Dipak-001/mistril_dataset huggingface dataset:
user: What is (are) Oropharyngeal Cancer ?

assistant: Key Points
                    - Oropharyngeal cancer is a disease in which malignant (cancer) cells form in the tissues of the oropharynx.    - Smoking or being infected with human papillomavirus can increase the risk of oropharyngeal cancer.     - Signs and symptoms of oropharyngeal cancer include a lump in the neck and a sore throat.     - Tests that examine the mouth and throat are used to help detect (find), diagnose, and stage oropharyngeal cancer.    - Certain factors affect prognosis (chance of recovery) and treatment options.
                
                
                    Oropharyngeal cancer is a disease in which malignant (cancer) cells form in the tissues of the oropharynx.
                    The oropharynx is the middle part of the pharynx (throat), behind the mouth. The pharynx is a hollow tube about 5 inches long that starts behind the nose and ends where the trachea (windpipe) and esophagus (tube from the throat to the stomach) begin. Air and food pass through the pharynx on the way to the trachea or the esophagus.     The oropharynx includes the following:         -  Soft palate.    - Side and back walls of the throat.    -  Tonsils.    - Back one-third of the tongue.          Oropharyngeal cancer is a type of head and neck cancer. Sometimes more than one cancer can occur in the oropharynx and in other parts of the oral cavity, nose, pharynx, larynx (voice box), trachea, or esophagus at the same time.   Most oropharyngeal cancers are squamous cell carcinomas. Squamous cells are the thin, flat cells that line the inside of the oropharynx.   See the following PDQ summaries for more information about other types of head and neck cancers:         -  Hypopharyngeal Cancer Treatment     -  Lip and Oral Cavity Cancer Treatment     -  Oral Cavity and Oropharyngeal Cancer Prevention     -  Oral Cavity and Oropharyngeal Cancer Screening
user: Who is at risk for Oropharyngeal Cancer? ?

assistant: Smoking or being infected with human papillomavirus can increase the risk of oropharyngeal cancer. Anything that increases your risk of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn't mean that you will not get cancer. Talk with your doctor if you think you may be at risk.   The most common risk factors for oropharyngeal cancer include the following:         - A history of smoking cigarettes for more than 10 pack years and other tobacco use.    - Personal history of head and neck cancer.    - Heavy alcohol use.    - Being infected with human papillomavirus (HPV), especially HPV type 16. The number of cases of oropharyngeal cancers linked to HPV infection is increasing.    - Chewing betel quid, a stimulant commonly used in parts of Asia.
user: What are the symptoms of Oropharyngeal Cancer ?

assistant: Signs and symptoms of oropharyngeal cancer include a lump in the neck and a sore throat. These and other signs and symptoms may be caused by oropharyngeal cancer or by other conditions. Check with your doctor if you have any of the following:         - A sore throat that does not go away.    - Trouble swallowing.    - Trouble opening the mouth fully.    - Trouble moving the tongue.    - Weight loss for no known reason.    - Ear pain.    - A lump in the back of the mouth, throat, or neck.    - A white patch on the tongue or lining of the mouth that does not go away.    - Coughing up blood.        Sometimes oropharyngeal cancer does not cause early signs or symptoms.
user: What is the outlook for Oropharyngeal Cancer ?

assistant: Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) depends on the following:          -  Whether the patient has HPV infection of the oropharynx.    - Whether the patient has a history of smoking cigarettes for ten or more pack years.     -  The stage of the cancer.    -  The number and size of lymph nodes with cancer.        Oropharyngeal tumors related to HPV infection have a better prognosis and are less likely to recur than tumors not linked to HPV infection.   Treatment options depend on the following:         - The stage of the cancer.    - Keeping the patient's ability to speak and swallow as normal as possible.    - The patient's general health.        Patients with oropharyngeal cancer have an increased risk of another cancer in the head or neck. This risk is increased in patients who continue to smoke or drink alcohol after treatment.   See the PDQ summary Cigarette Smoking: Health Risks and How to Quit for more information.
user: what research (or clinical trials) is being done for Oropharyngeal Cancer ?

assistant: New types of treatment are being tested in clinical trials.
                    Information about clinical trials is available from the NCI website.
                
                
                    Patients may want to think about taking part in a clinical trial.
                    For some patients, taking part in a clinical trial may be the best treatment choice. Clinical trials are part of the cancer research process. Clinical trials are done to find out if new cancer treatments are safe and effective or better than the standard treatment.   Many of today's standard treatments for cancer are based on earlier clinical trials. Patients who take part in a clinical trial may receive the standard treatment or be among the first to receive a new treatment.   Patients who take part in clinical trials also help improve the way cancer will be treated in the future. Even when clinical trials do not lead to effective new treatments, they often answer important questions and help move research forward.
                
