Patel Amol, Shankaran R, Singh H P, Bhatnagar S, Dash S C, Mukherjee P, Rathore Anvesh, Chatterjee Tathagatha, Mishra Atul, Suresh P
Medical Oncologist, Army Hospital (R&R), Delhi Cantt, India.
Head of Department (Surgery Oncology), INHS Ashwini, Mumbai, India.
Med J Armed Forces India. 2023 Mar-Apr;79(2):141-151. doi: 10.1016/j.mjafi.2020.09.011. Epub 2021 Apr 12.
Cancer incidence is rising across the globe. The incidence and patterns of various cancers among Armed Forces Personnel and Veterans is not known. We did the analysis of registry data maintained at our hospital.
A retrospective analysis was performed of all patients registered at our hospital cancer registry between 01st January 2017 and 31st December 2019. Patients were registered with unique identification number. Baseline demographics and cancer subtype data were retrieved. Patients with histopathologically proven diagnosis and age ≥18 years were studied. Armed Forces Personnel (AFP) were defined as those who are in active service, and Veterans as those who had retired from service at the time of registration. Patients with Acute and Chronic Leukemias were excluded.
New cases registered were 2023, 2856 and 3057 in year 2017, 2018, 2019 respectively. AFP, Veterans and dependents among them were 9.6%, 17.8%, and 72.6% respectively. Haryana, Uttar Pradesh and Rajasthan represented 55% of all cases with male to female ratio 1.14:1 and median age was 59 years. The median age among AFP was 39 years. Among AFP as well as veterans, Head and Neck cancer was the most common malignancy. Cancer incidence was significantly higher in adults >40 years as compared to <40 years.
Seven percent rise per year of new cases in this cohort is alarming. Tobacco-related cancers were the most common. There is an unmet need to establish a prospective centralized Cancer Registry to better understand the risk factors, outcomes of treatment and strengthen the policy matters.
全球癌症发病率正在上升。武装部队人员和退伍军人中各种癌症的发病率及模式尚不清楚。我们对我院保存的登记数据进行了分析。
对2017年1月1日至2019年12月31日在我院癌症登记处登记的所有患者进行回顾性分析。患者以唯一识别号进行登记。检索基线人口统计学和癌症亚型数据。研究组织病理学确诊且年龄≥18岁的患者。武装部队人员定义为现役人员，退伍军人定义为登记时已退役的人员。急性和慢性白血病患者被排除。
2017年、2018年、2019年登记的新病例分别为2023例、2856例和3057例。其中武装部队人员、退伍军人及家属分别占9.6%、17.8%和72.6%。哈里亚纳邦、北方邦和拉贾斯坦邦占所有病例的55%，男女比例为1.14:1，中位年龄为59岁。武装部队人员的中位年龄为39岁。在武装部队人员和退伍军人中，头颈癌是最常见的恶性肿瘤。40岁以上成年人的癌症发病率明显高于40岁以下成年人。
该队列中新病例每年上升7%，令人担忧。烟草相关癌症最为常见。迫切需要建立一个前瞻性的集中癌症登记处，以更好地了解危险因素、治疗结果并加强政策事务。
