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Understanding Cancer Causes and Prevention Presented by the American Cancer Society Common Cancers Colon Cancer Lung Cancer Breast Cancer Cervical cancer Prostate Cancer Skin Cancer Estimated 2006 Cancer Cases & Deaths Estimated Cancer Cases Estimated Cancer Deaths Skin 62,190 Skin 10,710 Cervical 3,700 Breast 212,920 Prostate 27,350 Prostate 234,460 Colon 55,170 Colon 148,610 Lung 174,470 Cervical 9,710 Breast 40,970 Lung 162,460 Basic Facts About Colon Cancer Removing polyps early may prevent them from becoming cancer 2nd leading cause of cancer deaths. 3rd most common cancer in men and women Early colon cancer usually has no symptoms. Signs & symptoms typically occur only in advanced colon cancer. One of the most preventable cancers! Colon Cancer Screening Guidelines The American Cancer Society recommends every man and woman 50 years and older begin testing for colon cancer. Yearly Fecal Occult Blood Test (FOBT) or Fecal Immunochemical Test (FIT) Flexible Sigmoidoscopy every 5 years Yearly FOBT/FIT plus Flexible Sigmoidoscopy every 5 years preferred over either test alone Double Contrast Barium Enema every 5 years Colonoscopy every 10 years The best test is the one you get! Talk with your healthcare provider. Basic Facts About Breast Cancer Most frequently diagnosed cancer in women. Women have a 1 in 7 chance of getting invasive breast cancer. The chance of dying from breast cancer is about 1 in 33. Breast cancer death rates are going down. This decline is probably the result of early detection and improved treatment. Breast Cancer Screening Guidelines Earliest sign of breast cancer is usually an abnormality detected on a mammogram before it can be felt by the woman or health care professional. 40 and Older Yearly mammogram Yearly clinical breast exam 20’s and 30’s Clinical breast exam every three years Any age Report any breast changes such as lump to a doctor right away If at increased risk, talk with a doctor about starting screening earlier or having more frequent exams Basic Facts About Lung Cancer Tobacco smoke causes more than 8 out of 10 cases and 1 in 5 deaths from lung cancer Accounts for 29% of all cancer deaths. Takes many years to develop and can not be seen on Xray in early stages. Often metastasizes before it is found. People who don’t smoke but who breathe the smoke of others have a higher risk of lung cancer. Non-smoking spouses of smokers have a 30% greater risk of developing lung cancer than do spouses of nonsmokers. Lung Cancer Screening Smoking is the most preventable cause of death in the U.S. Lung Cancer screening is currently not advised even for people at higher risk, such as those who smoke. National 10-year study (launched in 2002) looking at whether a new x-ray method called spiral CT scanning can reduce lung cancer deaths. Basic Facts About Cervical Cancer The primary cause of cervical cancer is infection with human papillomavirus (HPV). • When found and treated early, cervical cancer often can be cured. • Symptoms usually do not appear until abnormal cervical cells become cancerous. • Vaccines against HPV have been developed and shown to be effective. • New cases and deaths from cervical cancer have gone down in the past several years due to screening. Cervical Cancer Screening Guidelines Nearly all cases of cervical cancer can be prevented if a women is screened regularly. Screening should begin 3 years after a woman becomes sexually active, but no later than 21 years of age. The American Cancer Society recommends screening with the regular Pap test every year or the liquid-based Pap test every 2 years. Basic Facts About Prostate Cancer Prostate cancer is the most frequently diagnosed cancer in men. Prostate cancer is the second leading cause of death in men, second only to lung cancer. While 1 man in 6 will get prostate cancer during his lifetime, only 1 man in 33 will die of this disease. 65% of prostate cancer cases are diagnosed in men 65 and older. African American men are at higher risk. Prostate Cancer Screening Guidelines The 5-year survival rate for men diagnosed at a local or regional stage approaches 100%. Beginning at age 50, men should be offered the Prostate Specific Antigen (PSA) blood test and a digital rectal examination (DRE) every year. African American men are at increased risk for prostate cancer and should be tested beginning at age 45. Men with a father, brother, or son with prostate cancer before age 65 should be tested. Basic Facts About Skin Cancer Two main types of skin cancer are melanoma & non-melanoma Melanoma Accounts for about 4% of skin cancer cases, but causes about 79% of skin cancer deaths. The number of new cases of melanoma in the U.S. is on the rise. Non-melanoma (basal cell or squamous cell) Most common type of skin cancer – more than 1 million cases a year Most curable People do not often die of these cancers. About 1,000 to 2,000 people die of non-melanoma skin cancer per year in the U.S. Men get these cancers about twice as often as women. Skin Cancer Early Detection The best detection is to recognize changes in skin growths or appearance of new growths. Melanoma ABCD rule Asymmetry Border irregularity Color variability Diameter > 6 mm (E for enlargement of evolution?) Non-melanoma Nonhealing, changing, growing sore or bump Cancer Risk Factors Risk factors that can’t be changed Family or personal history of cancer Age Gender Race Genetics . Cancer Risk Factors Risk factors that can be changed Use of cigarette & other tobacco products Diet (Obesity) Physical inactivity Alcohol use Sun exposure . Reduce Your Risk Choices for good health Follow testing guidelines Know your family history Eat a healthy well balanced diet Get regular exercise Don’t smoke or use other tobacco products Avoid excessive alcohol consumption Use the slip, slap, slop method for skin protection Reduce Your Risk Tobacco accounts for about 1/3 of all fatal cancer cases. More than 60 cancer causing agents found in tobacco If a person stops smoking before lung cancer develops, the lung tissue slowly returns to normal. Nicotine replacement therapy (NRT), tobacco cessation telephone counseling & other counseling services have been shown to be very effective in helping someone quit. One important thing an employer can do is ban tobacco use in the workplace Reduce Your Risk About 1/3 of fatal cancer cases could be prevented by better nutrition and physical activity Adults should get moderate to vigorous activity for a minimum of 30 to 45 minutes, 5 or more days a week Shown to reduce risk of breast and colon cancer Children and adolescents should get 60 minutes a day of moderate to vigorous physical activity at least 5 days a week Reduce Your Risk Choices for good health Eat 5 or more servings of fruits and vegetables a day Choose whole grain foods Limit your intake of red meat Maintain a healthy weight Balance caloric intake with physical activity Lose weight if currently overweight or obese If you drink alcoholic beverages, limit consumption Reduce Your Risk Cancer of the skin is the most common of all cancers. It accounts for about half of all cancers. Slip on a shirt Slap on a hat Slop on sunscreen Look for shade in the in the middle of the day Wrap on sunglasses Information American Cancer Society 1-800-ACS-2345 National Cancer Information Center 24 hours a day, 7 days a week Comprehensive information about cancer and resources in your area www.cancer.org Comprehensive cancer information American Cancer Society Our Mission The American Cancer Society is the nationwide, community- based voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy, and service.