Adolescents and young adults are of worse prognosis than those of children less than 15 years. Faced with this situation, the Cancer Plan 2009-2013 is committed on specific objectives. Dr. Nadège Corradini, Pediatric oncologist, presents the approach committed to Nantes with the support of the League against cancer.
In 1998, the first States-General of cancer patients and their families, organized by the League, had stressed the special place of older teens and young adult (AYA) in the care system, with notably a real difficulty of social and educational support, isolation in adult or pediatric medicine that goes up to a feeling of double exclusion… Today, the specificity of these cancers is better taken into account, including in the Plan Cancer 2009-2013.
Better to treat the cancers of adolescents and young adults
Cancer is the third leading cause of death among adolescents and young adults (15-25 years), after road accidents and suicides. The prognosis of these cancers is significantly worse than among children under 15 years for most tumors and their support proves to be very heterogeneous. How to explain this worse prognosis? “Today, their support is very heterogeneous. There is also a low rate of inclusion of these age groups in clinical trials and little identified care. Finally, the treatments are often less well followed at this age,”said Dr. Nadège Corradini, specialist paediatrician in Oncology. Continue reading “Youth cancer”
There are also differences by gender (acute leukemias, malignant non-Hodgkin Lymphoma, osteosarcoma and gonadal germ cell tumours occur more in boys and malignant melanomas and carcinomas of the thyroid more present among girls).
If the overall survival rate of 74.5% at 5 years, it varies strongly according to the tumor: survival at 5 years of a youth of a Rhabdomyosarcoma is estimated at 41.7%, while it reached 100% for cancers thyroid1.
Often likened to cancers of the child, the adolescent cancers have not benefited from the same therapeutic advances that children2. From 1975 to 1997, French and American evidence that the 5-year survival has increased an average of more than 1.5% per year among children aged 0 to 14 years old at the time of diagnosis, against 0.9% per year only in adolescents (and 0.6% per year for young adults aged 20-24). A difference explained in part by a lower inclusion in clinical trials, but also by a less good follow-up of treatments at a discount period in question authority.
Adolescent cancer: special support
During this transitional phase from childhood to adulthood, the taking of independence through significant physical and emotional upheavals by a questioning of the authority and of the risk taken. The onset of the disease at this time of life is so difficult to manage. In 1998, the first Estates General of the cancer patients, organized by the National League against cancer, had helped to express the need of a specific charge on the therapeutic and psychological plan for young patients. Continue reading “Adolescent cancer”
Each year, about 1,800 children suffer from cancers in France, or 1 child in 600. The treatment and support of these young patients have improved but are still insufficient, according to the associations of families of patients. On the occasion of the world cancer day of the child, which will be held February 15, Doctissimo takes stock of the current situation.
Cancers of young people under 15 years old are rare and represent only 1% of all cancers. They are often ignored and their support is harder that support developed for adults is not necessarily suitable for the youngest.
Childhood cancer is rare
Each year, about 1,800 children and adolescents suffer from cancer, although the cure rate has increased these past 30 years, from 25% to 80%. This is the 2nd cause of mortality in the child over the age of 1 year (after accidents), causing 500 deaths per year. Continue reading “Childhood cancer: support to improve”
Cancer, child… Difficult to associate these two words as they reflect an injustice of fate. Representing less than 1% of all cancers, these Pediatric diseases affect one child in 500 in France.
Cancer is one of the main causes of mortality among young people, with each year 160,000 cases in the world and nearly 1,500.
Cancers of the child in figures
In the world, nearly 160,000 children are affected by cancer every year and about 90,000 of them succumb to their disease1. But the exact number of new cases is difficult to evaluate, insofar as there is no census system in all countries. Continue reading “Pediatric cancer”
Facing pediatric cancers, early detection and appropriate treatment are the main measures. Medical advances now allow to cure three children in four developed countries.
Organized by the International Union against cancer (UICC), world day of cancer called 2006 ‘My child, my battle’ insists on the importance of equal access to care (14 projects will be launched by the UICC in 2006 in ten poor countries) and screened early1.
Few identified risk factors
Because the causes of childhood cancers remain largely mysterious. They most likely result from a lack of development of organs, already present sometimes in an embryonic State. Because of these genetic origins, no preventive measure concerns currently pediatric cancers. Some environmental risk factors have been advanced. The only well-established is exposure to ionizing radiation on children but also on the pregnant woman. Other factors remain more controversial as proximity to high-voltage lines and fields electromagnetic2, exposure to chemicals of parents3, certain infections4, smoking parents5… Continue reading “Childhood cancer”
Cancer is the disease that makes the most fear, because nobody can feel safe. The most common cancers in women are breast (30%), uterus (12%) and ovaries (4%). More than anything, these cancers can be prevented through regular screening and lifestyle tips.
