Cancer: Different Types http://neelabh1221.googlepages.com
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Cancer: Different Types
http://neelabh1221.googlepages.com
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Bone Cancer
Paige Mitchell-Spears
David Schmidt
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History
• Strontium was
discovered in 1798 and
metallic strontium was
first isolated by Sir
Humphry Davy in 1808
using electrolysis.
• The radioactive 90Sr can
lead to various bonedisorders and diseases,
including bone cancer.
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Osteosarcoma• most common type
• develops in new tissue in growing bones
• originates in the Osteoid tissue commonlylocated in the knees, upper legs, and upperarms
• common between the ages of 10 and 25
• about 50% more common in males than infemales
• about 900 new cases diagnosed in the UnitedStates each year
• about 400 of these cases occur in children andadolescents younger than 20 years old
• most occur between the ages of 10 and 30
• teenagers are the most commonly affected agegroup, but it can occur at any age
• about 10% occur in people over the age of 60
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Chondrosarcoma
• arises in cartilage located
in the pelvis, upper legs,
and shoulders
• common between the
ages of 50 and 60
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Ewing’s Sarcoma
• begins in immature nerve
tissue in bone marrow
located in the pelvis, upperlegs, ribs, and arms
• common between the ages
of 10 and 20
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Diagnosis• First the doctor will ask about the patients personal andmedical history and then perform a medical exam.
• There are 3 different types of medical exams that can beperformed to diagnose bone cancer:
– A blood test to determine the level of the enzyme alkaline
phosphatase (vital for child growth, mending broken bones, andproduction of abnormal bone tissue). Because there is a highabundancy of this enzyme in growing children, this test is not veryreliable.
– An x-ray to show the location, size, and shape of a bone tumor. If it suggests that a tumor may be cancer, the doctor may
recommend special imaging tests such as a bonescan, a CT scan, anMRI, or an angiogram.
– A needle biopsy or an incisional biopsy where a piece of thecancerous tissue is removed for study by an oncologist or apathologist.
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Causes
• not known
• radiation or chemotherapy for other conditions
may increase the risk of bone cancer• adults with Paget’s disease (a noncancerous
condition characterized by abnormaldevelopment of new bone cells) may be at
increased risk for osteosarcoma• a small number of bone cancers are due to
heredity.
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Symptoms• vary depending on the location and size of the cancer• pain is the most common
• tumors in or near joints may cause swelling or tendernessin that area
• bone cancer can interfere with normal movements andweaken the bones, sometimes leading to a fracture.
• fatigue, fever, weight loss, and anemia
• none are reliable signs of cancer, they can also be causedby other, less serious conditions.
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Treatments• depend on the type, size, location, stage of
the cancer, and the person’s age andgeneral health
• surgery is often the primary treatment• amputation of a limb is sometimes
necessary
– to avoid amputation, a surgeon will onlyremove the cancerous section of the bone andreplace it with a prosthesis
• Chemotherapy and radiation may also be
used together or alone
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Survival Stats• The overall 5-year relative survival rate for
1996-2002 from 17 SEER geographic areaswas 67.9%.
• Five-year relative survival rates by race andsex were:
– 64.4% for white men
– 72.1% for white women
– 65.5% for black men
– 67.5% for black women
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Morality Rate
• In 2006, about 2,760 new cases of cancer of the bones and joints will be
diagnosed, and about 1,260 deaths from these cancers are expected.• From 2000-2003, the median age at death for cancer of the bones and joints
was 59 years of age 4.
– Approximately 14.8% died under age 20; 14.1% between 20 and 34;7.3% between 35 and 44; 8.9% between 45 and 54; 11.2% between 55and 64; 13.7% between 65 and 74; 18.6% between 75 and 84; and
11.3% 85+ years of age.• Death rates by race and sex were:
Race/Ethnicity Men Women
All Races 0.5 per 100,000 men 0.3 per 100,000 women
White 0.6 per 100,000 men 0.4 per 100,000 women
Black 0.5 per 100,000 men 0.4 per 100,000 women
Asian/Pacific Islander 0.3 per 100,000 men 0.2 per 100,000 women
American Indian ^ per 100,000 men ^ per 100,000 women
Hispanic 0.5 per 100,000 men 0.3 per 100,000 women
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Branden Lombardi
•17-years-old•Osteosarcoma•Chemotherapy
•Replacement of cancerous portion of tibiawith donor bone•Lead to nodules in lungs•Has been cancer free for 2.5 years with
help of chemotherapy
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Works Cited
• http://seer.cancer.gov/statfacts/html/bones.html
• http://www.nlm.nih.gov/medlineplus/bonecancer.html#statistics
• http://www.cancer.gov/cancertopics/factsheet/Sites-Types/bone• http://info.cancerresearchuk.org/cancerstats/types/bone/mortality/
• http://aolsearch.aol.com/aol/imageDetails?invocationType=imageDetails&query=bone+cancer&img=http%3A%2F%2Fwww.sarcoma.org%2Fpathology_review%2Fcourse%2520materials%2Fanatomic%2520locations.gif&site=www.mic.ki.se&host=http%3A%2F%2Fwww.mic.ki.se%2FDiseases%2FC04
• http://aolsearch.aol.com/aol/imageDetails?invocationType=imageDetails&query=osteosarcoma&img=http%3A%2F
%2Fwww.mayoclinic.org%2Fosteosarcoma%2Fimages%2Fosteosarcoma-lg.jpg&site=www.mayoclinic.org&host=http%3A%2F%2Fwww.mayoclinic.org%2Fosteosarcoma%2Fdetails-osteosarcoma.html&b=image%3Fquery%3Dosteosarcoma%26invocationType%3Dbottomsearchbox.image
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Colon Cancer
Katie Asman
Chris Johnson
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Timeline of Cancer
• The earliest indications of cancer were described in seven papyridiscovered in the 19th century. The cancer descriptions were writtenaround 1600 BC and are believed to date back to sources as early as2500 B. C.
• Ancient Egyptians were able to determine whether or not tumors werebenign or malignant.
• Hippocrates named “cancer” “karkinioma” because he saw thatmalignant tumors looked like a crab which is also why it is known ascancer today
• Back in the 17th century Gaspare Aselli found the vessels of the
lymphatic system and believed that cancer was caused byabnormalities in the lymph.
• Oncology was established as a science with the research in cell
culture, diagnostic treatments and chemotherapy. • Finally in 1971, Richard M. Nixon signed the National Cancer Act which
launched a program administered by the National Cancer Institutewhich contains the United State legislative cancer policies from 1937
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Who it afftects
• Colorectal cancer affects men andwomen usually 50 years or older
• Cancer of the colon and rectum isthe third most diagnosed cancer inthe US.
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How its diagnosed
• Symptoms of colon cancer includeabdominal pain, diarreha,
constipation and blood in the feces• Symptoms vary from case to case
and some do not have any
symptoms
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Causes
• Causes of most colorectal cancers areunknown but certain risk factors have
been identified• factors include older age, ulcerative
colitis (causes inflammation of thecolon), and family history of colon
cancer• Most colorectal cancers start as a
benign tumor on the wall of the rectum
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Affected Body Parts
• The cancer can begin in any of the4 regions of the colon or the
rectum• Each section is made up of several
layers of tissue, cancer begins inthe inner layer and grows throughsome if not all of the layers
• The spread of cancer depends onwhich layer it begins in
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Treatments
• The treatments depend on what stage thecancer is at, radiation is a rare treatment of colon cancer
• Primary treatment is to remove the portion of the colon where the cancer lies along with thelymph nodes and blood supply
• Surgery is the primary option when the canceris in the first three stages
• After the portion of the colon is removed it isrebuilt called anastomosis
• Chemotherapy is used on patients who had atumor removed and is in danger of getting
another
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Survival Statistics
• 50% of patients treated for coloncancer survive
• 15% of people are at stage 1 and85-90% survive
• 20-30% are at stage 2 65-75%
survival• 30-40% at stage 3 55% survive
• 20-25% at stage 4 and is rarely
cured
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Mortality
• 94,000 cases of colon cancer arediagnosed each year
•it accounts for 10% of cancers in menand 11% of cancers in women
• it occurs second most in both sexesbehind cancer
• 49,000 died from colon cancer in the USin 2000
• The disease has occurred less in the USbut the mortality rate has increased
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Cheryl’s Story
• In 1999 and even before that, my doctor was very concerned about why I was soanemic. I was put on iron supplements, but nothing seemed to change the anemia. Mydoctor had also questioned me about my bowel movements. I actually thought theywere quite normal. I guess I had not really had a normal one in so long that I did notknow what normal was. Actually, they were quite loose most of the time and not reallyvery formed. But, as I said, my doctor was quite concerned about the anemia. After afew visits, he insisted I have a colonoscopy, so I did. The procedure itself was noproblem; the prep was the worst part of the whole thing.
• Then on March 16, 1999, I had the colonoscopy and the physician told me I had atumor that might or might not be cancerous (I am sure he knew that it most likelywas.). He also told me it had to come out surgically, regardless. He then said to call mydoctor in a week for the results. The next week my doctor called me and said it wascancer. I really don't know how I felt. A little shocked, I guess. How could this be? It was
a very large polyp that now was cancer.
• On April 1, 1999, I had surgery to remove this cancer by taking out the section with thetumor and several feet of my colon. I am not sure what stage cancer this was, but I doknow it started through the wall and that is why I see the cancer doctor frequently forblood tests to see if there are any cancer cells in my body. So far, he tells me that I amin remission.I still have trouble thinking of myself as a cancer patient. Thank goodness for my doctorand the colonoscopy. It saved my life. Colonoscopy: such a simple thing to do to saveyour life.
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LUNG CANCER
By Josh Lee and Josh Feaster
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HISTORY
• Lung cancer was very rare before people started smokingcigarettes. There are only 100 cases of lung cancer inmedical history before the 1900’s. After WWI (1918),cigarette smoking became very popular. Doctors began
seeing a sudden epidemic of lung cancer in the 1930’s.Doctors began seeing a link between cigarette smoking andlung cancer, and they determined that smoking causes one’schances to develop the disease to increase greatly. By the1970’s, lung cancer had gone from one of the rarest cancersto the number one killer cancer in the U.S.
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WHO DOES IT AFFECT?
• Lung cancer affects all men and women of allethnicities.
• In the US, 175,000 new cases are expected in2006: 90,700 in men and 80,000 in women.
• Although lung cancer was previously an illnessthat affected predominately men, the lung cancer rate for women has been increasing in the last few
decades .
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HOW IS IT DIAGNOSED?
• Performing a chest X-ray is the first step if a patient reports symptomsthat may be suggestive of lung cancer. This may reveal an obviousmass, widening of the mediastinum (suggestive of spread to lymphnodes there), atelectasis (collapse), consolidation (infection) and
pleural effusion. If there are no X-ray findings but the suspicion ishigh, bronchoscopy and/or a CT Scan may provide the necessaryinformation. In any case, bronchoscopy or CT-guided biopsy is oftennecessary to identify the tumor type.
• Blood tests and spirometry (lung function testing) are also necessary toassess whether the patient is well enough to be operated on.
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CAUSES OF LUNG CANCER
• There are four major causes of lung cancer (and cancer ingeneral):
• Carcinogens such as those in cigarette smoke
• Radiation exposure• Genetic susceptibility
• Viral infection
• In the United States, smoking is estimated to account for
87% of lung cancer cases (90% in men and 79% inwomen).
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WHAT PARTS OF THE BODY
ARE AFFECTED?• If the cancer grows into the lumen it may obstruct the
airway, causing breathing difficulties. This can lead toaccumulation of secretions behind the blockage, allowingthe patient to pneumonia.
• Tumors in the top (apex) of the lung, known as Pancoasttumors, may invade the local part of the sympatheticnervous system, leading to changed sweating patterns andeye muscle problems (a combination known as Horner'ssyndrome), as well as muscle weakness in the hands due to
invasion of the brachial plexus.
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COMMON TREATMENTS
• Treatment for lung cancer depends on the
cancer's specific cell type, how far it has
spread, and the patient's performance status.• Common treatments include surgery,
chemotherapy, and radiation therapy.
