Takiar Ramnath, Srivastav Atul
National Cancer Registry Programme, Indian Council of Medical Researc, Bangalore, India.
Asian Pac J Cancer Prev. 2008 Oct-Dec;9(4):777-80.
The Indian Council of Medical Research (ICMR) started a National Cancer Registry Programme (NCRP) in the year 1982 with the main objective of generating reliable data on the magnitude and pattern of cancer in India. There are about 20 Population Based Cancer Registries (PBCR) which are currently functioning under the network of NCRP. The present paper aims to provide the time trends in the incidence of breast and cervix cancer among females of India. The incidence data collected by Bangalore, Barshi, Bhopal, Chennai, Delhi and Mumbai over the period 1990 to 2003 formed the sources of data. In the year 1990, cervix was the leading site of cancer followed by breast cancer in the registries of Bangalore (23.0% vs 15.9%), Bhopal (23.2% vs 21.4%), Chennai (28.9% vs 17.7%) and Delhi (21.6% vs 20.3%), while in Mumbai breast was the leading site of cancer (24.1% vs 16.0%). By the years 2000-3, the scenario had changed and breast had overtaken as the leading site of cancer in all the registries except in Barshi (16.9% vs 36.8%). The time trend analysis for these sites suggested a significant decreasing trend in the case of cervix in Bangalore and Delhi registries, while the registries of Bhopal, Chennai and Mumbai did not show any significant changes. However, in the case of breast cancer, a significant increasing trend was observed in Bhopal, Chennai and Delhi registries with Bangalore and Mumbai registries demonstrating no such significant changes. Histopathologic confirmation for both malignancies was found to be more than 80% in these registries. It is concluded that in India the cervix cancer rates are decreasing while breast cancer is on the increase.
印度医学研究理事会（ICMR）于1982年启动了国家癌症登记计划（NCRP），其主要目标是收集有关印度癌症发病率和模式的可靠数据。目前约有20个基于人群的癌症登记处（PBCR）在NCRP网络下运作。本文旨在呈现印度女性乳腺癌和宫颈癌发病率的时间趋势。1990年至2003年期间由班加罗尔、巴尔希、博帕尔、金奈、德里和孟买收集的发病率数据构成了数据来源。1990年，在班加罗尔（23.0%对15.9%）、博帕尔（23.2%对21.4%）、金奈（28.9%对17.7%）和德里（21.6%对20.3%）的登记处中，宫颈癌是主要癌症部位，其次是乳腺癌，而在孟买，乳腺癌是主要癌症部位（24.1%对16.0%）。到2000 - 2003年，情况发生了变化，除了巴尔希（16.9%对36.8%）外，乳腺癌在所有登记处都已超过宫颈癌成为主要癌症部位。对这些部位的时间趋势分析表明，班加罗尔和德里登记处的宫颈癌病例呈显著下降趋势，而博帕尔、金奈和孟买登记处未显示出任何显著变化。然而，在乳腺癌方面，博帕尔、金奈和德里登记处观察到显著上升趋势，而班加罗尔和孟买登记处未显示出此类显著变化。在这些登记处中，两种恶性肿瘤的组织病理学确诊率均超过80%。结论是，在印度，宫颈癌发病率在下降，而乳腺癌发病率在上升。
