Dipak-001/mistril_dataset huggingface dataset:
user: What are the symptoms of Gastrointestinal Carcinoid Tumors ?

assistant: Some gastrointestinal carcinoid tumors have no signs or symptoms in the early stages.Signs and symptoms may be caused by the growth of the tumor and/or the hormones the tumor makes. Some tumors, especially tumors of the stomach or appendix, may not cause signs or symptoms. Carcinoid tumors are often found during tests or treatments for other conditions.    Carcinoid tumors in the small intestine (duodenum, jejunum, and ileum), colon, and rectum sometimes cause signs or symptoms as they grow or because of the hormones they make. Other conditions may cause the same signs or symptoms. Check with your doctor if you have any of the following:         -  Duodenum  Signs and symptoms of GI carcinoid tumors in the duodenum (first part of the small intestine, that connects to the stomach) may include the following:                  -  Abdominal pain.       -  Constipation.       -  Diarrhea.       - Change in stool color.       -  Nausea.       -  Vomiting.       -  Jaundice (yellowing of the skin and whites of the eyes).       - Heartburn.                -  Jejunum and ileum  Signs and symptoms of GI carcinoid tumors in the jejunum (middle part of the small intestine) and ileum (last part of the small intestine, that connects to the colon) may include the following:                  -  Abdominal pain.       - Weight loss for no known reason.       - Feeling very tired.       - Feeling bloated       -  Diarrhea.       -  Nausea.       - Vomiting.                -  Colon  Signs and symptoms of GI carcinoid tumors in the colon may include the following:                  - Abdominal pain.       - Weight loss for no known reason.                -  Rectum  Signs and symptoms of GI carcinoid tumors in the rectum may include the following:                  -  Blood in the stool.       - Pain in the rectum.       -  Constipation.
user: What is the outlook for Gastrointestinal Carcinoid Tumors ?

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 tumor is in the gastrointestinal tract.    - The size of the tumor.     - Whether the cancer has spread from the stomach and intestines to other parts of the body, such as the liver or lymph nodes.    - Whether the patient has carcinoid syndrome or has carcinoid heart syndrome.    - Whether the cancer can be completely removed by surgery.     - Whether the cancer is newly diagnosed or has recurred.
user: what research (or clinical trials) is being done for Gastrointestinal Carcinoid Tumors ?

assistant: New types of treatment are being tested in clinical trials.
                    This summary section describes treatments that are being studied in clinical trials. It may not mention every new treatment being studied. Information about clinical trials is available from the NCI website.     Targeted therapy      Targeted therapy is a type of treatment that uses drugs or other substances to identify and attack specific cancer cells without harming normal cells. Several types of targeted therapy are being studied in the treatment of GI carcinoid tumors.
                
                
                    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) Adult Soft Tissue Sarcoma ?

assistant: Key Points
                    - Adult soft tissue sarcoma is a disease in which malignant (cancer) cells form in the soft tissues of the body.    - Having certain inherited disorders can increase the risk of adult soft tissue sarcoma.    - A sign of adult soft tissue sarcoma is a lump or swelling in soft tissue of the body.     - Adult soft tissue sarcoma is diagnosed with a biopsy.     - Certain factors affect treatment options and prognosis (chance of recovery).
                
                
                    Adult soft tissue sarcoma is a disease in which malignant (cancer) cells form in the soft tissues of the body.
                    The soft tissues of the body include the muscles, tendons (bands of fiber that connect muscles to bones), fat, blood vessels, lymph vessels, nerves, and tissues around joints. Adult soft tissue sarcomas can form almost anywhere in the body, but are most common in the head, neck, arms, legs, trunk, and abdomen.     There are many types of soft tissue sarcoma. The cells of each type of sarcoma look different under a microscope, based on the type of soft tissue in which the cancer began.    See the following PDQ summaries for more information on soft tissue sarcomas:         -  Childhood Soft Tissue Sarcoma Treatment     -  Ewing Sarcoma Family of Tumors Treatment     -  Gastrointestinal Stromal Tumors Treatment     -  Kaposi Sarcoma Treatment     -  Uterine Sarcoma Treatment
user: Who is at risk for Adult Soft Tissue Sarcoma? ?

