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Posted On : 4 Feb, 2017  Source : PTI  Place : New Delhi 
FMRI cancer registry finds highest cases from Hry, Delhi
Highest number of cancer cases in 2014 were reported from Haryana followed by Delhi at a leading hospital in Gurgaon which has set up a registry to study the prevalence and trends of the disease.

Fortis Memorial Research Institute (FMRI) instituted the registry in 2013, seeking to address challenges that exist in the availability of updated oncological data and figures for the public as well as key stakeholders.

"Out of 15,664 hospital visits of cancer entries reported in 2014 (at FMRI), about 2,157 (13.8 per cent) were new cancer cases with 1,191 (55.2 per cent) of these being males and women accounting for 966 (44.8 per cent) cases.

"The median age at diagnosis of cancer was 54 years in males and 52.4 years in females. The highest number of cancer cases recorded from Indian states were from Haryana at 39.6 per cent followed by Delhi at 27.3 and Uttar Pradesh at 12.7 per cent," hospital authorities said, quoting from the registry.

Cancer is a major cause of death in India. According to the Indian Council of Medical Research (ICMR), there will be 17.3 lakh new cases of cancer by the year 2020, with breast, cervix and lung cancers being the most prominent.

The ICMR has already instituted the National Cancer Registry Program (NCRP) to establish a demographic profile of cancer patients. FMRI recently released the data of their registry.

Besides, of all new cases at FMRI, tobacco-related cancers constituted 23.4 per cent of all cancers in males and 8.8 per cent of all cancers in females.

"In males, lung (31.2 pc) was the common site followed by urinary bladder (16.5 pc), mouth (16.5 pc), tongue (11.8) and larynx (10). In females, cancer of the lung (36.5 per cent) was leading, followed by oesophagus (18.8), urinary bladder (15.3), mouth (12.9) and tongue (10.6)," according to the registry.

Paediatric cancers account for 5.8 per cent of the total cancer cases reported at FMRI during this period. The total paediatric cancer load among boys and girls were 6.6 per cent and 4.9 per cent respectively.

World Cancer Day is being marked today across the globe to raise awareness and to encourage its prevention, detection and management.

"Non-communicable diseases account for 53 per cent of all deaths in India, out of which cancer accounts for 6 per cent.

The purpose of a cancer registry program is to collect data as per age, gender, geographical distributions, type of cancer, site of cancer, grading and staging of cancer (to evaluate degree of invasion and metastasis), management, morbidity and mortality.

"Such a database is critical for yearly mapping of prevalence, future planning of resources, assessment of preventive measures and charting important disease trends," Executive Director, FMRI, Vinod Raina said. 

The FMRI registry also analysed data about foreign patients.

"Of the 617 international patients who came for taking treatment most were from Iraq (65.2 per cent) followed by Nigeria (5.7), Afghanistan (4.4), Uzbekistan (4.4), Kenya (3.1), Congo (2.8), Russia (2.3), Kazakhstan (1.9), Nepal (1.8) and Yemen (1.8)," according to the registry.

The data is checked and validated using quality control programmes and tools followed by cancer registries of the International Agency for Research on Cancer (IARC), the hospital said.

Meanwhile, Gleneagles Global Hospitals today released a report that aims at highlighting the difficulties faced by cancer patients during their journey from diagnosis to treatment.

According to the survey, which spanned six cities-- Bangalore, Mumbai, Delhi, Chennai, Kolkata and Hyderabad. A comprehensive sample of 600 cancer patients and survivors were collected through in person interactions with cancer survivors between the ages of 20-55 years old.

"Respondents in the south India (97 pc) said their family physicians were effective in understanding the symptoms.

However, respondents in eastern regions (71 pc), western region (69) and northern region (47) opined that their family physicians could not gauge the signs of cancer to correctly route them to specialists," it said.

Vedant Kabra, Director of Surgical Oncology, FMRI, said, "We must work on preventable strategies along with the treatments. It is a misery to see youngsters impacted by tobacco use and families getting destroyed mentally, financially and socially due to cancers." 

"Hazards of tobacco are unlimited. There's no body part which is not affected by it. Smokeless tobacco contains nicotine, which is highly addictive. There are 3,095 chemical components in tobacco, among them 28 are proven carcinogen," he said.

As per the Global Adult Tobacco Survey (GATS) released by the Ministry of Health (2010), around 43 lakhs people above the age of 15 in Haryana (i.e. one in every four individual) are consuming tobacco in some or the other form. One-third of them will be affected by the serious illnesses such as cancer, heart diseases, lung cancers among others and will die premature deaths, the FMRI said.

"While the cancer causing effects of tobacco are well known, most are still unaware of harmful effects of alcohol, areca nut (supari) and obesity. The only way to discourage their usage is to strictly implement Cigarette and Tobacco Product (COTPA) act that aims to prohibit smoking in public places, prohibit sale to minors, stop direct and indirect advertising," says Pankaj Chaturvedi, Professor Surgical Oncology at Tata Memorial Hospital.