is one that has spread beyond the originally affected tissue.

What does it mean when a cancer is aggressive?

Some cancers (whether common or rare) can also be aggressive, meaning they form, grow, or spread quickly.

What stage of cancer is aggressive?

grade 3 – cancer cells that look abnormal and may grow or spread more aggressively.

What determines if cancer is aggressive?

The interior of a cancer tumour is a hostile environment with oxygen deficiency, low pH levels and lack of nutrients. The cells that survive in this environment are called "stressed cells" and are considered to be more aggressive.