cancer registry pakistan 1994 2009

COLLECTIVE CANCER REGISTRY REPORT FROM DEC. 1994 UPTILL DEC. 2009

CANCER STATISTICS Distribution of neoplasms Of a total of 43,908 neoplasms, 21,549 were seen in males (49.08%) and 22,359 (50.92%) in females registered at the Shaukat Khanum Memorial Cancer Hospital and Research Center (SKMCH & RC) in a fifteen year period extending from December 29, 1994 till December 31, 2009. Thirty eight thousand nine hundred and twenty seven (38,927 (88.66%)) tumors were found in adults, whereas, 4,981 (11.34%) in children. Children were classified as patients 18 years or less in age and adults as patients more than 18 years of age. Table 1 shows the stratification of cases by behavior and age-groups whereas, Table 2 shows the counts of malignancies in males and females according to different age-groups.

Table 1. Distribution of neoplasms by behavior and age-groups Behavior

Age-groups

Registered patients (43,616)

Reported neoplasm* (43,908)

Malignant~

Adults Pediatrics Total

37,090 4,799

41,889

37,348 4,815

42,163 Benign^& Uncertain behavior

Adults Pediatrics Total

1562 165

1727

1579 166

1745

Table 2. Malignancies registered at SKMCH & RC from Dec. 1994 to Dec. 2009, stratified by sex and age-groups.

Figure 2: Distribution of malignancies by sex and age-groups.

1094

1446

1674

19811826

1698

1323

642

854

2061

2305

2573

2804

1195

729

1082

298

941

817

960978

170

3132

13221334

2062

399

2089

165

404500

340

618852

31976

0

500

1000

1500

2000

2500

3000

3500

0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+

Male Female

Data Source Cancer Registry & Clinical Data Management, SKMCH & RC

Age range

Male Female Total

0-4 729 399 1128 5-9 941 340 1281

10-14 817 404 1221 15-19 960 500 1460 20-24 978 618 1596 25-29 1082 854 2036

30-34 1094 1334 2428 35-39 1322 2061 3383 40-44 1446 2305 3751 45-49 1674 2573 4247 50-54 1981 2804 4785 55-59 1826 2089 3915 60-64 3132 2062 4194

65-69 1698 1195 2893

70-74 1323 852 2175

75-79 642 319 961

80-84 298 165 463 85+ 170 76 246

Total 21113 21050 42163

*The difference in the number of registered patients and reported neoplasms is attributed to multiple malignancies and benign neoplasms diagnosed in 274 and 18 patients respectively. Also 207 patients have both malignant and benign neoplasm simultaneously. ~Cases with behavior code /3 and /2 are considered as malignant cases. ^Cases with behavior code /0 and /1 are considered as benign and of uncertain behavior respectively.

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Demographics Of the 42,163 malignancies, nearly 78.28% (33,005) belonged to the province of Punjab and approximately 13.08% (5,517) to the North West Frontier Province (N.W.F.P)♣. The fact that the geographic area of residence of a vast majority of patients was Punjab can be explained in light of the information that the SKMCH & RC is situated in the provincial capital of Punjab and that, this province account for almost 60% of the total population of the country.

Table 3. Distribution of malignancies, according to their geographic areas

Demographic area Malignancies (N=42,163)

Percent (%)

Punjab 33,005 78.28 NWFP♣ 5,517 13.08 Balochistan 549 1.30 Sindh 1,438 3.41 Federal Capital 472 1.12 F.A.T.A & North. areas 399 0.95 Azad Jammu & Kashmir 429 1.02 Others countries Not defined

307 47

0.73 0.11

Figure 3. Distribution of malignancies by geographic area

429, 1%307, 1%

472, 1%399, 1%

47, 0%

33,005, 79%

1,438, 3%

549, 1%5,517, 13%

Punjab

NWFP

Balochistan

Sindh

Federal Capital

F.A.T.A & North. areas

Azad Jammu & Kashmir

Others countries

Not defined

Data Source: Cancer Registry & Clinical Data Management, SKMCH & RC

♣ NWFP renamed as Khyber Pakhtoonkhwa on April 01, 2010.

