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Early detection and better treatment have resulted in major
improvements in survival of patients with cancer. By 2000, 59 percent
of people diagnosed with cancer were alive five years later, compared
with only 25 percent in 1940. New drugs, surgical procedures, and
ways of treating cancer with X rays and radioactive isotope radiation
contributed to the improvement. In the 1990s, physicians used new
knowledge about the human immune system to develop immunotherapy
for some kinds of cancer, in which the immune system is stimulated
to produce antibodies against specific invaders. Another form of
immunotherapy is the use of monoclonal antibodies, genetically engineered
antibodies that target specific cancer cells.
Screening tests for early detection of cancers of
the cervix, prostate, breast, and colon and rectum became widely
available. Researchers also made progress in identifying cancer
genes that are associated with an increased risk of the disease
and developed screening tests for some cancer genes. Advances in
gene therapy also offered promise for new cancer treatments.
Health groups placed great emphasis in the second
half of the century on cancccer prevention through avoiding smoking
and eating a diet rich in fresh fruits and vegetables. Despite these
advances, the percentage of deaths from cancer increased from about
2 percent in 1900 to about 20 percent in 2000. Much of the rise,
however, resulted from an increased proportion of older people,
who are more vulnerable to cancer, and from cigarette smoking.
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