Profil KankerTimja Hati dan Saluran Cerna

RS. Kanker “Dharmais’

Instalasi Pengendali Data Beban Kanker dan Jejaring Kanker Nasional2020

GLOBOCAN 2018

N = 1154 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70-

Laki-laki 0 0 0 0 0 9 23 27 27 91 111 106 132 130 219

Perempuan 0 0 0 0 4 4 5 12 8 30 22 30 35 33 96

Estimasi Kasus Kanker Esophagus (Globocan, 2018)

Jumlah KasusKode ICD-O-3 :

C15 = Esophagus

Age Specific Rate (ASR)

ASR 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70-

Laki-laki 0 0 0 0 0 0,08 0,22 0,27 0,29 1,1 1,5 1,8 2,9 4,4 6,1

Perempuan 0 0 0 0 0,04 0,04 0,05 0,12 0,09 0,35 0,3 0,49 0,76 1,1 2

N = 3014 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70-

Laki-laki 0 0 0 0 0 9 18 51 94 160 218 278 348 350 817

Perempuan 0 0 0 0 0 11 25 39 57 77 97 102 85 61 117

Estimasi Kasus Kanker Lambung (Globocan, 2018)

Kode ICD-O-3 :C16 = StomachJumlah Kasus

ASR 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70-

Laki-laki 0 0 0 0 0 0,08 0,17 0,5 1 1,8 3 4,6 7,6 11,8 22,6

Perempuan 0 0 0 0 0 0,1 0,24 0,38 0,61 0,9 1,3 1,7 1,8 2 2,4

Age Specific Rate (ASR)

Estimasi Kasus Kanker Kolorektal (Globocan, 2018)

Jumlah Kasus

N = 30017 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70-

Laki-laki 30 25 50 52 103 189 362 653 1030 1496 2167 2814 3124 2641 4377

Perempuan 24 52 73 72 71 145 246 426 633 891 1185 1388 1449 1256 2993

Kode ICD-O-3 Kolorektal :• C18 = Colon• C19 = Rectosigmoid• C20 = Rectum• C21 = Anus and Anal Canal

Age Specific Rate (ASR)

ASR 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70-

Laki-laki 0,24 0,2 0,41 0,44 0,91 1,7 3,4 6,4 10,9 17,3 29,3 46,9 67,9 88,8 121,1

Perempuan 0,2 0,44 0,63 0,64 0,66 1,4 2,4 4,2 6,8 10,4 15,9 22,5 31,5 40,8 61,4

Estimasi Kasus Kanker Hati (Globocan, 2018)

N = 18468 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70-

Laki-laki 52 34 2 32 46 38 158 379 665 1091 1632 2060 2285 2001 3763

Perempuan 50 19 16 12 36 26 35 72 147 248 341 442 555 586 1645

Kode ICD-O-3:C22 = LiverJumlah Kasus

ASR 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70-

Laki-laki 0,42 0,28 0,02 0,27 0,41 0,35 1,5 3,7 7 12,6 22,1 34,3 49,6 67,3 104,1

Perempuan 0,42 0,16 0,14 0,11 0,34 0,25 0,33 0,7 1,6 2,9 4,6 7,2 12,1 19 33,7

Age Specific Rate (ASR)

Estimasi Kasus Kanker Kantung Empedu (Globocan, 2018)

Jumlah Kasus

N = 1217 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70-

Laki-laki 0 0 0 4 0 9 5 13 21 40 64 89 117 93 109

Perempuan 0 0 4 6 4 4 14 0 24 20 35 41 56 95 350

Kode ICD-O-3:• C23 = Gallbladder• C24 = Other and

unspecified parts of biliary tract

Age Specific Rate (ASR)

ASR 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70-

Laki-laki 0 0 0 0,03 0 0,08 0,05 0,13 0,22 0,46 0,87 1,5 2,5 3,1 3

Perempuan 0 0 0,03 0,05 0,04 0,04 0,13 0 0,26 0,23 0,47 0,67 1,2 3,1 7,2

Estimasi Kasus Kanker Pankreas (Globocan, 2018)

Kode ICD-O-3:C25 = Pancreas

N = 4940 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70-

Laki-laki 0 0 0 0 0 9 5 47 109 222 341 438 448 382 963

Perempuan 0 0 0 0 11 19 7 49 82 122 163 198 252 272 801

Jumlah Kasus

ASR 0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70-

Laki-laki 0 0 0 0 0 0,08 0,05 0,46 1,2 2,6 4,6 7,3 9,7 12,9 26,6

Perempuan 0 0 0 0 0,1 0,18 0,07 0,48 0,88 1,4 2,2 3,2 5,5 8,8 16,4

Age Specific Rate (ASR)

