Lecture for the lay on preventive oncology and the services that Asian Hospital's Asian Cancer Institute offers

1. Catch it
before
CANCER
catches you…
MARY ONDINEE MANALO IGOT, MD, MSCMO, FPCP, FPSO, FPSMO
Internal Medicine – Medical Oncology / Neuro-Oncology
Section of Medical Oncology

2. GENERAL INFORMATION
ON CANCER

3. WHAT IS CANCER?
• Cancer is a group of diseases that occur when cells
become abnormal and divides without control or order.

4. 9 CANCER WARNING SIGNALS
• C hange in bowel movements or urinary habits
• A sore that does not heal
• U nusual bleeding or discharge
• T hickening or lump in breast or elsewhere
• I ndigestion or difficulty of swallowing
• O bvious changes in warts or mole
• N agging cough or hoarseness
• U nexplained anemia
• S udden unexplained weight loss

5. RISK FACTORS OF CANCER

6. RISK FACTORS
Family History (Hereditary)

7. RISK FACTORS
Smoking

8. RISK FACTORS
Alcohol

9. RISK FACTORS
Diet and Obesity

10. RISK FACTORS
Sexual Practices

11. RISK FACTORS
Excessive exposure to sunlight

12. RISK FACTORS
Excessive exposure to environmental carcinogens

13. RISK FACTORS
Infection

14. CANCER INCIDENCE in the
PHILIPPINES

15. Cancer Situation in the Philippines
• Cancer is an epidemic.
• Cancer is the third leading cause deaths in the country
• 189 of every 100,000 Filipinos are afflicted with cancer
• Four Filipinos die of cancer every hour
• At least 96 cancer patients every day.
Department of Health web portal: https://portal2.doh.gov.ph/philippine-cancer-control-
program
Philippine Health Statistics, 2009

16. Estimated Leading New Cancer Cases,
Both Sexes, 2015
CANCER
SITES
NUMBER %
Breast 20267 19
Lung 13679 13
Colon/Rect
um
9625 9
Liver 8649 8
Cervix 7289 7
Prostate 5526 5
Leukemia 4270 4
Thyroid 3288 3
Stomach 2715 3
Ovary 2657 2
2015 Philippine Cancer Society Facts and Estimates (Manila Cancer Registry
and Rizal Cancer Registry)

17. Estimated Leading New Cancer Cases,
Both Sexes, 2015
CANCER
SITES
NUMBER %
Breast 20267 19
Lung 13679 13
Colon/Rec
tum
9625 9
Liver 8649 8
Cervix 7289 7
Prostate 5526 5
Leukemia 4270 4
Thyroid 3288 3
Stomach 2715 3
Ovary 2657 2
2015 Philippine Cancer Society Facts and Estimates (Manila Cancer Registry
and Rizal Cancer Registry)

18. CANCER SCREENING

19. WHAT IS SCREENING?
• SCREENING:
• Test or examination performed on someone without
signs or symptoms
• Done on a “NORMAL PERSON”
• GOAL OF SCREENING:
• To prevent death or suffering from the disease
through early detection and treatment

20. 5 CANCERS THAT CAN BE IDENTIFIED
WITH SCREENING
1. Breast Cancer
2. Cervical Cancer
3. Colorectal Cancer
4. Lung Cancer
5. Prostate Cancer

21. BREAST CANCER SCREENING
• Mammography for women ≥ 40 years old every year

23. CERVICAL CANCER SCREENING
• PAP SMEAR starting age 21 then repeat every 3 years

24. COLON AND RECTAL CANCER
SCREENING
• COLONOSCOPY starting age 45 years old every 10
years or
• High sensitivity FECAL OCCULT BLOOD TEST
starting age 45 years old yearly

25. LUNG CANCER SCREENING
• Low-dose CT scan
• Men and women
55-74 years old
• Smoking for 30
years or more

26. PROSTATE CANCER SCREENING
• Men starting age 50 yrs old
• Blood exam with Prostate Specific Antigen (PSA)
• Digital Rectal Exam (DRE)