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CASE STUDY
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• Ann Shnur was diagnosed with non-small cell lung cancer in 2002.Her doctors told her that her chances of curing the cancer were veryslim, so all they could do was try to manage it. When she found out,she immediately quit smoking. She started to undergo chemotherapy
and radiation, but it was having little effect on her tumor. She wasgiven an experimental drug called Iressa to treat the cancer instead of the chemo. She says that she made a point to savor every moment withfamily and friends because she did not know what could happen next.Everything seemed to be under control until April of 2006, when aroutine scan revealed that a lymph node near her original tumor had
become cancerous as well. Her doctors immediately switched her
treatment from Iressa to Tarceva, and since this switch, the tumor hasnot grown any larger. Doctors say they would do a biopsy, but thesurgery would be life threatening based on the location of the tumor.Shnur and her doctors have already planned that she will add Avastinto her treatment if the cancer spreads. Shnur, in the meantime, iscontinuing to live her normal life.
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SURVIVAL RATE
• Only 14% of patients with lung cancer survive for morethan five years after diagnosis. If the lung cancer isdetected before it has had a chance to spread to other
organs, and if it is treated appropriately, at least 49% of patients can survive five years or longer after the initialdiagnosis. Only 15% of lung cancers, however, are foundat this early stage. About 10% of patients can expect to becured.
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MORTALITY RATE
• Although the rate of men dying from lung cancer isdeclining in western countries, it is actually increasing for women due to the increased takeup of smoking by this
group. Among lifetime non-smokers, men who have never smoked have higher age-standardized lung cancer deathrates than women. Of the 80,000 women who arediagnosed with lung cancer in 2006, approximately 70,000are expected to die from it.
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Healthy Lung
• This is an image of a
very healthy lung.
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Cancerous Lung
• This is a cancerous
lung.
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Melanoma
Skin Cancer Jackie Ardalan / Brian Ramsey
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General Information
• Most serious type of skin cancer
• Begins in skin cells called melanocytes
• Melanocytes are the cells that make
melanin, which gives the skin its color
• With too much ultraviolet (UV) radiation,
the melanocytes may begin to grow
abnormally and become cancerous
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What causes it
• Ultraviolet (UV) radiation from the sun is
the most recognized cause of all types of
skin cancer • Tanning lamps are another source of UV
radiation
• The invisible effects of UV radiationaccumulate over a lifetime
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Who it affects
• Both sexes are affected
• In America, it is the sixth most common cancer in men andthe seventh most common in women
• Race plays a large role• White Americans are 20 times more likely to develop
melanoma than African Americans
• Worldwide, white populations have the highest risk of
developing melanoma, and Asian populations the lowestrisk
• General rule: fair skin is more susceptible
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How it is spotted
• Doctors often spot melanoma during a skin
inspection or annual physical
• Among men, melanoma most often shows up onthe upper body and on the head and neck
• In women , melanoma often develops on the
fingernails, on the palms of hands, and on the
soles of the feet
• However, it can appear anywhere on the skin
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What to look for (the ABCD’s)
• A = Asymmetry: Melanoma lesions are typically irregular inshape (asymmetrical) / benign (non-cancerous) moles aretypically round (symmetrical)
• B = Border: Melanoma lesions often have irregular borders(ragged or notched edges) / benign moles have smooth, even borders.
• C = Colors: Melanoma lesions often contain many shades of brown or black / benign moles are usually a single shade of
brown.• D = Diameter: Melanoma lesions are often more than one
fourth an inch or six millimeters in diameter (about the sizeof a pencil eraser) / benign moles are usually less than that
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Treatment
• The treatment for melanoma depends on the
person’s age, health, and stage of the disease
• Surgery is the first treatment for all stages of melanoma
• Later stages of melanoma (thick melanoma or
those that have spread to the nearby lymph nodes),
call for other treatments, such as immunotherapy,chemotherapy, and radiation therapy
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Statistics
• The average five-year survival rate for melanoma patients is about 89 percent
• Once the cancer spreads to the lymph nodes, thesurvival rate drops to a range of 13 to 70 percent,depending on how many lymph nodes are affected
• An estimated 62,000 Americans are diagnosedwith melanoma each year
• Nearly 8,000 people die from the disease annually
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Pancreatic Cancer
Maddie Norman and Amy Kim
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Illustration of healthy pancreas
• Cancer was first
recorded in Egypt in
2500 B.C. (tumors on
breasts)
• majority of pancreatic
cancer occurs in people
older than 65• Black men and women
have a higher risk
• More men than women
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• Difficult to diagnose
• Complete physical exam• Feces can become clay-colored
• Ultrasound imaging, CT scan, MRI,
endoscopic retrogradecholangiopancreatiography (ERCP),
endoscopic ultrasound (EUS), percutaneous
transhepatic cholangiography (PTC), biopsy,laparoscopy
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• 3 stages – respectable: all the tumor nodules can be removed
– locally advanced: because the cancer has spread totissues around the pancreas or into the bloodvessels, it can no longer be completely removed
– metastatic: at this stage, the cancer has spread to
distant organs, such as the lungs and liver
• Unsure what causes the DNA to becomedamaged thus causing cancer in most cases
• Genetic predisposition (only 10%)• Most cases caused by lifestyle factors such as
smoking and diet
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Cancerous pancreas
• Stage 1; pancreatic cancer isconfined only to the pancreas.
• Stage 2; pancreatic cancer has spread somewhere, possibly to the lymph nodes, but not into large bloodvessels nearby.
• Stage 3, pancreatic cancer hasinvaded lardge blood vessels,may be in the lymph nodes, but hasn’t spread to distantsites.
• Stage 4, means the cancer hasspread to a distant site or sitesin your body.
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• Can only be treated in very early stages
• Pancreatic cancer is treated with surgery, radiation
therapy, or chemotherapy (like most other cancers)• one-year relative survival rate is 20%, and the five-year rate is 4%
• fewer than 10% of patients' tumors are confined to the
pancreas at the time of diagnosis (no surgery option)• average survival rate is 18 to 20 months if surgery is possible. The overall five-year survival rate is about10%, although can be as high as 20% to 25% if thetumor is removed completely and cancer has not
spread to lymph nodes
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• Patients diagnosed with pancreatic cancer have a poor prognosis because the cancer usually causes no symptomsearly on, leading to metastatic disease at time of diagnosis.
• Median survival from diagnosis is around 3 to 6 months;5-year survival is much less than 5%.