assistant: Having certain inherited disorders can increase the risk of adult soft tissue sarcoma. 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 soft tissue sarcoma include the following inherited disorders:         -  Retinoblastoma.    -  Neurofibromatosis type 1 (NF1; von Recklinghausen disease).    -  Tuberous sclerosis (Bourneville disease).    -  Familial adenomatous polyposis (FAP; Gardner syndrome).    -  Li-Fraumeni syndrome.    -  Werner syndrome (adult progeria).    -  Nevoid basal cell carcinoma syndrome (Gorlin syndrome).        Other risk factors for soft tissue sarcoma include the following:         - Past treatment with radiation therapy for certain cancers.    - Being exposed to certain chemicals, such as Thorotrast (thorium dioxide), vinyl chloride, or arsenic.    - Having swelling (lymphedema) in the arms or legs for a long time.
user: What are the symptoms of Adult Soft Tissue Sarcoma ?

assistant: A sign of adult soft tissue sarcoma is a lump or swelling in soft tissue of the body. A sarcoma may appear as a painless lump under the skin, often on an arm or a leg. Sarcomas that begin in the abdomen may not cause signs or symptoms until they get very big. As the sarcoma grows bigger and presses on nearby organs, nerves, muscles, or blood vessels, signs and symptoms may include:          - Pain.    - Trouble breathing.        Other conditions may cause the same signs and symptoms. Check with your doctor if you have any of these problems.
user: How to diagnose Adult Soft Tissue Sarcoma ?

assistant: Adult soft tissue sarcoma is diagnosed with a biopsy. If your doctor thinks you may have a soft tissue sarcoma, a biopsy will be done. The type of biopsy will be based on the size of the tumor and where it is in the body. There are three types of biopsy that may be used:         -   Incisional biopsy : The removal of part of a lump or a sample of tissue.     -   Core biopsy : The removal of tissue using a wide needle.    -   Excisional biopsy : The removal of an entire lump or area of tissue that doesnt look normal.         Samples will be taken from the primary tumor, lymph nodes, and other suspicious areas. A pathologist views the tissue under a microscope to look for cancer cells and to find out the grade of the tumor. The grade of a tumor depends on how abnormal the cancer cells look under a microscope and how quickly the cells are dividing. High-grade tumors usually grow and spread more quickly than low-grade tumors.    Because soft tissue sarcoma can be hard to diagnose, patients should ask to have tissue samples checked by a pathologist who has experience in diagnosing soft tissue sarcoma.   The following tests may be done on the tissue that was removed:          -   Immunohistochemistry : A test that uses antibodies to check for certain antigens in a sample of tissue. The antibody is usually linked to a radioactive substance or a dye that causes the tissue to light up under a microscope. This type of test may be used to tell the difference between different types of cancer.    -   Light and electron microscopy : A laboratory test in which cells in a sample of tissue are viewed under regular and high-powered microscopes to look for certain changes in the cells.    -   Cytogenetic analysis : A laboratory test in which cells in a sample of tissue are viewed under a microscope to look for certain changes in the chromosomes.    -   FISH (fluorescence in situ hybridization): A laboratory test used to look at genes or chromosomes in cells and tissues. Pieces of DNA that contain a fluorescent dye are made in the laboratory and added to cells or tissues on a glass slide. When these pieces of DNA attach to certain genes or areas of chromosomes on the slide, they light up when viewed under a microscope with a special light.     -   Flow cytometry : A laboratory test that measures the number of cells in a sample, the percentage of live cells in a sample, and certain characteristics of cells, such as size, shape, and the presence of tumor markers on the cell surface. The cells are stained with a light-sensitive dye, placed in a fluid, and passed in a stream before a laser or other type of light. The measurements are based on how the light-sensitive dye reacts to the light.
user: What is the outlook for Adult Soft Tissue Sarcoma ?

assistant: Certain factors affect treatment options and prognosis (chance of recovery). The treatment options and prognosis (chance of recovery) depend on the following:          - The type of soft tissue sarcoma.    - The size, grade, and stage of the tumor.    - How fast the cancer cells are growing and dividing.    - Where the tumor is in the body.     - Whether all of the tumor is removed by surgery.    - The patient's age and general health.    - Whether the cancer has recurred (come back).
user: what research (or clinical trials) is being done for Adult Soft Tissue Sarcoma ?

assistant: 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) Primary CNS Lymphoma ?

assistant: Key Points
                    - Primary central nervous system (CNS) lymphoma is a disease in which malignant (cancer) cells form in the lymph tissue of the brain and/or spinal cord.    - Having a weakened immune system may increase the risk of developing primary CNS lymphoma.     - Tests that examine the eyes, brain, and spinal cord are used to detect (find) and diagnose primary CNS lymphoma.    - Certain factors affect prognosis (chance of recovery) and treatment options.
                
