Dharmais National Cancer Center Indonesia, The role in National Cancer Control Program of Indonesia
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Transcript of Dharmais National Cancer Center Indonesia, The role in National Cancer Control Program of Indonesia
Dharmais National Cancer Center IndonesiaThe role in National Cancer Control Program of Indonesia.
Sutoto MD, MHAPresident Director of
Dharmais National Cancer Center Indonesia
Capital city of Indonesia : Jakarta
“Dharmais” National Cancer CenterIndonesia
THE TEN COMMONEST MALIGNANCY in "DHARMAIS" NATIONAL CANCER CENTER 1995 - 2004
0
50
100
150
200
250
300
350
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
YEARS
NUMB
ER
Cervical Cancer
Nodal Lymphoma
Breast Cancer
Skin Cancer
Colorectal Cancer
Ovarial Cancer
Nasopharynx
Leukemia
Bronchus and Lung
Soft Tissue Sarcoma
Bone Sar coma
Ca Corpus Uteri
Thyroid Gland
2.51 % Leukemia
2.62 % Ca. Corpus Uteri
2.62 % Ca. Thyroid Gland3.12% Nodule Lymphoma
3.79 % Ca. Pharynx
3.96 % Ca. Colorectal
4.46 % Ca. Bronchus and Lung
7.25 % Ca. Ovary
27.05 % Ca. Breast
27.55 % Ca. Cervix Uteri
2.40 %Ca. Oral Cavity
2.58 %Ca. Skin
2.84 %Ca. Prostate Gland
3.02 %Soft Tissue Sarcoma
4.97 %Ca. Hepar
5.42 %Leukemia
6.93 %Nodule Lymphoma
7.55 %Ca. Colorectal
16.43%Ca. Pharynx
22.56 %Ca. Bronchus and Lung
The Most Common Malignancy in Male and Female Dharmais National Cancer Hospital, Jakarta-Indonesia in 1997-1999
Sub Division Cancer RegistryResearch and Development DepartmentDharmais National Cancer Hospital, Jakarta, IndonesiaData unpublished
1.84 % Ca. Oral Cavity
2.07 % Ca. Thyroid Gland3.00 % Nodule Lymphoma
3.23 % Ca. Pharynx
4.38 % Ca. Colorectal
4.38 % Leukemia
8.53 % Ca. Bronchus and Lung
9.68 % Ca. Ovary
27.42 % Ca. Breast
18.20 % Ca. Cervix Uteri
2.04 %Ca. Oral Cavity
3.21 %Ca. Stomach
2.33 %Ca. Prostate Gland
3.79 %Ca. Pancreas7.87 %Ca. Hepar
6.41 %Leukemia
5.83 %Nodule Lymphoma
8.45 %Ca. Colorectal
11.66%Ca. Pharynx
29.74 %Ca. Bronchus and Lung
The Most Common Mortality in Male and FemaleDharmais National Cancer Hospital, Jakarta-Indonesia in 1997-1999
Sub Division Cancer Registry
Research and Development Department
Dharmais National Cancer Hospital, Jakarta, Indonesia
Data unpublished
Site Specific Cancer Registry (Breast Cancer)
in Dharmais NCC-Indonesia
Dharmais Hospital based Cancer Registry.Department of Research and Development
Breast Cancer by Age Group per yearin Dharmais NCC-Indonesia.
0
20
40
60
80
100
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 85-89 90-94
Age Group
Freq
uenc
y
2000 2001 2002 2003 2004 2005 2006 2007
Stage - No Stage in Breast Cancer Cases in 1993-1996
45.3%
54.7%
know nunknown
Stage of Ca.Mammae cases in Dharmais Hospital 1993-1996
2.5%
18.4%
32.0%
47.2%
0%
10%20%
30%40%
50%
stage 1 stage 2 stage 3 stage 4
Stage
%
Stage by Status 1993-1996
0.00%
23.08%
8.98%15.64%
59.04%67.52%
5.98%3.42%
15.05%
1.28%
0%10%20%30%40%50%60%70%80%
Stage 1 Stage 2 Stage 3 Stage 4 Unknown
Stage
%
Dead Alive
Mortality Rate of The 10 Commones t Malignancyin 1994-1998 in Dharm ais Cancer Centre
Jakarta, Indonesia
0.00% 20.00% 40.00% 60.00% 80.00% 100.00%
Bronchus and Lung
Hepar
Leukemia
Colon
Breast
Ovarium
Nasopharynx
Lymphoma
Rectum
Cervix
To
po
gra
ph
y
Percent
% Dead
% Alive
627
198
1 13
936
844 7
69 62 4 00
200
400
600
800
1000
BIRADS 1 627 936 69
BIRADS 2 198 84 62
BIRADS 3 0 3 1
BIRADS 4 1 4 4
BIRADS 5 7 33 1
0thers 13 7 0
US Mammo Mammo+US
Breast Cancer Early Detection in Dharmais Hospital 2001 -2005
Courtesy Kardinah, SpRad
Implementation Screening Mammography in Jakarta
‘Modified’ screening
• Primary health care awareness promotion: nurses / midwives
• Risk Factors • Familial cancer : pedigree• Education : CBE and BSE• Ultrasound Examination : cyst
or solid lesion• Mammography (mobile unit)• Referral system
• The goal : Early detection (tumor less than 3 cm/Stage II) • Identified High risk
population• Introducing Familial cancer• Promote Awareness• To build easy access to care
Courtesy Kardinah, SpRad
Result91.5
4.40.9
74.2
9.90.9
97.4
1.5 0
87.7
3.53.50
102030405060708090
100
YKPJ US EDU US YKPJ Mamo EDU Mamo
NormalCystMalignant
EDU : Early Detection Unit
YKPJ: Jakarta Breast Health Foundation
Value in percentage
KECAMATAN KOJA – JAKARTA UTARA
ProfilePopulation : 592.586 Male : 308.957 Female : 283.626 Primary Health Care : 6 Units Courtesy Kardinah, SpRad
Terima KasihTerima KasihThank YouThank You