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Distribution of malignancies Tables 4-8 display lists of top 10 cancers registered at the Hospital during the fifteen year period under study. The results have been divided into those for males, females, adults, children, and all age-groups combined. The results for all age-groups and both sexes combined shows that breast cancer, leukemias, non-Hodgkin’s lymphoma, oral cavity cancers, and liver & intrahepatic bile ducts were the commonest malignancies seen at the Hospital (Table 4). Table 4. Top 10 malignancies seen amongst all age-groups and both sexes combined at SKMCH & RC, from Dec. 1994 to Dec. 2009. Sr. No. ICD Category Count Percentage ICD 9 CM Code

1 Breast 9,015 21.38 174,175, 233.0 2 Leukemias 2,950 7.00 204 - 208 3 Non-Hodgkin’s lymphoma 2,619 6.21 200, 202.0,1,8 4 Oral cavity 2,528 6.00 140 - 145 5 Liver and intrahepatic bile ducts 2,002 4.75 155 , 230.8 6 Colorectal 1,830 4.34 153 – 154, 230.3 -230.57 Hodgkin’s disease 1,636 3.88 201 8 Trachea, bronchus, lung 1,519 3.60 162 , 231.2 9 Ovary and uterine adnexa 1,218 2.89 183 10 Brain 1,168 2.77 191

Figure 4: Top 10 malignancies seen amongst all age-groups and both sexes combined at SKMCH & RC, from Dec. 1994 to Dec. 2009.

9015, 21.38%

2950, 7.00%

2619, 6.21%

2528, 6.00%

2002, 4.75%

1830, 4.34%

1636, 3.88%

1519, 3.60%

1218,2.89%

1168,2.77%

0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000

Brain

Ovary and uterine adnexa

Trachea, bronchus, lung

Hodgkin’s disease

Colorectal

Liver & intrahepatic bileducts

Oral cavity

Non-Hodgkin’s lymphoma

Leukemias

Breast

Data Source: Cancer Registry & Clinical Data Mangement, SKMCH & RC

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Amongst adults (> 18 years), the commonest malignancies were breast cancer, lip & oral cavity cancer

and non-Hodgkin’s lymphoma (Table 5). Table 5. Top 10 malignancies seen amongst adults (> 18 years) in both sexes combined, from Dec. 1994 to Dec. 2009

Sr. No. ICD Category Count Percentage ICD 9 CM Code 1 Breast 9,012 24.13 174,175, 233.0 2 Lip & oral cavity 2,489 6.66 140 -145 3 Non-Hodgkin's lymphoma 2,108 5.64 200, 202.0,1,8 4 Liver and intrahepatic bile ducts 1,969 5.27 155 , 230.8 5 Colorectal 1,774 4.75 153 – 154, 230.3 -230.56 Leukemias 1,529 4.09 204 - 208 7 Trachea, bronchus, and lung 1,518 4.06 162 - 231.2 8 Prostate 1,128 3.02 185, 233.4 9 Ovary and uterine adnexa 1,119 3.00 183 10 Urinary bladder 1,107 2.96 188, 233.7

Figure 5: Top 10 malignancies seen amongst adults (> 18 years) in both sexes combined, from Dec. 1994 to Dec. 2009.

1107, 2.96%

1119, 3.00%

1128, 3.02%

1518, 4.06%

1529, 4.09%

1774, 4.75%

1969, 5.27%

2108, 6.64%

9012, 24.13%

2489, 6.66%

0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000

Urinary bladder

Ovary & uterine adnexa

Prostate

Trachea, bronchus, and lung

Leukemias

Colorectal

Liver & intrahepatic bile ducts

Non-Hodgkin's lymphoma

Lip & oral cavity

Breast


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In children (<= 18 years), the most frequent cancers were acute lymphoblastic leukemias, Hodgkin’s

disease, and non-Hodgkin’s lymphoma (Table 6). Table 6. Top 10 malignancies seen in children (<= 18 years) in both sexes combined, from Dec. 1994 to Dec. 2009 Sr. No. ICD Category Count % Morphology Code♠

1 Acute lymphoblastic leukemia 1,138 23.63 M983 2 Hodgkin’s disease 738 15.33 M965-966 3 Non-Hodgkin's lymphoma 513 10.65 M959, M967-972 4 Osteosarcoma 313 6.50 M918 5 Glioma 251 5.21 M938-M948 6 Retinoblastoma 231 4.80 M951 7 Ewing’s sarcoma/PNET 219 4.55 M9260, M9364 8 Germ cell tumor 206 4.28 M906 - M909

