Cancer in Young Adults 20 to 39 Years of Age: Overview
Abstract
Among 20- to 39-year-olds, cancer causes more deaths than any other disease except depression that culminates in suicide. More females in the age group die of cancer than of the next three causes combined. Yet, substantially less attention has been given to young adults than to children and older adults, and the relative improvement in the survival rate in young adults has not kept pace with that achieved in younger or older patients. Additionally, there is evidence that a substantial proportion of the cancers in young adults have a different biology, and probably etiology/pathogenesis, than that of what appears to be the same cancer in younger or older persons. The challenges of early detection, diagnosis, treatment, and follow-up are therefore likely to be distinctly different than in persons of a different age. As an introduction to this Seminars in Oncology issue on young adults with malignant disease, this overview summarizes cancer epidemiology, risk factors, survival, racial/ethnic and gender differences, diagnostic and treatment approaches, psychosocial challenges, and current organizational research and supportive care strategies in young adults.
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Compared with older or younger cancer survivors, young adult cancer survivors report more difficulties and less confidence in managing physical and emotional symptoms.
“when compared to older or younger cancer survivors, YA report more difficulties and less confidence in their abilities to manage physical and emotional symptoms [17].”
From Improving symptom management for survivors of young adult cancer: rationale and study protocol for a pilot randomized controlled trial (2024) · cites this paper as [17]
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References 30 · Cited by 144
- Authors
- Bleyer, A., & Barr, R.
- Affiliations
- Oregon Health & Science University (US)
- McMaster Children's Hospital (CA)
- Corresponding author
- Bleyer, Archie
- Venue
- Seminars in Oncology
- Publisher
- Elsevier BV
- Published
- 2009-06
- Volume
- 36
- Issue
- 3
- Pages
- 194-206
- ISSN
- 0093-7754 (ISSN-L)
- OpenAlex
- W2119780823
- Cited by
- 144
- References
- 30
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 8 · 2023: 6 · 2022: 9 · 2021: 8 · 2020: 7 · 2019: 10 · 2018: 12 · 2017: 8 · 2016: 16 · 2015: 9 · 2014: 9 · 2013: 11 · 2012: 10
- FWCI
- 3.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Seminars in Oncology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- young adult cancer, cancer epidemiology, cancer risk factors, cancer survival, racial and ethnic disparities, gender differences, tumor biology, early detection, cancer diagnosis, cancer therapy, psychosocial problems, supportive care, cancer mortality
- MeSH terms
- Adult, Cause of Death, Female, Health Planning, Humans, Male, Neoplasms, Risk Factors, United States, Incidence, Survival Rate
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