                
                    Patients can enter clinical trials before, during, or after starting their cancer treatment.
                    Some clinical trials only include patients who have not yet received treatment. Other trials test treatments for patients whose cancer has not gotten better. There are also clinical trials that test new ways to stop cancer from recurring (coming back) or reduce the side effects of cancer treatment.   Clinical trials are taking place in many parts of the country. See the Treatment Options section that follows for links to current treatment clinical trials. These have been retrieved from NCI's listing of clinical trials.
user: What is (are) Male Breast Cancer ?

assistant: Key Points
                    - Male breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast.    - Radiation exposure, high levels of estrogen, and a family history of breast cancer can increase a mans risk of breast cancer.     - Male breast cancer is sometimes caused by inherited gene mutations (changes).    - Men with breast cancer usually have lumps that can be felt.     - Tests that examine the breasts are used to detect (find) and diagnose breast cancer in men.    - If cancer is found, tests are done to study the cancer cells.    - Survival for men with breast cancer is similar to survival for women with breast cancer.    - Certain factors affect prognosis (chance of recovery) and treatment options.
                
                
                    Male breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast.
                    Breast cancer may occur in men. Men at any age may develop breast cancer, but it is usually detected (found) in men between 60 and 70 years of age. Male breast cancer makes up less than 1% of all cases of breast cancer.   The following types of breast cancer are found in men:         -  Infiltrating ductal carcinoma: Cancer that has spread beyond the cells lining ducts in the breast. Most men with breast cancer have this type of cancer.    -  Ductal carcinoma in situ: Abnormal cells that are found in the lining of a duct; also called intraductal carcinoma.    -  Inflammatory breast cancer: A type of cancer in which the breast looks red and swollen and feels warm.     -  Paget disease of the nipple: A tumor that has grown from ducts beneath the nipple onto the surface of the nipple.          Lobular carcinoma in situ (abnormal cells found in one of the lobes or sections of the breast), which sometimes occurs in women, has not been seen in men.
                
                
                    Men with breast cancer usually have lumps that can be felt.
                    Lumps and other signs may be caused by male breast cancer or by other conditions. Check with your doctor if you notice a change in your breasts.
user: Who is at risk for Male Breast Cancer? ?

assistant: Radiation exposure, high levels of estrogen, and a family history of breast cancer can increase a mans risk of breast cancer. Anything that increases your risk of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesnt mean that you will not get cancer. Talk with your doctor if you think you may be at risk. Risk factors for breast cancer in men may include the following:         - Being exposed to radiation.     - Having a disease linked to high levels of estrogen in the body, such as cirrhosis (liver disease) or Klinefelter syndrome (a genetic disorder.)    - Having several female relatives who have had breast cancer, especially relatives who have an alteration of the BRCA2 gene.
user: Is Male Breast Cancer inherited ?

assistant: Male breast cancer is sometimes caused by inherited gene mutations (changes).The genes in cells carry the hereditary information that is received from a persons parents. Hereditary breast cancer makes up about 5% to 10% of all breast cancer. Some mutated genes related to breast cancer are more common in certain ethnic groups. Men who have a mutated gene related to breast cancer have an increased risk of this disease.    There are tests that can detect (find) mutated genes. These genetic tests are sometimes done for members of families with a high risk of cancer. See the following PDQ summaries for more information:         -  Genetics of Breast and Gynecologic Cancers     -  Breast Cancer Prevention     -  Breast Cancer Screening
user: What are the symptoms of Male Breast Cancer ?

assistant: Men with breast cancer usually have lumps that can be felt.Lumps and other signs may be caused by male breast cancer or by other conditions. Check with your doctor if you notice a change in your breasts.
user: What is the outlook for Male Breast Cancer ?

assistant: Survival for men with breast cancer is similar to survival for women with breast cancer.
                    Survival for men with breast cancer is similar to that for women with breast cancer when their stage at diagnosis is the same. Breast cancer in men, however, is often diagnosed at a later stage. Cancer found at a later stage may be less likely to be cured.
                
                
                    Certain factors affect prognosis (chance of recovery) and treatment options.
                    The prognosis (chance of recovery) and treatment options depend on the following:         - The stage of the cancer (whether it is in the breast only or has spread to other places in the body).    - The type of breast cancer.    - Estrogen-receptor and progesterone-receptor levels in the tumor tissue.    - Whether the cancer is also found in the other breast.    - The patients age and general health.
user: What is (are) Primary Myelofibrosis ?

assistant: Key Points
                    - Primary myelofibrosis is a disease in which abnormal blood cells and fibers build up inside the bone marrow.    - Symptoms of primary myelofibrosis include pain below the ribs on the left side and feeling very tired.    - Certain factors affect prognosis (chance of recovery) and treatment options for primary myelofibrosis.
                
