world cancer report - iarc

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Fig. 6.22 The worldwide medical consumption of morphine is increasing. REFERENCES 1. Doyle D, Hanks GW, MacDonald N, eds (1997) Oxford Textbook of Palliative Medicine, 2nd Edition, Oxford, Oxford University Press. 2. World Health Organization (1986). Cancer Pain Relief and Palliative Care, Geneva, WHO. 3. World Health Organization (1996). Cancer Pain Relief and Palliative Care, Geneva, WHO. 4. World Health Organization (1998). Symptom Relief in Terminal Illness, Geneva, WHO. 5. Higginson I, ed. (1993) Clinical Audit in Palliative Care, Oxford, Radcliffe Medical Press. 6. World Health Organization (2002). National Cancer Control Programmes: Policies and Management Guidelines, 2nd Edition, Geneva, WHO. 7. American Medical Association Institute of Ethics (1999) EPEC Project. Education for Physicians on End of Life Care, Chicago. 8. Field MJ, Cassel CK, eds (1997) Approaching Death: Improving Care at the End of Life (Committee on Care at the End of Life, Division of Health Care Services, Institute of Medicine), Washington, D.C., National Academy Press. 9. Gomez-Batiste X, Fontanals MD, Roca J, Borras JM, Viladiu P, Stjernsward J, Ruis E (1996) Catalonia WHO demonstration project on palliative care implementation 1990-1995: Results in 1995. J Pain Symptom Management, 12: 73-78. 10. International Narcotics Control Board (1999) Report of the International Narcotics Control Board for 1999, Vienna, United Nations Publications. understand not only the technical aspects but also the cultural and spiritual significance of new approaches to the patient experiencing pain, the need for recognition (not hiding) of the pain, and the obligation to relieve relievable distress, without denying (and indeed confirming) the precious values forming the fabric of society. Cancer pain relief, and palliative care in general, give expression to the compassion which is one of the most basic values within all human societies. WEBSITES The Macmillan Cancer Relief charity, UK: http://www.macmillan.org.uk/framed.html National Hospice and Palliative Care Organization, USA: http://www.nhpco.org/ International Association of Hospice and Palliative Care, USA: http://www.hospicecare.com American Pain Foundation: http://www.painfoundation.org/ Education for Physicians on the End of Life Care (EPEC): http://www.epec@ama-assn.org The WHO Collaborating Center for Policy and Communications: http://www.medsch.wisc.edu/painpolicy Cancer Pain Release (publication of the WHO global communications programme to improve cancer pain control and palliative and supportive care): http://www.whocancerpain.wisc.edu/ Palliative care 301
Cancer control The negative impact of cancer on individuals and communities can be greatly reduced through cancer control programmes. The scope of cancer control extends from prevention and screening to management of disease, rehabilitation and palliative care. Implementation of cancer control measures requires political will, resource mobilization, and a shared strategy involving governmental and nongovernmental organizations, in particular health services and community and patient groups. This challenge has been addressed by WHO through recommendations for the establishment of National Cancer Control Programmes. They focus particularly on the needs of developing countries and include global perspectives for a successful fight against cancer. 7
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WORLD HEALTH ORGANIZATION WHO OMS I
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WORLD CANCER REPORT Editors Bernard
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CONTENTS Foreword 9 1 The global bu
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The global burden of cancer Cancer
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Fig. 1.2 Incidence and mortality of
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Central and Southern Europe differ
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Incidence of cancer in South Centra
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from documentation of disease to a
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TOBACCO SUMMARY >In addition to lun
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Fig. 2.3 Smoking by children is inc
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Cancers positively Sex Standardized
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PHARMACOLOGICAL APPROACHES TO SMOKI
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level the dose—response relations
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lipoprotein-associated cholesterol,
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Agent Cancer site/cancer Main indus
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Industry, occupation Cancer site/ca
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to occupational exposures in develo
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Air pollutant WHO Air Quality Guide
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der cancer of the order of 50% is p
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AFLATOXIN B 1 HEPATITIS VIRUS (chro
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Fig. 2.30 Correlation between regio
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MEDICINAL DRUGS SUMMARY > Certain d
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Drug or drug combination Cancer IAR
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Agent or substance Cancer site/canc