9 Acute myeloid leukemia 186 3.86 M9840,9861, 9866-9874,9891-9920

10 Nephroblastoma 163 3.39 M8960

♠ Classification of childhood cancers is based on tumor morphology using the ICD-9-CM coding scheme for childhood cancers. Figure 6: Top 10 malignancies seen in children (<= 18 years) in both sexes combined, from Dec. 1994 to Dec. 2009

163, 3.39%

186, 3.86%

206, 4.28%

219, 4.55%

231, 4.80%

251, 5.21%

313, 6.50%

513 10.65%

1138, 23.63%

738, 15.33%

0 200 400 600 800 1000 1200

Nephroblastoma

Acute myeloid leukemia

Germ cell tumor

Ewing’s sarcoma/PNET

Retinoblastoma

Glioma

Osteosarcoma


Hodgkin’s disease

Acute lymphoblastic leukemia


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The most frequent cancers, amongst females were cancers of breast, ovary and uterine adnexa, lip & oral

cavity, and cervix uteri (Table 7), whereas, amongst males, lip & oral cavity, liver and intrahepatic bile ducts, non-Hodgkin’s lymphoma, cancers of trachea and bronchus and lungs (Table 8). Table 7. Top 10 malignancies seen in females (> 18 years), from Dec. 1994 to Dec. 2009.

Sr. No. ICD Category Count Percentage ICD 9 CM Code

1 Female breast 8,915 45.73 174, 233.0 2 Ovary and uterine adnexa 1,119 5.74 183 3 Lip & oral cavity 930 4.77 140 - 145 4 Cervix uteri 797 4.09 180, 233.1 5 Non-Hodgkin’s lymphoma 673 3.45 200, 202.0,1,8 6 Colorectal 640 3.28 153 – 154, 230.3 -230.5 7 Liver and intrahepatic bile duct 512 2.63 155, 230.8 8 Leukemias 512 2.63 204 - 208 9 Corpus Uteri & Uterus 525 2.69 179,181,182 10 Gallbladder and extrahepatic bile ducts 464 2.38 156

Figure 7: Top 10 malignancies seen in females (> 18 years), from Dec. 1994 to Dec. 2009.

1119, 5.74%

930, 4.77%

797, 4.09%

673, 3.45%

640, 3.28%

512, 2.63%

512, 2.63%

525, 2.69%

464, 2.38%

8915, 45.73%

0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000

Gallbladder & extrahepatic bile ducts

Liver & intrahepatic bile duct

Leukemias

Corpus Uteri & Uterus

Colorectal

Non-Hodgkin’s lymphoma

Cervix uteri

Lip & oral cavity

Ovary and uterine adnexa

Female breast


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Table 8. Top 10 malignancies seen in males (> 18 years), from Dec. 1994 to Dec. 2009

Sr. No. ICD Category Count Percentage ICD Code

1 Lip & oral cavity 1,559 8.73 140 - 145 2 Liver and intrahepatic bile ducts 1,455 8.15 155, 230.8 3 Non-Hodgkin's lymphoma 1,436 8.04 200 - 202.0,1,8 4 Trachea, bronchus, and lungs 1,266 7.09 162, 231.2 5 Colorectal 1,134 6.35 153 – 154, 230.3 -230.5 6 Prostate 1,128 6.32 185, 233.4, 233.4 7 Leukemias 1,017 5.70 204 - 208 8 Urinary bladder 945 5.29 188, 233.7 9 Hodgkin's disease 658 3.69 201 10 Brain 647 3.62 191

Figure 8: Top 10 malignancies seen in males (> 18 years), from Dec. 1994 to Dec. 2009

647, 3.62%

658, 3.69%

945, 5.29%

1017, 5.70%

1128, 6.32%

1134, 6.35%

1266, 7.09%

1436, 8.04%

1455, 8.15%

1559, 8.73%

0 200 400 600 800 1000 1200 1400 1600 1800

Brain

Hodgkin's disease

Urinary bladder

Leukemias

Prostate

Colorectal

Trachea, bronchus, and lungs


Liver & intrahepatic bile ducts

Lip & oral cavity


SUPPLEMENTAL INFORMATION

Table 9 the result stratified by primary sites, age-groups, and gender. According to this, cancers of the breast, leukemias, lymphoma, and oral cavity are the commonest site(s) for malignancies seen at the Hospital.

