Dipak-001/mistril_dataset huggingface dataset:
user: what research (or clinical trials) is being done for Adult Central Nervous System Tumors ?

assistant: New types of treatment are being tested in clinical trials.
                    This summary section refers to new treatments being studied in clinical trials, but it may not mention every new treatment being studied. Information about clinical trials is available from the NCI website.     Proton beam radiation therapy     Proton beam radiation therapy is a type of high-energy, external radiation therapy that uses streams of protons (small, positively-charged pieces of matter) to make radiation. This type of radiation kills tumor cells with little damage to nearby tissues. It is used to treat cancers of the head, neck, and spine and organs such as the brain, eye, lung, and prostate. Proton beam radiation is different from x-ray radiation.        Biologic therapy     Biologic therapy is a treatment that uses the patients immune system to fight cancer. Substances made by the body or made in a laboratory are used to boost, direct, or restore the bodys natural defenses against cancer. This type of cancer treatment is also called biotherapy or immunotherapy.    Biologic therapy is being studied for the treatment of some types of brain tumors. Treatments may include the following:            -  Dendritic cell vaccine therapy.     -  Gene therapy.
                
                
                    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) Essential Thrombocythemia ?

assistant: Key Points
                    - Essential thrombocythemia is a disease in which too many platelets are made in the bone marrow.    - Patients with essential thrombocythemia may have no signs or symptoms.    - Certain factors affect prognosis (chance of recovery) and treatment options for essential thrombocythemia.
                
                
                    Essential thrombocythemia is a disease in which too many platelets are made in the bone marrow.
                    Essential thrombocythemia causes an abnormal increase in the number of platelets made in the blood and bone marrow.
user: What are the symptoms of Essential Thrombocythemia ?

assistant: Patients with essential thrombocythemia may have no signs or symptoms. Essential thrombocythemia often does not cause early signs or symptoms. It may be found during a routine blood test. Signs and symptoms may be caused by essential thrombocytopenia or by other conditions. Check with your doctor if you have any of the following:         - Headache.    - Burning or tingling in the hands or feet.    - Redness and warmth of the hands or feet.    - Vision or hearing problems.        Platelets are sticky. When there are too many platelets, they may clump together and make it hard for the blood to flow. Clots may form in blood vessels and there may also be increased bleeding. These can cause serious health problems such as stroke or heart attack.
user: What is the outlook for Essential Thrombocythemia ?

assistant: Certain factors affect prognosis (chance of recovery) and treatment options for essential thrombocythemia. Prognosis (chance of recovery) and treatment options depend on the following:         - The age of the patient.    - Whether the patient has signs or symptoms or other problems related to essential thrombocythemia.
user: What are the treatments for Essential Thrombocythemia ?

assistant: Treatment of essential thrombocythemia in patients younger than 60 years who have no signs or symptoms and an acceptable platelet count is usually watchful waiting. Treatment of other patients may include the following:            -  Chemotherapy.     -  Anagrelide therapy.     -  Biologic therapy using interferon alfa or pegylated interferon alpha.     - Platelet apheresis.     - A clinical trial of a new treatment.            Check the list of NCI-supported cancer clinical trials that are now accepting patients with essential thrombocythemia. 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: Who is at risk for Childhood Rhabdomyosarcoma? ?

assistant: Certain genetic conditions increase the risk of childhood rhabdomyosarcoma. Anything that increases the 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 childs doctor if you think your child may be at risk.   Risk factors for rhabdomyosarcoma include having the following inherited diseases:         -  Li-Fraumeni syndrome.    -  Pleuropulmonary blastoma.    -  Neurofibromatosis type 1 (NF1).    -  Costello syndrome.    -  Beckwith-Wiedemann syndrome.     -  Noonan syndrome.        Children who had a high birth weight or were larger than expected at birth may have an increased risk of embryonal rhabdomyosarcoma.   In most cases, the cause of rhabdomyosarcoma is not known.
user: What are the symptoms of Childhood Rhabdomyosarcoma ?

