Profil Kanker Timja Hati dan Saluran Cerna RS. Kanker ...
Transcript of Profil Kanker Timja Hati dan Saluran Cerna RS. Kanker ...
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)