• 32,180 new diagnoses in the United States every year
• 31,800 deaths
• mortality approaches 99%, giving pancreatic cancer the #1fatality rate of all cancers and the #4 cancer killer in theUnited States amongst both men and women
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In Real Life
My mom’s cousin was diagnosed with pancreatic cancer after being in the hospital for 1-2 months with severeabdominal pain. It took that long to figure out the source of
the pain and by the time they did, the cancer had alreadyspread all over her body. The only practical treatmentoption was medication to ease the pain. She lived in thehospital for the 4 months following her diagnosis (the restof her life) with a distended belly and unable to keep food
down. My mom compared it to a baby constantly spittingup food. She was aware that she was very ill but becauseof her severe autism could not communicate very well andwas relatively unaware of her treatment and treatmentoptions.
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Sources
• http://www.pancreatic.org/site/c.htJYJ8MPIwE/b.891917/k htm
• www.mayoclinic.com/health/pancreatic-cancer/DS00357
• www.cancer.gov/cancerinfo/pdq/treatment/pancreatic/patient
• www.pancreatica.org
• www.en.wikipedia.org/wiki/Pancreatic _ cancer
• http://cancer.about.com/od/historyofcancer/a/cancerhistory.htm
• Jill Norman provided the information for the real-life story
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Who does it affect?
-Testicular cancer affects over 8000 people a year in
the US.
-Caucasian males ages 15-40 are the most affected
while it would be extremely rare to see a AfricanAmerican male with TC.
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How is it diagnosed?
-Many methods of diagnosing, but self-diagnosis is
primary method before people consult professional help.
-First symptoms of TC:
-pain/tenderness in testicles
-build-up of fluid in scrotum
-hard lump gradually growing in size
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What are the chances of
survival?-TC is one of the most curable cancers (90% cure rate)
-If it is caught in Stage 1, the cure rate is virtually 100% if
it is treated properly.
-After patients are treated there is a less than 5% chance
of the cancer coming back.
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How is TC treated?
-3 methods
-surgery
-chemotherapy
-radiation therapy
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Surgery
-In surgery, one or both testicle are surgically
removed in order to stop the spread of the cancer.
-most popular treatment choice
-success rate; very high
-early stage of cancer
- < 5% of chance of chance spreading again.
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Chemotherapy
-2nd most popular treatment choice
-compatible with all stages of TC
-high success rate
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Radiation Therapy
-rarely used because high doses are dangerous for
sensitive testicular area.
-when used, used for stage 2/3 patients.
-50% average survival rate
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wrap up
-TC is responsible for about 300 deaths a year( US only)
-every male should self-examine themselves at least once a
year
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Cervical Cancer
Autumn Thomson
Derek McConnell
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What is Cervical Cancer?
• Malignancy of the
cervix
• The cancer begins atthe lining of the cervix
• The cancer is not
suddenly formed, but
progresses intransitional stages
Cervix connects the uterus to the
vagina
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History/Facts
Naked HPV • 2nd leading cause of
cancer death in women
• HPV is responsible for 90% of Cervical
Cancer
• HPV - 16, 18, 31, 33,
42, 52 and 58 are the 7most common strands
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Symptoms
• Symptoms may be completely
asymptomatic
• Vaginal bleeding, contact bleeding, or vaginal masses may indicate malignancy
• In advanced cases, metastases may spread
to the lungs or abdomen
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Picture of Cervical Cancer
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Treatment
• Hysterectomy (IA)
• Lymph Nodes (IA2)
• Trachelectomy (early
stages)
• Cone Biopsy
Hysterectomy Stages
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LUNG CANCER A Presentation by
Megan Hansonand
Cameron Hostetter
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Healthy Lung Lung Cancer
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Smoking is cool!!!
Historical Origins of Lung
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Historical Origins of Lung
Cancer
• Not Common Before
WWI
• Tobacco companiesgave away free
cigarettes to millions
of soldiers
• After the war that it became popular in
America
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Historical Origins of Lung
Cancer • Influx of lung cancer cases in the 1930s
• Soon the correlation between smoking and
lung cancer was discovered
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Historical Origins of Lung
Cancer • By the 1970s, lung
cancer had gone fromone of the rarest forms
of cancers to thenumber one killer cancer in the WesternWorld
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Historical Origins of Lung
Cancer • By the 1970s, lung
cancer had gone fromone of the rarest forms
of cancers to thenumber one killer cancer in the WesternWorld
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Historical Origins of Lung
Cancer • Although initially many believed that lung
cancer had only to do with smoking,
• Recent studies are revealing even moreregarding the causes of the disease
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Demographics
• African-American men who smoke
more at risk than among Caucasian
men
• Lung cancer is rapidly becoming a
female’s disease.
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Demographics
• Lung cancer is rapidly becoming a female’sdisease
• Women now accountfor nearly half of allnew lung cancer cases
• Women are morelikely to develop lungcancer than men
Dana Reeves
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Demographics
• Those who quit
smoking reduce risk of
lung cancer
• Also, exposure to
other carcinogens such
as asbestos and radon
gas increases risk
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How Is It Diagnosed?
• X-ray may reveal:
– an obvious mass
– a widening of the mediastinum, – infection and excess fluid
• CT scan can be used if the X-ray in unable
to reveal anything
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Types of Lung Cancer
• Commonly divided into two types:
– Non-Small Cell Lung Cancer (NSCLC)
which is the most common and the causeof 80% of all lung cancer case
– Small Cell Lung Cancer (SCLC) the
cause of 20% of all cases.
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Types of Lung Cancer
• Small Cell LungCancer is almostalways a result of smoking and itstumors can spreadfrom the lungs to
the entire body.
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Treatments
• Three main forms of treatment for lung
cancer:
– Surgery
– Chemotherapy
– Radiation
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Mortality Rate
• Only 14% of patients
with lung cancer
survive for more than
five years after
diagnosis.
• Only about 10% of
patients can expect to be 'cured'
Peter Jennings
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Mortality Rate
• Lung cancer is the number one cancer killer
in America, claiming more lives than breast,
prostate, and colorectal cancers combined.
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Thank You
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Breast Cancer
Hershel Mehta
Jessica RoanKacey Kim
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Breast Cancer
• Breast cancer is a serious issue in society
today.
• However, the cancer of the breast tissue isnot only a recent problem;
• Cases of breast cancer have dated back to
ancient Egypt in 1600 BC.
