Cancer Awareness therapy for public by Dr Kanhu Charan Patro

Cancer Awareness therapy for public by Dr Kanhu Charan Patro

1. CANCER AWARENESS Dr Kanhu Charan Patro MD,DNB(Radiation Oncology),MBA,FICRO,FAROI(USA),PDCR,CEPC Clinical Director, HOD-Radiation Oncology ISRo - I nstitute of S tereotactic R adiation o ncology Mahatma Gandhi Cancer Hospital & Research Institute, Visakhapatnam [email protected] /M- [phone]/ www.drkanhupatro.com

2. O N O L Y O M G C H R I C G R S P E U S P E C I L T Y I VISAKHAPATNAM,1/7-MVP[AP] 2

3. 10/2/2025 5:14:58 PM 3 Are you scared about cancer ?

4. Cancer means death

5. Cancer means costly treatmnet

6. All cancers are same

7. Even after treatment cancer comes again

8. Cancer is contagious

9. Cancer treatment is painful

10. Cure for sometime

11. 5 year survival data in cancer cervix 10/2/2025 5:14:58 PM 11 80 to 90% of women with stage I cancer 50 to 65% of those with stage II cancer. 25 to 35% of women with stage III cancer 15% or fewer of those with stage IV cancer

12. 5 year survival data in cancer breast 10/2/2025 5:14:58 PM 12 0------93% I------88% IIA----81% IIB----74% IIIA---67% IIIB----41%* IIIC-----49%* IV------15%

13. What is cancer? 10/2/2025 5:14:58 PM 13

14. Cancer-introduction Cancer is one of the most common diseases in the developed world: 1 in 4 deaths are due to cancer 1 in 17 deaths are due to lung cancer Lung cancer is the most common cancer in men Cervix, Breast cancer is the most common cancer in women There are over 100 different forms of cancer

15. The process

16. What is Cancer? Division – uncontrolled cell division Growth – formation of a lump (tumour) or large numbers of abnormal white cells in the blood Mutation – changes to how the cell is viewed by the immune system Spread – ability to move within the body and survive in another part

17. Statistics >9.7 million cases are detected each year 6.7 million people will die from cancer Every day, around 1700 Americans die of the disease 20.4 million people livin g with cancer in the world today 1 in 3 people will be diagnosed with cancer in the UK and 1 in 4 will die from their disease

18. Malignant versus benign tumours

19. Normal and abnormal cell growth

20. Cancerous growth

21. Metastatic cancer

22. Common cancers

23. Cancer stages 10/2/2025 5:14:58 PM 26

24. Symptoms of Cancer 10/2/2025 6:13:08 PM 27

25. CAUTION C - Change in bowel or bladder habits A - A sore that does not heal U - Unusual bleeding or discharge T - Thickening or lump in the breast or In the body I - Indigestion or difficulty swallowing O - Obvious change in a wart or mole N - Nagging cough or hoarseness

26. Change in bowel habits 10/2/2025 5:14:58 PM 29

27. Change in bladder habits 10/2/2025 5:14:58 PM 30

28. A sore that does not heal 10/2/2025 5:14:58 PM 31

29. Unusual bleeding or discharge 10/2/2025 5:14:58 PM 32

30. Thickening or lump in the breast or in the body 10/2/2025 5:14:58 PM 33

31. Indigestion or difficulty swallowing 10/2/2025 5:14:58 PM 34

32. Obvious change in a wart or mole 10/2/2025 5:14:58 PM 35

33. Nagging cough or hoarseness 10/2/2025 5:14:58 PM 36

34. CAUSES OF CANCER

35. Cancer - Some factors to consider… Heredity Immunity Chemical Physical Viral Bacterial Lifestyle

36. Heredity- familial Genes isolated for several classic familial cancer syndromes: RB1 (retinoblastoma) APC (familial polyposis) Human Non Polyposis Colon Cancer (HNPCC) BRCA 1&2 (breast cancer) p53 (many cancers ) 5-10% of Cancers

37. Immunity HIV / AIDS Immunosuppression

38. Virus Hepatitis B Human T-cell Leukaemia virus Epstein Barr Virus Human Papilloma Virus (HPV)

39. Bacterial H. pylori Other Parasites: Schistosoma spp Clonorchis sinensis

40. Liver 509,000 HBV, HCV , flukes 5.1 Cervix 471 , 000 HPV 4.7 Stomach 4 42,000 H. pylori 4.4 Kaposi’s (HIV related) 134,000 HHV-8 1.3 Non Hodgkin l ymph oma 72,000 H. pylori , EBV, H IV 0. 7 Ano -g enital 65,000 HPV 0. 6 Nasopharyngeal 63,000 EBV 0.6 Hodgkin disease 33,000 EBV, HIV 0.3 Bladder 10, 000 Schistosoma 0.1 Leukaemia 3 , 000 HTLV1 0.03 Total 1 , 801 , 000 1 7.9 INFECTION

