Episode IV: Prevention and Screening

This episode will showcase prevention models that have changed behavior and reduced the incidence of cancer. More than any other preventative measure, changes in behavior like smoking cessation or weight control can reduce the risk of cancer. The show profiles a 75-year-old man whose throat cancer led to the removal of his larynx and the loss of his natural voice. This cancer is usually caused by a combination of tobacco, which is a carcinogen, and alcohol, which acts as a promoter.

Pesticides and other chemicals in the air, water and food have been shown to increase the risk of cancer. The program will show efforts to protect workers from exposure to carcinogens, and how scientists prove or disprove the carcinogenic risk of specific environmental substances.

Other cancer risk factors are impossible to change, like age, personal medical history, family history, gender, and ethnicity. This is where medical screening tests can play a role. The pros and cons of screening and the role of informed medical decision-making and genetic counseling in determining whether or not to have screening tests are included. A 54-year-old woman who carries a rare breast cancer gene tells about her experience with cancer and her decision to have her ovaries and breasts removed in hopes of preventing a recurrence. And two men with prostate cancer talk about their response to a positive PSA test for prostate cancer-one opts for surgery, the other chooses to wait and see if his PSA levels increase, using exercise and diet to improve his overall health.

Medical experts include Peter Greenwald, MD, DrPH, director of the Division of Cancer Prevention at the National Cancer Institute, Otis W. Brawley, MD, associate director for Cancer Control, Emory University School of Medicine; Ross Hammond, legal consultant for the National Center for Tobacco-Free Kids; Robert A. Smith, PhD, director of Cancer Screening, American Cancer Society Bruce Ames, PhD, professor of Biochemistry and Molecular Biology, University of California, Berkeley Lynn F. Butterly, MD, Dartmouth-Hitchcock Medical Center; Neil Benowitz, MD, Professor of Medicine at the University of California, San Francisco.

Additional Materials

Introduction

Peter Greenwald, MD
Director of Cancer Prevention
National Cancer Institute
Video | Transcript
 

Environmental Mutagens and Promoters that Cause Cancer

Robert Weinberg, PhD
Daniel K. Ludwig Professor for Cancer Research
Massachusetts Institute of Technology
Video | Transcript
 

Colon Cancer Screening and Prevention

Lynn Butterly, MD
Dartmouth-Hitchcock Medical Center
Video | Transcript
 

Smoking: Tobacco

Neal L. Benowitz, MD
Professor, Medicine, Psychiatry, and Pharmacy
University of California at San Francisco Related Links:
http://www.tobaccofreekids.org
http://www.cancer.org
http://www.lungusa.org/
Video | Transcript
 

Smoking: How tobacco causes cancer

Neal L. Benowitz, MD
Professor, Medicine, Psychiatry, and Pharmacy
University of California at San Francisco
Video | Transcript
 

Smoking: Second Hand Smoke

Neal L. Benowitz, MD
Professor, Medicine, Psychiatry, and Pharmacy
University of California at San Francisco Related Links:
EPA: Secondhand Smoke Can Make Children Suffer Serious Health Risks
Video | Transcript
 

Smoking: Cessation

Neal L. Benowitz, MD
Professor, Medicine, Psychiatry, and Pharmacy
University of California at San Francisco Related Links:
SmokeFree.gov
Video | Transcript
 

Smoking: The global marketing of tobacco

Ross Hammond, Economist Related Links:
http://tobaccofreekids.org
Video | Transcript
 
 

Genetic Predisposition for Cancer

Peter Greenwald, MD
Director of Cancer Prevention
National Cancer Institute
Video | Transcript
 

Genetic Predisposition for Cancer

Robert Smith, PhD
Director of Cancer Screening
National Office of the American Cancer Society
Video | Transcript
 

Breast Cancer Screening

Robert Smith, PhD
Director of Cancer Screening
National Office of the American Cancer Society


Related Link: http://breastscreening.cancer.gov/
Video | Transcript
 

Prostate Cancer

Otis W. Brawley, MD
Professor of Hematology and Oncology
Emory University School of Medicine
Professor of Epidemiology
Emory Rollins School of Public Health Related Links:
About Prostate Cancer. Source: NCI.
Video | Transcript
 

Skin Cancer Screening and Prevention

Robert Smith, PhD
Director of Cancer Screening
National Office of the American Cancer Society Martin A. Weinstock, MD, PhD
Chief of Dermatology, VA Medical Center
Providence, Rhode Island
Video | Transcript
 

Diet and Exercise

Bruce Ames, PhD
Professor of Biochemistry and Molecular Biology
University of California, Berkeley Otis W. Brawley , MD
Professor of Hematology and Oncology
Emory University School of Medicine
Professor of Epidemiology
Emory Rollins School of Public Health Robert Smith, PhD
Director of Cancer Screening
National Office of the American Cancer Society
Video | Transcript
 

What you and your community can do to help prevent cancer

Peter Greenwald, MD
Director of Cancer Prevention
National Cancer Institute
Video | Transcript