The Boston Globe

New report says cancer patients getting younger

- By Anna Kuchment Anna Kuchment can be reached at anna.kuchment@globe.com. Follow her @akuchment.

While the risk of dying from cancer has declined over the last 30 years, the incidence of several common cancers is on the rise, according to a new report from the American Cancer Society. Those include breast, prostate, endometria­l, pancreatic, kidney, and melanoma.

In addition, the report highlighte­d a concerning trend: a “striking” increase in cancers among younger people. Here’s what else you need to know:

Which cancers are on the rise?

Of three age groups studied, people under 50 were the only group to see an increase in overall cancer incidence from 1995 to 2020, according to the report. Among the types of cancer that are increasing:

Colorectal cancer in people younger than age 55

Liver cancer in women

Oral cancers associated with HPV

Cervical cancer in women ages 30 through 44

Why are rates in young people going up?

The obesity epidemic is partly to blame, according to the new report. Cancers most close associated with obesity are endometria­l, liver, kidney, pancreas, colorectal, and breast.

Other factors, based more on hypotheses than firm data, include lifestyle and environmen­tal changes that have taken place over the last 50 years.

“People born in 1990 have over double the risk of getting colon cancer compared to those born in 1950. And quadruple the risk of getting rectal cancer,” Dr. Kimmie Ng, director of the Young-Onset Colorectal Cancer Center at the Dana-Farber Cancer Institute told the Globe earlier this year.

Lack of physical activity, sleep disruption­s, eating more processed foods, taking antibiotic­s — and the intermingl­ed effects of these habits — may have taken a toll on our bodies, disrupting metabolism and boosting inflammati­on.

What about environmen­tal factors?

There’s no question that we are exposed to chemicals — many of them known carcinogen­s — that are found in air, water, and food. These substances could harm our health, but it’s not clear how much exposure is needed to trigger cancer.

What can I do to lower to my risk?

Four of the cancers with increasing trends — breast, prostate, colorectal and cervical — have screening tests. Colorectal and cervical cancer screening can prevent cancer altogether by detecting precancero­us lesions that can be removed, according to the report.

Other than that, managing stress, getting enough sleep, exercising, minimizing alcohol consumptio­n, asking your doctor whether you should be geneticall­y screened for cancer, and maintainin­g a healthy diet are all tried-and-true ways to minimize your risk.

Did the report have any good news?

Yes, some. The risk of dying from cancer has steadily declined since the 1990s, sparing some 4 million lives in the United States, thanks to decreases in the number of people who smoke, early cancer detection, and advances in treatment.

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