In a decade marked by alarming health trends, scientists predict a staggering 30% rise in early-onset cancers among adults aged 18 to 491. This troubling statistic is compounded by the disproportionate impact on young women of color, who are dying at higher rates than any other demographic. Yet, amid these challenges, there is reason for hope. Advances in treatment, early detection, and ongoing research are offering new possibilities for those facing a cancer diagnosis.

The Rising Tide of Early-Onset Cancers
Cancer, once considered a disease of older age, is increasingly affecting younger adults. Researchers are grappling with the reasons behind this shift, pointing to potential factors such as lifestyle changes, environmental exposures, and genetic predispositions. However, the toll it takes on individuals in the prime of their lives is undeniable.

For patients like Chris Norton2, diagnosed with stage 4 colon cancer at 36, the journey is fraught with uncertainty. “Where I’m at right now, compared to two years ago, is so much further than I thought I would be,” he shared. Similarly, Juliette Landgrave, diagnosed with late-stage triple-negative breast cancer at 37, hopes for a future free of recurrence. “I am hoping that the five-year mark comes in soon with no recurrences and that I can just live,” she said.
Hope in New Treatments
Southern California’s cancer centers are at the forefront of groundbreaking research and innovative treatments. Dr. Niki Tank, a medical oncologist at the Huntington Cancer Center in Pasadena, is optimistic about the progress being made. “There are new medicines, new therapies, coming out every year,” she said.
One such advancement is the use of a drug previously reserved for metastatic breast cancer, now being deployed in earlier stages. “We’re able to reduce the risk of their cancers coming back and spreading by a third. This is enormous. It’s huge. This is a game-changer,” Dr. Tank explained.
Immunotherapy is another promising avenue. Dr. Edward S. Kim, Physician-in-Chief at City of Hope, emphasized the potential of harnessing the body’s immune system to fight cancer. Monoclonal antibodies, a form of precision medicine, are also proving to be more effective and better tolerated by patients.
Early Detection: A Lifesaving Frontier
Perhaps one of the most exciting developments is the ability to detect cancer earlier than ever before. Liquid biopsies, which analyze fragments of tumor cell DNA in the blood, are already being used for cancers like lung cancer, colon cancer, and leukemia. These tests can identify cancer months or even years before symptoms appear, offering a critical window for intervention.
Clinical trials are also playing a pivotal role in advancing cancer care. “Today, clinical trial participation is about being first in line to accessing something new and potentially something better,” said Dr. Arif Kamal, Chief Patient Officer with the American Cancer Society. At City of Hope Plaza, over 800 studies are underway, making it one of the most active research hubs in the state.
Reducing Risk and Raising Awareness
While advancements in treatment and detection are crucial, prevention remains a key focus. Definitive findings on alcohol consumption, vaping, the HPV vaccine, and processed foods are helping young people reduce their individual risk. Dr. Kamal highlighted the link between obesity and 13 different cancers, including breast, ovarian, and colon cancers. “Being at a healthy weight can reduce your risk,” he noted.
Yet, as many young cancer patients attest, a diagnosis can come without warning. Zak Salazar, diagnosed with glioblastoma at 38, remains hopeful despite the odds. “Every day that I’m still on this Earth, that brings me one step closer to a cure, right? That’s what I believe. So as long as I’m still ticking and the researchers are doing their job, I can hope for a cure,” he said.
A Call to Action
The patients and experts we spoke to all share a common message: take care of yourself and each other. This means not delaying screenings or discussions about cancer risk. As Zak and his wife Cori emphasize, every day is an opportunity for more time together and for scientific breakthroughs that could change lives.
For those interested in participating in research, resources like clinicaltrials.gov provide information on ongoing studies. As the fight against cancer continues, the combination of hope, innovation, and community support offers a powerful antidote to the challenges ahead.
- A City of Hope Orange County Report: The Younger Face of Cancer – A City of Hope (Accessed on March 23, 2025) ↩︎
- The ‘Younger Face of Cancer’: Hope in new treatments, early detection and ongoing research – ABC7 News – (Accessed on March 23, 2025) ↩︎
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