Individual Registry Write-up: 2007-2008 Cachar District POPULATION BASED CANCER REGISTRY, CACHAR DISTRICT Silchar Medical College, Silchar Dr Sekhar Chakravarty Principal Investigator, Vice Principal, Silchar Medical College, Silchar, Assam Dr Debashis Datta Co-Investigator, Associate Professor, Department of Pathology, Silchar Medical College, Silchar, Assam The Population Based Cancer Registry (PBCR), Cachar District, is one of the six Cancer Registries in the North East India, functioning under National Cancer Registry Programme (NCRP), Indian Council of Medical Research (ICMR), since March 2007. The registry is located in the department of Pathology, Silchar Medical College, Silchar, Assam. This registry was initially started in the year 2003 in a miniature form only to cater about 1.5 Lakhs population of Silchar Town, the Headquarter of Cachar District of Assam. In course of time, it was realized that the registry should be expanded to cover the Cachar District in order to gather more meaningful data. So, in January 2007, ICMR decided to upgrade this registry to the “Population Based Cancer Registry – Cachar District” by providing additional manpower and fund. The district of Cachar is situated in the southern most part of Assam. It is surrounded by the neighbouring states of Manipur, Tripura and Mizoram on its three sides. It has an area of 3786 sq. km and a population of 14,42,141 as per 2001 census. The male and female population is 7,41,580 and 7,00,561 respectively. The population density is 321 per sq. km and the rural population comprises the most (89%). There are two subdivisions namely, Silchar Sadar and Lakhipur, two towns – Silchar & Lakhipur and 895 villages. Silchar town is the HQ of Cachar District. The overall literacy rate of the district is 68.42%. The registration of cases is done by attending different well defined sources through direct interview of the patients or his/her attendant/relative and from available records. Mortality data is collected from the mortality register of Silchar Medical College, Silchar and other hospitals, Silchar Municipal Board and Office of the District Registrar, Birth and Death. Data collected in core proforma is submitted to the Coordinating centre online. In the month of September, 2010 PBCR data management 2.1 software has been successfully installed in the registry. 222 Individual Registry Write-up: 2007-2008 Cachar District Registry Staff (PBCR), Cachar Dr Raja Prasanta Banik : MRO Mrs Madhuchhanda Goswami : Statistician Mr Sumit Paul : Programmer Mr Biswajyoti Choudhury : Social Investigator Ms Rini Bhattacharya : Social Investigator Ms Sraboni Mitra : Social Investigator Mr Bidhan Kumar Sarkar : Data Entry Operator 223 Individual Registry Write-up: 2007-2008 Cachar District Figure CHR-1 Population Pyramid showing Age Distribution: 2007-2008 Cachar District 75+ 