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Table 9. Distribution of Primary Malignant Sites, 1994 – 2009FEMALES

IC9CM Code Primary Site 0-4 5-9 10-14

15-19

20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-

79 80-84 85+ Total

140 Lip 1 1 1 1 5 3 7 5 5 29 141 Tongue 1 1 4 9 15 22 30 53 58 36 53 31 17 10 4 344 142 Salivary gland 4 8 10 10 14 11 8 13 14 5 8 4 4 113 143 Gum 1 1 2 3 6 8 22 14 24 14 14 12 9 4 2 136 144 Floor of mouth 1 2 3 4 2 2 2 1 1 1 19 145 Other parts of mouth 1 3 4 6 13 19 28 32 55 38 46 22 18 12 6 2 305 146 Oropharynx 4 5 1 5 7 2 2 1 27 147 Nasopharynx 1 1 7 9 11 10 9 9 7 7 7 5 1 3 4 91 148 Hypopharynx 3 6 8 11 29 19 19 26 15 21 8 8 3 1 1 178

149 Other & ill defined sites of lip, oral cavity & pharynx 1 1 1 1 4 1 9

150, 230.1 Esophagus 2 5 8 17 16 31 46 55 56 36 34 20 7 4 3 340 151, 230.2 Stomach 1 5 8 13 17 22 13 31 26 27 12 10 2 187 152 Small intestine 1 1 3 1 4 6 5 7 1 1 30 153, 230.3 Colon 1 3 15 17 21 22 24 17 48 32 29 12 15 5 4 1 266 154, 230.4-6 Rectum & Anal canal 1 2 9 29 45 35 27 28 41 52 39 31 20 15 11 2 3 390 155 Liver & intrahep. B.D 12 3 1 2 2 3 19 22 56 96 92 98 62 40 18 2 1 529 156 Gall Bladder 1 3 3 13 42 54 90 74 75 47 35 10 12 6 465 157 Pancreas 2 5 6 4 25 20 25 24 29 21 7 4 2 174 158 Retroperitoneum 2 1 2 1 1 2 4 3 3 3 3 1 2 28 159 Other ill-defined sites of

digestive organs 1 1

160 Nasal cavity, middle ear & acc. Sinuses 1 5 2 4 10 9 11 14 18 12 19 3 4 2 2 116

161, 231.0 Larynx 1 6 4 9 5 11 14 13 2 5 2 2 74 162, 231.1-2 Trachea, Bronchus & Lung 1 7 10 9 17 19 36 34 42 32 26 9 9 1 252 163 Pleura 1 1 2 1 1 1 1 8 164 Thymus, heart, mediastinum 3 3 1 1 2 2 3 2 1 1 1 20 170 Bone & articular cartilage 11 27 80 76 49 24 13 14 4 5 5 6 3 1 1 319 171 Connective & soft tissue 19 13 18 41 28 46 29 44 24 24 23 13 16 14 13 5 370 172 Melanoma of skin 2 5 1 3 5 1 7 4 6 7 5 1 4 1 52 173, 232 Other malignant neoplsm of skin 1 1 3 9 8 13 16 25 28 35 25 43 26 28 11 11 5 288

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FEMALES


15-19

20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-

79 80-84 85+ Total

174, 233.0 Female breast 1 4 88 363 685 1159 1371 1368 1343 891 801 398 279 94 45 30 8920 179 Uterus 2 1 3 4 6 8 9 11 7 18 11 5 2 1 88 180, 233.1 Cervix uteri 1 7 3 16 35 105 122 122 141 86 73 46 33 6 6 2 804 181 Placenta 3 12 11 8 9 3 1 47 182 Body of uterus 4 5 5 28 20 29 74 65 76 45 23 13 6 1 394 183 Ovary & Uterine adnexa 2 10 46 56 60 70 72 95 121 158 159 134 127 53 36 13 5 1 1218 184, 233.3 Other specified female genital

organ 3 2 1 3 6 9 11 9 18 15 18 18 14 11 3 2 143 188, 233.7 Urinary bladder 1 1 2 1 7 9 14 16 17 23 25 17 17 10 3 3 166