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• The first surgery done to remove the tumor over the breastwas done in the early 1700s by Jean Louis Petit. Hissuccessful work was carried on by William StewartHalsted who started performing mastectomies in 1882. He
became known for his Halsted radical mastectomy, asurgical procedure that remained popular up to the 1970s.
• Now breast cancer has become a major epidemic amongstwomen, there are many charity walks and events to help
find a cure.
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• Breast cancer can affect both men and
women, but is much more common with
women. It affects one out of every nine tothirteen women. Breast cancer only affects
1% of the male population.
• It is the second most common in mortalityrate after lung cancer. The chances of
obtaining breast cancer increase with age.
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Detecting Breast Cancer
• There are many ways to detect breast cancer atan early stage. For instance, there are self breastexams or a mammograms which are extremelyuseful in early discovery which is essential for surviving breast cancer.
• Also one can get an MRI (magnetic resonanceimaging), but this is sometimes expensive andcan give a false positive because of its acute
sensitivity. Ultrasound is sometimes, but rarelyused.
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Causes
• There are many theories as to what exactly causes breastcancer.
• Some believe that two genes BRCA1 and BRCA2 are
responsible for the formation of the cancerous tumor.• Another theory is that excessive alcohol consumptionleads to an increase in the risk of getting breast cancer.
• Hormones is another theory flying around estrogen,androgen, and testosterone levels may also be a reason
for someone acquiring breast cancer.
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Hodgkin’s Lymphoma
By:
Jack FergusonBrittany Morphew
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When, Who and Where
• Hodgkin’s Lymphoma is named after the
British physician Thomas Hodgkin, who
first described the disease in 1832 and notedseveral characteristics that distinguish it
from other lymphomas.
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Who does it affect?
• Hodgkin’s disease most commonly affects people betweenthe ages of 15 and 40 and people older than age 55. It’sone of two common types of cancers of the lymphaticsystem.
• It is most common in white people but affects every race.
• Males are “slightly” more likely to develop Hodgkin’s.
• People who have had illnesses caused by the Epstein-Barr virus, such as mononucleosis may be four times more
likely to develop Hodgkin’s.
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How is it diagnosed?
• There are many ways to detect Hodgkin’slymphoma.
• Often a lymph node swells, especially in theupper body area. Other times on feels theyhave a lack of energy.
• More serious symptoms can include weight
loss, fever, and drenching night sweats.• Many, many more!
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Medical Diagnosis
• A biopsy of the area is taken and is
searched for the presence of Reed-Sternberg
cells.• Other exams include: chest x-rays,
collecting medical history, CT scans, PET
scans, and gallium scans.
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Suspected Causes
• Abnormal B Cells
• Genetics
• Medical History
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Affected Body Parts
• Hodgkin’s disease commonly begins in the
lymph nodes. Some lymph nodes are in
areas readily noticed, such as in your neck,above your collarbone, under your arms,
groin area, and in the chest cavity.
• Lymphomas may spread outside the lymphnodes to virtually any part of your body.
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Pics
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Stages
I) Involves one lymph node region.
II) Involves two or more lymph node
regions on the same side of thediaphragm.
III) Involves lymph nodes on both sides of the diaphragm.
IV) Involves other organs besides the lymphsystem.
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Treatment and Survival Rates
• Radiation, Chemotherapy, Bone MarrowTransplant.
• More than 80% of people with stage 1 or stage 2 Hodgkin’s disease for 10 years or more with proper treatment.
• The five-year survival rate for those with
widespread Hodgkin’s disease is about60%.
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Survival Rates
• Stage I- 90% to 95%
• Stage II- 90% to 95%
• Stage III 85% to 90%
• Stage IV 80% to 85%
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Mortality Rates
• Each year, about 1,300 Americans die of
Hodgkin’s disease.
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References
• http://www.mayoclinic.com/health/hodgkin
• http://www.lymphomainfo.net/hodgkins/dia
• http://www.whonamedit.com/synd.cfm/995.• http://www.lymphomainfo.net/tests/gallium
scan.html
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LeukemiaLeukemiaCorinne Watson
Elieka Ghafari
Period: 4
HistoryHistory
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HistoryHistory
• Cancer of the blood that develops in the bonemarrow (soft tissue that fills the inside of bones and
produces new blood cells)
• First diagnosed in 1845 by John Hughs Benett
• One of the ten most common types of cancer
• Most common type of cancer diagnosed in childern
• Predicted that 30,000 people will be diagnosed thisyear
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CausesCauses
• No known cause of leukemia
• Possible causes: radiation,chemicals, viruses, andgenetic factors.
• Result from somaticmutations in the DNA, whichdisrupt the regulation of celldeath, differentiation or
division.• Viruses have also been linked
to some forms of leukemia.
Symptons
Symptons
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SymptonsSymptons
• Lack of red blood cells – anemia
• Damage to the bone marrow
• Suppressed or Dysfunctional white blood cells – infections
• Fever, chills, and other flu-like symptoms
• Weakness and fatigue
• Easy bruising/bleeding
• Loss of appetite and/or weight
• Swollen or bleeding gums
• Neurological symptoms (headache)
• Enlarged liver and spleen
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Acute vs. ChronicAcute vs. Chronic
Acute Leukemia• rapid growth of immature blood
cells
• Crowding disables production of
healthy blood cells• Can occur in children and young
adults.
• Immediate treatment is requireddue to the rapid progression andaccumulation of the malignant
cells, which can spill over into thebloodstream and spread to otherorgans of the body
• If left untreated, the patient candie in a few months, or evenweeks
Chronic• excessive build up of relatively
mature, but still abnormal, bloodcells
• Typically taking months to yearsto progress, the cells areproduced at a much higher ratethan normal cells, resulting inmany abnormal white blood cellsin the blood.
• Mostly occurs in older people
• Unlike acute leukemia, chronicforms are sometimes monitoredfor some time before treatment toensure maximum effectiveness of therapy
Lymphoid vs MyeloidLymphoid vs Myeloid
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Lymphoid vs. Myeloid Lymphoid vs. Myeloid •
Diseases are classified according to the type of abnormal cell found most in theblood.
• When leukemia affects lymphoid cells (lymphocytes and plasma cells), it is called
lymphocytic leukemia.