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 224 Individual Registry Write-up: 2007-2008 Cachar District TABLE CHR-1 Population by Five Year Age Group and Gender: 2007-2008 Number and Relative Proportion (%) Cachar District Males Females Age Group Number % Number % 0-4 159587 9.6 151806 9.6 5-9 203158 12.2 192621 12.1 10-14 210967 12.7 197642 12.4 15-19 174488 10.5 162426 10.2 20-24 140275 8.4 135845 8.6 25-29 126982 7.6 137604 8.7 30-34 119124 7.2 118198 7.4 35-39 128391 7.7 121760 7.7 40-44 97853 5.9 83752 5.3 45-49 84489 5.1 76809 4.8 50-54 63775 3.8 50891 3.2 55-59 44597 2.7 42726 2.7 60-64 38080 2.3 39428 2.5 65-69 28204 1.7 29799 1.9 70-74 23661 1.4 22797 1.4 75+ 21366 1.3 23577 1.5 Total 1664997 100.0 1587681 100.0 225 Individual Registry Write-up: 2007-2008 Cachar District TABLE CHR-2 Main Sources of Registration of Incident Cases of Cancer: 2007-2008 Cachar District Name of the Institution Number % Cachar Cancer Hospital, Silchar 884 34.8 The Dept. of Pathology, SMCH 598 23.6 Central Laboratory, Silchar 182 7.2 The Dept. of Radiotherapy, SMCH 135 5.3 Micro-Diagnostic Laboratory, Silchar 110 4.3 Private Practitioners 73 2.9 Silchar Polyclinic Laboratory, Silchar 43 1.7 Udharbond PHC 38 1.5 Office of the Joint Director of Health Services 36 1.4 Shiv Sundari Nari Shikshasram and Anti-Natal Clinic, Silchar 34 1.3 Dr. B. Borooah Cancer Institute, Guwahati 33 1.3 Dr. Lal’s Path Laboratory, Silchar 30 1.2 S.S. Seva Pratisthan, Srikona 29 1.1 The Dept. of E.N.T., SMCH 22 0.9 Ultr Path Laboratory, Silchar 16 0.6 Unknown 216 8.5 Others 60 2.4 Total 2539 100.0 1. Institutions listed have registered at least one percent of all cases in the registry for the combined years 2007-2008. 2. 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. 226 Individual Registry Write-up: 2007-2008 Cachar District TABLE CHR-3(a): Number of Incident Cancers by Five Year Age Group and Site (ICD-10): 2007-2008 – Males %= Relative Proportion of Cancers of All Sites Cachar District ICD-10 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+ Unkn Total % C00 Lip - - - - - 1 - 1 - 2 1 3 - - - - - 8 0.50 C01-C02 Tongue - - - 1 - - 3 4 8 11 11 16 9 17 5 9 - 94 5.93 C03-C06 Mouth - 1 - - - 1 1 5 10 11 4 7 10 7 2 5 - 64 4.04 C07-C08 Salivary Gland - - - - - 1 - 1 - 3 1 - 3 1 1 1 - 12 0.76 C09 Tonsil - - - - 1 - 1 2 3 5 9 11 7 11 3 11 - 64 4.04 C10 Oth. Oropharynx - - - - 1 - 1 - 1 3 2 3 3 1 4 2 - 21 1.32 C11 Nasopharynx - - 1 - - - - - - - - 1 1 - 1 - - 4 0.25 C12-C13 Hypopharynx - - - - - - 2 9 8 20 10 16 30 13 12 11 - 131 8.26 C14 Pharynx Unspecified - - - - - - - - - 4 2 2 8 2 1 1 - 20 1.26 C15 Oesophagus - - - - - 1 1 5 7 15 37 38 36 30 13 9 - 192 12.11 C16 Stomach - - - - - - - 5 5 7 4 14 16 13 3 5 - 72 4.54 C17 Small Intestine - - - - - - - - - - 2 - 1 - 1 - - 4 0.25 C18 Colon - - - - - - 1 2 2 3 - 2 1 5 1 1 - 18 1.13 C19-C20 Rectum - - - 1 2 3 2 5 - 3 1 2 1 3 - 1 1 25 1.58 