189 Kidney & other urinary organ 42 18 2 7 8 7 3 17 13 17 21 24 22 21 7 7 2 238 190, 234.0 Eye 86 18 3 2 4 2 1 3 5 3 2 4 1 1 1 136 191 Brain 14 27 20 24 25 20 22 33 23 31 27 19 23 12 8 2 3 333

192 Other parts of nervous system 1 4 4 1 1 1 2 1 1 1 1 18 193 Thyroid gland 2 3 21 45 47 57 36 30 36 24 25 28 17 16 3 4 1 395

194 Endocrine gland and related structure 10 3 3 2 3 2 2 1 2 1 2 1 32

195 Other and ill-defined sites 17 7 3 4 7 2 1 2 7 9 6 5 7 5 4 1 2 89 199 Unknown primary 2 2 2 4 6 8 19 37 35 68 85 69 71 53 37 17 6 4 525 201 Hodgkin's lymphoma 7 48 54 49 47 35 36 33 25 20 11 4 11 7 1 1 1 390 200, 202.0-1, 8 Non-Hodgkin's lymphoma 17 29 41 47 40 50 38 62 53 71 81 67 69 66 42 17 6 2 798 202.2-6,9, 238.4,6,7

Other lymphatic, histeocytic & hemato. Tissue 3 2 3 1 1 6 1 5 2 1 25

203 Multiple myeloma & immuno. neoplasms 1 1 1 4 3 13 24 20 17 11 9 1 105

204 Lymphoid Leukemia 131 98 58 39 22 13 14 8 5 7 9 9 12 7 6 1 439 205 Myeloid Leukemia 10 24 34 54 40 57 54 61 48 38 28 19 11 9 8 2 497 206-208 Other specified leukemia 1 1 1 1 1 1 1 2 9 *225, 227.3-4, 237.0-1, 239.6 Other reportable CNS neoplasms

3 3 5 8 10 5 12 9 9 3 4 3 2 2 2 1 81 Total 399 340 404 500 618 954 1334 2061 2305 2573 2804 2089 2062 1195 852 319 165 76 21050

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MALES


15-19

20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-

79 80-84 85+ Total

140 Lip 1 1 2 2 5 9 9 13 9 11 14 6 5 2 89 141 Tongue 2 1 6 9 10 31 67 55 64 80 68 68 50 32 16 7 4 570 142 Salivary gland 2 3 7 5 10 7 11 8 27 16 11 8 11 3 6 2 2 139 143 Gum 1 3 4 5 13 19 17 28 44 44 51 20 18 5 4 1 277 144 Floor of mouth 1 2 1 4 2 3 2 2 6 2 1 1 27 145 Other parts of mouth 2 1 4 14 22 42 61 77 76 58 50 30 21 18 2 2 480 146 Oropharynx 1 2 7 4 6 4 6 11 3 4 48 147 Nasopharynx 2 3 24 20 26 15 21 24 23 25 30 22 16 13 5 4 1 274 148 Hypopharynx 2 12 9 19 19 14 18 21 21 31 20 13 6 7 1 213

149 Other & ill defined sites of lip, oral cavity & pharynx 1 1 1 3 1 1 8

150, 230.1 Esophagus 1 5 9 11 15 40 39 54 55 44 55 37 40 13 7 4 429 151, 230.2 Stomach 1 2 9 24 16 26 42 46 65 60 62 30 28 15 9 3 438 152 Small intestine 1 1 1 2 1 4 8 5 3 4 6 8 3 2 2 51 153, 230.3 Colon 6 14 13 22 33 37 56 54 55 42 51 31 23 13 8 1 459 154, 230.4-6 Rectum & Anal canal 1 7 23 44 64 69 70 72 65 72 60 61 47 32 17 9 2 715 155 Liver & intrahep. B.D 10 3 2 4 7 7 24 47 75 147 232 238 263 200 131 54 24 5 1473 156 Gall Bladder 1 5 9 8 15 30 30 28 32 19 24 10 4 3 218 157 Pancreas 1 1 7 7 9 27 25 32 36 45 40 18 8 4 3 263 158 Retroperitoneum 6 3 1 1 5 7 6 5 2 7 2 4 5 3 1 2 60

