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OVARIAN AND CERVICAL CANCER: ARKANSAS STATISTICS
Nancy Andrews Collins, M.D., MBAAssociate Professor
Department of Obstetrics and Gynecology
College of Medicine
University of Arkansas for Medical Sciences (UAMS)
OVARIAN CANCER3 Main Categories with 30 different types
1. Epithelial2. Germ Cell3. Sex Cord - stromal
RISK FACTORS
• 1. Age
• 2. History of infertility
• 3. Personal history of breast or colon cancer
• 4. Family history (first degree relative) with ovarian cancer
• 5. Obesity
OVARIAN CANCER
Incidence Rates by Race and Ethnicity
Death Rates by Race and Ethnicity
CDC 2013
OVARIAN CANCER STATISTICS
• 9th most common cause of cancer death in women
• New cases per year:• 22,240 in United States 2013 (3% of all new cancer cases in women)
• 188 were in Arkansas
• Deaths per year:• 14,030 deaths in United States in 2013 (5% of all cancer related deaths in women)
• 150 of theses deaths were in Arkansas
American Cancer Society 2013, Survellance Research
OVARIAN CANCER INCIDENCE RATES, ARKANSAS
OVARIAN CANCER INCIDENCE RATES
OVARIAN CANCER SIGNS AND SYMPTOMSVague complaints
1. Bloating
2. Loss of appetite
3. Gas, indigestion and nausea
CERVICAL CANCERMost common of the Squamous
Easy to detect
Caused by: HPV (90%)
CERVICAL CANCER STATISTICS• New Cases per year
• 12,340 new cases in the United States in 2013• 150 were in Arkansas
Crude death rate 3.7 and age adjusted rate is 3.3 (per 100,000)
Arkansas Cancer Registry and
American Cancer Society, 2013
CERVICAL CANCER INCIDENCE RATES, ARKANSAS
CERVICAL CANCER INCIDENCE RATES, ARKANSAS
CERVICAL CANCER
Incidence Rates by Race and Ethnicity Death Rates by Race and Ethnicity
CDC, 2013
PAPSMEAR SCREENING
• From 2006-2010• Mortality rates from cervical cancer in women >50 DECREASED by 1.2%/year because of
the Pap test
• National Cancer Institute
OPPORTUNITY IS KEY WITH HPV
PROGRESSION OF DISEASE
HPV VACCINATION
HPV discovered in 1956
HPV linked as cause of cervical cancer in 1984
First vaccine approved by FDA in 2006
National Vaccination rates in 2012 = 53% in Arkansas = 41% (1 dose) and 18% for all 3 doses
CERVICAL CANCER EDUCATION AND PREVENTION PROGRAM
• 1. FY11 – Take Education and vaccine clinic to the community• Participants mostly had never heard of HPV• Parents stated they were not told to give the participant the vaccine
• 2. FY12 – ACIP recommendations changed, BOYS were added
• Consider school based clinics (increase capture per clinic)
• 3. FY13 – Central High School clinic well established
• 4. FY 14 – i. Survey physicians about vaccinations and documentation
• Add additional schools with 2-3 schools ready to start by FY 15• Pine Bluff High School approval received from Pine Bluff School District• Education program held with 619 students participating• First vaccination clinic – 96 vaccinated
PINE BLUFF HIGH SCHOOL HPV EDUCATION SEMINAR
THANKS TO ARKANSAS CANCER COALITION FOR THEIR SUPPORT