Cancer Fear Persists Despite Decline in Mortality Rates, Experts Say
ICARO Media Group
According to the American Cancer Society, cancer-related deaths have decreased by nearly one-third since 1991, marking a significant progress in the fight against this devastating disease. However, experts are concerned that despite this positive trend, cancerphobia continues to persist within society.
The opening up of discussions surrounding various health issues, including cancer, has played a role in reducing the stigma associated with the disease. Yet, numerous prominent cases, such as those of King Charles, Princess Catherine, and actress Olivia Munn, have contributed to increasing the fear factor surrounding cancer.
Cancer instills a variety of fears within individuals, ranging from concerns about treatment and its side effects to the dread of recurrence and the ultimate fear of death. Many of these fears, however, are now overstated or outdated due to advancements in medical treatments.
While cancer no longer carries the same level of hopelessness it once did, it is still widely regarded as the "emperor of all maladies," as described by oncologist and writer Siddhartha Mukherjee. The perception of cancer as a vicious, unpredictable, and invincible enemy continues to prevail, as indicated by a systematic review of attitudes towards the disease.
Historically, cancer was considered a death sentence prior to the development of modern treatment methods. However, the survival rates for various cancers have significantly improved over the years. For instance, the five-year survival rate for testicular cancer has risen to 95 percent, compared to 80 percent in 1975. Similarly, the five-year survival rate for breast cancer has increased to 91 percent, as opposed to 76 percent in 1975.
Overall, the five-year survival rate for all cancers has risen to over 69 percent, a substantial improvement from approximately 50 percent in 1975. Moreover, advancements in immunotherapies and other medicines have resulted in less severe side effects compared to traditional therapies, which often caused nausea, vomiting, and hair loss.
Experts and cancer survivors emphasize the importance of obtaining accurate information about one's specific type of cancer in order to alleviate fear. David Ropeik, author of "Curing Cancerphobia: How Risk, Fear, and Worry Mislead Us," debunks outdated anxieties and highlights the progress made by medicine in recent decades. However, he acknowledges that people still struggle to believe that as many as two-thirds of nearly 200 cancers can now be treated as chronic conditions or cured outright.
Unfortunately, the persistence of cancerphobia has led to unnecessary medical procedures, such as prostatectomies and radiation for slow-growing prostate cancers, as well as full mastectomies for localized breast ductal cancer. In such cases, active surveillance with periodic follow-ups is often a more appropriate approach, according to experts.
The perceived lack of control over cancer contributes to the fear associated with the disease. When individuals feel powerless in the face of cancer, their anxiety intensifies. Therefore, empowering individuals with knowledge about reducing cancer risks becomes crucial.
Research has shown that individuals can take proactive steps to lower their cancer risk. Quitting smoking can reduce the overall risk of cancer, as demonstrated by a recent study that found a 17 percent lower risk for individuals who quit compared to continuing smokers. Adhering to a healthy diet, regular exercise, using sunscreen, and undergoing preventive screenings can also significantly reduce the risk, although not to zero.
It is essential to address and openly discuss cancer-related anxieties. Avoiding these fears only limits available options for support and treatment. Seeking therapy from professionals experienced in dealing with cancer-related issues can be beneficial. Additionally, utilizing various forms of support, such as psychotherapists, social workers, nutrition experts, organized support groups, and friends and family, can provide the necessary assistance during this challenging journey.
Beth Rosenberg, a retired cardiologist, highlights the dangers of succumbing to cancer fear. Delaying necessary medical attention due to fear can lead to tragic outcomes. Rosenberg shares stories of patients who waited until their conditions became intolerable, resulting in irreversible consequences. Overcoming fear and seeking early detection and treatment is vital for better outcomes.
As society continues to make strides in the fight against cancer, addressing and alleviating cancerphobia remains paramount. By disseminating accurate information, encouraging open conversations, and providing support for those battling cancer-related fears, we can move closer to a future where cancer is no longer viewed as an invincible foe but as a manageable and survivable condition.