HOSPITAL BASED CANCER REGISTRYRegistrasi Kanker Berbasis Rumah Sakit di RS Kanker Dharmais

Frekuensi (%) 10 Keganasan Terbanyak di RS Kanker DharmaisRegistrasi Kanker Berbasis Rumah Sakit 1993-2013

9,23

10,25

12,20

14,44

Kolorektum

Limfoma Non Hodgkin

Nasofaring

Paru

4,18

5,99

18,33

39,66

Limfoma Non

Kolorektum

Ovarium

Serviks Uteri

Payudara

6,05

6,90

11,96

26,11

Nasofaring

Paru

Serviks Uteri

Payudara

Laki-laki (N=15576) Perempuan (N=29646) Total (N=45422)

4th 4th

2,26

2,40

3,09

3,23

5,62

7,44

0,00 10,0020,0030,0040,0050,00

Tiroid

Buli-buli

Rongga Mulut

Prostat

Liver

Leukemia

2,30

2,67

2,78

2,89

3,36

3,63

0,0010,0020,0030,0040,0050,00

Korpus Uteri

Leukemia

Nasofaring

Paru

Tiroid

Limfoma Non Hodgkin

2,65

2,98

3,91

4,33

5,93

5,93

0,00 10,0020,0030,0040,0050,00

Liver

Tiroid

Ovarium

Leukemia

Limfoma Non Hodgkin

Kolorektum 5th

Frekuensi (%) 10 Keganasan Terbanyak di RS Kanker DharmaisRegistrasi Kanker Berbasis Rumah Sakit 2017 (Estimasi)

Laki-laki (N = 2108) Perempuan (N = 4033)

5,36

6,83

8,68

8,97

10,72

Leukemia Limfoid

Leukemia Myeloid

Limfoma Non Hodgkin

Nasofaring

Paru

3,10

4,41

5,21

11,78

42,95

Limfoma Non Hodgkin

Ovarium

Tiroid

Serviks Uteri

Payudara

3,03

3,84

3,89

4,03

4,27

5,36

0 10 20 30 40 50

Kolon

Prostat

Buli-buli

Liver

Rektum

Leukemia Limfoid

2,23

2,33

2,41

2,90

3,07

3,10

0 10 20 30 40 50

Korpus Uteri

Otak

Nasofaring

Paru

Leukemia Myeloid

Limfoma Non Hodgkin

Persentase Kasus Kanker Kolorektal Berdasarkan Umur dan Jenis KelaminRegistrasi Kanker Berbasis Rumah Sakit 2008-2013

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

SITE SPECIFIC CANCER REGISTRYRegistrasi Kanker Berbasis Organ Tertentu : Timja Hati dan Saluran Cerna

LIVER MALIGNANCY ICD-0-3 CODE = C220

PBCR 2008-2012

PERMINTAAN DATA OLEH : dr. Lianda Siregar, SpPD-KGEH10 APRIL 2018

PBCR 2008-2012(14 PROVINCE IN INDONESIA)

Liver Malignancy Incidence in Indonesia by Age Group and Sex (2008-2012)

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Liver Malignancy Incidence in Indonesia by Basic Diagnostic and Year (2008-2012)

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Liver Malignancy Incidence in Indonesia by Morphology (2008-2012)

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Hepatocellular Carcinoma (HCC)Morphology Code (ICD-0-3) = M8170/3Morphology Code (ICD-0-3) = M8170/3

HCC Incidence in Indonesiaby Age Group and Sex (2008-2012)

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

HCC Incidence in Indonesiaby Basic Diagnostic and Year (2008-2012)

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

HBCR 2012-2014(DHARMAIS CANCER HOSPITAL –(DHARMAIS CANCER HOSPITAL –

NATIONAL CANCER CENTER)

Distribution of Liver Malignancy in Dharmais NCC (2012-2014)

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Distribution of HCC by Sex and Agein Dharmais NCC (2012-2014)

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Distribution of HCC by Basic Diagnostic and Yearin Dharmais NCC (2012-2014)

*NOTES : 2014 has not verified with medical record yet

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Distribution of Infection Information in HCCin Dharmais NCC (2012-2013)

