Cancer Incidence in a National Tertiary Cancer Centre (BPKMCH) of Nepal for 2019

Abstract

Cancer is a large group of diseases that can start in almost any organ or tissue of the body when abnormal cells grow uncontrollably, go beyond their usual boundaries to invade adjoining parts of the body and spread to other organs. The latter process is called metastasizing and is a major cause of death from cancer. A neoplasm and malignant tumor are other common names for cancer. It is an emerging public health problem in Nepal. The trend of cancer incidence is useful for effective planning and police formation to control and prevent the disease. This study aims to determine hospital based cancer incidence in a National Tertiary Cancer Centre (B.P. Koirala Memorial Cancer Hospital) of Nepal for 2019 by using the primary and secondary. This was a descriptive study with primary and secondary data collection from different unit, section and relevant department since 1st January to 31th December 2019. In the year 2019, 32831 new patients were visited from all part of Nepal and few districts of India. Out of 32831 patient 4894 were diagnosed cancer. Among the cases, Indian (n=194) were excluded and net 4700 cases were analyzed for the purpose. Most of the cases were from Chitwan followed by Nawalparasi and Rupendehi. According to available data, 2111 (44.91%) male and 2589 (55.09%) were female. The most frequent form of cancer for both sexes was C34 bronchus & lung 622 (13.23%), followed by C53 cervix uteri 544 (11.57%), and C50 breast 493 (10.48%). Among the female cases cervix uteri 544 (21.01%) was the leading topography, followed by C50 breast 475 (18.34%) and C34 bronchus & lung cancer 277(10.69%). Similarly, C34 bronchus & lung cancer 345 (16.34%) was the most common cancer among males followed by C02 other and unspecified parts of tongue 130 (6.15%) and C06 other mouth & unspecified parts of mouth 123 (5.82 %) The trend of cancer was seen to be increasing day by day. Well organized awareness activities, HPV vaccination and screening programme was recommended to control and prevent the cancer burden in Nepal.