                
                    Primary central nervous system (CNS) lymphoma is a disease in which malignant (cancer) cells form in the lymph tissue of the brain and/or spinal cord.
                    Lymphoma is a disease in which malignant (cancer) cells form in the lymph system. The lymph system is part of the immune system and is made up of the lymph, lymph vessels, lymph nodes, spleen, thymus, tonsils, and bone marrow. Lymphocytes (carried in the lymph) travel in and out of the central nervous system (CNS). It is thought that some of these lymphocytes become malignant and cause lymphoma to form in the CNS. Primary CNS lymphoma can start in the brain, spinal cord, or meninges (the layers that form the outer covering of the brain). Because the eye is so close to the brain, primary CNS lymphoma can also start in the eye (called ocular lymphoma).
user: Who is at risk for Primary CNS Lymphoma? ?

assistant: Having a weakened immune system may increase the risk of developing primary CNS lymphoma. 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.    Primary CNS lymphoma may occur in patients who have acquired immunodeficiency syndrome (AIDS) or other disorders of the immune system or who have had a kidney transplant. For more information about lymphoma in patients with AIDS, see the PDQ summary on AIDS-Related Lymphoma Treatment.
user: What is the outlook for Primary CNS Lymphoma ?

assistant: Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) depends on the following:         - The patient's age and general health.     - The level of certain substances in the blood and cerebrospinal fluid (CSF).    - Where the tumor is in the central nervous system, eye, or both.    - Whether the patient has AIDS.         Treatment options depend on the following:          - The stage of the cancer.    - Where the tumor is in the central nervous system.    - The patient's age and general health.    - Whether the cancer has just been diagnosed or has recurred (come back).        Treatment of primary CNS lymphoma works best when the tumor has not spread outside the cerebrum (the largest part of the brain) and the patient is younger than 60 years, able to carry out most daily activities, and does not have AIDS or other diseases that weaken the immune system.
user: What is (are) Neuroblastoma ?

assistant: Key Points
                    - Neuroblastoma is a disease in which malignant (cancer) cells form in nerve tissue.    - Most cases of neuroblastoma are diagnosed before 1 year of age.     - The risk factors for neuroblastoma are not known.
                
                
                    Neuroblastoma is a disease in which malignant (cancer) cells form in nerve tissue.
                    Neuroblastoma often begins in the nerve tissue of the adrenal glands. There are two adrenal glands, one on top of each kidney, in the back of the upper abdomen. The adrenal glands make important hormones that help control heart rate, blood pressure, blood sugar, and the way the body reacts to stress. Neuroblastoma may also begin in the abdomen, chest, spinal cord, or in nerve tissue near the spine in the neck.    Neuroblastoma most often begins during early childhood, usually in children younger than 5 years of age.   See the PDQ summary on Neuroblastoma Treatment for more information about neuroblastoma.
                
                
                    Most cases of neuroblastoma are diagnosed before 1 year of age.
                    Neuroblastoma is the most common type of cancer in infants. The number of new cases of neuroblastoma is greatest among children under 1 year of age. As children get older, the number of new cases decreases. Neuroblastoma is slightly more common in males than females.    Neuroblastoma sometimes forms before birth but is usually found later, when the tumor begins to grow and cause symptoms. In rare cases, neuroblastoma may be found before birth, by fetal ultrasound.
user: Who is at risk for Neuroblastoma? ?

assistant: The risk factors for neuroblastoma are not known.
user: Who is at risk for Neuroblastoma? ?

assistant: Key Points
                    - Screening tests have risks.    - The risks of neuroblastoma screening include the following:         -  Neuroblastoma may be overdiagnosed.     - False-negative test results can occur.     - False-positive test results can occur.
                
                
                    Screening tests have risks.
                    Decisions about screening tests can be difficult. Not all screening tests are helpful and most have risks. Before having any screening test, you may want to discuss the test with your doctor. It is important to know the risks of the test and whether it has been proven to reduce the risk of dying from cancer.
                