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Data Kanker Kolorektal

PERMINTAAN DATA OLEH : Dr. dr. Demak L. Tobing, SpPK(K)9 OKTOBER 2018

REGISTRASI KANKER BERBASIS POPULASI

2008-2012

PUSAT KANKER NASIONAL

INDONESIASource: Globocan 2018Globocan 2018

Distribusi kasus kanker kolorektal

Distribusi kasus kanker kolorektal berdasarkan jenis kelamin

Distribusi kasus kanker kolorektalpada laki-laki berdasarkan kelompok usia

Distribusi kasus kanker kolorektalpada perempuan berdasarkan kelompok usia

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Data Kanker Kolorektal

REGISTRASI KANKER

BERBASIS RUMAH SAKIT

2008-2013

Distribusi kasus kanker kolorektal berdasarkan jenis kelamin

Distribusi kasus kanker kolorektal Distribusi kasus kanker kolorektalDistribusi kasus kanker kolorektalpada laki-laki berdasarkan kelompok usia

Distribusi kasus kanker kolorektalpada perempuan berdasarkan kelompok usia

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Distribusi kasus kanker kolorektal berdasarkan stadium

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

PROFIL KASUS KANKER KOLOREKTAL DI RS. KANKER “DHARMAIS” BERDASARKAN

DATA REGISTRASI KANKER

PERMINTAAN PRESENTASI DATA OLEH : dr. MURURUL AISYI, SpA(K)19 JULI 2019

DATA REGISTRASI KANKER BERBASIS RUMAH SAKIT

(HOSPITAL BASED CANCER REGISTRY - HBCR)TAHUN 2008-2013

Top 10 Malignancy in “Dharmais” National Cancer HospitalHospital Based Cancer Registry 1993-2013

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Persentase Kasus Kanker Kolorektal berdasarkan Jenis Kelamin

Persentase Kasus Kanker Kolorektal berdasarkan Kelompok Umur

Jumlah Kasus Kanker Kolorektal berdasarkan Tahun Kejadian

Persentase Kasus Kanker Kolorektal berdasarkan Kelompok Umur

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Distribusi Kasus Kanker Kolorektal berdasarkan Diagnosis

Distribusi Kasus Kanker Kolorektal berdasarkan Lokasi Tumor (Topografi)

Distribusi Kasus Kanker Kolorektal berdasarkan Tipe Histologi (Morfologi)

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Persentase Kasus Kanker Kolorektal berdasarkan Stadium

Distribusi Kasus Kanker Kolorektal berdasarkan Lokasi Metastasis

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

DATA REGISTRASI KANKER BERBASIS RUMAH SAKIT

(HOSPITAL BASED CANCER REGISTRY - HBCR)(HOSPITAL BASED CANCER REGISTRY - HBCR)TAHUN 2014-2015

Top 10 Malignancy in “Dharmais” National Cancer HospitalHospital Based Cancer Registry 2014-2015 (Estimation)

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Persentase Kasus Kanker Kolorektal berdasarkan Jenis Kelamin

Persentase Kasus Kanker Kolorektal berdasarkan Kelompok UmurPersentase Kasus Kanker Kolorektal berdasarkan Kelompok Umur

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

NET(Neuroendocrine Tumor)

PERMINTAAN PRESENTASI DATA OLEH : dr. FAJAR FISRYADA, SpB-KBD4 OKTOBER 2019

Kode Morfologi =

M8240/3, M8246/3, M8249/3

Distribusi kasus NET berdasarkan jenis kelamin

Persentase Kasus NET dari data HBCR RS. Kanker Dharmais (2008-2013)

Distribusi kasus NET berdasarkan kelompok umur

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

*

Persentase Kasus NET dari data HBCR RS. Kanker Dharmais (2008-2013)

Total Kasus NET dari Saluran Cerna = 15 kasusKet : Saluran Cerna (stomach, small intestine, colon, rectum, liver, gallbladder, pancreas)

*Jumlah Kasus

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Persentase Kasus NET Saluran Cerna dari data HBCR RS. Kanker Dharmais (2008-2013)

Distribusi kasus NET Saluran Cerna berdasarkan jenis kelamin

Distribusi kasus NET Saluran Cerna berdasarkan kelompok umur

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Persentase Kasus NET dari data HBCR RS. Kanker Dharmais 2014-2018 (Estimasi)

Distribusi kasus NET berdasarkan jenis kelamin

Distribusi kasus NET berdasarkan kelompok umur

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Persentase Kasus NET dari data HBCR RS. Kanker Dharmais 2014-2018 (Estimasi)

Total Kasus NET dari Saluran Cerna = 10 kasusKet : Saluran Cerna (stomach, colon, rectum, liver)

*

*Jumlah Kasus

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Persentase Kasus NET Saluran Cerna dari data HBCR RS. Kanker Dharmais 2014-2018 (Estimasi)

Distribusi kasus NET Saluran Cerna berdasarkan jenis kelamin

Distribusi kasus NET Saluran Cerna berdasarkan kelompok umur

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Statistics Colorectal Cancer