• When myeloid cells (eosinophils, neutrophils, and basophils) are affected, the
disease is called myeloid or myelogenous leukemia.
• Acute lymphocytic leukemia (also known as Acute Lymphoblastic Leukemia, or
ALL) is the most common type of leukemia in young children. This disease also
affects adults, especially those age 65 and older.
• Acute myelogenous leukemia (also known as Acute Myeloid Leukemia, or AML)
occurs more commonly in adults than in children. This type of leukemia was
previously called acute nonlymphocytic leukemia.• Chronic lymphocytic leukemia (CLL) most often affects adults over the age of 55.
It sometimes occurs in younger adults, but it almost never affects children.
• Chronic myelogenous leukemia (CML) occurs mainly in adults. A very small
number of children also develop this disease.
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TreatmentsTreatments
• Combination of drugs
• Bone Marrow/Stem Cell
Transplants
• Chemotherapy
• 43% overall survival
rate (for all ages)
Steve SpragueSteve Sp
rague
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Steve SpragueSteve Sprague
Surviving Leukemia...One Man's Cord Blood Miracle.
• Steve was diagnosed with CML in 1995 when he was 47years old. In those pre-Gleevec days, the standardchemo for leukemia failed after only 17 months whenSteve went into blast crisis. An only child and unable to
find a matched unrelated donor for transplant, hebecame one of the first to participate in a clinical trialfor end-stage adult CMLers using matching stem cellsobtained from umbilical cord blood (UCB) and expandedex vivo (in the lab). Now a 4+ year survivor, Stevevolunteers his time as a cord blood advocate and has
published a short story about his unique transplantexperience. His tale may be helpful to patients, care-givers and even prospective parents interested indonating their infant's umbilical cord blood.
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lymphoma
by: rebecca choi
troy manansala
h t i it?
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what is it?
• broad term for a variety of cancers inthe lymphatic system
• lymphatic system-important for
fighting disease and filtering outbacteria
l h ti t
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lymphatic system
• Lymph nodes are oval, pea-sizedorgans
• Found beneath skin along large blood
vessels and grouped at the neck,underarms, groin, abdomen, andpelvis
• Also in spleen, thymus gland, bonemarrow, adenoids, and tonsils
t t
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two types• two main types of lymphoma:
-Hodgkin’s Disease
-Non-Hodgkin’s Lymphoma
Cause: unknownSuspected causes:
-viral/bacterial infections-pesticides, solvents, arsenate,
lead, hair dyes, radiation, paint thinners
NOT CONTAGIOUS.
S i f ti
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Some information• Can occur in both children and adults
• Most common in early adulthood (15-40) andlate adulthood (after 55).
• High survival rate
• Effects more men than women.
• Especially high among Jewish populationsand low among Asian pop.
• Approx. 25,000 die from this cancerworldwide
H d ki ’ di
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Hodgkin’s disease• malignant (cancerous) growth of cells in
the lymph system• Has Reed-Stemberg cells in the cancerous
area (while Non-Hodgkin’s doesn’t)
• better known form of lymphoma• High survival rate
• number of cases:
– 7880 cases in US this year• 4330 men
• 3550 women
H d ki ’ Di i
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Hodgkin’s Diagnosis• Lymph nodes can swell, upper body
area
• Feeling of lack of energy
• Weight loss, fever, drenching night
sweats, itching, lower back pain• Usually a shock and surprise
• Take tissue sample (biopsy) and
search for Reed-Stemberg cells• X-rays or PET scans or CT scans
H d ki ’ T t t
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Hodgkin’s Treatment
• Chemotherapy• Bone marrow and peripheral blood
transplants
• Immunotherapy– Trys to help body fight cancer
• Radiation therapy
– High energy x-rays kill cancer cells andshrink tumors
–SURVIVAL STATISTICS UNKNOWN
N H d ki ’ Di
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Non-Hodgkin’s Disease
• Is also malignant
• Growth of B or T cells in lymph
system• Cases outweigh those of Hodgkin’s
disease
• 29 types of lymphoma are non-Hodgkin’s
Non Hodgkin’s Diagnosis
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Non-Hodgkin’s Diagnosis
• Some symptoms: lymph node swelling,unexplained itching, fever, weight loss,lack of energy
• Will be tested and doctor will determinewhich type of lymphoma
• Take biopsy (surgical preferred over
needle biopsy)
Non-Hodgkin’s Treatment
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g
• Several types of treatment– Chemotherapy is most common
– Radiation therapy
– Immunotherapy
– Bone marrow transplants
– Watch and wait
– The survival statistics of treatments areunknown
the history of Hodgkin’s
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the history of Hodgkin’s
• Disease named after Thomas Hodgkin(1798-1866)
• English scholar and Quaker physician
working at Guy’s Hospital in England• Publishes paper on lymphatic disease
• 1666 first recorded description of HD byMalpight
case study
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case study• Frank Choi
– Diagnosed at age 27 with lymphaticcancer
– Symptoms: turning an unhealthy shade
of yellow, indigestion, bloating– Needed surgery but doctors unable to
operate because of the unbelievably
huge tumor near his stomach (15 cm indiameter)
Case study contd
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Case study contd.• Underwent one session of
chemotherapy no hope of gettingrid of cancer
• Tumor growing controllably
• Was given two weeks to live
• Five days after the failed surgery, hiscancer was miraculously releasedthrough excrement and he washealed.
And he’s definitely healthy
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y ynow
peectures
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peectures
Dividing Hodgkin’s diseasecells
Tissue sample of HD Normal lymph tissue
sites visited
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sites visited
• http://www.oncologychannel.com/nonhodg
• http://www.lymphomainfo.net/hodgkins/des
• http://www.lymphomainfo.net/nhl/treatment.html
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Ovarian Cancer
By:
Fred Ghamyan
and Charmaine Terania
Basic History
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Basic History
Basic History
Who can get affected?
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Who can get affected?
• Women (Usually of older age)
•American Indians and Alaska Nativewomen show both a higher ovariancancer incidence and mortality ratethan white American women
according to statistics developed bythe National Cancer Institute'sSurveillance, Epidemiology and End
Results Pro ram but not included in
How do you know if you have
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the cancer?
