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10/13/2014 Gmail - Followups from Sept JHCC Mtg Cyndee West <[email protected]> Followups from Sept JHCC Mtg Erika Van Flein <[email protected]> To: Cyndee West <[email protected]> Cc: Abel Bult-Ito <[email protected]> Mon, Oct 13, 2014 at 3:05 PM Followup from some JHCC questions from the September meeting. I asked about the difference between "benign" and "malignant" neoplasm since we usually think of "neoplasm" as cancer, and a benign tumor is non-cancerous. Here's a link to a helpful definition: benign neoplasm Etymology: L, benignare + Gk, neos, new, plasma, formation a localized tumor that has a fibrous capsule, limited potential for growth, a regular shape, and cells that are well differentiated. A benign neoplasm does not invade surrounding tissue or metastasize to distant sites. Questions from JHCC September Meeting · Of the three campuses – Fairbanks, Anchorage, and Juneau is there a cluster of a certain type of cancer or a higher per capita incidence of cancer? See attached excel sheet (can only show by Premera Large Group BoB and UA total, expressed as incidence per 1,000 members) Some notes: The University’s prevalence of cancers appears to align with the Premera Book of Business The six highest cancer types are: Benign Skin, Benign Intestinal, Benign Breast, Benign Gynecological, Benign Prostate & Malignant Breast Of the cancers with high prevalence for the University, Juneau has some of the highest rates per 1000 except for Malignant Breast · Is there a norm for the age that people have cancer? There are so many types of Cancer that it is very difficult to answer this question. Typically different cancers impact individuals at different ages – but there really is no know “norm”. Childhood cancer in children 0-14 is rare @ about .75% of individuals 0-14 yrs of age – and most common type of cancer in the 0-14 age range is leukemia. Adolescents and young adults (15 – 30 yr olds) account for just 2% of all invasive cancer and they tend to get non-Hodgkin lymphoma, leukemia, brain and spinal cord tumors, bone sarcomas…Depending on the study and population you are looking at adults 50-74 account for about half of all new cancer diagnoses and individuals 75 yrs and older account for about a third of all new cancer diagnosis. There has been an increase in diagnosis in individuals in the 30-50 year range due to new screening and diagnostic tools. -Erika Van Flein Director of Benefits Statewide Office of Human Resources University of Alaska PO Box 755140 Fairbanks AK 99775-5140 https://mail.google.com/mail/u/0/?ui=2&ik=56d869ed27&view=pt&search=inbox&msg=1490bc2ab937bc8a&siml=1490bc2ab937bc8a 1/2 10/13/2014 Gmail - Followups from Sept JHCC Mtg (907) 450-8226 Phone (907) 450-8201 Fax Cancer by type UofA vs PremeraLgGrp.xlsx 14K https://mail.google.com/mail/u/0/?ui=2&ik=56d869ed27&view=pt&search=inbox&msg=1490bc2ab937bc8a&siml=1490bc2ab937bc8a 2/2