Clinical features and management

Cancer comprises many varying conditions, with very different requirements for the basic elements of a population-based cancer care service. The biggest change in the delivery of cancer management in the last 20 years has been the recognition that cancer management is a multiprofessional and multidisciplinary effort. There is a hierarchy of aims for cancer treatment which stretch from cure to palliation. Four key measures to reduce the burden of cancer on the patient, their family, and on the healthcare system are: (1) early diagnosis to maximize the chances of cure and minimize the morbidity of treatment; (2) access to best treatment irrespective of chronological age or home address of the patient; (3) increased physical activity; and (4) a ‘recovery package’ of care and support.