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sources of electromagnetic fields [
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CHRONIC INFECTIONS SUMMARY > Infect
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Infection Subclinical Mutagenic fac
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TUMOURS ASSOCIATED WITH HIV/AIDS Ap
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DIET AND NUTRITION SUMMARY > Up to
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Fig. 2.54 The age-adjusted mortalit
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OVERWEIGHT, OBESITY AND PHYSICAL AC
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IMMUNOSUPPRESSION SUMMARY >Persiste
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Fig. 2.64 Cancer following immunosu
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Syndrome Gene Location Cancer site/
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viduals, confirmation of a gene def
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REPRODUCTIVE FACTORS AND HORMONES S
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PHYTO-ESTROGENS AND CANCER PEVENTIO
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Indicator Number of oral contracept
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Mechanisms of tumour development Th
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The stages in tumorigenesis have be
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PRECURSOR LESIONS IN CHEMOPREVENTIO
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CARCINOGEN ACTIVATION AND DNA REPAI
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adducts, a few weeks or months for
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I Reactive oxygen species Methylati
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which remove the mismatched bases,
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Common human oncogenes Many common
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product of the RB1 gene (pRb) and a
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ates a molecular bridge between p53
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potential cancer genes altered thro
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One of the earliest genes to be ide
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Regulation of the cell cycle and co
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CELL-CELL COMMUNICATION SUMMARY > C
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Connexin genes and tumour suppressi
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APOPTOSIS SUMMARY > The term apopto
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Caspase-8 Caspase-3 c-FLIP Procaspa
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ways. Several options are under inv
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INVASION AND METASTASIS SUMMARY > T
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laminin, entactin and also heparan
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Target Example of agent Comments Ad
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organs, and to respond to local gro
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TOBACCO CONTROL SUMMARY > Tobacco-i
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Region Deaths due to % of total dea
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ipated, is primarily attributable t
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smoke. This may be achieved in part
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there is no evidence for the effica
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industries, processes and occupatio
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stoves arises in rural areas of dev
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Climbing plants on trellis at end r
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HEPATITIS B VACCINATION SUMMARY > P
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Fig. 4.17 Chronic active HBV-associ
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HUMAN PAPILLOMAVIRUS VACCINATION SU
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Vaccine Site of trial Number of pat
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prolonged use. Similar drugs, that
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aspirin and other non-steroidal ant
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SCREENING FOR BREAST CANCER SUMMARY
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Fig. 4.35 Cumulative mortality from
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SCREENING FOR PROSTATE CANCER SUMMA
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Fig. 4.39 Poster designed for an an
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is around 10% for cancer (out of ev
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45 with one positive rehydrated FOB
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eing based on (i) time trends in th
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Fig. 4.48 Women at a clinic in Indi
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SCREENING FOR ORAL CANCER SUMMARY >
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India will provide useful informati
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cer incidence following cure of inf
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100 50 25 10 5 2.5 1 Japan Males Fe
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Human cancers by organ site Maligna
