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The Adult Blood and Marrow Transplantation Program


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Glossary - D


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Diagnosis: The process of identifying a disease by the signs and symptoms.

Differentiation: In cancer, it refers to how mature the cancer cells are. Well-differentiated cancer cells are more like normal cells, usually less aggressive and respond better to treatment. Undifferentiated cells are not able to carry out normal cell functions. In cancer, undifferentiated cells are often more aggressive, but, paradoxically, can be more sensitive to anti-cancer treatments.

Digestive Tract: The organs that food passes through when we eat. This includes the mouth, pharynx, esophagus, stomach, small and large intestines, and rectum.

DNA: Deoxyribonucleic acid. The protein that carries genetic information. Every cell with a nucleus contains a strand of DNA. DNA determines the unique characteristics of each person.

DNA Based HLA Typing: Determining a person's HLA type (Human Leukocyte Antigen) by direct examination of the DNA.

Donor: A volunteer who has donated stem cells for a patient.

Donor Center: An organization that recruits, tests, and manages the interaction of volunteers listed in a donor registry.

Donor Workup: The process that a closely matched potential donor undergoes to determine whether he or she is healthy and prepared to donate stem cells. Workup includes a detailed information session with a donor center coordinator, a thorough physical examination, a donation of additional blood samples for testing and usually a donation of autologous blood. During the donor workup two questions need to be answered after the volunteer has been fully educated about stem cell donation: Does the volunteer want to donate their stem cells? Is the volunteer medically able to donate their stem cells?

DR Typing: HLA typing to determine the HLA-DR determinants carried by a donor or patient. HLA-DR typing is almost exclusively performed by DNA-based methods.

Ductal Carcinoma In Situ: Cancer that begins in the ducts of the breast, but has not grown through the duct wall into the surrounding tissue.

Dysplasia: Abnormal cells that are not cancer.