Pancreatic cancer and smoking


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Death rates from pancreatic cancer predicted to rise in Europe in Rates for all other cancers, except female lung cancer, continue to fall European Society for Medical Oncology Print  E-Mail Pancreatic cancer is the only cancer for which deaths are predicted to increase in pancreatic cancer and smoking and women rather than decrease in and beyond, according to a comprehensive study published in the leading cancer journal Annals of Oncology [1] today Thursday.

The study by researchers in Italy and Switzerland shows that the proportion of deaths due to any sort of cancer is expected to fall overall in Europe in There are some variations between sexes and countries, however, pancreatic cancer is the only one where increased death rates are predicted for both men and women this year.

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This represents a small but steady increase since the beginning of this century; between death rates from the disease were 7. As so few patients survive, the increase in deaths is very closely related to the increase in incidence of this disease.

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This makes pancreatic cancer a priority for finding better ways to prevent and control it and better treatments. Prevention remains, therefore, the only possibility, with smoking cessation first, plus control of overweight and diabetes.

Pancreatic cancer and smoking

However, tobacco accounts for less than a third of all cases of pancreatic cancer, and all the other causes together account for another ten percent. More work needs to be done to discover other possible causes," said Prof La Vecchia.

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The Annals of Oncology study predicts thatmen andwomen will die from cancer in in the 27 countries of the European Union EU [2]. Although the actual absolute numbers have increased when compared with the year for which there are World Health Organization mortality data for most EU countries due to the growing numbers of elderly people, the rate age-standardised perof the population of people who die from the disease has declined from When we compare the rates forwhen there are more elderly people now than there were inwe have avoided a major rise pancreatic cancer and smoking mortality rates, with overdeaths avoided this year," said Prof La Vecchia.

The study looked at cancer rates in the whole of the EU 27 member states as at and also in the six largest countries - France, Germany, Italy, Poland, Spain and the UK - for all cancers, and, individually, for stomach, intestines, pancreas, lung, prostate, breast, uterus including cervix and leukaemias. This is the fourth consecutive year the researchers have published predicted EU pancreatic cancer and smoking deaths.

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This year the researchers focused specifically on pancreatic cancer due to its unfavourable trends. Lung cancer in men peaked in the late s and has been falling since, while rates of pancreatic cancer and smoking cancer continue to rise in women. The generations of women who started smoking in the s and s are now starting to develop lung cancer.

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Lung cancer will become the first cause of death in European women in the next few years, overtaking breast cancer," said Prof La Vecchia. Improved treatment has also had a role.

For prostate cancer, the key reason for the fall in death rates is improved management and treatment, with a possible role played by screening and early diagnosis. For breast cancer, it is largely due to better management and treatment, but screening and early diagnosis have also had an impact.

Death rates from pancreatic cancer predicted to rise in Europe in 2014

Malvezzi, P. Bertuccio, F. Levi, C.

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La Vecchia and E. Annals of Oncology.

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