The alkali–silica reaction (ASR), more commonly known as concrete cancer, is a deleterious swelling reaction that occurs over time in concrete between the highly alkaline cement paste and the reactive amorphous (i.e., non-crystalline) silica found in many common aggregates, given sufficient moisture.

This deleterious chemical reaction causes the expansion of the altered aggregate by the formation of a soluble and viscous gel of sodium silicate (Na₂SiO₃ · n H₂O, also noted Na₂H₂SiO₄ · n H₂O, or N-S-H (sodium silicate hydrate), depending on the adopted convention). This hygroscopic gel swells and increases in volume when absorbing water: it exerts an expansive pressure inside the siliceous aggregate, causing spalling and loss of strength of the concrete, finally leading to its failure.

ASR can lead to serious cracking in concrete, resulting in critical structural problems that can even force the demolition of a particular structure. The expansion of concrete through reaction between cement and aggregates was first studied by Thomas E. Stanton in California during the 1930s with his founding publication in 1940.