The 10 deadliest cancers, and why there's no cure

Cancer is the second most common cause of death in Americans after heart disease, according to the Centers for Disease Control and Prevention. Cancer has the power to kill even when diagnosed early.
Lung cancer, colorectal cancer and liver cancer killed the most people in 2020. Rebecca Siegel is the senior scientific director of the American Cancer Society.
Siegel explained that the number of people who die from cancer depends on two factors: how many people have it and how many survive it. Those with the lowest survival are the deadliest.
The 5-year relative survival is a measure used by cancer researchers. The percentage of people who are expected to survive the effects of a given cancer, excludes risks from other possible causes of death, according to the National Cancer Institute.

The 10 deadliest cancers in the United States are based on the 5-year relative survival data for cases diagnosed between 2011 and 2017.
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1. Pancreatic cancer has a 5-year survival rate of 10.8%.

The tissues of the pancreas help digestion. Pancreatic cancer is the deadliest of the bunch, with less than half of patients surviving five years. Exocrine cancers are the most common form of cancer in the body. Pancreatic cancer is less common than islet cell tumors, which are called neuroendocrine tumors (NETs), according to the American Cancer Society. NETs make up 2% of Pancreatic Cancer, and have a much better outcome.
Depending on how far the cancer has spread, doctors can treat it with surgery, radiation or chemotherapy. According to the American Cancer Society, other treatments might include immunotherapy, which ramps up the immune system to attack the cancer, or targeted therapies, which target specific cancer cells. The National Cancer Institute predicts that 48,220 Americans will die from Pancreatic Cancer in the year 2021.

2. Mesothelioma has a 5-year survival rate of 11.5%.

The cells in the mesothelium line certain parts of the body and surround the internal organs. Mesothelioma is a type of cancer. Three out of four Mesotheliomas develop in the lungs, which is called the pleura. This type of cancer is called lung cancer.
The peritoneum is the tissue that lines the abdomen and surrounds many abdominal organs, and is the most common type of mesothelioma.
The tissues that surround the heart and testicles are rarely affected by the disease. According to the American Cancer Society, exposure to the mineral fiber can contribute to the development of peritonealMesothelioma.
Treatment for Mesothelioma depends on how far it has progressed, but may include surgery, chemotherapy, radiotherapy, targeted therapies and immunotherapy.
3. The 5-year relative survival for bladder cancer is 19.4%.

The cancer starts in the gallbladder. According to the American Cancer Society, bile is a substance made by the liver that aids in digestion. The risk of developing gallbladder cancer is increased by the small deposits of cholesterol and other materials in the gallbladder.
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Treatments depend on how far the cancer has progressed when it is diagnosed. According to the American Cancer Society, patients can participate in clinical trials of targeted therapies for gallbladder cancer.
4. 5-year relative survival for esophageal cancer is 19.9%.

The stomach has a muscular tube that transports food from the throat to it. Being male, being older, drinking alcohol, and having acid reflux are some of the risk factors for esophageal cancer, according to the American Cancer Society.
Treatments depend on how far the cancer has advanced. The National Cancer Institute estimates that 15,530 Americans will be killed by esophageal cancer in the year 2021.

5. The 5-year survival of bile duct cancer is 20.3%.

One of the most common forms of cancer is the lysical cancer. According to the American Cancer Society, there has been a rise in the incidence of liver cancer in the US since the 1980s.
According to the American Cancer Society, chronic hepatitis B or hepatitis C infections are the most significant risk factor for liver cancer. Both of these infections can be transmitted through bodily fluids. The CDC recommends that all children bevaccinated against the hepatitis B virus, but there is no vaccine for the hepatitis C virus.
According to the American Cancer Society, bile duct cancer occurs in the ducts that carry bile from the gallbladder to the small intestine, where it helps digest fats from food. The number of Americans who will die from bile duct cancer will increase in the next few years.

6. 5-year survival for lung and bronchial cancer is 21.7%.

Lung and bronchial cancer kill more people in the US than anywhere else. Smoking and use of tobacco products are the main causes. Non-small cell lung cancer is the most common type, and small cell lung cancer is more common. According to the American Cancer Society, quitting smoking is the best thing patients can do to prepare for treatment.
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Targeted therapies are used for non-small cell lung cancer. Lung and bronchial cancer is expected to kill 131,880 people in 2021.
7. 5-year survival for pleural cancer is 22%.