27. VACCINES AGAINST CANCER

28. Hepatitis B Vaccine
• Prevents liver cancer caused
by the Hepatitis B virus
• Now routinely given to infants at
birth
• 3 doses in a 6-month period

29. Human Papilloma Virus (HPV) Vaccine
• Commonly called
“CERVICAL CANCER”
vaccine
• Prevents development of
genital warts
• Prevents some forms of
head and neck cancers
• Start vaccination at age 11-
12 years old

30. CANCER DETECTION

31. RADIOLOGY
XRAY CTSCAN MRI
OTHERS: ULTRASOUND, BONE SCAN, PET SCAN

32. BIOPSY
• A biopsy is a sample of tissue taken from the body in
order to examine it more closely.

33. CANCER TREATMENT

34. What cancer treatment is
NOT.

38. FOOD AND DRUG AUTHORITY:
Food and dietary supplements that
carries the label “No Approved
Therapeutic Claims” are NOT
DRUGS AND ARE NOT
AUTHORIZED by the FDA to be
used in any form of therapy and
treatment of diseases.”

39. APPROVED THERAPEUTIC MODALITIES
AGAINST CANCER
• The first decision is the most important determinant of
success in treatment and should be
MULTIDISCIPLINARY effort.
• Basic Principles:
• To cure the disease
• To control disease
• To palliate symptoms.

40. APPROVED THERAPEUTIC MODALITIES
AGAINST CANCER
• Surgery
• Radiation Therapy
• Chemotherapy
• Hormonal Therapy
• Immunotherapy

41. THE CANCER THERAPY TEAM
• Surgical Oncologist : does SURGERY only
• Medical Oncologist : gives CHEMOTHERAPY
• Radiation Oncologist : gives RADIATION
• Radiotherapist
• Psychiatrist/ Psychologist
• Pharmacist
• Oncology Nurse
• Social worker
• Nutritionist
• Pain specialist
• Hospice and Palliative Doctor

42. OVERVIEW OF THE ASIAN
CANCER INSTITUTE

53. WE OFFER SERVICES THAT ARE NOT
AVAILABLE IN OTHER HOSPITALS
• Hyperthermic intraperitoneal chemotherapy (HIPEC)

54. • Intrathecal chemotherapy
WE OFFER SERVICES THAT ARE NOT
AVAILABLE IN OTHER HOSPITALS

55. WE OFFER SERVICES THAT ARE NOT
AVAILABLE IN OTHER HOSPITALS
• Radiofrequency ablation (RFA) of tumors

56. WE OFFER SERVICES THAT ARE NOT
AVAILABLE IN OTHER HOSPITALS
• Transarterial chemoembolization (TACE)

57. WE OFFER SERVICES THAT ARE NOT
AVAILABLE IN OTHER HOSPITALS
• Stereotactic radiosurgery

58. WE OFFER SERVICES THAT ARE NOT
AVAILABLE IN OTHER HOSPITALS
• Immunotherapy

59. WE OFFER SERVICES THAT ARE NOT
AVAILABLE IN OTHER HOSPITALS
• Electrochemotherapy

60. But wait!
There’s more!

61. DR. CORAZON NGELANGEL leads us.
• Mother of Philippine
Medical Oncology
• President of Philippine
Cancer Society
• Past President of the
Philippine Society of
Medical Oncology
• Section Head of Medical
Oncology, Philippine
General Hospital for the
past 20 yrs

62. PCSO Helpdesk
• Gives assistance
for FREE
chemotherapy,
radiation therapy
and laboratories

63. Cancer Pharmacy
Branded and
generic
chemotherapy
at competitive
prices

64. Got questions on cancer?
DR. MARY ONDINEE MANALO IGOT
Asian Cancer Institute
Tel No: (02) 8765842
Wed 8-12 NN
Tues/Thurs 1-4 PM
Mon/Fri by appt between 11-1 PM