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1 Population Based Cancer Registries at Chandigarh andSAS Nagar, Sangrur,Mansa Districts Punjab State, India A collaborative project of Tata Memorial Centre, Mumbai , Maharashtra State, India Post Graduate Institute of Medical Education and Research , Chandigarh, India Departmentof Healthand Family Welfare,Government of Punjab State,India Director Health Services, Chandigarh India Punjab state, India Cancer Burden in Chandigarh and Punjab State First year report:2013

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1

Population Based Cancer Registries at Chandigarh and SAS

Nagar, Sangrur, Mansa Districts Punjab State, India

A collaborative project of

Tata Memorial Centre, Mumbai , Maharashtra State, India

Post Graduate Institute of Medical Education and Research , Chandigarh, India

Department of Health and Family Welfare, Government of Punjab State, India

Director Health Services, Chandigarh India

Punjab state, India

Cancer Burden in Chandigarh and Punjab State

First year report: 2013

2

Cancer Registry Principal Investigator, Co­Principal Investigator and Co­investigators

Tata Memorial Centre, Mumbai (TMC)

Name Role Designation

Dr. R A Badwe Principal Investigator Director

Dr. Rajesh Dikshit Co ­ Investigator Professor Epidemiology

Dr. Atul Budukh Co – Principal Investigator Asst Prof Epidemiology

Mr. T. Anbumani Administrator Project Consultant

Post Graduate Institute of Medical Education and Research (PGI), Chandigarh

Name Role Designation

Dr. Yogesh Chawla Steering Committee Chairman Director PGI

Dr. J S Thakur Principal Investigator Professor

Dr. Rakesh Kapoor Co­ Investigator Professor

Dr. Pankaj Malhotra Co­ Investigator Professor

Dr. S P S Bhatia Co­ Investigator Lecturer

Dr. Ravneet Kaur Co­ Investigator (till June, 2014) Assistant Professor

Dr. Pankaj Arora Co­Investigator Assistant Professor

Civil Hospital

Name Role Designation

Dr. Neelam Bhardwaj Co­Investigator Civil Hospital, SAS Nagar

Dr. Subodh Gupta Co­Investigator Civil Surgeon, Sangrur

Dr. Vinod Kumar Beri Co­ Investigator Civil Surgeon, Mansa

Staff from TMC, Mumbai

Name Designation

Mrs. Sonali Bagal Scientific Assistant

Ms. Shraddha Bonkar Project Co­ordinator

3

Steering Committee member

Name Role

Dr. Yogesh Chawla

Director, PGIMER, ChandigarhChairman

Dr. R A. Badwe

Director, TMC, MumbaiMember

Dr. Arvind Rajwanshi

Professor and Head, Department of Cytology and Gynecological

Pathology, PGIMER, Chandigarh

Member

Dr. Sushmita Ghoshal

Professor and Head Radiotherapy, PGIMER, ChandigarhMember

Dr. Subhash C. Varma

Professor and Head, Internal Medicine, PGIMER, ChandigarhMember

Dr. Rajesh Dikshit

Professor, Epidemiology, TMC, MumbaiMember

Dr. J S Thakur

Professor – School of Public Health, PGIMER, ChandigarhMember

Dr. Atul Budukh

Assistant Professor, Epidemiology, TMC, MumbaiMember

PBCR Staff

ChandigarhMs. Balkiran Kaur, Mrs. Pratibha Saxena and

Mr. Manoj Kumar

SAS NagarMr. Pardeep Shekhawat, Mr. Narinderjit Singh and

Mr. Satyam Kumar Ojha, Dr. S. Kathirvel, Senior Resident

Sangrur

Ms. Rupinder Kaur, Mr. Sanjeev Kumar,

Mr. Dhalwinder Singh, Mr. Kuldeep Singh,

Mr. Jatinder Singh, Mr. Lakhwinder, Mr. Amarjeet Singh

MansaMr. Prithviraj Kadam, Mr. Abhishekh Khandelwal, Ms.

