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"The U.S. is currently home to more than 18 million cancer survivors," reports the Wall Street Journal, "over 5% of the total population" (including those who are living with the disease). Their article tells the story of Gwen Orilio, who was diagnosed with stage-four lung cancer at age 31. Ten years later she's still alive — and she still has metastatic cancer... Keeping her going is a string of new treatments that don't cure the disease but can buy months — even years — of time, with the hope that once one drug stops working a new one will come along. Orilio started on chemotherapy, and then switched to a new treatment, and then another, and another, and another... A small but growing population is living longer with incurable or advanced cancer, navigating the rest of their lives with a disease increasingly akin to a chronic illness. The trend, which started in breast cancer, has expanded to patients with melanoma, kidney cancer, lung cancer and others. The new drugs can add years to a life, even for some diagnoses like Orilio's that were once swift death sentences. They also put people in a state of limbo, living on a knife's edge waiting for the next scan to say a drug has stopped working and doctors need to find a new one. The wide range of survival times has made it more difficult for cancer doctors to predict how much time a patient might have left. For most, the options eventually run out.... More than 690,000 people were projected to be living with stage-four or metastatic disease of the six most common cancers — melanoma, breast, bladder, colorectal, prostate or lung cancer — in 2025, according to a 2022 report from the National Cancer Institute. That's an increase from 623,000 in 2018 and a significant rise since 1990, the report found... Nearly 30% of survivors diagnosed with metastatic melanoma and 20% of those diagnosed with metastatic colorectal or breast cancer had been living with their disease for a decade or more, the NCI paper estimated... Even for lung cancer, the biggest U.S. cancer killer, the five-year relative survival rate for advanced disease has inched up, from 3.7% for patients diagnosed in 2004 to 9.2% for patients diagnosed in 2017, federal data show. The overall lung cancer survival rate has risen by 26% in the past five years, according to the American Lung Association, as declining cigarette use, screening and new drugs have driven down deaths. The expanding number of therapies that target a cancer's mutations or boost the immune system are improving the outlook for several cancers. In breast cancer, treatment for metastatic disease accounted for 29% of the drop in deaths between 1975 and 2019, according to one 2024 estimate, with screening and treatment for early-stage disease accounting for the rest. The number of American cancer survivors (or those living with cancer) is expected to grow to 26 million by 2040," the article points out.

Read more of this story at Slashdot.

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