PERMINTAAN DATA OLEH : Dr. dr. Demak L. Tobing, SpPK(K)5 AGUSTUS 2020

Statistics Colorectal Cancer

Istilah Statistik• Crude incidence rate = (number of incidence cases / total

population at risk) x 100.000

• Menggambarkan angka kejadian kanker di Indonesia

• Age standardized incidence rate (world) = (total age specific incidence rate x standard world population) / total standard world population

Menggambarkan angka kejadian kanker di Indonesia

Age standardized incidence rate (world) = (total age specific incidence rate x standard world population) / total standard world population

– Menggambarkan angka kejadian kanker di Indonesia saat ingin dibandingkan dengan angka kejadian kanker di wilayah lain

– Dapat dibandingkan karena telah sama-sama distandardisasi dengan standard populasi dunia

SOUTH EAST ASIASOUTH EAST ASIA

INDONESIA VS SINGAPOREINDONESIA VS SINGAPORE

16.2 38.9

8.4 34.0

I/M : 12.1/6.9 I/M : 36.8/17.3

INDONESIA VS MALAYSIAINDONESIA VS MALAYSIA

16.2 22.0

8.4 17.9

I/M : 12.1/6.9 I/M : 19.9/11.2

INDONESIA VS THAILANDINDONESIA VS THAILAND

16.2 17.6

8.4 13.9

I/M : 12.1/6.9 I/M : 15.5/8.4

INDONESIA VS BRUNEIINDONESIA VS BRUNEI

16.2 43.4

8.4 27.4

I/M : 12.1/6.9 I/M : 35.0/13.9

INDONESIAINDONESIA

JK Jumlah kasus Peringkat

Estimated number of incident cases2018

JUMLAH KASUS KEJADIAN

JK Jumlah kasus Peringkat

Laki-laki 19.113 2

Perempuan 10.904 4

Total 30.017 4

JK Jumlah kasus Peringkat

Estimated number of deaths2018

JUMLAH KASUS KEMATIAN

JK Jumlah kasus Peringkat

Laki-laki 10279 3

Perempuan 6107 5

Total 16386 5

JK Rates Peringkat

Estimated crude incidence rates2018

CRUDE INCIDENCE RATES

JK Rates Peringkat

Laki-laki 14.2 2

Perempuan 8.2 4

Total 11.3 4

JK Rates Peringkat

Estimated crude mortality rates2018

CRUDE MORTALITY RATES

JK Rates Peringkat

Laki-laki 7.7 3

Perempuan 4.6 5

Total 6.1 5

JK Rates Peringkat

Estimated age-standardized incidence rates2018

AGE-STANDARDIZED INCIDENCE RATES

JK Rates Peringkat

Laki-laki 16.2 2

Perempuan 8.4 4

Total 12.1 4

JK Rates Peringkat

Estimated age-standardized mortalityrates2018

AGE-STANDARDIZED MORTALITY RATES

JK Rates Peringkat

Laki-laki 9.3 3

Perempuan 4.8 5

Total 6.9 5

Keganasan Jenis Neuroendokrin pada Saluran Cerna

berdasarkan Data Registrasi KankerBerbasis Rumah Sakit

PERMINTAAN DATA OLEH : dr. Dian Cahyanti, SpPA26 AGUSTUS 2020

Berbasis Rumah Sakit RS. Kanker “Dharmais“

Neuroendokrin Saluran Cerna (C15-C26) HBCR (Hospital Based Cancer Registry) 1993-2013

Code (ICD-0) Topography

C15 Esophagus

C16 Stomach

C17 Small intestine

C18 Colon

C19 Rectosigmoid

C20 Rectum

C21 Anus and Anal Canal

C22 Liver and Intrahepatic Bile DuctsC22 Liver and Intrahepatic Bile Ducts

C23 Gallbladder

C24 Other and Unspecified Parts of Billiary Tract

C25 Pancreas

C26 Other and Ill-Defined Digestive Organs

Code (ICD-0) Morphology

8013/3 Large cell neuroendocrine carcinoma

8041/3 Small cell neuroendocrine carcinoma

8150/3 Pancreatic neuroendocrine tumor

8240/3 Neuroendocrine tumor, NOS

8246/3 Neuroendocrine carcinoma, NOSCourtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Distribusi berdasarkan Jenis Kelamin

Neuroendokrin Saluran Cerna (C15-C26) HBCR (Hospital Based Cancer Registry) 1993-2013

Distribusi berdasarkan Umur

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)

Tren Keganasan per Tahun

Neuroendokrin Saluran Cerna (C15-C26) HBCR (Hospital Based Cancer Registry) 1993-2013

Courtesy : National Cancer Burden Data and Cancer Networks Departmentof “Dharmais” Cancer Hospital, NCC (unpublished)