Habib Omran S, Al-Diab Jasim M A, Mohsin Anmar A, Al-Elwe Wasan M J, Hasan Jenan G, Al-Haroon Susan S, Al-Emara Kareem A
Department of Community Medicine, College of Medicine, University of Basrah, Basrah, Iraq.
Asian Pac J Cancer Prev. 2010;11(4):1151-4.
This paper describes recent population-based cancer registration In Basrah-Southern Iraq and presents a profile on the outcome over a period of four years (2005-2008).
During these four years, extensive work was done to create a culture of a scientific approach to cancer, to enhance adequate cancer registration and subsequently to quantify the risk and enhance actions for its control within a national strategy.
Since 2005 cancer cases which are diagnosed and/ or treated at any of the major hospitals and governmental diagnostic facilities in Basrah are reported to the Cancer Control Centre (the main registration office). Additional cases are also notified from the Cancer Registration Section at the Department of Pathology and Forensic Medicine, College of Medicine, University of Basrah (which compiles histopathologically ascertained cases) and from haematological laboratories. To back up these sources, all accessible records for the period in question at the level of Basrah governorate (hospitals, registries, laboratories, specialized oncology centres and early detection centres) were checked for verification of all newly diagnosed cancer cases. For this purpose, individual records of every diagnosed case were examined and every case of cancer was identified and added to the pool of cases. Data on all reported cases were re-fed on an excel programme and carefully checked for repetition and apparent errors. The verified cases were used in this paper to present an estimate of the incidence of cancer in Basrah during 2005-2008.
A total of 8,748 cases were compiled, 72.9% being inhabitants of Basrah governorate and 27.1% from outside. The reported numbers for the years 2005, 2006, 2007 and 2008 were 1,850, 2,155, 2,410, and 2,333, respectively, males and females accounting for 48.1% and 51.9% of cases. The five leading cancers during 2005-2008 were those of breast, urinary bladder, lymphomas, lung and bronchus and leukaemias.
Population-based registration is a strong prerequisite for a dynamic strategy on cancer control encompassing prevention, treatment, and registration. It is the only means to deal effectively and sensibly with an ever increasing health problem. Doctors' roles in cancer registration are crucial.
本文描述了伊拉克南部巴士拉近期基于人群的癌症登记情况，并呈现了四年（2005 - 2008年）期间的结果概况。
在这四年里，开展了大量工作以营造科学对待癌症的文化氛围，加强充分的癌症登记工作，随后在国家战略范围内量化风险并加强控制行动。
自2005年起，在巴士拉任何一家主要医院和政府诊断机构确诊和/或治疗的癌症病例都要上报给癌症控制中心（主要登记办公室）。其他病例还会从巴士拉大学医学院病理学和法医学系的癌症登记科（负责汇编经组织病理学确诊的病例）以及血液学实验室获取。为了补充这些来源，对巴士拉省范围内该时期所有可获取的记录（医院、登记处、实验室、专业肿瘤中心和早期检测中心）进行检查，以核实所有新确诊的癌症病例。为此，检查了每个确诊病例的个人记录，识别出每例癌症病例并将其纳入病例库。所有报告病例的数据重新录入电子表格程序，并仔细检查是否有重复和明显错误。本文使用经核实的病例来呈现2005 - 2008年巴士拉癌症发病率的估计情况。
共汇编了8748例病例，其中72.9%是巴士拉省居民，27.1%来自外省。2005年、2006年、2007年和2008年报告的病例数分别为1850例、2155例、2410例和2333例，男性和女性病例分别占48.1%和51.9%。2005 - 2008年期间五种主要癌症是乳腺癌、膀胱癌、淋巴瘤、肺癌和支气管癌以及白血病。
基于人群的登记是癌症控制动态战略（包括预防、治疗和登记）的重要前提。这是有效且合理应对日益严重的健康问题的唯一手段。医生在癌症登记中的作用至关重要。