assistant: A sign of childhood rhabdomyosarcoma is a lump or swelling that keeps getting bigger. Signs and symptoms may be caused by childhood rhabdomyosarcoma or by other conditions. The signs and symptoms that occur depend on where the cancer forms. Check with your child's doctor if your child has any of the following:         - A lump or swelling that keeps getting bigger or does not go away. It may be painful.     - Bulging of the eye.    - Headache.    - Trouble urinating or having bowel movements.    -  Blood in the urine.    - Bleeding in the nose, throat, vagina, or rectum.
user: What is the outlook for Childhood Rhabdomyosarcoma ?

assistant: Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) and treatment options depend on the following:         - The patient's age.     - Where in the body the tumor started.    - The size of the tumor at the time of diagnosis.    - Whether the tumor has been completely removed by surgery.    - The type of rhabdomyosarcoma (embryonal, alveolar, or anaplastic).    - Whether there are certain changes in the genes.    - Whether the tumor had spread to other parts of the body at the time of diagnosis.    - Whether the tumor was in the lymph nodes at the time of diagnosis.    - Whether the tumor responds to chemotherapy and/or radiation therapy.        For patients with recurrent cancer, prognosis and treatment also depend on the following:         - Where in the body the tumor recurred (came back).    - How much time passed between the end of cancer treatment and when the cancer recurred.    - Whether the tumor was treated with radiation therapy.
user: What is (are) Pituitary Tumors ?

assistant: Key Points
                    - A pituitary tumor is a growth of abnormal cells in the tissues of the pituitary gland.    - The pituitary gland hormones control many other glands in the body.    - Having certain genetic conditions increases the risk of developing a pituitary tumor.    - Signs of a pituitary tumor include problems with vision and certain physical changes.    - Imaging studies and tests that examine the blood and urine are used to detect (find) and diagnose a pituitary tumor.    - Certain factors affect prognosis (chance of recovery) and treatment options.
                
                
                    A pituitary tumor is a growth of abnormal cells in the tissues of the pituitary gland.
                    Pituitary tumors form in the pituitary gland, a pea-sized organ in the center of the brain, just above the back of the nose. The pituitary gland is sometimes called the "master endocrine gland" because it makes hormones that affect the way many parts of the body work. It also controls hormones made by many other glands in the body.      Pituitary tumors are divided into three groups:         -  Benign pituitary adenomas: Tumors that are not cancer. These tumors grow very slowly and do not spread from the pituitary gland to other parts of the body.     - Invasive pituitary adenomas: Benign tumors that may spread to bones of the skull or the sinus cavity below the pituitary gland.    - Pituitary carcinomas: Tumors that are malignant (cancer). These pituitary tumors spread into other areas of the central nervous system (brain and spinal cord) or outside of the central nervous system. Very few pituitary tumors are malignant.        Pituitary tumors may be either non-functioning or functioning.          - Non-functioning pituitary tumors do not make extra amounts of hormones.    - Functioning pituitary tumors make more than the normal amount of one or more hormones. Most pituitary tumors are functioning tumors. The extra hormones made by pituitary tumors may cause certain signs or symptoms of disease.
                
                
                    The pituitary gland hormones control many other glands in the body.
                    Hormones made by the pituitary gland include:         -  Prolactin: A hormone that causes a womans breasts to make milk during and after pregnancy.     -  Adrenocorticotropic hormone (ACTH): A hormone that causes the adrenal glands to make a hormone called cortisol. Cortisol helps control the use of sugar, protein, and fats in the body and helps the body deal with stress.    -  Growth hormone: A hormone that helps control body growth and the use of sugar and fat in the body. Growth hormone is also called somatotropin.    -  Thyroid-stimulating hormone: A hormone that causes the thyroid gland to make other hormones that control growth, body temperature, and heart rate. Thyroid-stimulating hormone is also called thyrotropin.     -  Luteinizing hormone (LH) and follicle-stimulating hormone (FSH): Hormones that control the menstrual cycle in women and the making of sperm in men.
user: Who is at risk for Pituitary Tumors? ?

assistant: Having certain genetic conditions increases the risk of developing a pituitary tumor.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 pituitary tumors include having the following hereditary diseases:         -  Multiple endocrine neoplasia type 1 (MEN1) syndrome.    -  Carney complex.    - Isolated familial acromegaly.
user: What are the symptoms of Pituitary Tumors ?

