<unk>  and<unk><unk>  with cancer have not attained the same improvements in overall survival as either<unk> er children or older<unk> . The 5-year survival rate for all invasive<unk> and<unk> <unk> cancers diagnosed from 2002 to 2006 in the United States was 82.5%. While this survival rate is comparable to those for children and older<unk>  with cancer during the same time period, survival figures favor<unk> er people with cancer with several cancer types common in both children and<unk> and<unk> <unk> populations, including acute lymphomas, rhabdomyosarcoma, and Ewing sarcoma. Likewise, older people with cancer fared better than<unk>  and<unk><unk>  in terms of 5-year survival for breast cancer, Kaposi sarcoma, and anal cancer. To improve low survival rates for some<unk> and<unk> <unk> cancers, researchers are studying distinct genetic and biologic features of cancer at different ages, differences in treatment approaches and treatment intensity, and possible differences in compliance to treatment, as well as social, behavioral, or other factors affecting<unk>  people with cancer.<unk> and<unk> <unk> with cancer and survivors of cancer report difficulties related to employment, educational attainment, and financial stability—as well as social relationships. Differences<unk>  often differs in terms of signs and symptoms, histology, prognosis, and rates of survivals. Some<unk>  may have unique genetic and biological features. For example: * Colorectal cancer:<unk>  and<unk><unk>  tend to have poorer cellular differentiation, differences in histology, more lymphovascular invasion, and signet ring cells. Often, colorectal cancers are found at more advanced tumor stages in AYAs. * Breast cancer:<unk>  and<unk><unk>  often have higher grade tumors, larger primary tumors, and a greater propensity for triple-negative breast cancer.<unk>  and<unk><unk>  with breast cancer generally have a worse prognosis than older women. * Acute lymphoblastic leukemia: Genetic alterations found in AYAs are associated with higher rates of treatment failure and relapse. Genomic abnormalities associated with high survivals rates are less likely in AYAs than in<unk> er people, and genetic abnormalities associated with a poorer outcome tend to be more common. * Melanoma: Localized melanoma in AYAs may have clinically different features than in older<unk> .<unk>  and<unk><unk>  also tend to have higher stages of melanoma at diagnosis.<unk> er age at diagnosis and high mitotic rate may correlate with a greater likelihood of metastasis to the lymph nodes. * Sarcoma:<unk>  and<unk><unk>  often fare worse than<unk>  children with the same histologic type of sarcoma. In Ewing sarcoma, survival is inversely related to age and tumor size diagnosis.<unk>  and<unk><unk>  with rhabdomyosarcoma have a much lower survival rate at 5 years than children, 27% compared with 61%. A stronger understanding of the different biologic and genomic processes seen in some<unk> and<unk> <unk> cancers will help to develop new and better treatments for these cancers. Education People who reported their cancer treatment was “very intensive” and those who had quit work or school after being diagnosed were more likely to report that cancer negatively affected their work and school after diagnosis, with more than 50% reporting problems with memory and attentiveness. Almost three-quarters of<unk>  and<unk><unk>  with cancer who had been studying or working returned to school or work within one to three years after a diagnosis. Reasons for educational disruption and lower educational attainment given by<unk>  and<unk><unk>  in qualitative interviews included missing school, not taking required tests, and feeling as if they had been “left behind.” Employment Roughly a third of<unk><unk>  in the United States reported that cancer had a negative impact on their employment plans. In research that compared<unk>  people who had survived cancer with their healthy peers, 33% of<unk>  and<unk><unk>  with cancer were not working compared to 27% of controls. In another US study, 23% of<unk>  and<unk><unk>  with cancer reported unemployment due to health issues compared with 14% of controls. Another national study found that<unk>  and<unk><unk>  who had had cancer reported lower family incomes than their peer-age cohorts without cancer. Relationships and social needs Social relationships and educational achievements during the formative<unk> and<unk> <unk> years are very important, and studies in the United States have documented that a cancer experience can negatively affect the attainment of these goals. Marriage rates were lower among<unk><unk>  with cancer, and they were more likely to have divorced or separated than peers in an age-related control group.<unk>  and<unk><unk>  also reported fears about sexual attractiveness due to physical changes as well as fertility-related changes caused by cancer.<unk>  and<unk><unk>  with cancer expressed a strong desire to connect with other<unk><unk>  with cancer and survivors from cancer who may have gone through similar experiences for support to cope with these challenges.<unk>  cancer patients have reported an improvement in their coping abilities due to their participation in an online cancer community.<unk>  and<unk><unk>  with cancer reported using social media platforms for both "medical and social resources", assisting with relationships and social issues. They also reported a preference for "tools that facilitate emotional coping of patients and their family." In general, the uses of social media for healthcare communication include reducing stigma and facilitating dialogue between patients. According to the European Society for Medical Oncology, cancer patients participating in an online support group reported greater "psycho-social impact—alleviation of seclusion versus induction of anxiety."
Cancer in adolescents and young adults
Cancer survivor
Orderly
Trauma in children
Adolescent health
Teenage pregnancy
Sudden cardiac death of athletes
Peat fire cancer