In an Ifop survey published in November 2000, the cancer appeared as the disease that fear most. It is cited in head in 63% of cases, far before AIDS (39%), cardiovascular diseases (26%), (28%) Alzheimer’s disease Creutzfeld-Jakob (23%) and meningitis (11%). The fear of cancer appears homogeneous, regardless of the age group or sex. Everyone feels potentially concerned. Thus, it appears today useful to recall some prevention tips.
The importance of screening
For most cancers of women, the importance of screening is crucial. More cancer is detected early, more the chances of cure are high. Through screening by mammography, 50% of breast cancers are detected in the early stages of evolution while the tumor is less than 2 cm. In addition to an increase in the chances of recovery, this early diagnosis allows a use less aggressive treatments. For this cancer, we recommend regular monitoring by your doctor or your gynecologist, every six months or annually over 30 years, and a mammogram every two years over 50 years. Every month, you will need to perform a self-examination of your breasts. Continue reading “Cancer: how to limit the risks?”
The main active compound in cannabis may prevent the accumulation of fatty deposits in the arteries. Called atherosclerosis, this phenomenon may lead to heart attack or strokes. No question to make an apology for the seal, it is very low doses!
Despite its pain, cannabis remains little studied and little used by physicians. But a new discovery could permanently cut the grass under the feet of the therapeutic use of critics. Very low doses may prevent cardiovascular disease.
Reduce the harm caused by atherosclerosis
Atherosclerosis is characterized by the buildup on the walls of the arteries of fat (lipid deposits) deposits forming atheroma plates, mainly composed of cholesterol. These plates more often accumulate in the large arteries (coronary arteries, brain…). This process is also marked by the intervention of the cells of the immune system. Come to repair the damaged vessels1, they cause inflammation. Result: This cascade of events causes a loss of elasticity and a narrowing of the vessels. The blood circulation is made difficult and can contribute to the formation of a clot (thrombosis), resulting sometimes in a myocardial infarction or cerebrovascular accident (stroke). Continue reading “Good cannabis for the heart?”
The holiday you are concerned but you think that it is precisely your heart that keeps you at home? Be aware that if your cardiovascular problem is stable, you can usually travel. Advice before departure.
A disease of the heart can sometimes curb your enthusiasm of Globetrotter, or even be a contraindication. However, in the case of stability of your state of health and a bit of planning, most movements are possible.
Contraindications to travel
The two main problems of distant journeys reside in transport (by air, the pressure of oxygen decline) and the sanitary conditions on-site.
Main cardiac contraindications to air transportation: Continue reading “Cardiovascular problems and travel”
Five million deaths are attributable to smoking each year worldwide, including 35% by cardiovascular disease is two times more than by lung cancer. Active or passive smoking, all are affected by this danger.
This year marks the gradual implementation of the law banning smoking in public places. On this occasion, the French Federation of Cardiology (FFC) and the French society of Cardiology (SFC) are committed in 2007 for a “heart without tobacco”.
No small risk tobacco
Smoking is the second most important risk of myocardial infarction, closely behind excess cholesterol. It is a full cardiovascular risk, especially for young since issue 80% of victims of myocardial infarction under 45 years old are smokers. Most people smoke, more it is exposed to this risk. Thus, there is no “small risk” tobacco since the risk increased 63% from 1 to 9 cigarettes per day. Continue reading “For a heart without tobacco”
Stroke is the leading cause of disability in adults and the second cause of dementia. These sad records reflect the life of patients who will have to relearn daily gestures through a very grueling rehabilitation. Returning to the home will be facilitated by special attention of environment and the use of some material aid.
Our brain can compensate for some damage by activating brain areas until then non-exploited. This extraordinary ability, “brain plasticity” is possible only if it is stimulated intensively and sustainably. It is one of the tasks of rehabilitation.
Start rehabilitation as soon as possible
Reduce complications and neurological sequelae, retrieve the wealth of functions (market, language, manual skill, vision…) are all objectives of the rehabilitation. Earlier it could be implemented and the consequences can be minimized. However, the location of the brain lesion also plays a significant role. The balance sheet will be heavier that it operates in a highly specialized functional area. Continue reading “Learn how everyday actions”