Gurpreet Kaur and Mrs. Kirna Kaur

4

Contents

Sr. No. TopicPage

Number

1 Background 5

2 Population covered 5

3 Area Covered 5

4 Cancer Incidence and Mortality 6

5 Leading cancer sites 8

6 Comparison of cancer incidence rates with other Indian registries 12

7 Highlights 19

8 Cancer Control in Punjab 20

9 Reference 20

10 Acknowledgement 21

5

1. Background

Population based cancer registries (PBCR) are essential to know the true cancer burden in the

Population. In the year 2013, TMC in collaboration with PGI, Chandigarh and Government of Punjab

started the population based cancer registries in urban, semi urban and rural population so as to the

know the cancer burden and trends over the period in this area. The population based cancer registries

are covering 4.5 million population. The data have been collected from Chandigarh UT and three

districts in Punjab viz; SAS Nagar, Mansa and Sangrur.

The information presented in this report pertains to all cancer cases registered at Punjab registries in

the year 2013.

2. Population Covered

The Mansa and Sangrur registries are rural registries, SAS Nagar registry is a semiurban registry whereas

Chandigarh is predominantly urban.

Table1: Estimated Population distribution among the selected districts across rural and urban areas:

2013

PBCRPopulation covered

(in million)*Rural Area (%) Urban Area (%)

Chandigarh 1.05 2% 98%

SAS Nagar 1.0 45% 55%

Sangrur 1.6 69% 31%

Mansa 0.77 79% 21%

* Estimated population based on growth rate of 2001 and 2011 census population

3. Area Covered

Chandigarh SAS Nagar District

6

Sangrur District Mansa District

4. Cancer Incidence and Mortality

Table 2: Population covered, incidence cases registered and incidence rate by sex: 2013

Chandigarh SAS Nagar Sangrur Mansa

Male

Population covered 606811 573093 902730 419289

Number of cases registered 406 334 378 187

AAR per 100000 93.4 74.3 43.7 45.3

Female

Population covered 500616 503924 798646 370714

Number of cases registered 427 433 420 216

AAR* Per 100000 105.0 104.2 52.6 55.8

Table 3: Population covered, death due to cancer and death rate by sex: 2013

Chandigarh SAS Nagar Sangrur Mansa

Male

Population covered 606811 573093 902730 419289

Number of cancer related deaths 164 176 243 112

AAR* per 100000 38.0 38.9 28.7 27.4

Female

Population covered 500616 503924 798646 370714

Number cancer related deaths 123 146 205 121

AAR* Per 100000 32.7 33.6 26.0 30.5

*Age adjusted incidence rate per 100,000

7

Figure 1: Cancer incidence by sex (2013)

Figure 2: Cancer mortality by sex (2013)

93.4

74.3

43.7 45.3

105.0 104.2

52.655.8

0

20

40

60

80

100

120

Chandigarh (2013) SAS Nagar (2013) Sangrur (2013) Mansa (2013)

Males

Females

38.038.9

28.727.4

32.733.6

26.0

30.5

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

Chandigarh (2013) SAS Nagar (2013) Sangrur (2013) Mansa (2013)

Males

Females

8

5. Leading cancer sites

Figures in the bracket indicate percentage 

Figure 3: Leading cancer sites in Chandigarh – Males (2013)

Figures in the bracket indicate thepercentage 

Figure 4: Leading cancer sites in Chandigarh – Females (2013)

2.8 (3.2%)

4.1 (4.0%)

4.2 (4.7%)

4.3 (5.0%)

4.5 (4.7%)

4.7 (4.5%)

5.6 (6.4%)

7.3 (7.4%)

8.8 (7.9%)

12.4(13.1%)

0 5 10 15

Lymphoid Leuk.

Gall bladder

Tongue

Mouth

Larynx

Urinary Bladder

Oesophagus

NHL

Prostate

Lung

AAR per 100,000

2.2 (2.1%)

2.2 (1.9%)

2.2 (1.9%)

4.9 (3.8%)

5.1 (4.7%)

5.4 (4.5%)

5.8 (5.9%)

7.2 (7.0%)

10.3 (10.1%)

37.5(36.2%)

0 10 20 30 40

Myeloid leukaemia

Oesophagus

Colon

Lung

Corpus Uteri

NHL

Gall Bladder

Ovary

Cervix Uteri

Breast

AAR per 100,000

9

Figures in the bracket indicate the percentage 

Figure 5: Leading cancer sites in SAS Nagar – Males (2013)

