1. RCS 6080 Medical and Psychosocial Aspects of Rehabilitation Counseling Cancer

2. Cancers There are more than 100 forms of neoplastic disease, with different biological and clinical manifestations A neoplasm is defined as the growth of new cells proliferating without control and serving no useful function Metastasis is the spread of neoplasm to other body parts

3. Cancers Cancers are further specified in terms of the type of tissue of origin Carcinoma Sarcoma Lymphoma Leukemia

4. Incidence rates (Per 100,000 Floridians; 1999) Lung and Bronchus (15,660) Prostate (13,922) Breast (13,223) Colorectal (12,184) Bladder (4,892) Non-Hodgkin ’ s Lymphoma (3,452) Melanoma (2,982) Oral (2,446) Pancreas (2,256) Uterus (2,249) Kidney (2,247) Leukemia (2,220) Ovary (1,736) Stomach (1,462) Brain & Nervous (1,171) Esophagus (1,119) Larynx (1,078) Thyroid (978) Multiple Myeloma (969) Cervix (952) Liver (748) All other sites (7,574)

5. Mortality rates (Per 100,000 Floridians; 1999) Lung (11,271) Colorectal (3,883) Breast (2,557) Pancreas (2,256) Prostate (2,196) Pancreas (1,973) Non-Hodgkin ’ s Lymphoma (1,514) Leukemia (1,439) Ovary (897) Brain (863) Bladder (853) Stomach (840) Esophagus (812) Brain & Nervous (770) Kidney (707) Multiple Myeloma (691) Liver (681) Oral (662) Melanoma (542) Larynx (306) Cervix (268) Uterus (176) Thyroid (83) All other sites (4,181)

6. The Impact of Cancer PHYSICAL Pain Fatigue Illness Deformity PSYCHOLOGICAL Anxiety and depression Fear Loss of independence and control Self-concept and esteem Financial well-being

7. Cancers Treatment: Surgery Radiation therapy Chemotherapy

8. Cancers Some specific therapeutic issues Cancer may assault body image in a multitude of ways Many fears are encountered when people face surgical procedures Counselors must clarify the misunderstanding, confusion, and fear of the unknown that people often feel when facing radiation therapy When people are undergoing chemotherapy, they often have to balance toxicity against benefits

9. Vocational Implications of Cancer Limitations are based on symptoms and side effects of treatment Can include: Fatigue/weakness Medical allowances Respiratory difficulties Skin irritations Stress Temperature sensitivity

10. Additional Resources and Information from the Web JAN ’ s Webpage (www.jan.wvu.edu/media/cancer.html)www.jan.wvu.edu/media/cancer.html Florida Cancer Data System (http://fcds.med.miami.edu)http://fcds.med.miami.edu American Cancer Society (www.cancer.org)www.cancer.org CancerEducation.com (www.cancereducation.com)www.cancereducation.com National Cancer Institute ’ s Cancer Information (http://cancer.gov/cancerinformation)

11. Additional Resources and Information from the Web CancerGuide (http://cancerguide.org)http://cancerguide.org OncologyChannel.com (www.oncologychannel.com)www.oncologychannel.com Harvard Center for Cancer Prevention (www.yourcancerrisk.harvard.edu)www.yourcancerrisk.harvard.edu Locks of Love (www.locksoflove.org)www.locksoflove.org