C21 Anus & Anal Canal - - - - 1 1 - - - - 1 - 2 1 - - - 6 0.38 C22 Liver - - - - 1 1 - 2 2 2 5 3 3 4 6 4 - 33 2.08 C23-C24 Gallbladder etc. - - - - - - 1 5 6 9 4 7 7 1 4 - - 44 2.77 C25 Pancreas - - - - - - - - - 1 - 2 - - 1 1 - 5 0.32 C30-C31 Nose, Sinuses etc. - - - - - - - - - - - - 1 1 - - - 2 0.13 C32 Larynx - - - - - - 4 4 15 12 21 20 18 26 22 19 - 161 10.15 C33-C34 Lung etc. - - - - - - - 2 2 11 9 24 19 16 17 4 - 104 6.56 C37-C38 Other Thoracic Organs - - - - - - - - - 1 - - - - - - - 1 0.06 C40-C41 Bone - - 1 6 - 1 - - 1 4 3 1 3 - - - - 20 1.26 C43 Melanoma of Skin - - - - - - - - - - - - - - - - - - - C44 Other Skin - - - - - - 1 - 1 1 - 2 - 4 - - - 9 0.57 C45 Mesothelioma - - - - - - - - - - - - - - - - - - - C46 Kaposi Sarcoma - - - - - - - - - - - - - - - - - - - C47+C49 Conn. & Soft Tissue - - 1 - - - - 1 1 - 1 - 1 - - - - 5 0.32 C50 Breast - - - - - - - 2 - 1 2 3 2 2 1 2 - 15 0.95 C60 Penis - - - - - - - - - 2 3 - 3 2 - - - 10 0.63 C61 Prostate - - - - - - - - - - 1 1 5 1 4 5 - 17 1.07 C62 Testis - - - - - - - 4 2 1 3 - - - - - - 10 0.63 C63 Other Male Genital - - - - - - - - - - - - - - - - - - - C64 Kidney etc. 3 - - 1 - - - - 2 - 3 1 - 1 - - - 11 0.69 C65 Renal Pelvis - - - - - - - - - - - - - - - - - - - C66 Ureter - - - - - - - - - - - 1 - - - - - 1 0.06 C67 Bladder - - - - 1 - - 1 3 - 1 5 4 2 2 3 - 22 1.39 C68 Uns.Urinary Organs - - - - - - - - 1 - - 1 1 1 - - - 4 0.25 C69 Eye 1 - - - - - - - - - - - - - - - - 1 0.06 C70-C72 Brain, Nervous System 1 - - - 1 - - - - 1 - - - - - 1 - 4 0.25 C73 Thyroid - - - - 1 - - - 1 - - - - 1 - - - 3 0.19 C74 Adrenal Gland - - - - - - - - - - - - - - - - - - - C81 Hodgkins Disease - - - - 1 - - - - 1 - - - - - 1 - 3 0.19 C82-85,C96 NHL - 1 - - - 3 1 1 1 2 3 2 - 5 2 - - 21 1.32 C88 Malig Imn.Prol D - - - - - - - - - - - - - - - - - - - C90 Multiple Myeloma - - - - - - - 1 1 4 2 1 2 - - 1 - 12 0.76 C91 Lymphoid Leuk. - 2 - - 1 - - - 3 - - - 1 - - - - 7 0.44 C92-C94 Myeloid Leukaemia 2 - 2 1 1 5 - 1 2 2 2 - 3 2 - 2 - 25 1.58 C95 Leukaemia Uns - - - - - - - - - - - - - - - - - - - O&U * Other and Uns 1 - 3 - 2 2 19 19 24 27 48 43 37 35 29 12 - 301 18.98 All Sites 8 4 8 10 14 20 38 82 112 169 196 232 238 208 135 111 1 1586 100.0 * O&U includes the Sites ( ICD-10: C26, C39, C48, C75, C76, C77, C78, C79, C80, C97) 227 Individual Registry Write-up: 2007-2008 Cachar District TABLE CHR-3(b): Number of Incident Cancers by Five Year Age Group and Site (ICD-10): 2007-2008 – Females %= Relative Proportion of Cancers of All Sites Cachar District ICD-10 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+ Unkn Total % C00 Lip - - - 1 - - - - - - 1 - - 1 - - - 3 0.31 C01-C02 Tongue - - - - - 1 - 1 1 4 3 3 2 4 4 1 - 24 2.52 C03-C06 Mouth - - - - 1 3 3 1 3 7 1 3 10 4 1 3 - 40 4.20 C07-C08 Salivary Gland - - 1 - - - - - - 1 2 1 - 1 - - - 6 0.63 C09 Tonsil - - - - - - - - 4 2 1 1 1 2 - - - 11 1.15 C10 Oth.