The space between the chest and the lungs is called the pleural cavity, and it can be cancer in the cells that surround the lungs. The cases of pleural mesothelioma aren't included in the statistics of pleural cancer because they are included in the category of Mesothelioma.
Some of the cancers are not called Mesotheliomas. Many of the non-mesothelioma pleural cancers are "tissues of unknown histology," meaning that doctors are unsure what tissue or cell type they are. According to The University of Texas Southwestern Medical Center, treatments for pleural cancer may include surgery, chemotherapy or radiation.
8. Acute monocytic leukemia has a 5-year survival rate of 24.8%.

Acute monocytic leukemia is a type of leukemia. Laura Romundstad is a clinical trial nurse navigator with the Leukemia & Lymphoma Society and she explained that it develops in blood precursor cells that are on their way to becoming immune-system cells called monocytes. She said that monocytes are a major part of the innate immune system and that they recognize common features of pathogens and immediately attacks them.
Acute monocytic leukemia can be treated with chemotherapy, stem cell transplantation, or targeted therapies.
9. Brain cancer has a 5-year survival rate of 29.4%.

Brain tumors are usually not found in the brain in adults. According to the American Cancer Society, they spread there from other cancers. Brain cancers that are caused by cancers that originated somewhere else in the body aren't included in brain cancer survival statistics because they are categorized according to their site of origin. If a person dies of lung cancer that has spread to the brain, it will affect lung cancer survival statistics, not survival statistics for brain cancer.
The majority of brain tumors in children start in the brain. Family history and exposure to radiation are the only risk factors for brain tumors. According to the American Cancer Society, radiation exposure occurs during treatment for some other cancer.
The American Cancer Society says that treatment for brain tumors depends on the type of cancer, how much it has grown, and whether it's targeted or not. According to the National Cancer Institute, brain and other nervous system cancers are predicted to cause the deaths of 18,600 Americans in 2021.
10. Acute myeloid leukemia has a 5-year survival rate of 29.5%.

Stem cells in the bone marrow differentiate into different blood-cell types and eventually blood cells. Blood cell development is halted and the cells become cancer. Romundstad said that leukemias are classified according to the stage at which blood cells start to grow. According to the American Cancer Society, acute myeloid leukemia is any cancer that develops in myeloid cells, which are blood cells that have the potential to develop into red blood cells, some types of white blood cells, and platelets.
Stem cells are called "blast cells" in leukemia because they get stuck at an immature stage. There are very few blast cells in the blood. There are many symptoms of Acute Myeloid Leukemia caused by having too many blast cells and too few healthy blood cells.
It can happen at any age, though it is more common in adults. Doctors don't know what causes it, smoking, previous treatment for other cancers, and exposure to the chemical benzene increase the risk of getting it, according to the American Cancer Society. Chemo, a stem cell transplant or targeted therapies are some of the treatment approaches. The lives of 11,400 Americans are predicted to be lost in the year 2021.
There is no cure.

The number of people killed by cancer every year relative to population size rose steadily to its peak in 1991, according to the most recent summary of the state of cancer in the U.S.
The authors of the study attribute the decrease in cancer death rates to a number of factors. Siegel said that they have made progress in the fight against cancer.
There are many reasons why a cure for cancer remains elusive. The first issue is that cancer can be eradicated with one cure. Siegel explained that it's hundreds of diseases. She said that they would need hundreds of different cures to cure cancer.
The bar for cancer being cured is very high, which makes it hard to cure it. According to the American Cancer Society, cancer can be cured if there are no traces of it in the body. There is no certainty that a cancer won't return even after all traces have been removed.

Siegel said that there is never a guarantee that cancer will not recur because cancer cells can hide in the body undetected by the immune system. According to the American Cancer Society, if a person is in a state of remission, their signs and symptoms are less likely to return.
Treatments for a particular cancer don't mean that they will work for everyone. Siegel said that each person's cancer has a unique signature and responds differently to treatment compared to someone else with the same type of cancer.

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