assistant: Signs of a pituitary tumor include problems with vision and certain physical changes. Signs and symptoms can be caused by the growth of the tumor and/or by hormones the tumor makes or by other conditions. Some tumors may not cause signs or symptoms. Check with your doctor if you have any of these problems.     Signs and symptoms of a non-functioning pituitary tumor    Sometimes, a pituitary tumor may press on or damage parts of the pituitary gland, causing it to stop making one or more hormones. Too little of a certain hormone will affect the work of the gland or organ that the hormone controls. The following signs and symptoms may occur:         - Headache.    - Some loss of vision.    - Loss of body hair.    - In women, less frequent or no menstrual periods or no milk from the breasts.     - In men, loss of facial hair, growth of breast tissue, and impotence.    - In women and men, lower sex drive.    -  In children, slowed growth and sexual development.        Most of the tumors that make LH and FSH do not make enough extra hormone to cause signs and symptoms. These tumors are considered to be non-functioning tumors.    Signs and symptoms of a functioning pituitary tumor    When a functioning pituitary tumor makes extra hormones, the signs and symptoms will depend on the type of hormone being made.    Too much prolactin may cause:          - Headache.    - Some loss of vision.    - Less frequent or no menstrual periods or menstrual periods with a very light flow.     - Trouble becoming pregnant or an inability to become pregnant.    - Impotence in men.    - Lower sex drive.    - Flow of breast milk in a woman who is not pregnant or breast-feeding.         Too much ACTH may cause:          - Headache.    - Some loss of vision.    - Weight gain in the face, neck, and trunk of the body, and thin arms and legs.     - A lump of fat on the back of the neck.    - Thin skin that may have purple or pink stretch marks on the chest or abdomen.    - Easy bruising.    - Growth of fine hair on the face, upper back, or arms.    - Bones that break easily.    -  Anxiety, irritability, and depression.         Too much growth hormone may cause:          - Headache.    - Some loss of vision.    - In adults, acromegaly (growth of the bones in the face, hands, and feet). In children, the whole body may grow much taller and larger than normal.    - Tingling or numbness in the hands and fingers.    - Snoring or pauses in breathing during sleep.    -  Joint pain.    - Sweating more than usual.    - Dysmorphophobia (extreme dislike of or concern about one or more parts of the body).         Too much thyroid-stimulating hormone may cause:          - Irregular heartbeat.    - Shakiness.    - Weight loss.     - Trouble sleeping.    - Frequent bowel movements.    - Sweating.         Other general signs and symptoms of pituitary tumors:          -  Nausea and vomiting.    -  Confusion.    - Dizziness.    -  Seizures.    - Runny or "drippy" nose (cerebrospinal fluid that surrounds the brain and spinal cord leaks into the nose).
user: What is the outlook for Pituitary Tumors ?

assistant: Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) depends on the type of tumor and whether the tumor has spread into other areas of the central nervous system (brain and spinal cord) or outside of the central nervous system to other parts of the body.   Treatment options depend on the following:         - The type and size of the tumor.    - Whether the tumor is making hormones.    - Whether the tumor is causing problems with vision or other signs or symptoms.    - Whether the tumor has spread into the brain around the pituitary gland or to other parts of the body.    - Whether the tumor has just been diagnosed or has recurred (come back).
user: What are the stages of Pituitary Tumors ?

assistant: Key Points
                    - Once a pituitary tumor has been diagnosed, tests are done to find out if it has spread within the central nervous system (brain and spinal cord) or to other parts of the body.     - Pituitary tumors are described in several ways.
                
                
                    Once a pituitary tumor has been diagnosed, tests are done to find out if it has spread within the central nervous system (brain and spinal cord) or to other parts of the body.
                    The extent or spread of cancer is usually described as stages. There is no standard staging system for pituitary tumors. Once a pituitary tumor is found, tests are done to find out if the tumor has spread into the brain or to other parts of the body. The following test may be used:          -   MRI (magnetic resonance imaging): A procedure that uses a magnet, radio waves, and a computer to make a series of detailed pictures of areas inside the body. This procedure is also called nuclear magnetic resonance imaging (NMRI).
                
