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Is it not extra cancer but better diagnosis tools?
Considering the pollution-saturated world we live in at the moment, it’s very likely both.
The article does mention that more sensitive screenings are partially responsible, but the specific cancers they were looking at are largely digestive or related to obesity/diet and alcohol (but probably a lot of other unsavory shit in our food as well).
There were some demographics for whom the cancer rates fell, but this can likely be attributed to social health campaigns (like anti-smoking).
Don't forget women have historically received worse care, than their male counterparts. In addition, since much of medicine/treatments/tests/etc has been tested on men only, there are gap in care for women because the same things may not be true for them as a man.
So, yes, both are probably true, but I think there is a quality of care improvement for part of the population, finally. Even if it's only minor
Hardly any cancers grow so slowly, that they would be found decades before they caused symptoms.
For your hypothesis to be true, a cancer would need to be detectable today (but not 20 years ago) in an adult (say, 30), but not cause any symptoms until the 40s or 50s (where cancer cases were "traditionally detected). That's rather unlikely.
It's the chemicals in the water. Turning the frickin cells cancerous