A steady rise in the number of people diagnosed with cancer will be a challenge to Island health services and charities.
So says the president of Isle of Man Anti Cancer Association, former consultant Malcolm Clague.
A rise in life expectancy is the main reason for the increase, according to a survey by Cancer Research UK.
It says around 50,000 more people are finding out they have cancer every year than a decade ago.
That trend will have a big impact on the Isle of Man, where there's a larger elderly population than UK average.
But Mr Clague suggests not all cancers disovered in the very elderly need to be treated: