Editorial 

When you remove the compassion of nurses and the love and support of family and friends from the patients at our cancer treatment centres, the stark reality of cancer is there-shaved heads, restricted nutritional intake, excessive weight loss, daily pain and branding by a central line for chemotherapy.   This insidious, devastating disease strikes young and old.  Despite five decades of cancer research and treatment, we have made little progress fighting the disease that was to be eradicated by the year 2000. 

Some treatment is helping.   Your chances of survival are greater if your cancer is detected early, shared by many and profitable for the drug companies.  But, confronted with rare forms of the disease your odds are greatly reduced. 

Contrary to the myth that cancer is a disease of aging, young adults face the disease daily- lymphomas, leukemia, bone cancer, brain cancer, breast and testicular cancer.  There also exists a medical paradox for young adults.  Twenty-five years after Terry Fox tried to raise awareness that young people get cancer, family physicians are still not looking for it.  They see the wellness in the young patient and often misdiagnose their symptoms.  Once diagnosed (often months after the onset of symptoms), many physicians at the treatment centres see only the cancer and fail to work with the strengths, “the health”, the young people still have including a strong heart, the vitality of youth, will to live and extensive support network. 

Young adults are often painted with the same brush and protocols as our older patients facing cancer, but do not have the luxury of time.  Due to their hormones, the disease is more aggressive and often fatal.  They have hopes and dreams for career and family, but their potential; and that for society is lost. 

Changes need to take place within our health care system to alter the outcomes and statistics for our young adults.  Awareness and physician education is critical.  Medical care and policies need to improve.  Hospital weaknesses in communication, pain management, medication delivery and on-call systems have to be strengthened.  Tracking and research into the cause of cancer affecting young adults is essential.  Young adults with persistent symptoms need to ask their physician:  “Could this be cancer”? 

Survivors and their families, friends, concerned individuals and health care professionals interested in making a difference need to speak out.  Questions need to be asked.  The Canadian Cancer Society, Cancer Care Ontario, the College of Physicians and Surgeons of Ontario, the Ontario Medical Association, Regional Cancer Treatment Centres and politicians need our help.  Where are all the fundraising dollars going?  How are dollars being used to target cancer in young adults?  Why is no one tracking cancer affecting young adults and possible causes?  How are family physicians being educated to be more aware of cancers in young adults?  How are issues for young adults being addressed in the provincial Cancer 2020 report?  The future for young adults, our future depends on it. 

Lorna and Rob Larsen (2005)
(Sentinel Review, Woodstock; Beacon Harold, Stratford; Temiskaming Speaker, New Liskeard; Northern Daily News, Kirkland Lake; Gazette, University of Western Ontario, London)