• One of the most difficult cancers totrace
• Some symptoms that mightencourage a woman to seek if shehas ovarian cancer:– pain in the abdomen
– a feeling of being bloated– fatigue
– weight loss
– or problems with urination
If I think I have it, then
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what?• First, an ultrasound scan of the
abdomen is performed. Sometimes thescan is taken from inside the vagina.
• The second test is to measure the levelof the CA125 marker in the blood.
• However, neither of these tests gives adefinite diagnosis of ovarian cancer, but
if both tests are positive, the patient isusually referred to a surgeon who willoperate to see if the ovaries show anysigns of cancer
What can cause this
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cancer?• There is some evidence that being
overweight can increase your risk of ovarian cancer. Some research has
suggested that beta-carotene in the dietcan reduce the risk of this cancer,although this finding has not yet beenconfirmed.
• Genes also have a great deal to do withit– Overall, if you have one close relative
(mother, sister or daughter) who has hadovarian cancer, your risk goes up about 4-
What does the cancer
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affect?• The part of the body affected is the
female's ovaries located in thefallopian
tubes of the female
reproductive system.
However, it alsoprovides pain to parts
of the abdomen.
Is there treatment?
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Is there treatment?
• The treatment used will depend on howadvanced the cancer is and how old thepatient is.– For younger patients with early cancer, limited
surgery is used to preserve their fertility.– For older patients with more advanced cancers, the
ovaries and the womb are usually removed. If thecancer has spread, further tissue may need to beremoved to get out as much of the cancer aspossible.
•Chemotherapy is normally used after thesurgery to kill any remaining cancer cells.Sometimes it is also used before the surgery toshrink the tumor and make it easier to removecompletely.
What are the chances that Iwill be cured if I do get
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will be cured if I do get
cancer?• Overall, only about two out of every five
women with ovarian cancer can be cured.
Like all other cancers, the stage at whichovarian cancer is diagnosed determineshow easily it is to cure. If diagnosed andtreated while the cancer is still confined tothe ovaries, nearly 75% of women can becured. However, once it has spread intothe pelvic cavity, the cure rate drops toone third. If it has spread further, only onequarter to on sixth of patients can be
How many people areaffected by this cancer per
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affected by this cancer per
year?• In 2005, more than 22,000 womenwere diagnosed with the disease.
• An estimated 16,000 women diedfrom ovarian cancer in 2005.
Cancer Cells Dividing >>
Case Study
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Case Study
Case Study
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Prostate Cancer
By Chandler Sheilds and Joshua Im
History Timeline
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History Timeline
• The prostate organ was first described by Venetian anatomist Niccolò Massa in 1536 and illustrated
by Flemish anatomist Andreas Vesalius in 1538.
• Prostate cancer was identified in 1853.• The prostate gland was first removed through
radical perineal prostatectomy in 1904 byHugh Young at Johns Hopkins Hospital.
• Removal of the prostate and lymph nodes while
allowing penile function (radical retropubic prostatectomy) was developed in 1983 by Patrick Walsh.
Who Does it Affect?
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Who Does it Affect?
• Prostate cancer is most common amongst men
over fifty (exclusively restricted to infecting men).
• Prostate cancer is the ninth most common cancer
in the world,
• Prostate cancer is the number one non-skin cancer
that is found amongst United States men.
• Prostate cancer is least common among Asianmales and most common among black males.
Diagnosis
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Diagnosis
• Prostate cancer is mostcommonly diagnosed by
physical examination or byscreening blood tests, such asthe PSA (
prostate specific antigen) test.• Suspected prostate cancer is
most of the time confirmed byremoving a piece of the prostateand examining it under amicroscope.
• Other tests, such as X-rays and bone scans, are utilized in order to determine whether prostatecancer has spread.
Suspected Causes
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Suspected Causes
• Even though the cause
of prostate cancer is
ultimately unknown, a
man's risk of attaining prostate cancer is
related to his age,
genetics, race, diet,
lifestyle, medications,
and other factors.
Body Parts Affected
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Body Parts Affected
• This particular cancer infects the prostate glandin the male’s reproductivesystem.
• The cancer will usuallyspread to the bones andthe lymph nodes.
• Prostate cancer can cause
pain, difficulty inurinating,erectile dysfunction, andother symptoms.
Common Treatments
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Common Treatments
• Prostate cancer can be treated through
surgery, radiation therapy, hormone therapy
, sometimes chemotherapy, watchful
waiting, or some combination of these
methods.
Survival Statistics
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Survival Statistics
• The success rate of each of these tactics depends
upon such criteria as the stage of the cancer, the
PSA level, and the Gleason score.
• As the result of prostate cancer’s relatively slow-
growing nature, the 5-year survival rate for
prostate cancer diagnosed at all stages is 98%, the
relative 10-year survival rate is 84% and the 15-
year survival rate drops to 56%.
Mortality Rate
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Mortality Rate
• In 2006, over 232,000 men will be
diagnosed with prostate cancer, and over
30,000 men will be killed by it.
Case Study: William Greenberg
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BREAST
CANCERPRESENTED BY:
AUGUSTA CLEMENT
JUSTIN KO
THE ORIGIN OF BREAST
CANCER
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CANCER • The origin of breast cancer goes as
far as 1600 BC in Egypt.
• In Edwin Smith Papyrus’ paper, hedescribed 8 cases of cancer where breast had to be treated bycauterization-process of removing
body parts by burning it.• The discovery of breast cancer was
founded by French surgeon JeanLouis Petit and Scottish surgeonBenjamin Bell in 17th centurywhere they had removed a lymphgland, breast tissue and chest
muscle.
THE EPIDOMIOLOGY OF
AFFECTED
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AFFECTED
INDIVIDUALS• Age/gender
The older you are, the more likely you are todevelop breast cancer. A woman who is 90 years
old have the chances of getting breast cancer increases to 14.3%. For men on the other hand,generally are invulnerable to breast cancer buthappens to every 1000 males.
As you increase in age, the chances of you getting breast cancer increases. Also, the potency tends to be greater.
RACE
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RACE
• It has been reported that Caucasian women have
the overall risk of developing breast cancer
compared to African American women.
• The breast cancer is twice as much in Caucasianwomen compared to Hispanic and Asian women.
• Although occurrence of breast cancer is lower
among African Americans compared toCaucasians, their mortality rate is higher than that
of Caucasians.
