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PowerPoint® Lecture Outlines 13 Reducing Your Risk of Cancer Copyright © 2009 Pearson Education, Inc. Objectives • Define cancer and how it develops. • Discuss how lifestyle choices, biological factors, and environmental exposures affect an individual’s risk of developing cancer. • Identify five common types of cancer and the risk factors for each. • Identify your own risk factors and make choices to reduce those risks. • Discuss approaches to cancer treatment and recovery. Copyright © 2009 Pearson Education, Inc. What Is Cancer? • A group of diseases characterized by the uncontrolled growth and spread of abnormal cells. • The second most common cause of U.S. deaths. • Nearly 1/2 of men and 1/3 of women will develop it. • Lifestyle choices play a significant role in risk. Copyright © 2009 Pearson Education, Inc. Aspects of Cancer Cancer is characterized by damaged genes that mutate, forming a tumor. • Benign tumors are noncancerous. • Malignant tumors are cancerous. A biopsy surgically removes cells to diagnose them. A carcinogen is an external cancer-causing agent. Oncogenes are genes that may play a role in causing cancer. Copyright © 2009 Pearson Education, Inc. Development of a Benign Tumor Copyright © 2009 Pearson Education, Inc. Development of a Malignant Tumor Copyright © 2009 Pearson Education, Inc. How Cancer Spreads • Metastasis is the spread of cancer. It occurs when malignant cells spread into other body tissue. • Tumors need oxygen to grow. Angiogenesis occurs when malignant cells produce growth factors that induce capillaries (blood vessels) to supply the tumor with oxygen, helping it to grow. • Some cancer treatments target these blood vessels, attempting to “starve” the tumor. Copyright © 2009 Pearson Education, Inc. New Cancer Cases and Deaths Copyright © 2009 Pearson Education, Inc. Four Cancer Classes Carcinomas: Solid tumors that begin in the lining layer (epithelial cells) of organs. At least 80% of all cancers. Sarcomas: Malignant tumors growing from connective tissues, such as cartigage, fat, msucle or bone. Lymphomas: Tumors in lymph nodes or vessels or other infectionfighting body areas. Two main types are non-Hodgkin’s and Hodgkin’s lymphoma. Leukemias: Cancer of the blood or blood-forming organs. Copyright © 2009 Pearson Education, Inc. Cancer Stages Oncologists (cancer specialists) recognize 4 stages of cancer based on: • Tumor size • Number of lymph nodes affected • Degree of spread (metastasis) Stage 1 tumors are local and often curable. Stage 2 through 4 tumors have spread farther and are less likely to be cured. Copyright © 2009 Pearson Education, Inc. Causes of Cancer Lifestyle choices substantially affect cancer risk: • Smoking • Alcohol and drug use/abuse • Obesity, inactivity, and poor diet • Sexual activity Other cancer-causing sources are: • Environmental factors (sun exposure, pollution, radiation) • Biological factors (viruses, microbial infections) • Genetic factors (family history) • Reproductive hormones (mainly in women) • Occupational hazards (exposure to carcinogens) Copyright © 2009 Pearson Education, Inc. Lifestyle Choices and Cancer Risk Copyright © 2009 Pearson Education, Inc. Skin Cancer • The most common cancer & most easily treated. • Basil Cell (80%) & Squamous Cell carcinomas. • Malignant melanoma is rarer but more deadly (<5%). • People with light skin, hair, and eyes are at greatest risk. • Prevention • Use sunscreen/protective clothing • Avoid mid-day sun exposure • Regular skin exams & doctor follow-up • Signs of melanoma- ABCD’s asymmetry, border irregularity, color change & diameter Copyright © 2009 Pearson Education, Inc. Lung Cancer •The leading killer of both women and men. •Has declined in recent years due to less smoking. •Still, only 5% of people survive more than 5 years after diagnosis. •Early detection is key. Copyright © 2009 Pearson Education, Inc. Lung Cancer Incidence Common Types of Cancer Breast Cancer • Second leading cause of death for women. • Can sometimes occur in men. • Genetic factors may play a big role in risk. • Self-exams and yearly check-ups are recommended. Female Reproductive Tract Cancers • Include ovarian, uterine, and cervical cancer. • Ovarian cancer has few overt early signs. • Risks include prior cancer history, early sexual activity, multiple sex partners, herpes, and HPV. Copyright © 2009 Pearson Education, Inc. Common Types of Cancer Male Reproductive Tract Cancers • Include prostate and testicular cancer. • Prostate cancer can be symptom-free in early stages. • Genetic factors play a role in testicular cancer. • Prostate cancer risk factors include older age, race, genetics, high BMI, and poor diet. Colon and Rectal Cancers • Third most common cancer in both men and women. • Colorectal cancer has no symptoms in early stages. • Risk factors are similar to male reproductive cancer risks, in addition to a family history of polyps. Copyright © 2009 Pearson Education, Inc. Common Types of Cancer Pancreatic Cancer • More common now than 20 years ago. • Often undiagnosed until late in its development. • Risk factors include being male, age over 45, smoking, and eating a high-fat diet. Leukemia • Several types exist as acute or chronic cases. • Strikes both sexes and all age groups. • Most common form of childhood cancer. • Symptoms include frequent infections, headaches, vomiting, anemia, and swelling in joints. Copyright © 2009 Pearson Education, Inc. Reducing Your Risk of Cancer • Don’t smoke. • Limit alcohol consumption. • Limit grilled, blackened, and processed meats. • Limit saturated and trans fats. • Eat at least five servings daily of fruits and vegetables. • Eat several servings daily of whole-grain foods. • Get regular physical exercise. • Keep BMI within recommended levels. • Manage stress. • Limit exposure to environmental carcinogens. • Do self-exams and get regular check-ups. Copyright © 2009 Pearson Education, Inc. Cancer Treatment Options Radiation • Most effective with localized (early stage) cancers. • Works by destroying malignant cells or inhibiting their growth. • Still is one of the most effective forms of treatment. Chemotherapy • Administered via intravenous drugs. • Often causes hair loss, nausea, and nutritional deficiencies. • Along with radiation treatment, it may also cause long-term damage to the heart, brain, and other organs. Immunotherapies • New treatments that may enhance the immune system. • Also includes gene therapies and potential stem cell treatments. Copyright © 2009 Pearson Education, Inc. ABC News: Cancer Cancer Discussion Questions: • Discuss the difficulties Lance Armstrong faced during and after his cancer treatment. • What were other things he wanted to prove beside winning another Tour de France title? Provide examples. Copyright © 2009 Pearson Education, Inc.