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Epidemiology of Cancers & Its
Prevention
Dr Athar Khan
Department of Community Medicine
Liaquat College of Medicine & Dentistry
Karachi
matharm@yahoo.com
1/13/2020 DR ATHAR KHAN LCMD 2
Definition of Cancer
• A group of diseases characterized by an
– Abnormal growth of cells
– Ability to invade adjacent tissues and even distant
organs
1/13/2020 DR ATHAR KHAN LCMD 3
1/13/2020 DR ATHAR KHAN LCMD 4
1/13/2020 DR ATHAR KHAN LCMD 5
CLASSIFICATION OF TUMORS
1/13/2020 DR ATHAR KHAN LCMD 6
1/13/2020 DR ATHAR KHAN LCMD 7
1/13/2020 DR ATHAR KHAN LCMD 8
Cancer is the second leading cause of death globally
1/13/2020 DR ATHAR KHAN LCMD 9
Tobacco use is the most important risk factor for cancer
Cancer causing infections, such as hepatitis and human
papilloma virus (HPV)
5 leading behavioral and dietary risks: high body mass
index, low fruit and vegetable intake, lack of physical
activity, tobacco use, and alcohol use
1/13/2020 DR ATHAR KHAN LCMD 10
1/13/2020 DR ATHAR KHAN LCMD 11
WORLD PAKISTAN
1/13/2020 DR ATHAR KHAN LCMD 12
WORLD PAKISTAN
1/13/2020 DR ATHAR KHAN LCMD 13
World Health Organization - Cancer Country Profiles, 2014.
International Classification of Diseases for Oncology - WHO
1/13/2020 DR ATHAR KHAN LCMD 14
1/13/2020 DR ATHAR KHAN LCMD 15
Physical carcinogens, such as ultraviolet and
ionizing radiation
What causes cancer?
Chemical carcinogens, such as asbestos,
components of tobacco smoke, aflatoxin (a food
contaminant), and arsenic (a drinking water
contaminant);
Biological carcinogens, such as infections from
certain viruses, bacteria, or parasites.1/13/2020 DR ATHAR KHAN LCMD 16
 Tobacco
 Physical inactivity, dietary factors, obesity and
being overweight
 Alcohol use
 Chronic Hepatitis B Virus (HBV) infection
 Human Papilloma Virus (HPV) - sexually
transmitted viral infection of the reproductive tract
 Environmental Pollution of air, water and soil with
carcinogenic chemicals
 Radiation
 Reproductive factors1/13/2020 DR ATHAR KHAN LCMD 17
1/13/2020 DR ATHAR KHAN LCMD 18
1/13/2020 DR ATHAR KHAN LCMD 19
1/13/2020 DR ATHAR KHAN LCMD 20
Colonoscopy, sigmoidoscopy, and high-sensitivity fecal occult blood tests
(FOBTs)
Low-dose helical computed tomography for lung cancer
Mammography for breast cancer
Pap test and human papillomavirus (HPV) testing for cervical cancer
PSA for prostate cancer
1/13/2020 DR ATHAR KHAN LCMD 21
WHO Definition of Palliative Care
Palliative care is an approach that improves the quality of life of patients and
their families facing the problem associated with life-threatening illness,
through the prevention and relief of suffering by means of early identification
and impeccable assessment and treatment of pain and other problems,
physical, psychosocial and spiritual.
1/13/2020 DR ATHAR KHAN LCMD 22
1/13/2020 DR ATHAR KHAN LCMD 23
1/13/2020 DR ATHAR KHAN LCMD 24

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Epidemiology and Prevention of cancer

  • 1. Epidemiology of Cancers & Its Prevention Dr Athar Khan Department of Community Medicine Liaquat College of Medicine & Dentistry Karachi matharm@yahoo.com
  • 2. 1/13/2020 DR ATHAR KHAN LCMD 2
  • 3. Definition of Cancer • A group of diseases characterized by an – Abnormal growth of cells – Ability to invade adjacent tissues and even distant organs 1/13/2020 DR ATHAR KHAN LCMD 3
  • 4. 1/13/2020 DR ATHAR KHAN LCMD 4
  • 5. 1/13/2020 DR ATHAR KHAN LCMD 5
  • 6. CLASSIFICATION OF TUMORS 1/13/2020 DR ATHAR KHAN LCMD 6
  • 7. 1/13/2020 DR ATHAR KHAN LCMD 7
  • 8. 1/13/2020 DR ATHAR KHAN LCMD 8
  • 9. Cancer is the second leading cause of death globally 1/13/2020 DR ATHAR KHAN LCMD 9
  • 10. Tobacco use is the most important risk factor for cancer Cancer causing infections, such as hepatitis and human papilloma virus (HPV) 5 leading behavioral and dietary risks: high body mass index, low fruit and vegetable intake, lack of physical activity, tobacco use, and alcohol use 1/13/2020 DR ATHAR KHAN LCMD 10
  • 11. 1/13/2020 DR ATHAR KHAN LCMD 11
  • 12. WORLD PAKISTAN 1/13/2020 DR ATHAR KHAN LCMD 12
  • 13. WORLD PAKISTAN 1/13/2020 DR ATHAR KHAN LCMD 13
  • 14. World Health Organization - Cancer Country Profiles, 2014. International Classification of Diseases for Oncology - WHO 1/13/2020 DR ATHAR KHAN LCMD 14
  • 15. 1/13/2020 DR ATHAR KHAN LCMD 15
  • 16. Physical carcinogens, such as ultraviolet and ionizing radiation What causes cancer? Chemical carcinogens, such as asbestos, components of tobacco smoke, aflatoxin (a food contaminant), and arsenic (a drinking water contaminant); Biological carcinogens, such as infections from certain viruses, bacteria, or parasites.1/13/2020 DR ATHAR KHAN LCMD 16
  • 17.  Tobacco  Physical inactivity, dietary factors, obesity and being overweight  Alcohol use  Chronic Hepatitis B Virus (HBV) infection  Human Papilloma Virus (HPV) - sexually transmitted viral infection of the reproductive tract  Environmental Pollution of air, water and soil with carcinogenic chemicals  Radiation  Reproductive factors1/13/2020 DR ATHAR KHAN LCMD 17
  • 18. 1/13/2020 DR ATHAR KHAN LCMD 18
  • 19. 1/13/2020 DR ATHAR KHAN LCMD 19
  • 20. 1/13/2020 DR ATHAR KHAN LCMD 20
  • 21. Colonoscopy, sigmoidoscopy, and high-sensitivity fecal occult blood tests (FOBTs) Low-dose helical computed tomography for lung cancer Mammography for breast cancer Pap test and human papillomavirus (HPV) testing for cervical cancer PSA for prostate cancer 1/13/2020 DR ATHAR KHAN LCMD 21
  • 22. WHO Definition of Palliative Care Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. 1/13/2020 DR ATHAR KHAN LCMD 22
  • 23. 1/13/2020 DR ATHAR KHAN LCMD 23
  • 24. 1/13/2020 DR ATHAR KHAN LCMD 24