                
                    Primary myelofibrosis is a disease in which abnormal blood cells and fibers build up inside the bone marrow.
                    The bone marrow is made of tissues that make blood cells (red blood cells, white blood cells, and platelets) and a web of fibers that support the blood-forming tissues. In primary myelofibrosis (also called chronic idiopathic myelofibrosis), large numbers of blood stem cells become blood cells that do not mature properly (blasts). The web of fibers inside the bone marrow also becomes very thick (like scar tissue) and slows the blood-forming tissues ability to make blood cells. This causes the blood-forming tissues to make fewer and fewer blood cells. In order to make up for the low number of blood cells made in the bone marrow, the liver and spleen begin to make the blood cells.
user: What are the symptoms of Primary Myelofibrosis ?

assistant: Symptoms of primary myelofibrosis include pain below the ribs on the left side and feeling very tired. Primary myelofibrosis often does not cause early signs or symptoms. It may be found during a routine blood test. Signs and symptoms may be caused by primary myelofibrosis or by other conditions. Check with your doctor if you have any of the following:         - Feeling pain or fullness below the ribs on the left side.    - Feeling full sooner than normal when eating.    - Feeling very tired.    - Shortness of breath.    - Easy bruising or bleeding.    -  Petechiae (flat, red, pinpoint spots under the skin that are caused by bleeding).    -  Fever.    - Night sweats.    - Weight loss.
user: What is the outlook for Primary Myelofibrosis ?

assistant: Certain factors affect prognosis (chance of recovery) and treatment options for primary myelofibrosis. Prognosis (chance of recovery) depends on the following:         - The age of the patient.    - The number of abnormal red blood cells and white blood cells.    - The number of blasts in the blood.    - Whether there are certain changes in the chromosomes.    - Whether the patient has signs such as fever, night sweats, or weight loss.
user: What are the treatments for Primary Myelofibrosis ?

assistant: Treatment of primary myelofibrosis in patients without signs or symptoms is usually watchful waiting.    Patients with primary myelofibrosis may have signs or symptoms of anemia. Anemia is usually treated with transfusion of red blood cells to relieve symptoms and improve quality of life. In addition, anemia may be treated with:             -  Erythropoietic growth factors.     -  Prednisone.     -  Danazol.     -  Thalidomide, lenalidomide, or pomalidomide, with or without prednisone.            Treatment of primary myelofibrosis in patients with other signs or symptoms may include the following:            -  Targeted therapy with ruxolitinib.     -  Chemotherapy.     -  Donor stem cell transplant.     - Thalidomide, lenalidomide, or pomalidomide.     -  Splenectomy.     -  Radiation therapy to the spleen, lymph nodes, or other areas outside the bone marrow where blood cells are forming.     -  Biologic therapy using interferon alfa or erythropoietic growth factors.     - A clinical trial of other targeted therapy drugs.            Check the list of NCI-supported cancer clinical trials that are now accepting patients with primary myelofibrosis. For more specific results, refine the search by using other search features, such as the location of the trial, the type of treatment, or the name of the drug. Talk with your doctor about clinical trials that may be right for you. General information about clinical trials is available from the NCI website.
user: What is (are) Urethral Cancer ?

assistant: Key Points
                    - Urethral cancer is a disease in which malignant (cancer) cells form in the tissues of the urethra.    - There are different types of urethral cancer that begin in cells that line the urethra.     - A history of bladder cancer can affect the risk of urethral cancer.    - Signs of urethral cancer include bleeding or trouble with urination.     - Tests that examine the urethra and bladder are used to detect (find) and diagnose urethral cancer.    - Certain factors affect prognosis (chance of recovery) and treatment options.
                
                
                    Urethral cancer is a disease in which malignant (cancer) cells form in the tissues of the urethra.
                    The urethra is the tube that carries urine from the bladder to outside the body. In women, the urethra is about 1 inches long and is just above the vagina. In men, the urethra is about 8 inches long, and goes through the prostate gland and the penis to the outside of the body. In men, the urethra also carries semen.     Urethral cancer is a rare cancer that occurs more often in men than in women.
                
                
                    There are different types of urethral cancer that begin in cells that line the urethra.
                    These cancers are named for the types of cells that become malignant (cancer):         -  Squamous cell carcinoma is the most common type of urethral cancer. It forms in cells in the part of the urethra near the bladder in women, and in the lining of the urethra in the penis in men.    -  Transitional cell carcinoma forms in the area near the urethral opening in women, and in the part of the urethra that goes through the prostate gland in men.    -  Adenocarcinoma forms in the glands that are around the urethra in both men and women.         Urethral cancer can metastasize (spread) quickly to tissues around the urethra and is often found in nearby lymph nodes by the time it is diagnosed.
                