THE DIAGNOSIS
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THE DIAGNOSIS• The diagnosis of breast
cancer can be done byexamining breast tissueremoved from a patient.Other methods such as fine-needle aspiration, nipples
asiprates, ductal lavage,core needle biopsy, nd localsurgical biopsy.
• Imagining tests are alsoused to detect breast cancer such as chest x-ray, CT,MRI, and PET scanning.
THE CAUSE OF BREAST
CANCER
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CANCER
• The cause of breastcancer is suspected to
be a result from DNA
damage. Ionizingradiation or naturalmutation of BCRA1,BCRA2, p53 genescontribute to the causeof DNA damage and
breast cancer.
AFFECTED PARTS OF THE
BODY
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BODY• The affected parts of
the body are the breast
unless the cancer the
metastasized, it mayspread to other organs
via blood stream.
• Symptoms-on the
picture right
COMMON TREATMENTS
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CO ON N S
• Surgery
The first choice of treatment to remove the affected area.• Radiation therapy
It applies to the affected area with high-energy rays to destroy thecancerous cells. Side effects occur during this process.
• ChemotherapyIt uses anti-cancer drugs (cytotoxic) to destroy cancer cells.
• Hormonal Therapy
Since most breast cancers need estrogen to grow, hormones that helpthe production of estrogen are used as an effective hormonal
treatment.
SURVIVAL STATISTIC
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• With the help of treatment, women are able
to survive by 86%.
• Without the treatment only 1% survive.
MORTALITY RATE
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• 41,619 women die
annually.
• According to the chart,
Breast cancer isranked 6th as the
leading caused deaths.
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THE END
Colon Cancer
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Stephanie Granillo
Jeremy Lazarus
Group Affected
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p
• Those with history of
colon cancer in family
• Risk increases with age
– 60-70 yrs
• Smokers
• Physically inactive at high
risk
• Alcohol increases risks
Symptoms
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y p
• Often, patients are
asymptomatic (have no
symptoms)
•Lesion – The nearer the lesion is the
anus, the more bowel
symptoms
• Anemia
• Anorexia
• Asthenia
Diagnosis
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g
• Early detection
recommended since
there may be nosymptoms
• Fecal occult blood
tests
• Endoscopy
• Colonoscopy
Causes
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• Mushroom like
growths (adenomatous
polyps) in colon
• Hereditaryonpolyposis colorectal
cancer (HNPCC)
syndromes (heredity)
Affected Areas
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• Colon
Treatments
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• Surgically remove all
or part of colon
• Chemotherapy after
surgery prolongssurvival
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Janice MacAfee
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The MacAfees have a strong
history of cancer in their
family, so Janice has been
routinely having cancer
screenings.
She learned she had uterine
cancer and then, 11 years
later, was diagnosed with
colon cancer.
She had to have 1/3 of her
colon removed after a
polyp was found.
The doctor told her of another, controversialtreatment, calledcolectomy, which requires
having the entire colonremoved.
She decided to remove only avery large portion of her colon because it is
recommended for thosewith inherited cancer
Janice MacAfee
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Janice eventually took a test for
HNPCC to see if she carried the
gene that causes colon cancer
because she was worried about
the well being of her children
Although her results were
inconclusive, she convinced her
children to take the tests and
continues to encourage the restof their family to do so as well
so they can detect their cancer in
the beginning stages
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Skin CancerMia Reyes
Patricia Rodriguez
Get your factsstraight..
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- unprotected exposure to the sun in the first 15 years of life more than
doubles the chances of getting skin cancer later in life
- skin cancer is the most common form of cancer, probably accounting for at
least half of all cancers.
- about half of all Americans who live to age 65 will be diagnosed with skin
cancer - according to the ACS, men are about twice as likely to develop non-
melanoma as women
- The American Cancer Society estimates there will be about 10,710 deaths
from skin cancer in 2006 – 7,910 from melanoma and 2,800 from other
skin cancers.- Skin cancer was first described as an inhibitor of tubular morphogenesis in
cells grown in culture.
Causes.
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• Sunburn
• UV light
• Tanning
• .. Or anything else that candamage your skin
• Heredity & environment could alsobe contributing factos
Different types of SkinCancer
B l C ll
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Basal CellCarcinoma
Is the most common form of skin cancer and accounts for90% of all skin cancer in the
US
These cancers almost neverspread (metastasize) toother parts of the body.
However, they can causedamage by growing and
invading surrounding tissue.
Basal call carcinomacont’d
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cont dRemovalThe doctor's main goal is to remove or
destroy the cancer completely with
as small a scar as possible.
Different types of SkinCancer
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Squamous Cell Carcinoma
is cancer in the squamous cells (think, flat cells that look
like fish scales under a microscope and found in tissue
that forms on surface of skin)
occurs roughly one-quarter as often as
basal cell carcinoma
cells can metastasize
Do you have skin cancer?
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• Doctors often can recognize and distinguishskin cancer just by looking at it.
• Sometimes many people could just detect it
by themselves-It first appears as a growth, or abnormal accumulation of
cells. It sometimes takes the form of a sore or pimplethat does not heal. The sore may bleed or ooze fluid,
crust or scab over, and then ooze or bleed again.
- Skin cancer usually is painless.
Oh no. I have skin cancer..What do I do?
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• If melanoma is caught early, it could easily be treatedthrough surgery, medications, or radiation.
• If melanoma is caught during its advanced stages whenthe cancers have metastasized through the blood,
lymph system,or even in organs and bones, cures areless likely.
• As for basal cell or squamous cell cancers, a cure ishighly likely if detected early.
Prevention
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- limit recreational sun exposure
- Avoid unprotected exposure to the sun during peak radiationtimes (the hours surrounding noon)
- Wear broad-brimmed hats & tightly-woven protective clothingwhile outdoors in the sun
- Regular use of a waterproof or water resistant sunscreen withUVA
Got sunblock ?
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M Y
TH
Myth: In order for sunlight to cause
skin cancer, you must get a sunburn.
Myth: You can prevent skin cancer,
by putting on one application of
sunscreen at the start of each day
Myth: If a mole is flat,
It can’t be dangerous.
Truth: As mentioned above,
Sunscreens do not block 100%
Of the sun’s rays.
T th t l
Truth: People who sunburn
are more likely to get skin
cancer than those who do
not, but sunlight damagesthe skin whether a sunburn
occurs or not.
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