Inclusion Criteria:  Must be at least 18 years of age Must be undergoing a workup or being followed for a premalignant condition or have a diagnosis of cancer Must voluntarily sign and understand the most current IRB-approved consent form prior to study participation  Exclusion Criteria:  Participants incapable of understanding the items listed in the consent form and process Participants with a history of or known psychiatric illness deemed unable to consent or adhere to study requirements