Times Colonist

Agency predicts one in four will die of cancer

- SHERYL UBELACKER

TORONTO — Almost one in every two Canadians is expected to be diagnosed with cancer in their lifetime and one in four Canadians will die from the disease, a new report by the Canadian Cancer Society predicts.

In 2017, an estimated 206,200 Canadians will be diagnosed with some form of cancer and an estimated 80,800 will succumb to their malignancy — making cancer the leading cause of death in Canada, the charitable organizati­on said today in its annual cancer statistics report.

“Currently, every year we’re seeing an increase in the number of cancer cases in Canada,” said the society’s epidemiolo­gist, Leah Smith. “So between now and 2030, for example, we expect to continue to see a dramatic increase in the number of cancers diagnosed in Canada.

“That is a reflection of the growing and aging population,” she said. “About 90 per cent of all the cancers that we expect to be diagnosed in 2017 will be among Canadians 50 years of age and older.”

About 45 per cent of those cases will occur in people age 70 and older, said Smith, noting that as more people move into old age, the number of cancer cases will rise.

Despite the projection that cancer will cause the deaths of one in four Canadians, cancer mortality rates have been declining since their peak in 1988. Over the last three decades, deaths due to cancer have fallen by more than 30 per cent among males and by about 17 per cent among females.

“Declines in death rates have been largely driven by decreases in lung cancer incidence and mortality,” she said, “so tobacco control in general has had a big impact on our death rates,” especially among men who historical­ly had higher smoking rates than their female counterpar­ts.

Increased rates of screening for breast cancer and improved treatments have also bolstered survival among women.

Still, four cancers — prostate, breast, lung and colorectal — continue to top the list of the most common malignanci­es, which together are expected to account for more than half the cancer diagnoses in 2017. Lung cancer continues to take a huge toll: more people are predicted to die of the disease this year (21,100) than from a combinatio­n of the other three cancers (19,200 in total).

Survival rates for some cancers have improved dramatical­ly over time: overall, 60 per cent of Canadians diagnosed and treated for cancer will survive five years or longer, says Smith.

But that’s not the case for pancreatic cancer. With an eight per cent five-year survival rate, the gastrointe­stinal cancer has the poorest prognosis of the 23 malignanci­es the Canadian Cancer Society reports on. This year, an estimated 5,500 Canadians will be diagnosed with cancer of the pancreas and 4,800 will die of the disease.

“Unfortunat­ely, we’re seeing very little improvemen­t in pancreatic cancer, not just in Canada but around the world,” said Smith, pointing out that the report has a special focus on the disease in a bid to raise awareness and designated funding for the cancer.

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