CANCER REGISTRY & CLINICAL DATA MANAGEMENTIntroduction The computerized Cancer Registry at SKMCH & RC is a data system designed for collection, management, and analysis of detailed data on patients registered at the Hospital. The Cancer Registry at the Hospital has been functioning since the inauguration of the Hospital in December 1994. Every year the Registry generates cancer statistics according to sex, age, demographic area, topography, and morphology, etc. From December 1994 till December 2003, the International Classification of Diseases, Ninth Revision, Clinical Modification, was used to code the diseases. |  | On January 2004, the Registry implemented the International Classification of Disease for Oncology, Third Edition (ICD-O-3) to code the cancer cases.
Results
During the last twelve years, a total of 31,299 neoplasm cases were registered at SKMCH & RC (of which 966 were benign and 30,333 malignant). The distributions seen amongst males and females were (49.3% and 50.7%, respectively). About 88.2% tumors were found in adults whereas 11.8% were diagnosed in children. The top three malignancies amongst adult females were: cancer of the breast, ovary & uterine adnexa, and lip & oral cavity, whereas, in adult males, they were non-Hodgkin's lymphoma, lip & oral cavity, and cancers of trachea, bronchus & lungs.
In adults, regardless of gender, malignant neoplasm of the breast, lip & oral cavity, and non-Hodgkin's lymphoma, were established as the leading malignancies, whereas, in children, the commonest malignancies were categorized as acute lymphoblastic leukemia (ALL), Hodgkin's disease, and non-Hodgkin's lymphoma (NHL).
In the year 2006, a total of 3,266 malignancies were added to the Registry database. Due to the increased number of cancer cases, the registry implemented the “Class of Case” field in 2006 to provide more filtered data to health professionals.
Of a total of 3,266 malignant cases, 2,880 (88%) were analytical cases, whereas 386 (12%) were non analytical cases. The top three malignancies in all age group and both sexes combined were breast cancer, NHL and liver cancer. In adult males, liver, NHL, and lip & oral cavity were the top malignancies whereas in adult females, breast, oral cavity, and NHL were the leading malignancies. In children, Hodgkin's disease, ALL, and NHL were common.
The Registry uses the American Joint Committee on Cancer (AJCC) staging manual for staging all available cancer sites. TNM categorizes cancers in stages 0, 1, 2, 3, 4, and also as unstageable. Amongst 2,880 malignant cases, 1% cases were staged into stage 0, 11% in stage I, 24% in stage II, 21% in stage III, and 19% in stage IV. In 11% of the patients, no AJCC stage was defined and 13% of the cases were unstageable.
The details of these reports can be viewed by using the following links:
Cancer Registry Report (Dec. 1994 – Dec. 2006) (PDF file)
Annual Cancer Registry Report (2006) (PDF file)
Archived Cancer Registry Reports:
(Adobe Acrobat Reader is required to view the reports.)
Suggested Citation - Cancer Registry and Clinical Data Management (CRCDM), Shaukat Khanum Memorial Cancer Hospital and Research Center (SKMCH & RC) - (www.shaukatkhanum.org.pk) Report based on cancer cases registered at SKMCH & RC from Dec. 1994-Dec. 2006 and in 2006. Released June, 2007.
| | |
|
