The National Cancer Institute estimates that approximately 11.4 million Americans with a history of cancer were alive in January 2006. Some of these individuals were cancer-free, while others still had evidence of cancer and may have been undergoing treatment. In 2010, 1.5 million individuals are expected to be diagnosed with cancer (this number excludes some forms of skin cancer). Receiving a cancer diagnosis is a life changing event, not only for the person with cancer, but also for their spouse or significant other.