41. Chemical Alcohol Asbestos Wood dust Rubber, plastics, dyes Tar / bitumen Aflatoxin Alkylating agents Tobacco

42. Chemicals

43. Smoking and alcohol

44. Industrial pollution

45. Physical causes Ultraviolet radiation Sunlight Certain industrial sources Radiation Radon Cancer treatment

46. Lifestyle Age Occupation Ethnicity Deprivation

47. Smoking Single biggest cause of cancer 25-40% smokers die in middle age 9 in 10 lung cancers Know to cause cancer in 1950

48. Who is smoking whom? 10/2/2025 5:14:58 PM 51

49. Tobacco forms- bidi

50. THE DIRTY 53

51. Tobacco forms- picca 10/2/2025 5:14:58 PM 54

52. Tobacco forms-snuff

53. Tobacco forms- gutkha

54. 57 Tobacco & Gutkha chewing

55. Tobacco forms-passive smoking

56. REVERSE SMOKING

57. ALL LEVELS 60 Smoking

58. Tobacco forms-cigars 10/2/2025 5:14:58 PM 61

59. What’s in a cigarette? 4,000 chemicals Tar Carbon monoxide Nicotine

60. 1 billion smokers 5 million people die every year T his figure will have doubled b y 2030 World Health Organization. The Tobacco Atlas. http://www.who.int/tobacco/statistics/tobacco_atlas/en 75% of smokers want to quit <2% of smokers quit each year Primary care can help increase quit rate The smoking epidemic

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62. 65

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65. 10/2/2025 5:14:58 PM 68

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67. Health Effects of Smoking Heart disease Lung disease – COPD, asthma Cancer Lung, ENT, pancreas Cervix, colorectal Skin (squamous cell) Vascular disease - impotence Stroke Cataracts Gum disease Dementia, Early menopause Osteoporosis Wound healing Anxiety Miscarriage SIDS Hearing loss Rheumatoid arthritis Macular degeneration Tooth decay Depression Multiple sclerosis

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69. 10/2/2025 5:14:58 PM 73

70. Gutkha

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73. 10/2/2025 5:14:58 PM 79

74. Result of reverse smoking

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76. 85

77. Polythene and cancer 10/2/2025 5:14:58 PM 88

78. 10/2/2025 5:14:58 PM 89 Alcohol and cancer

79. OCCUPATION AND CANCER 90

80. DIET ND CANCER 91

81. 10/2/2025 5:14:58 PM 98

82. Air Pollution 100

83. 10/2/2025 5:14:58 PM 102 Obesity and cancer obesity

84. 103

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87. 10/2/2025 5:14:58 PM 106

88. Solar radiation 109

89. Papiloma virus infection

90. EBV

91. Hepatitis virus infection

92. Kaposi sarcoma-HHV8

93. Burkit’s lymphoma

94. Indian scenario 116

95. Indian scenario 117 MALES Lung cancer is the most common in Northern & Western parts of INDIA (Delhi, Mumbai, Bhopal ) Stomach cancer is most common in Southern India ( Bangalore & Chennai ) In rural India, oral cavity & hypo pharyngeal cancers are more common.

96. Indian scenario 118 FEMALES : In Urban INDIA , Breast Cancer is more common (Except in Chennai) than cervical cancer. In Rural Cancer Registry , Cervix ca is more common.

97. 119 High incidence of Nasopharyngeal cancer is observed in North-eastern states. The gall bladder cancer is high in geographical band extending from Punjab to West Bengal to North East. Thyroid cancer is high from the southern tip and extending upward along the southwest cost to Goa state. Indian scenario

98. Calculation One cigar-5 rupees 10 cigars/day-50 rupees 1500 rupees per month Around RS -15000per year Around RS -1.5L per 10 year Around 4.5 lakhs per 30 year If cancer develops-no

99. Spent on smoking

100. I have cancer but No money for treatment

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102. Cancer treatment 10/2/2025 5:14:58 PM 127

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105. Radiotherapy X ray Surgery PET MRI Chemo ? ? 10/2/2025 5:14:58 PM 130

106. Oncologist Diagnosis Treatment Radiologist Cytopathologist Surgeon Histopathologist Molecular Pathologist Geneticist psychiatrist Nursing And Support staff Audit

107. CHOOSING DOCTORS 10/2/2025 5:14:58 PM 135

108. TUMOR BOARD 10/2/2025 5:14:58 PM 136

109. Choosing hospital 10/2/2025 5:14:58 PM 137

110. Cancer surgery 10/2/2025 5:14:58 PM 138

111. 10/2/2025 5:14:58 PM 139

112. Radiation oncology 10/2/2025 5:14:58 PM 140

113. Chemotherapy 10/2/2025 5:14:58 PM 141

114. HORMONAL 10/2/2025 5:14:58 PM 142

115. All specialities under one roof 10/2/2025 5:14:58 PM 143

116. TREATMENT ADVANCES 10/2/2025 10:25:48 PM 144

117. LOTS OF BLOOD REQUIRE 10/2/2025 5:14:58 PM 145

118. TABLET FORMS 10/2/2025 5:14:58 PM 146

119. 10/2/2025 5:14:58 PM 147

120. Hair loss 10/2/2025 5:14:58 PM 148

121. Radiation side effect 10/2/2025 5:14:58 PM 149

122. 10/2/2025 5:14:58 PM 150

123. Nicotine replacement 10/2/2025 5:14:58 PM 151

124. Nicotine patches 10/2/2025 5:14:58 PM 152

125. What can I do for society 10/2/2025 5:14:58 PM 153

126. SELF –I will not smoke 10/2/2025 5:14:58 PM 154

127. HOME 10/2/2025 5:14:58 PM 155

128. I will not a victim of passive smoking 10/2/2025 5:14:58 PM 156

129. I will not sell tobacco 10/2/2025 5:14:58 PM 157

130. 10/2/2025 5:14:58 PM 158

131. FAMILIAL BURDEN 10/2/2025 5:14:58 PM 159

132. FINANCIAL BURDEN 10/2/2025 5:14:58 PM 160

133. SOCIAL BURDEN 10/2/2025 5:14:58 PM 161

134. Social Support 10/2/2025 5:14:58 PM 162

135. Emotional Support 10/2/2025 5:14:58 PM 163

136. Financial Support 10/2/2025 5:14:58 PM 164

137. Living Celebrities-cancer 10/2/2025 5:14:58 PM 165

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139. Escape yourself from cancer

140. Prevention-passive smoking

141. Liver cancer-hepatitis B vaccine

142. Cervix cancer vaccine 10/2/2025 5:14:58 PM 173

143. Promise-Stop drinking alcohol 10/2/2025 5:14:58 PM 174

144. RELAX

145. 10/20/12 01:12 PM 176 MEDITATION

146. Dietary protective factors 177

147. Dietary protective factors 178

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150. Breast feeding

151. REGULAR CHECK-UP

152. 10/2/2025 5:14:58 PM 184 7erwwwwwwwwwwwwwwwwwwwAWEE UUp2 22u

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158. Breast cancer 10/2/2025 8:47:06 PM 191

159. A breast cancer diagnosis is an automatic death sentence .

160. Breast cancer only affects older women.

161. If you have a risk factor for breast cancer, you're likely to get the disease

162. If breast cancer doesn't run in your family, you won't get it

163. Only your mother's family history of breast cancer can affect your risk

164. Using antiperspirants causes breast cancer.

165. Birth control pills cause breast cancer.

166. Eating high-fat foods causes breast cancer.

167. A monthly breast self-exam is the best way to diagnose breast cancer

168. I'm at high risk for breast cancer and there's nothing I can do about it

169. Risk factors Age From birth to age 39, your risk is 1 in 229. From age 40 to 59, your risk is 1 in 24. From age 60 to 79, your risk is 1 in 13. Personal history of breast cancer: Family history: Genetic alterations : Menstrual history: Race: Breast cancer in the United States occurs more often in white women than Latina, Asian, or African American women. But in women 40 and younger, African American women have the highest risk. Radiation therapy to the chest before you were 30 years old Breast density: Exposure to DES (diethylstilbestrol): Late pregnancy or no pregnancy :

170. PRESENTATION

171. Lump or mass in your breast

172. Skin redness

173. Enlarged lymph nodes in the armpit

174. Skin puckering

175. Skin dimpling

176. Skin ulceration

177. Breast size , shape, skin texture or color

178. Scaliness of breast skin

179. Nipple changes

180. Nipple discharge

181. Metastasis

182. Examination by doctor

183. Mammogram

184. FNAC/BX

185. ULTRASOUND

186. TREATMENT

187. SURGERY

188. RADIOTHERAPY

189. CHEMOTHERAPY

190. Hormonal Therapy

191. REHABILITATION

192. SURGERY

193. ARTIFICIAL BREAST

194. CERVIX CANCER 10/2/2025 9:32:36 PM 229

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196. Abnormal bleeding 10/2/2025 5:14:58 PM 231

197. Back pain 10/2/2025 5:14:58 PM 232

198. Post coital bleeding 10/2/2025 5:14:58 PM 233

199. Examination 10/2/2025 5:14:58 PM 234

200. 10/2/2025 5:14:58 PM 235

201. SURGERY

202. RADIOTHERAPY

203. CHEMOTHERAPY

204. Any test that detect cancer colon before attack 10/2/2025 5:14:58 PM 239

205. 10/2/2025 5:14:58 PM 240 Simple tests

206. Final truths about cancer Cancer is preventable before diagnosis After diagnosis 70 to 80 % cancers are curable Remaining incurable cancers ,we can prolong the life with comfort

207. Reduce Stop smoking Stop taking alcohol Get more exercise. Maintain a healthy weight. . Reduce your exposure to estrogen. . Eat your fruits and vegetables! Learn about good nutrition and start eating for good health. Regular check-up Relax

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210. “ We must become the change we want to see ”

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212. Education 10/2/2025 10:06:17 PM 247

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215. DEDICATION-patients 10/2/2025 9:40:59 PM 250

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218. THANKS

219. 254 ?