Cancer screenings to create awareness, overcome late-stage diagnoses

05 Jan 2024 bySaras Ramiya
Mammography is recommended yearly for women above 40 and every 2 years for women above 50.Mammography is recommended yearly for women above 40 and every 2 years for women above 50.

Cancer cases are on the rise in Malaysia with a significant impact on the population’s health. According to the Ministry of Health (MOH), 1-in-10 men and 1-in-9 women are at risk of being diagnosed with cancer during their lifetime. More than 63 percent of the patients were diagnosed in late stages where treatment options were limited and healthcare costs increased. [https://www.moh.gov.my/moh/resources/Penerbitan/Laporan/Umum/2012-2016%20(MNCRR)/MNCR_2012-2016_FINAL_(PUBLISHED_2019).pdf?force_isolation=true. Accessed on 22 December 2023.]

Patients have been diagnosed late due to multiple reasons including a lack of awareness over cancer symptoms, a general reluctance to seek early medical intervention, and the prevalence of myths about cancer. However, identifying the early warning signs of cancer is crucial. While it is challenging to pinpoint specific symptoms and link them to the diverse array of cancer types, general early warning signs should be heeded. These include unexplained weight loss, persistent fatigue, chronic pain, skin changes, and alterations in bowel or bladder habits. These symptoms should serve as a clear call to action, urging individuals to seek immediate medical evaluation.

The most common cancers in Malaysia, documented in new cases as of 2020, are cancers of the breast, colorectal, lung, nasopharyngeal and liver. These represent about half of all cancer cases diagnosed in the country. [https://gco.iarc.fr/today/data/factsheets/populations/458-malaysia-fact-sheets.pdf. Accessed on 22 December 2023.] Regular health screenings are essential for early detection as cancer can develop silently, progressing unnoticed until advanced stages. Some of the common screening methods based on cancer types are listed in Table 1.




A vision for comprehensive and accessible treatment

Cancer treatment often involves a multidisciplinary approach, requiring seamless collaboration between various healthcare professionals, including oncologists, surgeons, radiologists, and nurses. However, the uneven distribution of healthcare facilities, especially in rural areas, can hinder patients’ accessibility to timely diagnosis and treatment.

Icon Sunsuria, a joint venture between Icon Cancer Centre and Sunsuria Healthcare, aims to bridge the gaps by providing comprehensive cancer care in Malaysia. “This vision is grounded in a patient-centric approach that leverages partnerships between healthcare providers—with the end goal of creating a healthcare ecosystem that ensures that every Malaysian has access to best-in-class cancer care,” said Audrey Ooi, chief executive officer of Sunsuria Healthcare.

The recent alliance between Icon Sunsuria and Island Hospital is poised to enhance access to quality care by offering cutting-edge treatments, as well as comprehensive and coordinated care from a multidisciplinary team of experts. Ooi hopes to establish more cancer centres across Malaysia in the next 5 to 7 years.

As Malaysians come together to confront the increasing burden of cancer, the goal is to ensure that no one has to face this battle alone. By bridging the knowledge gaps, encouraging early detection, and nurturing a community of support and awareness, the nation can make significant strides in the fight against cancer. “With a collective effort—including everyone from policy makers to healthcare providers to non-profit organizations—we can reduce the impact of cancer on individuals and give them solace throughout their cancer journey. By arming more people with knowledge and dispelling myths and fears, we can make a significant impact in the fight against cancer,” said Ooi.

Icon Sunsuria incorporates evidence-based medical breakthroughs to introduce innovative therapeutic approaches extending beyond conventional chemotherapy and radiation. These include targeted cancer therapies, focusing on specific cancer cells with precision, disrupting cancer growth while sparing healthy cells. Immunotherapy, delivered through injections, infusions, or direct methods, harnesses the patient’s immune system, either strengthening it or targeting cancer cells directly. This diverse treatment includes cancer vaccines, monoclonal antibodies, checkpoint inhibitors, and CAR T-cell therapy.

In addition to these advancements, the center has invested in improving chemotherapy and radiation techniques, featuring enhanced delivery methods. For instance, the HyperArc, an innovative software seamlessly integrated with the Varian TrueBeam linear accelerator, precisely targets multiple brain tumors, minimizing radiation exposure to healthy tissue and reducing side effects associated with conventional brain radiation, such as headaches and hair loss.

Support for cancer patients

A cancer diagnosis is life-altering, impacting patients and their families physically, emotionally, and financially. As such, support networks and resources are crucial in helping those facing cancer navigate these challenges. In Malaysia, assistance is available from various sources.

Support networks and resources available in Malaysia

Social Security Organization (PERKESO): Provides financial relief for cancer patients unable to work. This assistance can serve to alleviate some of the financial burdens that cancer can bring, allowing patients to focus on recovery.

https://www.perkeso.gov.my/en/our-services/protection/invalidity-scheme.html

Malaysian Cancer Council (MAKNA): Offers financial aid, focusing on underprivileged patients and supporting cancer awareness and research.

https://makna.org.my/patient-assistance-bursary/

National Cancer Society Malaysia (NCSM): Provides psychosocial services like counseling, nutrition advice, and peer groups for emotional support.

https://cancer.org.my/get-help/resource-wellness-centre/helpdesk/peer-support/ and https://cancer.org.my/get-help/psychosocial-support-services/