CANCER
Shantanu Sen
Product Specialist
The Himalaya Drug Company
WHAT IS CANCER ?
TYPES OF TUMORS
TYPES OF CANCER
• lung cancer
• Breast cancer
• Colon and rectal cancer
• Endometrial cancer
• Pancreatic cancer
• Kidney cancer
• Prostrate cancer
• Thyroid cancer
• leukemia
KINDS OF CANCERS
NAMING OF CANCER
ETIOLOGY
Environmental factors
• Tobacco
• Alcohol
• Dietary Factors
• Occupational exposures
• Viruses
• Parasites
• Customs ,habits, Lifestyles
• Others – sunlight, pollution,
drugs
Genetic
Eg
• Retinoblastoma in Children
• Leukemia in Mongols
CAUSES OF CANCER
Factors Believed to Contribute to Global
Causes of Cancer
EPIDEMOLOGY OF CANCER
2013 ESTIMATES
CANCER CAUSES IN DEVELOPED AND DEVELOPING
ECONOMIES
Cancer scenario in India
Year wise total cancer prevalence in India [ICMR, 2006; ICMR, 2009]
ETIOLOGICAL FACTORS FOR DIFFERENT CANCERS IN INDIA
SMOKING & HOOKAH
BIDI & HOOKAH SMOKING
SMOKED MEAT,TOBACCO,
HOOKAH
BETEL NUT,
PANMASALA, ALCOHOL
BETEL CHEWING
PAN MASALAAND ALCOHOL
NUCLEAR POLLUTION
AIR POLLUTION
PAN MASALA & GUTKA
Etiological factors for the prevalence of different cancers in India [Koul et al, 2010; ICMR, 2001;
Somdatta et al, 2008; Sharma et al, 2009; Gaur et al, 2006; Prasad et al, 2005; Malothu et al, 2010; Sumathi et al, 2009; (b): http//
TOBACCO USE IN DIFFERENT FORM
TUIBUR
GALL STONES
COMPARISON OF CANCER
INDIA WITH GLOBAL SCENARIO
• 2020- 10 million deaths,70% in developing
countries ( Murray et al,1996)
• Incidence in India less than developed countries
(Fenley et al ,2001)
• Lung cancer worldwide 14%,all of india
6.8%(Nandakumar,2001)
• South east asian countries including India, lower
rates of stomach cancer (Parkin et
al,1999,WHO,2001),mizoram shows increased no
cases ( Hadjiiski et al, 2006)
Pathogenesis Of Cancer
Management Of Cancer
• Surgery
• Radiotherapy
• Chemotherapy
• Immunotherapy
• Hormone therapy
• Gene therapy
• Cancer-specific immune system cells to treat
cancer
Preventive measures of cancer
o physical activities
o avoiding obesities
o healthy dietary practices
o reducing occupational and environmental exposures
o reducing alcohol uses
o immunization against hepatitis B virus
o safe sexual practices for avoiding cancer genesis
RECENT STUDIES
• Lifestyle changes reduce the risk of prostate
cancer( published in the journal Nutrition and Cancer,
was carried out by researchers at UCLA's Jonsson
Comprehensive Cancer Center (JCCC).)
• Researchers Aiming To Suppress Therapy
Resistance In Brain Cancer
(http://www.medicalnewstoday.com/releases/262571.php)
• Fish Oils Reduce Risk Of Breast Cancer
(http://www.medicalnewstoday.com/articles/262612.php)
Life style changes reduce the risk of prostate cancer
(Nutrition and Cancer" Lenore Arab, PhD, et al. Nutrition and Cancer Jun-2013)
• Focuses on 8 new lifestyle recommendation by WCRF
• Encouraged physical activity and consumption of food
low in caloric density(under 125kcal/100 grams of food)
• who followed less than 4 recommendation at higher
risk(38%)
Research aiming to suppress therapy resistance in
brain cancer (Helmholtz Association of German Research Centres. Medical News Today.
MediLexicon, Intl., 29 Jun. 2013. Web)
• Gliomas are malignant brain tumors, treatment combines
radiotherapy with anticancer drug temozolomide
• Some cases shows resistance , DNA repair mechanism
aided by NAD+ molecule
• QRTP enzyme break down quinolinic acid to NAD+
molecule
• Agent directed against enzyme help suppress therapy
resistance in brain
Fish oil reduces the risk of breast cancer (Nordqvist, Joseph.
"Fish Oils Reduce Risk Of Breast Cancer." Medical News Today. MediLexicon, Intl., 28 Jun. 2013. Web.)
• Links fish,n-3PUFA intake and risk of breast cancer
• Marine n-3PUFA intake associated with 14% reduced risk
of breast cancer
• For every 0.1g/day increase in consumption ,risk reduced
by 5%
Anticancer Drugs With Their MOA
Schematic Representation Of MOA
Limitations Of Presently Available
Drugs
• Myelotoxicity
• Alopecia
• loss of appetite & weight
• nausea & vomitus
• taste change
• stomatitis, esophagitis,
constipation, diarrhea
•Cardiotoxicity
•Neurotoxicity
•lung damage
•sterility & teratogenicity
•hepatotoxicity & nefrotoxicity
•↓ wound healing
•↓ growth (children)
•carcinogenicity
Anticancer Drugs In The Market
Market share of Anticancer Drug
Makers
Growth In Cancer Market
REFERENCE
• All about cancer
http://www.medicalnewstoday.com/info/cancer-oncology/
• Imran Ali,Waseem A. Wani and Kishwar
Saleem,( 2011)Cancer Scenario in India with
Future Perspectives, Cancer Therapy Vol 8, 56-70
• National cancer institute, http://www.cancer.gov/
• Gobal cancer facts and figures,
http://www.cancer.org/acs/groups/content/@epidemiology
surveilance/documents/document/acspc-027766.pdf
THANK YOU

Presentation on cancer

  • 1.
