Cancers of the Reproductive System Review Session

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Cancers of the Reproductive System Review Session November 19, 2012

description

Cancers of the Reproductive System Review Session . November 19, 2012. Ashkan Afshin, MD, MPH ScD Candidate, Department of Epidemiology ScD Candidate, Department of Global Health  & Population Harvard School of Public Health Kresge Building, Room 913 677 Huntington Avenue - PowerPoint PPT Presentation

Transcript of Cancers of the Reproductive System Review Session

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Cancers of the Reproductive System

Review Session

November 19, 2012

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Ashkan Afshin, MD, MPHScD Candidate, Department of EpidemiologyScD Candidate, Department of Global Health & PopulationHarvard School of Public HealthKresge Building, Room 913677 Huntington AvenueBoston, Massachusetts 02115Phone: (949) 235-6137Email: [email protected]

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Review Sessions

Format:

• Q & A (20 min)• Discussing the questions received by email (10 min)

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Questions

Please send your questions or suggestions to:

Text Message:  (949) 235-6137 Email: [email protected]

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Midterm Exam

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Midterm Exam

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Midterm Exam

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Stages of Tumor Development

Weinberg RA. How cancer arises. Sci Am. 1996 Sep;275(3):62-70.

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Stages of Tumor Development

Weinberg RA. How cancer arises. Sci Am. 1996 Sep;275(3):62-70.

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Genetic Abnormalities in Cancer Cells

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Genetic Abnormalities in Cancer Cells

A. Oncogenes

HER2 → Breast Cancer

B. Tumor Suppressor:

BRCA→ Breast Cancer

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New cases of cancer in the US

American Cancer Society. Cancer Facts & Figures 2012. Atlanta: American Cancer Society.

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New cases of cancer in the US

American Cancer Society. Cancer Facts & Figures 2012. Atlanta: American Cancer Society.

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New cases of cancer in the US

American Cancer Society. Cancer Facts & Figures 2012. Atlanta: American Cancer Society.

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True or False?

• Testicular cancer is the most common form of cancer in men 16-34

• Positive family history of the testicular cancer increases the risk of the cancer

• Testicular cancers is more common in African American males.

• Carcinoma in situ can sometimes progress to invasive cancer

• Obese men show highest risk of testicular cancer

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True or False?

Testicular cancer is the most common form of cancer in men 16-34

Positive family history of the testicular cancer increases the risk of the cancer Testicular cancers is more common in African American males.

Carcinoma in situ can sometimes progress to invasive cancerObese men show highest risk of testicular cancer

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Race & Prostate Cancer

World J Urol (2012) 30:195–200

Mortality

Mortality

Incidence

Incidence

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Race & Prostate Cancer

World J Urol (2012) 30:195–200

Mortality

Mortality

Incidence

Incidence

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Diet & Prostate Cancer Risk

Dietary Factor Direction of Effect Calcium Processed Meat Intake Fish Intake Vitamin D Tomatoes

Giovannucci et al. Int. J. Cancer: 121, 1571–1578 (2007)Wilson et al. J Natl Cancer Inst. 2011;103(11):876-84.Chan et al. J Clin Oncol 23:8152-8160

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Diet & Prostate Cancer Risk

Dietary Factor Direction of Effect Calcium (fatal & adv disease) Processed Meat Intake

Fish intake (fatal disease) Vitamin D

Tomatoes

Giovannucci et al. Int. J. Cancer: 121, 1571–1578 (2007)Wilson et al. J Natl Cancer Inst. 2011;103(11):876-84.Chan et al. J Clin Oncol 23:8152-8160

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Other Risk Factors for Prostate Cancer

Risk Factor Direction of effect Height BMI

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Other Risk Factors for Prostate Cancer

Risk Factor Direction of Effect Height (fatal disease) BMI (adv/fatal disease)

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Breast Cancer Risk Factors

• True or False?– Nulliparity– Early menarche– Early menopause– Postmenopausal hormone use– Older forms of birth control pills – Premenopausal obesity – Alcohol use

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Breast Cancer Risk Factors

• True or False?NulliparityEarly menarche

Early menopausePostmenopausal hormone useOlder forms of birth control pills

Premenopausal obesity Alcohol use

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Race/Ethnicity and Breast Cancer

American Cancer Society. Breast Cancer Facts & Figures 2011-2012. Atlanta: American Cancer Society.

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American Cancer Society. Breast Cancer Facts & Figures 2011-2012. Atlanta: American Cancer Society.

Race/Ethnicity and Breast Cancer

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American Cancer Society. Global Cancer Facts & Figures 2nd Edition. Atlanta: American Cancer Society; 2011.

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Endometrial Cancer Risk Factors• True or False:

– Nulliparity, – Early menarche– Late Menopause– Obesity– Prior breast cancer treatment with tamoxifen – Polycystic ovarian syndrome (PCOS)

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Endometrial Cancer Risk Factors• True or False:

Nulliparity, Early menarche Late Menopause Obesity Prior breast cancer treatment with tamoxifen Polycystic ovarian syndrome (PCOS)

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Obesity

• Obesity is not a risk factor for: – Breast Cancer – Ovarian Cancer – Testicular Cancer – Prostate Cancer

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Obesity

• Obesity is not a risk factor for: – Breast Cancer – Ovarian Cancer – Testicular Cancer – Prostate Cancer