                
                    The risks of neuroblastoma screening include the following:
                    Neuroblastoma may be overdiagnosed.     When a screening test result leads to the diagnosis and treatment of a disease that may never have caused symptoms or become life-threatening, it is called overdiagnosis. For example, when a urine test result shows a higher than normal amount of homovanillic acid (HMA) or vanillyl mandelic acid (VMA), tests and treatments for neuroblastoma are likely to be done, but may not be needed. At this time, it is not possible to know which neuroblastomas found by a screening test will cause symptoms and which neuroblastomas will not. Diagnostic tests (such as biopsies) and cancer treatments (such as surgery, radiation therapy, and chemotherapy) can have serious risks, including physical and emotional problems.       False-negative test results can occur.    Screening test results may appear to be normal even though neuroblastoma is present. A person who receives a false-negative test result (one that shows there is no cancer when there really is) may delay seeking medical care even if there are symptoms.       False-positive test results can occur.    Screening test results may appear to be abnormal even though no cancer is present. A false-positive test result (one that shows there is cancer when there really isn't) can cause anxiety and is usually followed by more tests and procedures, which also have risks.
user: What is (are) Breast Cancer ?

assistant: Key Points
                    - Breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast.    -  A family history of breast cancer and other factors increase the risk of breast cancer.    - Breast cancer is sometimes caused by inherited gene mutations (changes).     -  The use of certain medicines and other factors decrease the risk of breast cancer.    - Signs of breast cancer include a lump or change in the breast.    - Tests that examine the breasts are used to detect (find) and diagnose breast cancer.    - If cancer is found, tests are done to study the cancer cells.    - Certain factors affect prognosis (chance of recovery) and treatment options.
                
                
                    Breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast.
                    The breast is made up of lobes and ducts. Each breast has 15 to 20 sections called lobes. Each lobe has many smaller sections called lobules. Lobules end in dozens of tiny bulbs that can make milk. The lobes, lobules, and bulbs are linked by thin tubes called ducts.      Each breast also has blood vessels and lymph vessels. The lymph vessels carry an almost colorless fluid called lymph. Lymph vessels carry lymph between lymph nodes. Lymph nodes are small bean-shaped structures that are found throughout the body. They filter substances in lymph and help fight infection and disease. Clusters of lymph nodes are found near the breast in the axilla (under the arm), above the collarbone, and in the chest.   The most common type of breast cancer is ductal carcinoma, which begins in the cells of the ducts. Cancer that begins in the lobes or lobules is called lobular carcinoma and is more often found in both breasts than are other types of breast cancer. Inflammatory breast cancer is an uncommon type of breast cancer in which the breast is warm, red, and swollen.    See the following PDQ summaries for more information about breast cancer:         -  Breast Cancer Prevention     -  Breast Cancer Screening     -  Breast Cancer Treatment and Pregnancy     -  Male Breast Cancer Treatment     -  Unusual Cancers of Childhood Treatment (for information about breast cancer in childhood)
user: Who is at risk for Breast Cancer? ?

assistant: A family history of breast cancer and other factors increase the risk of breast 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 doesn't mean that you will not get cancer. Talk to your doctor if you think you may be at risk for breast cancer.    Risk factors for breast cancer include the following:            - A personal history of invasive breast cancer, ductal carcinoma in situ (DCIS), or lobular carcinoma in situ (LCIS).     - A personal history of benign (noncancer) breast disease.     - A family history of breast cancer in a first-degree relative (mother, daughter, or sister).     - Inherited changes in the  BRCA1  or  BRCA2  genes or in other genes that increase the risk of breast cancer.     - Breast tissue that is dense on a mammogram.     -  Exposure of breast tissue to estrogen made by the body. This may be caused by:                  -  Menstruating at an early age.       -  Older age at first birth or never having given birth.       - Starting menopause at a later age.                - Taking hormones such as estrogen combined with progestin for symptoms of menopause.     - Treatment with radiation therapy to the breast/chest.     - Drinking alcohol.     -  Obesity.           Older age is the main risk factor for most cancers. The chance of getting cancer increases as you get older.      NCI's Breast Cancer Risk Assessment Tool uses a woman's risk factors to estimate her risk for breast cancer during the next five years and up to age 90. This online tool is meant to be used by a health care provider. For more information on breast cancer risk, call 1-800-4-CANCER.