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(1)

Canadian Cancer Statistics

1 in 4 deaths are due to cancer

Based on 2009 incidence rates, 40% of

Canadian women and 45% of men will

develop cancer during their lifetimes

Lung cancer remains the leading

cause of cancer death for both men

and women

Prostate cancer is the most common

cancer among Canadian men

Breast cancer is the most common

(2)

Cancer

Cancer can develop anywhere in

the body, and at any age

Unlike infectious diseases such as

AIDS or the flu (influenza),

cancer

is NOT contagious

There are over 100 different forms

of cancer

(3)

CQ1: What is the difference between

cancer

and

tumor

? What do you

think?

3

A: The two terms can be used interchangeably as they are synonymous.

B: Cancer is a disease that eventually disrupts body functions whereas a tumor is a mass of cells with no apparent function in the body. C: Cancer is a disease which affects men

whereas a tumor may affect both men and women.

D: Cancer is a disease of the digestive tract

(4)

What is Cancer?

4

Simplest definition

From the American Cancer Society

“ cancer is a group of diseases characterized by

uncontrolled growth and spread of abnormal cells. If the spread is not controlled, it can result in death.”

Tumor

 Two types:

Benign (non-cancerous)

Does not spread; though it can eventually become malignant in some cases.

Malignant (cancerous)

Has the potential to spread to other parts of body.

(5)

CQ2: How do cancer cells travel

through the human body?

5

A: Cancer travels through the body by way of sexual intercourse between a healthy person and one affected by the disease.

B: The circulatory system only is responsible for relocating cancer cells.

C: The lymphatic system collects fluids from capillaries and with it cancer cells, which are then delivered by the circulatory system.

(6)
(7)

Normal versus Abnormal

 The division of

normal cells is

precisely controlled

 New cells are only

formed for growth or to replace dead

ones

Cancerous cells

divide repeatedly out of control even though they are not needed

 Cancerous cells

crowd out other normal cells and

function abnormally

 This can destroy the

surrounding body tissues and the

correct functioning of major organs

(8)
(9)

9

Role of Cell Division in Cancer

Top

= normal cell division

Bottom

= unregulated cell

division and tumor

formation

Malignant

If tumor invades surrounding tissue

(cancerous)

Metastatic

If individual cells break away and start a new

tumor elsewhere (cancerous)

Benign

If tumor has no effect on surrounding tissue

(non-cancerous)

(10)

Some terms:

 A factor which brings about a mutation is

called a mutagen.

 A mutagen is mutagenic.

 Any agent that causes cancer is called a

carcinogen and is described as carcinogenic.

(11)

 Mutations in cells can be triggered by

UV radiation

chemical exposureradiation exposureVirus infection (HPV)

cigarette smokepollution

age

genetics

(12)

Genetic?

Hereditary predisposition

Some families are

more

susceptible

to getting certain

cancers.

Remember

you can’t inherit

cancer

- its just that you may be

more susceptible to getting it

You have similar genes with

similar vulnerabilities, and have

grown up in the same

(13)

From Benign to Malignant

13

Cancer cells divide too quickly and can

leave the original site and enter the

blood, lymph, or tissues.

Most cells divide a set number (60-70)

of times, then they stop dividing.

This usually limits benign tumors to

small sizes.

(14)

14

The vessels of the circulatory and lymphatic systems provide a pipeline for cancer cells to move to other

(15)

CQ3: Can surgery successfully cure a

cancer that has metastasized?

15

A.

No, all body cells are dividing

uncontrollably

B.

Yes, it could remove all cells with

defective cell-cycle regulation

C.

No, cancer cells are no longer

localized in one spot

(16)

Tumor cells travel: Metastasize

What makes most

tumours so lethal is

their ability to

metastasize

through the blood

and lymph

 that is, establish new

tumour sites at other locations throughout the body

 Secondary tumours

 Most of these cells will

die soon after entering the blood or lymph

circulation

(17)

Secondary Tumors

 To form a secondary tumour, a tumour cell

needs to leave the vessel system and invade tissue.

 The cell must attach itself to a vessel's wall.

Once this is done, it can work its way through the vessel wall and enter the tissue.

 Perhaps less than one in 10,000 tumour cells

(18)

Three basic treatments:

surgery to remove the

tumor, and radiation or

chemicals (chemotherapy)

to kill actively dividing cells.

It is hard to remove all the

tumor cells.

 Tumors often lack sharp

boundaries for easy removal, and metastatic tumors can be very small (pin-head) and

(19)

Cancer Detection

and Treatment

19

 Earlier detection

and treatment of cancer greatly

increase the odds of survival.

 Therefore, knowing

the warning signs of cancer is

important to health.

C hange in bowel or bladder habits

A sore that does not heal

U nusual bleeding or discharge

T thickening or lump

I ndigestion or difficulty swallowing

O bvious change in wart or mole

(20)

Skin Cancer

What does

it look like?

ABCD Look For’s

Asymmetry

Border

Colour

Diameter

(21)

Preventing Cancer

1. As mentioned before, early detection is essential

 screening for cervical, colorectal and breast cancers and self-exam for testicular cancer

 2. Make healthy choices – avoid tobacco, limit alcohol use,

protect skin from UV (sun), eat a healthy diet (lots of fruit vegetables), maintain a healthy weight and be physically active

 3. Vaccines

HPV Cervical cancer; Hep B Liver cancer

(22)

YOUR GENERATION…

 Is the first generation to benefit from a new

vaccine against HPV.

 Why is this so important?

 40% of the female population are infected at any time  HPV is a STI that predisposes women to cervical and

ovarian cancer

 The highest rates of infection are among people under

25

 Besides abstinence, the vaccine is your best

protection, otherwise condoms are the only

Canadian Cancer Statistics LINK: National Cancer Institute – List of cancers Video: What is cancer? Video: Inside the cancer cell LINK: American Cancer Society - List of carcinogens Video - Metastasis

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