159, Other ill-defined sites of digestive organs 1 1

160 Nasal cavity, middle ear and acc. Sinuses 1 1 3 5 7 13 12 9 16 19 31 10 19 10 12 2 1 2 173

161, 231.0 Larynx 1 4 5 15 33 41 53 76 90 88 82 63 32 15 9 607 162, 231.2 Bronchus & Lung 1 1 10 23 36 63 95 139 171 222 221 138 97 31 19 1267 163 Pleura 3 1 3 4 1 1 2 15 164 Thymus, heart, mediastinum 5 2 4 7 3 3 3 6 10 4 8 2 2 3 1 63 170 Bone & articular cartilage 3 37 121 208 114 56 27 24 10 10 9 8 6 4 3 1 1 642

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MALES


15-19

20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-

79 80-84 85+ Total

171 Connective & soft tissue 35 16 30 58 82 73 65 53 55 28 45 28 46 33 25 8 5 1 686 172 Melanoma of skin 3 1 2 6 3 9 8 6 11 9 7 8 4 2 1 80

173, 232 Other malignant neoplsm of skin 2 1 1 9 15 20 18 42 26 49 48 74 44 46 17 15 13 440 175 Male breast 1 1 2 3 8 14 11 18 12 8 9 5 1 1 94 176 Kaposi's Sarcoma 1 1 2 1 1 6 185, 233.4 Prostate 1 1 3 3 3 7 19 63 110 192 242 251 130 63 41 1129 186 Testis 27 4 3 38 102 137 92 70 47 27 17 7 3 3 577

187 Penis & Other male genital organs 1 1 1 1 3 2 2 1 4 2 1 19

188, 233.7 Urinary bladder 6 2 1 6 12 15 56 72 96 99 126 152 138 101 36 17 18 953 189 Kidney & other urinary organ 84 29 7 4 9 9 16 33 47 65 67 49 57 33 25 11 5 3 553 190, 234.0 Eye 121 25 5 4 1 1 6 4 6 4 5 3 7 4 4 3 3 1 207 191 Brain 26 73 60 36 54 66 80 87 65 80 71 44 41 29 13 8 2 835

192 Other parts of nervous system 6 1 2 5 8 8 2 3 2 3 1 3 44 193 Thyroid gland 1 4 8 21 29 16 20 19 26 22 16 18 13 10 2 1 1 227

194 Endocrine gland and related structure 12 7 5 2 4 1 3 2 5 1 2 1 45

195 Other and ill-defined sites 24 8 8 1 15 13 11 6 10 13 17 3 9 10 4 2 3 2 159 199 Unknown primary 1 3 2 4 18 22 28 35 54 68 86 78 82 67 63 31 12 8 662 201 Hodgkin's lymphoma 34 253 179 150 113 104 82 78 64 55 41 24 33 20 9 2 4 1 1246 200, 202.0-1, 8 Non-Hodgkin's lymphoma 64 134 97 109 111 114 124 154 131 148 151 123 143 81 78 33 17 10 1822 202.2-6,9, 238.4,6,7

Other lymphatic, histeocytic & hemato. Tissue 5 4 3 1 1 1 3 9 5 6 1 8 5 3 3 1 59

203 Multiple myeloma & immuno. neoplasms 1 1 5 10 18 23 25 33 25 23 7 5 3 2 181

204 Lymphoid Leukemia 239 278 168 146 58 38 25 17 24 21 39 28 25 20 18 7 8 1159 205 Myeloid Leukemia 14 39 57 70 88 113 103 89 73 58 45 25 18 17 22 6 2 839 206-208 Other Leukemia 2 1 1 1 1 1 7 225, 227.3-4, * 237.0-1, 239.6 Other reportable CNS neoplasms 3 6 7 5 7 7 7 12 11 8 3 2 3 3 1 85 Total 729 941 817 960 978 1082 1094 1322 1446 1674 1981 1826 2132 1698 1323 642 298 170 21113 ** Diseases are listed according the International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) codes. * Non-malignant primary intracranial and CNS tumors reported in 2004 and onward are also included in the Registry.

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cancer registry pakistan 1994 2009

Documents

agegroupsbehavior agegroups

years of age

different agegroups

skmch rc page

counts of malignancies

multiple malignancies

breast cancer

hospital table