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By: azhari mustafa sadig
Rex Karl S. Teoxon, RN, MD, MANGeneral SurgeryBulacan Provincial Medical Center
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What i s CANCER? Is a disease characterized
by cells that : Grow and divide without
respect to normal limits, Invade and destroy
adjacent tissues, and may Spread to distant
sites by metastasis
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Common cause o f death
0
0.5
1
1.5 Ischemic Heart Disease
Stroke and other CVD
Trachea, Bronchus andLung Cancer
Alzheimer and otherdementia
Lower RespiratoryInfection
Chronic ObstructivePulmonary disease
* Based on WHO 2008
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Prostate Breast
Lung & Bronchus Lung & Bronchus
Source: [Reprinted with permission of Jemal A, Siegal R, Ward E, et al. Cancer statistics, 2009. CA Cancer J Clin. 2009;50:225-249.]
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Cancers are primarily an environmental disease with 90-95% of cases due to lifestyle and environmental factors and 5-10% due to genetics
- American Cancer Society
Cancer is a preventable
disease !
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Causes Growing Older
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Causes Tobacco
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Causes Sunlight
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Causes Ionizing Radiation
Radon gas X-rays Radiation therapy
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Causes Some viruses and
bacteria HPV EBV HTLV HHV-8 HBV and HCV H. pylori
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Causes Certain Hormones
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Causes Family History of
Cancer
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Causes Alcohol
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Causes Poor diet Poor physical activity Overweight
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Symptoms
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S igns and Symptoms Persistent cough Change in bowel habits Blood in the stool Unexplained anemia Breast lump or discharge Lumps in the testicles
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S igns and Symptoms Change in urination Blood in the urine Hoarseness of voice Persistent Lump or swollen glands Obvious change in a wart or a mole Difficulty swallowing/ Indigestion
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Diagnos i s Medical History and Physical examination Tumor Markers (Blood test) Imaging studies
X-rays CT scans MRI Ultrasound
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Diagnos i s Medical History and Physical examination Tumor Markers (Blood test) Imaging studies
X-rays CT scans MRI Ultrasound Endoscopy
Biopsy
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LIPOMA
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Liposarcoma
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Melanoma
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Epidermoid cyst
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Breast cancer
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Prevention
Modifiable Lifestyle Risk
Factors
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Prevention Screening Recommendation *
Mammography - Women 40-49: every 1-2 years; ≥ 50: every year
Sigmoidoscopy – ≥ 50 : every 3-5 years Fecal occult blood – ≥ 50 : every year Digital rectal exam - ≥ 40: every year Prostate specific antigen test – Men age > 50:
every year PAP smear - > 18: once a year for 3 years;
thereafter at physician’s discretion * Based on ACS
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Prevention Screening Recommendation *
Pelvic Exam – Women 18-40: every 1-3 years with PAP smear; > 40 : every year
Breast self exam – Women ≥ 20: monthly Clinical breast exam – Women 20-40: every 3
years; over 40: yearly Complete skin exam - Ages 20-39: every 3 years
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TreatmentCancer can be treated by surgery, chemotherapy, radiation therapy, immunotherapy, other methods.
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Prognos i s Cancer has a reputation for
being a DEADLY disease.
With modern treatment the prognosis is improving and actually much better than heart attack or stroke in some cases.
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