Probably the most important reason we are seeing more cancers than before is because the population is ageing overall. And cancer is an age-related disease.
Siddhartha MukherjeeIf the history of medicine is told through the stories of doctors, it is because their contributions stand in place of the more substantive heroism of their patients.
Siddhartha MukherjeeI think when we use 'stress', we are often using a kind of dummy word to try to fit many different things into one big category.
Siddhartha MukherjeeI believe the biggest breakthroughs on cancer could come from brilliant researchers based in India.
Siddhartha MukherjeeGood physicians are rarely dispassionate. They agonize and self-doubt over patients.
Siddhartha MukherjeeI left Delhi in 1989 and remember very little of how life used to be then. Increasingly, in my recent visits to Delhi, I've started to realize that the city has become intellectually very lively. It makes me want to discover the city over and over again.
Siddhartha MukherjeePostwar U.S. was the world's leader in science and technology. The investment in science research was staggering.
Siddhartha MukherjeeIt is hard to look at the tumor and not come away with the feeling that one has encountered a powerful monster in its infancy
Siddhartha MukherjeeCancer has enormous diversity and behaves differently: it's highly mutable, the evolutionary principles are very complicated and often its capacity to be constantly mystifying comes as a big challenge.
Siddhartha MukherjeeI began wondering, can one really write a biography of an illness? But I found myself thinking of cancer as this character that has lived for 4,000 years, and I wanted to know what was its birth, what is its mind, its personality, its psyche?
Siddhartha MukherjeeI wanted to explore cancer not just biologically, but metaphorically. The idea that tuberculosis in the 19th century possessed the same kind of frightening and decaying quality was very interesting to me, and it seemed that one could explore the idea that every age defined its own illness.
Siddhartha MukherjeeI had seen cancer at a more cellular level as a researcher. The first time I entered the cancer ward, my first instinct was to withdraw from what was going on - the complexity, the death. It was a very bleak time.
Siddhartha MukherjeeThis was yet another colonial fascination: to create the conditions of misery in a population, then subject it to social or medical experimentation.
Siddhartha MukherjeeCould your medicine be a cell, not a pill? Could your medicine be an organ that's created outside the body? Could your medicine be an environment?
Siddhartha MukherjeeIf there's a seminal discovery in oncology in the last 20 years, it's that idea that cancer genes are often mutated versions of normal genes.
Siddhartha MukherjeeCancer was not disorganized chromosomal chaos. It was organized chromosomal chaos
Siddhartha MukherjeeCancer's life is a recapitulation of the body's life, its existence a pathological mirror of our own. Susan Sontag warned against overburdening an illness with metaphors. But this is not a metaphor. Down to their innate molecular core, cancer cells are hyperactive, survival-endowed, scrappy, fecund, inventive copies of ourselves.
Siddhartha MukherjeeIn Paris, friend of Bequerelโs, a young physicist-chemist couple named Pierre and Marie Curie, began to scour the natural world for even more powerful chemical sources of X-rays. Pierre and Marie (then Maria Sklodowska, a penniless Polish immigrant living in a garret in Paris) had met at the Sorbonne and been drawn to each other because of a common interest in magnetism.
Siddhartha MukherjeeWhen you immerse yourself in medicine you realise that hope is not absolute. It's not that simple.
Siddhartha MukherjeeIn 2005, a man diagnosed with multiple myeloma asked me if he would be alive to watch his daughter graduate from high school in a few months. In 2009, bound to a wheelchair, he watched his daughter graduate from college. The wheelchair had nothing to do with his cancer. The man had fallen down while coaching his youngest son's baseball team.
Siddhartha MukherjeeIt feltโnearly twenty-five hundred years after Hippocrates had naively coined the overarching term karkinosโthat modern oncology was hardly any more sophisticated in its taxonomy of cancer.
Siddhartha MukherjeePharmacology is benefited by the prepared mind. You need to know what you are looking for.
Siddhartha MukherjeeSandeep Jauharโs Doctored is a passionate and necessary book that asks difficult questions about the future of medicine. The narrative is gripping, and the writing is marvelous. But it was the gravity of the problemโso movingly toldโthat grabbed and kept my attention throughout this remarkable work.
Siddhartha MukherjeeI think the cardinal rule of learning to write is learning to read first. I learned to write by learning to read.
Siddhartha MukherjeeCell culture is a little like gardening. You sit and you look at cells, and then you see something and say, 'You know, that doesn't look right'.
Siddhartha MukherjeeThere is a duality in recognising what an incredible disease it is - in terms of its origin, that it emerges out of a normal cell. It's a reminder of what a wonderful thing a normal cell is. In a very cold, scientific sense, I think a cancer cell is a kind of biological marvel.
Siddhartha MukherjeeA breast cancer might turn out to have a close resemblance to a gastric cancer. And this kind of reorganization of cancer in terms of its internal genetic anatomy has really changed the way we treat and approach cancer in general.
Siddhartha MukherjeeIt remains an astonishing, disturbing fact that in America - a nation where nearly every new drug is subjected to rigorous scrutiny as a potential carcinogen, and even the bare hint of a substance's link to cancer ignites a firestorm of public hysteria and media anxiety - one of the most potent and common carcinogens known to humans can be freely bought and sold at every corner store for a few dollars.
Siddhartha MukherjeeIn the laboratory, we call this the six-degrees-of-separation-from-cancer rule: you can ask any biological question, no matter how seemingly distant-what makes the heart fail, or why worms age, or even how birds learn songs-and you will end up, in fewer than six genetic steps, connecting with a proto-oncogene or tumor suppressor.
Siddhartha MukherjeeThere's a phrase in Shakespeare: he refers to it as the 'hidden imposthume', and this idea of a hidden swelling is seminal to cancer. But even in more contemporary writing it's called 'the big C'.
Siddhartha MukherjeeWriting anything as an expert is really poisonous to the writing process, because you lose the quality of discovery.
Siddhartha MukherjeeDown to their innate molecular core, cancer cells are hyperactive, survival-endowed, scrappy, fecund, inventive copies of ourselves.
Siddhartha MukherjeeA positive attitude does not cure cancer, any more than a negative one causes it.
Siddhartha MukherjeeI think the way we think about cancer, the way we treat cancer, has dramatically changed in the last century. There is an enormous amount of options that a physician can provide today, right down from curing patients, treating patients or providing patients with psychic solace or pain relief.
Siddhartha Mukherjee