What is cancer? Cancer is not just one disease More than 200 different types of cancer have been identified CANCER Defining cancer Cancer is an accumulation of abnormal cells that multiply through uncontrolled cell division and spread to other parts of the body by invasion and/or distant metastasis via the blood and lymphatic system Normal cells Abnormal cells Tumour growth Metastasis Uncontrolled cell division Invasion into surrounding tissues Spread via blood or lymphatic system Incidence of cancer across the globe (2008, estimate)1 Estimated number of new cancer cases (% of total) Africa (6%) Asia (48%) Europe (25%) Latin America and Caribbean (7%) Northern (13%) Oceania (1%) 1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C and Parkin DM. GLOBOCAN 2008 v2.0, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No.10 [Internet]. Lyon, France: International Agency for Research on Cancer; 2010. Available from: http://globocan.iarc.fr, accessed on 06/06/2013. Changing prevalence of cancer Global cancer incidence and mortality rates continue to rise1 2030 25 M 75 M people living with cancer*2 predicted to be living with cancer2 2008 21.3 M GROWING AND AGEING POPULATION 13.1 M 12.7 M 7.6 M CASES DEATHS ADOPTION OF UNHEALTHY LIFESTYLES IMPROVEMENT IN DIAGNOSIS/SCREENING 2002 *Diagnosed in last 5 years 2030 1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C and Parkin DM. GLOBOCAN 2008 v2.0, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No.10 [Internet]. Lyon, France: International Agency for Research on Cancer; 2010. Available from: http://globocan.iarc.fr, accessed on 14/01/2013. 2. The International Agency for Research on Cancer. World Cancer Report 2008. Available from: http://www.iarc.fr/en/publications/pdfs-online/wcr/, accessed on 06/06/2013. Common cancers in men and women worldwide1 Men (%) Women (%) Lung (16.5) Breast (22.9) Prostate (13.6) Colorectum (10.0) 8.5 16.5 3 13.6 Bladder (4.4) 4.9 7.9 10 29.7 Liver (7.9) Oesophagus (4.9) 9.7 3 4.4 Non-Hodgkin lymphoma (3.0) Leukaemia (3.0) Other and unspecified (27.0) Colorectum (9.4) Stomach (5.8) Stomach (9.7) 27 Lung (8.5) 2.7 22.9 9.4 5.8 3.7 4.8 8.8 3.7 Liver (3.7) Cervix uteri (8.8) Corpus uteri (4.8) Ovary (3.7) Thyroid (2.7) Other and unspecified (29.7) 1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C and Parkin DM. GLOBOCAN 2008 v2.0, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No.10 [Internet]. Lyon, France: International Agency for Research on Cancer; 2010. Available from: http://globocan.iarc.fr, accessed on 06/06/2013. Global cancer mortality Lung, stomach, liver, colorectal and female breast cancers cause 50% of all cancer deaths1 25 Mortality (% of all cancer types) Approximately 7.56 million people died from cancer in 2008,1 accounting for 13% of all deaths (from any cause)2 Lung 20 Stomach 15 Liver 10 Colorectal 5 0 Both sexes Men Women Female breast 1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C and Parkin DM. GLOBOCAN 2008 v2.0, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No.10 [Internet]. Lyon, France: International Agency for Research on Cancer; 2010. Available from: http://globocan.iarc.fr, accessed on 06/06/2013. 2. American Cancer Society. Global Cancer Facts and Figures 2nd Edition. Atlanta: American Cancer Society; 2011.