1. This grey area will not appear in your presentation. Cancer prevention and screening Fighting back against cancers that affect women: Presentations prepared by: Canadian Cancer Society, Ontario Division, Public Affairs, Prevention Aug 2010 Presentations prepared by: Canadian Cancer Society, Ontario Division, Public Affairs, Prevention May 2012 v 15

2. This grey area will not appear in your presentation. How we’re fighting cancer doing everything we can to prevent cancer funding research to outsmart cancer empowering, informing and supporting Canadians living with cancer advocating for public policies to improve the health of Canadians rallying Canadians to get involved in the fight against cancer

3. This grey area will not appear in your presentation. What We’ll Discuss Today definition of cancer some of the more common cancers that affect women: olung obreast ocolon oskin oovarian ocervical questions

4. This grey area will not appear in your presentation. What is cancer? starts in our cells exists when cells do not behave normally not just one disease risk factors increase your chances of getting cancer

5. This grey area will not appear in your presentation. Comparing different cancers that affect women (2010 National Statistics) Type of cancer Estimated # of new cases in women (2012) Estimated # of deaths in women (2012) Lung12 3009 400 Breast22 7005 100 Colon10 3004 200 Ovarian2 6001 750 Cervical1 350390 Skin39 200 (melanoma and non-melanoma) 370 (melanoma only)

6. This grey area will not appear in your presentation. Lung cancer

7. This grey area will not appear in your presentation. Risk factors smoking tobacco second-hand smoke exposure to asbestos exposure to radon having lung cancer before family history of lung cancer air pollution Lung cancer

8. This grey area will not appear in your presentation. Reducing our risk of lung cancer avoid first and second-hand smoke if you smoke, get a non-smoking buddy to support you as you quit reduce exposure to asbestos and radon Lung cancer

9. This grey area will not appear in your presentation. Breast cancer

10. This grey area will not appear in your presentation. Risk factors Most significant female being 50 or older Other obesity alcohol taking birth control pills higher socio-economic status Breast cancer Also important having breast cancer before family history of breast cancer family history of ovarian cancer estrogen exposure history of certain breast conditions dense breast tissue (mammogram) radiation treatment to chest (e.g. Non- Hodgkin's Lymphoma)

11. This grey area will not appear in your presentation. Screening guidelines If you are:You should: 40 to 49Talk to your doctor about your risk of breast cancer, along with the benefits and risks of mammography. Breast cancer

12. This grey area will not appear in your presentation. Screening guidelines If you are:You should: 40 to 49Talk to your doctor about your risk of breast cancer, along with the benefits and risks mammography. 50 to 69Have a mammogram every 2 years. Breast cancer

13. This grey area will not appear in your presentation.

14. Screening guidelines If you are:You should: 40 to 49Talk to your doctor about your risk of breast cancer, along with the benefits and risks mammography. 50 to 69Have a mammogram every 2 years. 70 or olderTalk to your doctor about how often you should be tested for breast cancer. Breast cancer

15. This grey area will not appear in your presentation. Colon Cancer starts in the cells that line the inside of the colon or the rectum slow and predictable growth usually treatable when diagnosed early

16. This grey area will not appear in your presentation. Risk Factors We Can’t Control age – particularly after 50 family history of colon cancer having polyps having genetic predisposition inflammatory bowel disease ethnic background – people of Ashkenazi (Eastern European Jewish) descent Colon cancer

17. This grey area will not appear in your presentation. Risk Factors We Can Control diet (red meat, processed meat) alcohol consumption smoking physical inactivity obesity Colon cancer

18. This grey area will not appear in your presentation. Who should be screened? Average risk men and women 50 and older Fecal Occult Blood Test (FOBT) at least every two years High risk men and women (first-degree relative with colon cancer) Colonoscopies starting at age 50 or 10 years before age of diagnosed relative Other high risk men and women Talk to your doctor about screening Colon cancer

19. This grey area will not appear in your presentation. ColonCancerCheck ColonCancerCheck.ca. 2010 free province-wide colon cancer screening program screens with FOBT (average risk), colonoscopy (higher risk) FOBT kits available from your doctor, pharmacist or through ColonCancerCheck directly follow-up included Colon cancer

20. This grey area will not appear in your presentation. Ovarian Cancer

21. This grey area will not appear in your presentation. Risk factors age – particularly after 50 personal history of breast, uterine or colon cancer a family history of ovarian cancer or breast cancer a family history of colon, uterine or pancreatic cancer never having been pregnant taking hormone replacement therapy (especially estrogen-only therapy) for a long period of time Ovarian cancer

22. This grey area will not appear in your presentation. Signs & symptoms For example: abdominal swelling feeling full after a light meal change in bowel habits abnormal vaginal bleeding Ovarian cancer in its early stages often does not cause any symptoms at all. When symptoms do start, they are often vague and easily mistaken for more common illnesses. Ovarian cancer

23. This grey area will not appear in your presentation. Cervical cancer

24. This grey area will not appear in your presentation. Risk factors Human Papillomavirus (HPV) not having regular Pap test sexually active at a young age many sexual partners smoking weakened immune system having taken diethylstilbestrol (DES) or being the daughter of a mother who took DES using birth control pills for a long time many births Cervical cancer

25. This grey area will not appear in your presentation. Human Papillomavirus cause of almost all cervical cancers linked with cancers of the anus, vulva, vagina, mouth and throat. HPV spread mainly through sexual contact Cervical cancer

26. This grey area will not appear in your presentation. Human Papillomavirus (HPV) Vaccine 2 types of vaccines available in Canada protect against the 2 types of HPV that cause 70% of cervical cancers. girls and women between the age of 9 – 45 should be vaccinated works best before a person becomes sexually active women still need to get Pap tests Cervical cancer

27. This grey area will not appear in your presentation. Pap Test Recommendations Women who are sexually active should have Pap tests by the time they are 21 every 3 years. Women who are no longer having sex should continue to have the test. Cervical cancer

28. This grey area will not appear in your presentation. Skin cancer most common cancer in Canada types: non-melanoma and melanoma mostly preventable UVR is a major risk factor for skin cancer (solar and indoor tanning equipment).

29. This grey area will not appear in your presentation. Use SunSense Skin cancer reduce your time in the sun during peak times seek or create shade cover up (clothing, hats) wear sunglasses apply sunscreen avoid using indoor tanning equipment

30. This grey area will not appear in your presentation. Early detection of skin cancer Check regularly for changes See your doctor if you notice: obirthmark or mole that changes shape, colour, size, surface osores that do not heal onew growths on skin opatches of skin that bleed Skin cancer

31. This grey area will not appear in your presentation. Fight back through screening and early detection! Age groupGuideline All ages Know your body Report any changes to your doctor Starting 21 yrs (sexually active or have stopped having sex) Pap test (3 years) 40-49 yrsTalk to your doctor about mammograms 50-69 yrs Mammograms (2 years) FOBT (2 years) (average risk) If over 70 yrsTalk to your doctor about screening

32. This grey area will not appear in your presentation. For the most up-to-date information: visit www.cancer.cawww.cancer.ca call the Canadian Cancer Society Cancer Information Service at 1 888 939-3333 Thank you! Presentation prepared by: Canadian Cancer Society, Ontario Division, Public Affairs, Prevention Aug 2010