  • 2.
  • 3.
  • 4.
    TYPES OF CANCER •lung cancer • Breast cancer • Colon and rectal cancer • Endometrial cancer • Pancreatic cancer • Kidney cancer • Prostrate cancer • Thyroid cancer • leukemia
  • 5.
  • 6.
  • 7.
  • 8.
    Environmental factors • Tobacco •Alcohol • Dietary Factors • Occupational exposures • Viruses • Parasites • Customs ,habits, Lifestyles • Others – sunlight, pollution, drugs Genetic Eg • Retinoblastoma in Children • Leukemia in Mongols CAUSES OF CANCER
  • 9.
    Factors Believed toContribute to Global Causes of Cancer
  • 10.
  • 11.
  • 12.
    CANCER CAUSES INDEVELOPED AND DEVELOPING ECONOMIES
  • 13.
    Cancer scenario inIndia Year wise total cancer prevalence in India [ICMR, 2006; ICMR, 2009]
  • 14.
    ETIOLOGICAL FACTORS FORDIFFERENT CANCERS IN INDIA SMOKING & HOOKAH BIDI & HOOKAH SMOKING SMOKED MEAT,TOBACCO, HOOKAH BETEL NUT, PANMASALA, ALCOHOL BETEL CHEWING PAN MASALAAND ALCOHOL NUCLEAR POLLUTION AIR POLLUTION PAN MASALA & GUTKA Etiological factors for the prevalence of different cancers in India [Koul et al, 2010; ICMR, 2001; Somdatta et al, 2008; Sharma et al, 2009; Gaur et al, 2006; Prasad et al, 2005; Malothu et al, 2010; Sumathi et al, 2009; (b): http// TOBACCO USE IN DIFFERENT FORM TUIBUR GALL STONES
  • 15.
    COMPARISON OF CANCER INDIAWITH GLOBAL SCENARIO • 2020- 10 million deaths,70% in developing countries ( Murray et al,1996) • Incidence in India less than developed countries (Fenley et al ,2001) • Lung cancer worldwide 14%,all of india 6.8%(Nandakumar,2001) • South east asian countries including India, lower rates of stomach cancer (Parkin et al,1999,WHO,2001),mizoram shows increased no cases ( Hadjiiski et al, 2006)
  • 16.
  • 17.
    Management Of Cancer •Surgery • Radiotherapy • Chemotherapy • Immunotherapy • Hormone therapy • Gene therapy • Cancer-specific immune system cells to treat cancer
  • 18.
    Preventive measures ofcancer o physical activities o avoiding obesities o healthy dietary practices o reducing occupational and environmental exposures o reducing alcohol uses o immunization against hepatitis B virus o safe sexual practices for avoiding cancer genesis
  • 19.
    RECENT STUDIES • Lifestylechanges reduce the risk of prostate cancer( published in the journal Nutrition and Cancer, was carried out by researchers at UCLA's Jonsson Comprehensive Cancer Center (JCCC).) • Researchers Aiming To Suppress Therapy Resistance In Brain Cancer (http://www.medicalnewstoday.com/releases/262571.php) • Fish Oils Reduce Risk Of Breast Cancer (http://www.medicalnewstoday.com/articles/262612.php)
  • 20.
    Life style changesreduce the risk of prostate cancer (Nutrition and Cancer" Lenore Arab, PhD, et al. Nutrition and Cancer Jun-2013) • Focuses on 8 new lifestyle recommendation by WCRF • Encouraged physical activity and consumption of food low in caloric density(under 125kcal/100 grams of food) • who followed less than 4 recommendation at higher risk(38%)
  • 21.
    Research aiming tosuppress therapy resistance in brain cancer (Helmholtz Association of German Research Centres. Medical News Today. MediLexicon, Intl., 29 Jun. 2013. Web) • Gliomas are malignant brain tumors, treatment combines radiotherapy with anticancer drug temozolomide • Some cases shows resistance , DNA repair mechanism aided by NAD+ molecule • QRTP enzyme break down quinolinic acid to NAD+ molecule • Agent directed against enzyme help suppress therapy resistance in brain
  • 22.
    Fish oil reducesthe risk of breast cancer (Nordqvist, Joseph. "Fish Oils Reduce Risk Of Breast Cancer." Medical News Today. MediLexicon, Intl., 28 Jun. 2013. Web.) • Links fish,n-3PUFA intake and risk of breast cancer • Marine n-3PUFA intake associated with 14% reduced risk of breast cancer • For every 0.1g/day increase in consumption ,risk reduced by 5%
  • 23.
  • 24.
  • 25.
    Limitations Of PresentlyAvailable Drugs • Myelotoxicity • Alopecia • loss of appetite & weight • nausea & vomitus • taste change • stomatitis, esophagitis, constipation, diarrhea •Cardiotoxicity •Neurotoxicity •lung damage •sterility & teratogenicity •hepatotoxicity & nefrotoxicity •↓ wound healing •↓ growth (children) •carcinogenicity
  • 26.
  • 27.
    Market share ofAnticancer Drug Makers
  • 28.
  • 29.
    REFERENCE • All aboutcancer http://www.medicalnewstoday.com/info/cancer-oncology/ • Imran Ali,Waseem A. Wani and Kishwar Saleem,( 2011)Cancer Scenario in India with Future Perspectives, Cancer Therapy Vol 8, 56-70 • National cancer institute, http://www.cancer.gov/ • Gobal cancer facts and figures, http://www.cancer.org/acs/groups/content/@epidemiology surveilance/documents/document/acspc-027766.pdf
  • 30.