Kingdom of Saudi Arabia Ministry of Health Saudi Cancer Registry Saudi Arabia 2009 Cancer Incidence Report Saudi Arabia 2009 December 2012 ISSN: 1658-0559 Cancer Incidence Report www.scr.org.sa Kingdom of Saudi Arabia Ministry of Health Saudi Cancer Registry Cancer Incidence Report Saudi Arabia 2009 P01a.indd 1 16/01/2013 12:45:31 PM Report prepared by: Haya S. Al-Eid, BDS, DFE, CTR Angelica D. Garcia, Secretary Reviewed by: Shouki Bazarbashi, MD Ali Al-Zahrani, MD, PhD P01a.indd 2 16/01/2013 12:45:31 PM Foreword Acknowledgment The 2009 cancer incidence report represents the The Saudi Cancer Registry is a program funded by twelfth publication for the cancer registry since The Ministry of Health and its main office located at its establishment in 1992. As stated earlier, our King Faisal Specialist Hospital and Research Center. Mission is to provide comprehensive cancer data This publication is a part of our efforts to make about incidence of cancer in the Kingdom of Saudi cancer data available to oncologists, researchers, Arabia. Our data undergo extensive quality control strategic health planners, community care providers, performed continuously, which includes IARC edit and administrators. checks through our CanReg-4 program and through visual review of abstracted cases. The production of this report reflects the efforts of our valuable cancer registrars, main office staff This report shows an increase in cancer incidence and members of the board of directors. Special rate and number of cases. This increase is likely warm thanks to our registrar who maintain patients’ a combination of better case ascertainment and confidentiality and travel to every part of the true increase in cancer incidence. Regardless of kingdom to collect the cancer cases from different the possible cause, we believe quality control is an and numerous health facilities. important issue in our data. For this we are planning an external review of our data and procedures in Special thanks to the support provided by the the coming few weeks. This should strengthen our Ministry of Health represented by his Excellency the results and create a solid ground for research on Minister of Health Dr. Abdullah Al Rabeeah and the the difference of cancer incidence between Saudi deputy Minister of Health Dr. Mansour Al Hawasi. Arabia and neighboring countries. The Oncology center at King Faisal Specialist Unfortunately, we continue to have difficulty with Hospital and Research Center will be moving in some institution allowing our registrars to collect 2014 to the new King Abdullah Center for Cancer the data. For this we are using all channels possible and Liver Diseases (KACCLD). The hospital to solve these issues and do hope it will not affect leadership represented by his Excellency Dr. Qasem our results in the future. Al Qasabi, has been of our major support in the past and we do hope that this support will continue with We have finished a 10 year color coding of our the move to the new KACCLD. reports, so that each year is represented in different color. Starting 2010, we will repeat the colors for Many pharmaceutical companies spare no effort to each year for easy identification. Also we are re- support us and we feel in debt to them for their doing our website to a much user friendly site and generous support. hope to be able to attract more researchers to look into our data for better scientific results. In this report, we have maintained the same standard format as in the previous reports especially the section of the collective data variables since the start of the Saudi Cancer Registry in January 1994 beside the Arabic summary of cancer statistics. Shouki Bazarbashi, MD Chairman 3 P01a.indd 3 16/01/2013 12:45:31 PM P01a.indd 4 16/01/2013 12:45:31 PM Introduction This is the thirteenth incidence report published Part IV Cancer Incidence among Non-Saudis by the Saudi Cancer Registry. Previous publications include the Incidence Report for the years 1994- 1996, 1997-1998, 1999-2000 and yearly till 2008. This part presents the incidence of cancer cases among Non-Saudis including the most common types of cancer. The analysis of the Non-Saudis is The structure of this report can be outlined as performed separately due to the nature of the follows: expatriate population in Saudi Arabia. Particularly, a large part of the male and female population falls in the 25- 49 age group. Part I Materials and Methods This part of the report contains information about Part V Incidence Tables the background of the Saudi Cancer Registry and methods used in collecting and analyzing the data. We present the basics of coding and classification Part V contains the following detailed tables for all of tumor topography, morphology and extent of newly diagnosed cancer types among Saudis and disease at the time of diagnosis. Also we describe Non-Saudis for 2009: the software programs we have used to analyze the data. • Distribution of cancer cases among Saudis by Part II Overview of Cancer Incidence age group and sex Part II contains figures and tables that show overall • Distribution of cancer cases among Non- cancer incidence in Saudi Arabia for the year 2009. Saudis by age group and sex We present these figures and tables mainly by sex and in certain areas we have it analyzed by different • Cancer Incidence (per 100,000 population) age groups. There are bar charts representing the among Saudis by age group and sex age distribution of cancer incidence for the year 2009 among Saudis by sex and age groups. We • Cancer Incidence (per 100,000 population) present incidence and morphology tables for the among Non-Saudis by age group and sex most common types of cancers among adults and children. In addition, tables list the total number of • Age-standardized incidence rate and relative cases, the Age-Standardized Incidence Rate (ASR) frequencies among Saudis by cancer site, sex per 100,000 population, Crude Incidence Rate and administrative regions (CIR) and Cumulative rates by primary site and sex. Separate bar charts depict the most common types of cancer, by sex, in each of the 13 administrative Part VI Appendices regions of Saudi Arabia. Part III Incidence of Selected-Sites Appendix A: Regional listing of all health care facilities from which cancer cases have been In this part the incidence of the most common reported. The objective is to receive feedback from cancers among Saudi males and females are outlined. facilities that have not been included in order to A standardized layout presents data for all patients improve our case-finding and reporting processes. and for both sexes where applicable. For each selected site the number and the percentage of all Appendix B: Names of the members of the Board newly diagnosed cases for the year 2009, the ASR, of Directors. morphological differentiation and staging for each sex and the specific cancer rank for both sexes is Appendix C: Cancer Registration Abstract Form. presented. In addition, ASR for the specified cancer among Saudis is compared with ASR among other Appendix D: Arabic Summary of Cancer Statistics populations from selected countries. in Saudi Arabia for the year 2009. 5 P01a.indd 5 16/01/2013 12:45:31 PM Table of Contents Foreword ............................................................................................................................................................................... 3 Acknowledgement ............................................................................................................................................................... 3 Introduction .......................................................................................................................................................................... 5 PART I ................................................................................................................................................. 9 Background on Saudi Arabia .........................................................................................................................................10 Saudi Cancer Registry ....................................................................................................................................................10 Definitions of Statistical Terms ....................................................................................................................................13 PART II ...................................................................................................................15 Cancer in Saudi Arabia 2009 ........................................................................................................................................16 Adult Cancers in Saudi Arabia, 2009 (above 14 years) ..........................................................................................21 Childhood Cancers in Saudi Arabia 2009 (14 years and below) ..........................................................................24 Cancer in the 13 Administrative Regions of the Kingdom ....................................................................................27 International Comparison of Age-Standardized Incidence Rates ........................................................................32 PART III .................................................................................................................33 Cancer Incidence for Most Common Sites, 2009 ....................................................................................................34 Female