                
                    A history of bladder cancer can affect the risk of urethral cancer.
                    Anything that increases your chance of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesnt mean that you will not get cancer. Talk with your doctor if you think you may be at risk. Risk factors for urethral cancer include the following:         - Having a history of bladder cancer.     - Having conditions that cause chronic inflammation in the urethra, including:               - Sexually transmitted diseases (STDs), including human papillomavirus (HPV), especially HPV type 16.      - Frequent urinary tract infections (UTIs).
user: What are the symptoms of Urethral Cancer ?

assistant: Signs of urethral cancer include bleeding or trouble with urination. These and other signs and symptoms may be caused by urethral cancer or by other conditions. There may be no signs or symptoms in the early stages. Check with your doctor if you have any of the following:         - Trouble starting the flow of urine.    - Weak or interrupted ("stop-and-go") flow of urine.    - Frequent urination, especially at night.    -  Incontinence.    -  Discharge from the urethra.    - Bleeding from the urethra or blood in the urine.    - A lump or thickness in the perineum or penis.    - A painless lump or swelling in the groin.
user: What is the outlook for Urethral Cancer ?

assistant: Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) and treatment options depend on the following:          - Where the cancer formed in the urethra.    - Whether the cancer has spread through the mucosa lining the urethra to nearby tissue, to lymph nodes, or to other parts of the body.    - Whether the patient is a male or female.    - The patient's general health.    - Whether the cancer has just been diagnosed or has recurred (come back).
user: what research (or clinical trials) is being done for Urethral Cancer ?

assistant: New types of treatment are being tested in clinical trials.
                    Information about clinical trials is available from the NCI website.
                
                
                    Patients may want to think about taking part in a clinical trial.
                    For some patients, taking part in a clinical trial may be the best treatment choice. Clinical trials are part of the cancer research process. Clinical trials are done to find out if new cancer treatments are safe and effective or better than the standard treatment.   Many of today's standard treatments for cancer are based on earlier clinical trials. Patients who take part in a clinical trial may receive the standard treatment or be among the first to receive a new treatment.   Patients who take part in clinical trials also help improve the way cancer will be treated in the future. Even when clinical trials do not lead to effective new treatments, they often answer important questions and help move research forward.
                
                
                    Patients can enter clinical trials before, during, or after starting their cancer treatment.
                    Some clinical trials only include patients who have not yet received treatment. Other trials test treatments for patients whose cancer has not gotten better. There are also clinical trials that test new ways to stop cancer from recurring (coming back) or reduce the side effects of cancer treatment.   Clinical trials are taking place in many parts of the country. See the Treatment Options section that follows for links to current treatment clinical trials. These have been retrieved from NCI's listing of clinical trials.
user: Who is at risk for Melanoma? ?

assistant: Unusual moles, exposure to sunlight, and health history can affect the risk of melanoma. Anything that increases your risk of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn't mean that you will not get cancer. Talk with your doctor if you think you may be at risk.    Risk factors for melanoma include the following:         - Having a fair complexion, which includes the following:                - Fair skin that freckles and burns easily, does not tan, or tans poorly.       - Blue or green or other light-colored eyes.       - Red or blond hair.              - Being exposed to natural sunlight or artificial sunlight (such as from tanning beds) over long periods of time.     - Being exposed to certain factors in the environment (in the air, your home or workplace, and your food and water). Some of the environmental risk factors for melanoma are radiation, solvents, vinyl chloride, and PCBs.     - Having a history of many blistering sunburns, especially as a child or teenager.     - Having several large or many small moles.    - Having a family history of unusual moles (atypical nevus syndrome).     - Having a family or personal history of melanoma.     - Being white.     - Having a weakened immune system.    - Having certain changes in the genes that are linked to melanoma.        Being white or having a fair complexion increases the risk of melanoma, but anyone can have melanoma, including people with dark skin.    See the following PDQ summaries for more information on risk factors for melanoma:         -  Genetics of Skin Cancer     -  Skin Cancer Prevention
user: What are the symptoms of Melanoma ?

assistant: Signs of melanoma include a change in the way a mole or pigmented area looks. These and other signs and symptoms may be caused by melanoma or by other conditions. Check with your doctor if you have any of the following:         - A mole that:                - changes in size, shape, or color.      - has irregular edges or borders.      - is more than one color.      - is asymmetrical (if the mole is divided in half, the 2 halves are different in size or shape).      - itches.      -  oozes, bleeds, or is ulcerated (a hole forms in the skin when the top layer of cells breaks down and the tissue below shows through).             - A change in pigmented (colored) skin.     - Satellite moles (new moles that grow near an existing mole).        For pictures and descriptions of common moles and melanoma, see Common Moles, Dysplastic Nevi, and Risk of Melanoma.