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tobacco smoking: age at start, aver
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diagnosis is usually confirmed by h
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is frequent and survival rates are
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Fig. 5.14 Physician reading digital
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Markers of prognosis in breast canc
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cer in the contralateral breast (Ch
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100 50 25 10 5 2.5 1 Japan Chile Po
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depends on staging. Small intramuco
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Fig. 5.30 A diet rich in fresh frui
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ane protein involved in cell adhesi
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LIVER CANCER SUMMARY > About 560,00
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Fig. 5.39 A woman in the Gambia pre
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REFERENCES 1. Ferlay J, Bray F, Par
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Certain Possible Uncertain Age Andr
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Management The dramatic division be
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TUMOUR NORMAL Gastrula PGC 2n Impri
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CANCERS OF THE FEMALE REPRODUCTIVE
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Fig. 5.62 Five-year relative surviv
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Inheritance of high-penetrance gene
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invasive malignant. Malignant germ
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OESOPHAGEAL CANCER SUMMARY >Cancer
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Fig. 5.76 A radiographic view of an
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with a stent; laser recannulation,
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Fig. 5.82 Risk of bladder cancer am
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Partial cystectomy is appropriate f
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poorly known since hypopharyngeal c
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Fig. 5.92 Oral leukoplakia with mil
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LYMPHOMA SUMMARY > Malignant lympho
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T Fig. 5.101 Nuclear magnetic reson
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Fig. 5.106 Five-year relative survi
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Fig. 5.109 The immediate aftermath
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A B Fig. 5.113 Acute myeloid leukae
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Fig. 5.118 Five-year relative survi
Page 243 and 244: Fig. 5.120 Age-specific incidence a
Page 245 and 246: Hereditary condition Mode of inheri
Page 247 and 248: MELANOMA SUMMARY > Approximately 13
Page 249 and 250: Fig. 5.131 Primary melanoma with a
Page 251 and 252: THYROID CANCER SUMMARY > Cancer of
Page 253 and 254: Papillary carcinoma RET/PTC TRK BRA
Page 255 and 256: KIDNEY CANCER SUMMARY > Cancer of t
Page 257 and 258: Stage Clear cell carcinoma Papillar
Page 259 and 260: TUMOURS OF THE NERVOUS SYSTEM SUMMA
Page 261 and 262: ing the optic tract, brain stem and
Page 263 and 264: mut = mutant p53 wt = wildtype p53
Page 265 and 266: SURGICAL ONCOLOGY SUMMARY > Surgica
Page 267 and 268: Year Radical mastectomy (%) Modifie
Page 269 and 270: TELEMEDICINE The prospects for tele
Page 271 and 272: Equipment Energy 50% depth dose App
Page 273 and 274: CANCER EDUCATION IN MEDICAL COURSES
Page 275 and 276: Fig. 6.10 Crystals of cisplatin: mo
Page 277 and 278: Responsiveness Cancer (in decreasin
Page 279 and 280: Most of the world’s most common c
Page 281 and 282: treatment of cancer. The problems l
Page 283 and 284: duction. It is clear that tumour ce
Page 285 and 286: REHABILITATION SUMMARY > Rehabilita
Page 287 and 288: cer and its associated disability.
Page 289 and 290: REFERENCES 1. Garden FH, Gillis TA
Page 291 and 292: Cancer pain relief varies and in so
Page 293: EMERGING ISSUES IN PALLIATIVE CARE
Page 297 and 298: priority to cancer control activiti
Page 299 and 300: Prevention of cancer Every country
Page 301 and 302: - Assessing the magnitude of the ca
Page 303 and 304: high-risk women. Further details on
Page 305 and 306: ecords departments are either rudim
Page 307 and 308: THE INTERNATIONAL AGENCY FOR RESEAR
Page 309 and 310: in the capitals/urban areas of four
Page 311 and 312: in the overall cancer strategy. WHO
Page 313 and 314: 68% 1955 1975 1995 2025 32% 40% by
Page 315 and 316: Fig. 7.15 A grandfather at work in
Page 317 and 318: Fig. 7.17 Main causes of death in d
Page 319 and 320: Contributors and Reviewers Sources
Page 321 and 322: Dr Vera Luiz da Costa e Silva Tobac
Page 323 and 324: Georgia Moore Centers for Disease C
Page 325 and 326: REVIEWERS Dr Sandra E. Brooks 405 W
Page 327 and 328: 2.53 T. Norat and E. Riboli, IARC 2
Page 329 and 330: Gastroenterology, 118(2 Suppl 1): S
Page 331 and 332: 5.106 & 5.107 IARC/SEER/Osaka Cance
Page 333 and 334: 4.17 R. Lambert, IARC/Adapted from
Page 335 and 336: Brain cancer, see nervous system tu
Page 337 and 338: Fibroblast growth factor (FGF), 117
Page 339 and 340: Microarray, 240 Micronutrients, 65,
Page 341 and 342: S Saccharin, 64, 85 Salicin, 153 Sa
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