This document discusses cancer initiation, promotion, and progression. It defines initiation as the creation of abnormal DNA from carcinogens. Promoters then stimulate replication of these neoplastic cells and tumor development. Enhancers increase the likelihood that nearby genes will be transcribed. Gene amplification and point mutations can further cancer progression. The document also summarizes a study finding COVID-19 infection is associated with severe outcomes in cancer patients, especially those undergoing immunosuppressive therapy, recommending screening and decreased immunosuppressive treatment during the pandemic.