Cancer in Patients Under 40: Key Topics Young Adults Often Want to Discuss with Their Healthcare Teams

Dr. Allison Rosenthal, a hematologist and oncologist at Mayo Clinic, shares insights into the unique concerns of younger cancer patients. Her own experience with leukemia during medical school motivated her to focus on improving care for adolescents and young adults facing cancer. At the Mayo Clinic Comprehensive Cancer Center, efforts are underway to tailor support and treatment to meet the specific needs of this age group.

In 2022, approximately 1.3 million people aged 15 to 39 were diagnosed with cancer globally, with common types including breast, thyroid, cervical, testicular, ovarian cancers, blood cancers like leukemia and lymphoma, as well as colorectal cancer. While advances in treatment have increased the chances of cure and long-term survival, many young survivors face ongoing physical and emotional challenges.

Long-term survivorship involves more than just medical follow-up. Many young adults grapple with emotional impacts, such as anxiety and depression, as well as physical side effects from treatment that can affect their quality of life decades later. Recognizing these issues, the adolescent and young adult cancer program emphasizes a comprehensive, patient-centered approach.

According to Dr. Rosenthal, three key topics frequently emerge during consultations with younger patients: wellness behaviors, peer connection, and sexual health. Patients often seek guidance on lifestyle adaptations like regular exercise, which can improve overall health but may be difficult to maintain. Social connection is crucial; young people want support networks and reassurance that they are not alone, especially as their peers move on with their lives. Sexual health and relationships are other sensitive areas, as navigating intimacy and fertility post-treatment can be challenging.

Cancer treatments can impact fertility, making discussions about preservation important upfront. The program also focuses on advance care planning, empowering young patients with advanced cancers to voice their wishes early. The multidisciplinary team includes medical specialists, mental health professionals, social workers, and counselors, aiming to improve long-term outcomes.

Dr. Rosenthal highlights that most young adult cancer patients are expected to do well in the long term. However, attention to long-term effects, quality of life, and ongoing health monitoring is essential to provide comprehensive, supportive care.

This approach underscores the importance of personalized cancer care that addresses both medical and emotional needs, helping young adults navigate their journey beyond diagnosis with hope and resilience.

Source: https://medicalxpress.com/news/2025-06-cancer-eexpert-topics-younger-patients.html