Sriplung H, Thongsuksai P, Kuropakornpong V, Kuropakornpong S, Saksornchai C, Wanapantapornkull N
Department of Pathology, Faculty of Medicine, Prince of Songkla University, Thailand.
Southeast Asian J Trop Med Public Health. 1997;28 Suppl 3:11-3.
Evaluation of feasibility is required for development of a hospital-based cancer registry of Phatthalung Hospital. The completeness of case finding from in-hospital sources was evaluated for cancer cases diagnosed from January 1, 1994 to December 31, 1994. Cancer patients were collected from a file of pathological reports and medical records in Phatthalung Hospital. Items in the registration form included identification, demographic data and the data specific to cancer. During the same period of time, all biopsy cases sent from Phatthalung Hospital were selected from the pathological record of the Department of Pathology, Songklanagarind Hospital and from the database of the cancer registry of Songklanagarind Hospital. Ninety cases with histological verification were identified either from Phatthalung or Songklanagarind sources. Twenty seven cases were male and 63 were female. Fifty records were identified from Phatthalung sources and 40 additional records from Songklanagarind sources. Identification of cancer cases only from Phatthalung sources represented only 56% of all histologically verified cases. The two most common primary sites in males were colon and prostate. The percentages were 18.5 and 11.1 respectively. Lung cancer accounted only for 7.4% of all histologically verified cases. The two most common primary sites in females were cervix uteri and breast which accounted for 31.7% and 23.8% respectively. There was too much failure of case identification by in-hospital sources only. Songklanagarind sources were important for case findings. However, it is important that the medical records and filing system in Phatthalung Hospital should be improved.
博他伦医院建立基于医院的癌症登记系统需要进行可行性评估。对1994年1月1日至1994年12月31日确诊的癌症病例，评估了来自医院内部来源的病例发现完整性。癌症患者从博他伦医院的病理报告和病历档案中收集。登记表中的项目包括身份识别、人口统计学数据和癌症特定数据。在同一时期，从宋卡那加林医院病理科的病理记录和宋卡那加林医院癌症登记数据库中选取了所有从博他伦医院送来的活检病例。从博他伦或宋卡那加林来源确定了90例经组织学证实的病例。其中27例为男性，63例为女性。从博他伦来源确定了50份记录，从宋卡那加林来源又确定了40份记录。仅从博他伦来源识别出的癌症病例仅占所有经组织学证实病例的56%。男性中两个最常见的原发部位是结肠和前列腺，百分比分别为18.5%和11.1%。肺癌仅占所有经组织学证实病例的7.4%。女性中两个最常见的原发部位是子宫颈和乳腺，分别占31.7%和23.8%。仅依靠医院内部来源进行病例识别的失败情况太多。宋卡那加林来源对病例发现很重要。然而，改善博他伦医院的病历和归档系统很重要。