                
                    Pituitary tumors are described in several ways.
                    Pituitary tumors are described by their size and grade, whether or not they make extra hormones, and whether the tumor has spread to other parts of the body.   The following sizes are used:         - Microadenoma: The tumor is smaller than 1 centimeter.    - Macroadenoma: The tumor is 1 centimeter or larger.        Most pituitary adenomas are microadenomas.    The grade of a pituitary tumor is based on how far it has grown into the surrounding area of the brain, including the sella (the bone at the base of the skull, where the pituitary gland sits).
user: what research (or clinical trials) is being done for Pituitary Tumors ?

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) Chronic Myelomonocytic Leukemia ?

assistant: Key Points
                    - Chronic myelomonocytic leukemia is a disease in which too many myelocytes and monocytes (immature white blood cells) are made in the bone marrow.    - Older age and being male increase the risk of chronic myelomonocytic leukemia.    - Signs and symptoms of chronic myelomonocytic leukemia include fever, weight loss, and feeling very tired.    - Certain factors affect prognosis (chance of recovery) and treatment options.
                
                
                    Chronic myelomonocytic leukemia is a disease in which too many myelocytes and monocytes (immature white blood cells) are made in the bone marrow.
                    In chronic myelomonocytic leukemia (CMML), the body tells too many blood stem cells to become two types of white blood cells called myelocytes and monocytes. Some of these blood stem cells never become mature white blood cells. These immature white blood cells are called blasts. Over time, the myelocytes, monocytes, and blasts crowd out the red blood cells and platelets in the bone marrow. When this happens, infection, anemia, or easy bleeding may occur.
user: Who is at risk for Chronic Myelomonocytic Leukemia? ?

assistant: Older age and being male increase the risk of chronic myelomonocytic leukemia. Anything that increases your chance of getting a disease is called a risk factor. Possible risk factors for CMML include the following:         - Older age.    - Being male.    - Being exposed to certain substances at work or in the environment.    - Being exposed to radiation.    - Past treatment with certain anticancer drugs.
user: What are the symptoms of Chronic Myelomonocytic Leukemia ?

assistant: Signs and symptoms of chronic myelomonocytic leukemia include fever, weight loss, and feeling very tired. These and other signs and symptoms may be caused by CMML or by other conditions. Check with your doctor if you have any of the following:         -  Fever for no known reason.    - Infection.    - Feeling very tired.    - Weight loss for no known reason.    - Easy bruising or bleeding.    - Pain or a feeling of fullness below the ribs.
user: What is the outlook for Chronic Myelomonocytic Leukemia ?

assistant: Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) and treatment options for CMML depend on the following:         - The number of white blood cells or platelets in the blood or bone marrow.    - Whether the patient is anemic.    - The amount of blasts in the blood or bone marrow.    - The amount of hemoglobin in red blood cells.    - Whether there are certain changes in the chromosomes.
user: What are the treatments for Chronic Myelomonocytic Leukemia ?

assistant: Treatment of chronic myelomonocytic leukemia (CMML) may include the following:         -  Chemotherapy with one or more agents.    -  Stem cell transplant.    - A clinical trial of a new treatment.        Check the list of NCI-supported cancer clinical trials that are now accepting patients with chronic myelomonocytic leukemia. 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) Nasopharyngeal Cancer ?

assistant: Key Points
                    - Nasopharyngeal cancer is a disease in which malignant (cancer) cells form in the tissues of the nasopharynx.    - Ethnic background and being exposed to the Epstein-Barr virus can affect the risk of nasopharyngeal cancer.     - Signs of nasopharyngeal cancer include trouble breathing, speaking, or hearing.    - Tests that examine the nose and throat are used to detect (find) and diagnose nasopharyngeal cancer.    - Certain factors affect prognosis (chance of recovery) and treatment options.
                
                
                    Nasopharyngeal cancer is a disease in which malignant (cancer) cells form in the tissues of the nasopharynx.
                    The nasopharynx is the upper part of the pharynx (throat) behind the nose. The pharynx is a hollow tube about 5 inches long that starts behind the nose and ends at the top of the trachea (windpipe) and esophagus (the tube that goes from the throat to the stomach). Air and food pass through the pharynx on the way to the trachea or the esophagus. The nostrils lead into the nasopharynx. An opening on each side of the nasopharynx leads into an ear. Nasopharyngeal cancer most commonly starts in the squamous cells that line the nasopharynx.      Nasopharyngeal cancer is a type of head and neck cancer.