All about Cancer
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'Pen' identifies cancer in 10 seconds
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http://www.straitstimes.com/singapore/health/more-screenings-vaccinations-to-push-down-cancer-rates
More screenings, vaccinations to push down cancer rates
More needs to be done to prevent people from getting cancer, says Professor William Hwang, who took over as head of the National Cancer Centre Singapore (NCCS) in November last year.
\"If we leave things as they are, cancer incidence would definitely get much higher, and the healthcare burden to the country would double or triple in the next 30 to 50 years,\" he told The Straits Times.
This is why he plans for the NCCS to go beyond just treatment and to help with prevention, working with organisations such as the Health Promotion Board and cancer societies.
Prof Hwang wants to push for greater screening to identify pre-cancerous cells and early-stage cancers; higher rates of vaccination to prevent the disease; and to reduce smoking, which not only pushes up cancer risks but also makes patients more difficult to treat.
He said cancer doctors here have their work cut out for them because between an ageing population and better treatment, the number of patients has been soaring.
\"Cancer incidence is going to get a lot higher as cancer is a disease of older people,\" said Prof Hwang, who is NCCS' medical director.
The number of cancer patients in Singapore has gone up, with the latest figures for 2015 showing 14,148 newly diagnosed patients, a 7 per cent increase over the previous year.
More cancer patients are living longer with better treatment and some are as good as cured of the disease. But many still need either long-term treatment or constant monitoring.
Prof Hwang is glad that, increasingly, people are living with cancer rather than dying of it. But the need for continuous care does add to NCSS' workload.
\"Some cancers may be treatable but not curable, so the number accumulates and the burden increases.\"
Prof Hwang said it makes sense to put more money and effort into prevention. Looking back, he noted that the national hepatitis B childhood immunisation programme, launched in 1987, reduced the incidence of the disease, and hence of liver cancer in Singapore .
Breast cancer rates have also gone down slightly, with more careful use of contraceptives, while Pap smears have reduced the number of cervical cancer patients. Prof Hwang noted that there are vaccines against the more common types of cervical cancer. Unfortunately, he said, the take-up rate is low.
Reducing the number of smokers would also have a major impact on the incidence of several types of cancers. More than half of the patients with lung cancer, which remains the top killer here, are smokers who also succumb to cancers of the larynx, oesophagus and bladder.
Based on NCCS patients between 2013 and 2017, current and former smokers make up three in four patients with laryngeal cancer; two in three esophageal cancer patients, and more than half of the number of bladder cancer patients.
If Singapore succeeds in getting people born in this millennium to be a smoke-free generation, Prof Hwang foresees a big drop in such cancers here. He said: \"Many cancers are related to smoking. It's about time we do a stronger push for a tobacco-free generation.\"
He added that smoking also reduces the effectiveness of cancer drugs as tobacco smoke produces cytokines that give cancer cells added protection.
He also wants to see more people getting screened for cancers such as that of the colorectum, which could be prevented if any polyps in the large intestine are removed early.
Prof Hwang also wants to change palliative care - from something that signals the patient is in the final lap to support throughout his ordeal in fighting the disease. Such care will help patients cope, including being able to enjoy food. In the past, oncologists were mainly concerned with patient survival. But Prof Hwang said quality of life is perhaps even more important to patients.
Having the palliative team involved early also makes the transition easier for the patient should he lose the fight.
Prof Hwang outlined his philosophy by borrowing a quote from 19th-century American physician Edward Livingston Trudeau, who said: \"To cure sometimes, to relieve often, to comfort always.\"
Prof Hwang, who tweaked the quote, wants the NCCS to \"cure often, relieve always, and comfort at every opportunity\". -
DH has a couple of colleagues who have been diagnosed with different types of cancer recently.
OT: two acquaintances recently suffered from stroke, one passed on while the other was half paralyzed. -
Lee, the one with stroke and passed on - was it a lady?
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:nailbite: that is worrying. leeyl, any idea how did they got diagnosed ?
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MKS - stroke cases usually the early symptoms (sagging on half side of body), or sudden collapse. I know a guy who realised he was getting a stroke while driving and quickly told his wife (in the same car)to take over and drive straight to hospital. He took six months to relearn walking and eating, now relatively ok. He was the oldest.
For other cases of sudden collapse, all died after a period of coma of varying length of time. They were in their early forties and fifties.
Edit to add:
Easy way to remember some common signs of early stroke
F: Face drooping. Ask the person to smile, and see if one side is drooping. ā¦
A: Arm weakness. Ask the person to raise both arms. ā¦
S: Speech difficulty.
T: Time to call 9-9-5 -
ammonite:
Thank you ammonite for the info!MKS - stroke cases usually the early symptoms (sagging on half side of body), or sudden collapse. I know a guy who realised he was getting a stroke while driving and quickly told his wife (in the same car)to take over and drive straight to hospital. He took six months to relearn walking and eating, now relatively ok. He was the oldest.
For other cases of sudden collapse, all died after a period of coma of varying length of time. They were in their early forties and fifties.
Edit to add:
Easy way to remember some common signs of early stroke
F: Face drooping. Ask the person to smile, and see if one side is drooping. ...
A: Arm weakness. Ask the person to raise both arms. ...
S: Speech difficulty.
T: Time to call 9-1-1!
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