Individual Registry Write-up: POPULATION BASED CANCER REGISTRY, MUMBAI Indian Cancer Society, Mumbai
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1 POPULATION BASED CANCER REGISTRY, MUMBAI Indian Cancer Society, Dr A.P. Kurkure, Principal Investigator Dr B.B. Yeole, Director and Co-Investigator The Cancer Registry was established in June 1963 as a unit of the Indian Cancer Society at, with the aim of obtaining reliable morbidity and mortality data on cancer from a precisely defined urban population (Greater ). The actual compilation of the data began in Until then, registration of cancer cases in a population had not been undertaken in India. Initially the registry functioned in collaboration with Biometry Branch of the National Cancer Institute of USA and also received financial support from the branch till From 1976 to 1980 financial support was received from the Departments of Science and Technology, Government of India and the Indian Cancer Society. Since , the registry became part of the National Cancer Registry Programme under the Indian Council of Medical Research. The registry covers the resident population of Greater, occupying an area of 603 square kilometres. At the 2001 census 11,914,398 persons were recorded (65,77,902 males and 53,36,496 females). Greater is the only district in India, having cent percent urban population. It is the industrial heart of India and has a multi-religious and multi-lingual population, representing every state in the Union, approximately 67.4% being Hindus, 18.6% Muslims, 3.7% Christians, 5.2% Neo-Buddhists, 3.6% Jains, 0.6% Parsis (Zoroastrians) and 0.5% Sikhs. Information is obtained on all cancer patients diagnosed in over 150 hospitals and nursing homes, which are under the care of specialists, i.e. surgeons, physicians, pathologists, radiologists and gynaecologists. The major source of the data is the Tata Memorial Centre, which is a Regional Cancer Centre and postgraduate teaching hospital. The city has seven medical colleges. The diagnosis and treatment of cancer is centralized in certain hospitals. Cancer surgery is undertaken in the bigger hospitals and well-equipped private nursing homes. Facilities for Cobalt-69 therapy are available in nine hospitals. Staff of registry, visit the wards of all collaborating hospitals, at least once a week, to interview each cancer patient as well as those suspected having cancer. All files maintained by various departments of these hospitals are also checked. Care is taken to prevent duplication of an entry relating to a patient already registered. Supplementary information is gleaned from the death records maintained by the Municipal Corporation. This makes it possible to check on missed cases. Every cancer death not traceable to an entry in the files is labelled as unmatched death and is so registered for the corresponding year. 203
2 The reliability of data and quality of registration has considerably improved. At present percentages of microscopically confirmed cases is 87.4% and the percentage of cases diagnosed through death certificates also is 5.6%. The ratio of mortality/incidence (M/I) is 49.3%. Registry collects information on multiple cancers as per the guidelines and definition provided by the International Association of Cancer Registries. Registry publishes yearly reports regularly. The registry has published more than 100 articles in indexed journals and 45 monographs on cancer incidence and mortality. The registry data is also used by public health workers for epidemiologic studies, by government for cancer control programme, by journalists for public education and by medical companies for promotion of their product. Registry records follow-up information for major primary sites for the registered, 1982 onwards. Staff of Cancer Registry Asst. Programmer : S.S. Koyande, M.Com Research Assistant : K.C. Jadhav, B.A. Medical Social Worker : M.J. Rawal, B.A. Statistical Assistant : N.G. Shastri, B.Sc. S.S. Hirve, B.A. Computer Assistant : V.R. Diwate, B.Com. G.S. Palav, M.A. Graduate Assistant : M.V. Khandekar, B.Sc. S.S. Wad, M.A. R.P. Vagal, B.A. P.M. Hate, M.S.W. A.V. Phadke, M.Sc. K.S. Rane, M.S.W. V.R. Thorat, B.Sc. A.S. Virkar Data Entry Operator : S.V. Parmar M.P. Pagare Attendant : R.V. Mhatre P.P. Bandekar, B.Com S.S. Ambekar 204
3 Figure MUM-1 Population Pyramid showing Age Distribution:
4 TABLE MUM-1 Population by Five Year Age Group and Gender: Number and Relative Proportion (%) Age Group Males Females Number % Number % Total
5 TABLE MUM-2 Main Sources of Registration of Incident Cases of Cancer: Name of the Institution Number % T.M.H Other Small Hospitals Nanavati BMC K.E.M Cama and Albless Private Doctor Bombay Hospital Jaslok Nair National Breach Candy L.T.M.G, Sion S.L. Raheja Shanti Avedna Ismail Gen. (Pak) Holy Family Bandra Lilavati J.J Bhatia Saifee H.N Others Total Institutions listed have registered at least one percent of all cases in the registry for the combined years The numbers and proportion listed are the minimum number of cases. Institutions could have registered/ reported more cases, since duplicate registrations and non-resident/registry cases are not included. 207
6 TABLE MUM-3(a): Number of Incident Cancers by Five Year Age Group and Site (ICD-10): Males %= Relative Proportion of Cancers of All Sites ICD-10 Site Unkn Total % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C60 Penis C61 Prostate C62 Testis C63 Other Male Genital C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U Other and Uns All Sites * O&U includes the Sites ( ICD-10: C26, C39, C48, C75, C76, C77, C78, C79, C80, C97) 208
7 TABLE MUM-3(b): Number of Incident Cancers by Five Year Age Group and Site (ICD-10): Females %= Relative Proportion of Cancers of All Sites ICD-10 Site Unkn Total % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C51 Vulva C52 Vagina C53 Cervix Uteri C54 Corpus Uteri C55 Uterus Unspecified C56 Ovary etc C57 Other Female Genital C58 Placenta C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U Other and Uns All Sites * O&U includes the Sites ( ICD-10: C26, C39, C48, C75, C76, C77, C78, C79, C80, C97) 209
8 TABLE MUM 4(a): Average Annual Age Specific, Crude (CR), Age Adjusted (AAR) (with Standard Error (SE)) and Truncated (35-64 yrs) (TR) Incidence Rate per 100,000 population: Males ICD >75 CR AAR SE TR C C01-C C03-C C07-C C C C C12-C C C C C C C19-C C C C23-C C C30-C C C33-C C37-C C40-C C C C C C47+C C C C C C C C C C C C C70-C C C C C82-85,C C C C C92-C C O&U All
9 TABLE MUM 4(b): Average Annual Age Specific, Crude (CR), Age Adjusted (AAR) (with Standard Error (SE)) and Truncated (35-64 yrs) (TR) Incidence Rate per 100,000 population: Females ICD >75 CR AAR SE TR C C01-C C03-C C07-C C C C C12-C C C C C C C19-C C C C23-C C C30-C C C33-C C37-C C40-C C C C C C47+C C C C C C C C C C C C C C C C C70-C C C C C82-85,C C C C C92-C C O&U All
10 TABLE MUM-5(a): Number (#) and Proportion (%) of Cancers by Site (ICD-10) and Method of Diagnosis: Males Clinical Microscopic X -Ray / Imaging DCO Others Unknown Total ICD-10 Site - # % # % # % # % # % # % # % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C60 Penis C61 Prostate C62 Testis C63 Other Male Genital C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U Other and Uns All Sites
11 ICD-10 TABLE MUM-5(b): Number (#) and Proportion (%) of Cancers by Site (ICD-10) and Method of Diagnosis : Females Site Clinical Microscopic X -Ray / Imaging DCO Others Unknown Total # % # % # % # % # % # % # % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C51 Vulva C52 Vagina C53 Cervix Uteri C54 Corpus Uteri C55 Uterus Unspecified C56 Ovary etc C57 Other Female Genital C58 Placenta C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U Other and Uns All Sites
12 TABLE MUM-6(a): Number (#) and Proportion (%) of Cancers by Site (ICD-10) and Detailed Microscopic Diagnosis: Males : ICD-10 Site Pri. Hist Sec. Hist Cytology Blood Film Bone Marrow Others Total # % # % # % # % # % # % # % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C60 Penis C61 Prostate C62 Testis C63 Other Male Genital C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U Other and Uns All Sites
13 TABLE MUM-6(b): Number (#) and Proportion (%) of Cancers by Site (ICD-9) and Detailed Microscopic Diagnosis, Females : Pri. Hist Sec. Hist Cytology Blood Film Bone Marrow Others Total ICD-10 Site - # % # % # % # % # % # % # % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C51 Vulva C52 Vagina C53 Cervix Uteri C54 Corpus Uteri C55 Uterus Unspecified C56 Ovary etc C57 Other Female Genital C58 Placenta C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U Other and Uns All Sites
14 TABLE MUM-7(a): Number of Cancer Deaths by Five Year Age Group and Site (ICD-10): Males %= Relative Proportion of Cancers of All Sites ICD-10 Site Unkn Total % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C60 Penis C61 Prostate C62 Testis C63 Other Male Genital C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns. Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U Other and Uns All Sites
15 TABLE MUM-7(b): Number of Cancer Deaths by Five Year Age Group and Site (ICD-10): Females %= Relative Proportion of Cancers of All Sites ICD-10 Site Unkn Total % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C51 Vulva C52 Vagina C53 Cervix Uteri C54 Corpus Uteri C55 Uterus Unspecified C56 Ovary etc C57 Other Female Genital C58 Placenta C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U Other and Uns All Sites
16 TABLE MUM-8(a): Average Annual Age Specific, Crude (CR), Age Adjusted (AAR) (with Standard Error (SE)) and Truncated (35-64 yrs) (TR) Mortality Rate per 100,000 population: Males ICD >75 CR AAR SE TR C C01-C C03-C C07-C C C C C12-C C C C C C C19-C C C C23-C C C30-C C C33-C C37-C C40-C C C C C C47+C C C C C C C C C C C C C70-C C C C C82-85,C C C C C92-C C O&U All
17 TABLE MUM-8(b): Average Annual Age Specific, Crude (CR), Age Adjusted (AAR) (with Standard Error (SE)) and Truncated (35-64 yrs) (TR) Mortality Rate per 100,000 population: Females ICD >75 CR AAR SE TR C C01-C C03-C C07-C C C C C12-C C C C C C C19-C C C C23-C C C30-C C C33-C C37-C C40-C C C C C C47+C C C C C C C C C C C C C C C C C70-C C C C C82-85,C C C C C92-C C O&U All
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