Figures in the bracket indicate the percentage 

Figure 6: Leading cancer sites in SAS Nagar – Females (2013)

2.2 (3.3%)

2.6 (3.3%)

2.9 (3.9%)

3 (3.9%)

3.4 (4.5%)

3.9 (5.4%)

4.6 (6.0%)

5.8 (7.6%)

6.3 (8.8%)

7.3 (9.7%)

0 2 4 6 8

Brain, NS

Mouth

Liver

Stomach

Urinary Bladder

Tongue

Larynx

Oesophagus

Prostate

Lung

AAR per 100,000

2.5 (2.6%)

2.6 (2.8%)

2.8 (2.8%)

2.8 (2.6%)

3.5 (3.5%)

4.8 (4.4%)

5.8 (5.6%)

7.4 (7.4%)

13.8(13.5%)

33.9(31.8%)

0 10 20 30 40

Lung

Myeloid leuk.

Oesophagus

Mouth

NHL

Corpus Uteri

Gall Bladder

Ovary

Cervix Uteri

Breast

AAR per 100,000

10

Figures in the bracket indicate the percentage 

Figure 7: Leading cancer sites in Sangrur – Males (2013)

Figures in the bracket indicate the percentage 

Figure 8: Leading cancer sites in Sangrur – Females (2013)

1.2 (2.6%)

1.2 (2.9%)

1.3 (2.9%)

1.4 (3.4%)

1.5 (3.4%)

1.7 (3.7%)

1.8 (4.0%)

2.0 (4.5%)

2.7 (6.3%)

5.1 (11.6%)

0.0 1.0 2.0 3.0 4.0 5.0 6.0

Larynx

NHL

Stomach

Myeloid Leukemia

Tongue

Lung

Liver

Brain, NS

Prostate

Oesophagus

AAR per 100,000

1.0 (1.7%)

1.1 (2.1%)

1.1 (1.9%)

1.2 (2.4%)

1.2 (2.4%)

2.4 (4.5%)

3.5 (6.7%)

3.9 (7.4%)

9.7 (18.3%)

11.8 (22.9%)

0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0

Lymphoid Leukemia

Myeloid Leukemia

Corpus Uteri

Liver

Brain, NS

Gall Bladder

Ovary

Oesophagus

Cervix Uteri

Breast

AAR per 100,000

11

Figures in the bracket indicate the percentage

Figure 9: Leading cancer sites in Mansa – Males (2013)

Figures in the bracket indicate the percentage 

Figure 10: Leading cancer sites in Mansa – Females (2013)

1.2 (2.7%)

1.3 (2.7%)

1.4 (3.2%)

1.5 (3.2%)

1.6 (3.7%)

1.9 (4.3%)

1.9 (4.3%)

2.3 (4.3%)

2.4 (5.3%)

6.8 (15.0%)

0.0 2.0 4.0 6.0 8.0

Liver

Testis

Colon

Lung

Brain, NS

Larynx

Myeloid Leukemia

Lymphoid Leukemia

Mouth

Oesophagus

AAR per 100,000

0.8 (1.4%)

0.9 (1.9%)

1.2 (2.3%)

1.4 (2.3%)

1.7 (2.8%)

1.7 (3.2%)

4.9 (8.3%)

6.2 (11.1%)

10.5 (18.5%)

12.3 (22.2%)

0.0 5.0 10.0 15.0

Tongue

Lung

Leukemia Unsp.

Myeloid Leukemia

Gall Bladder

Kidney

Ovary

Oesophagus

Breast

Cervix Uteri

AAR per 100,00

12

6. Comparison of cancer incidence rates with other Indian registries

Figure 11: Age Adjusted Incidence Rate of all cancer sites from Indian PBCR – Males

Reference: 1 to 6

43.7

45.3

51.8

57.8

59.6

73.5

74.2

74.3

74.7

78.8

82.6

92.4

92.8

93.4

96.4

98.4

99.4

105.9

113.7

118

118.5

125.2

126.1

129

132.6

157.3

185.2

189.5

0 50 100 150 200

Sangrur (2013)

Mansa (2013)

Barshi Rural (2009 ­ 2010)

Wardha ((2010 ­ 2011)

Aurangabad (2009 ­ 2010)

SAS Nagar (2013)

Ahmedabad Rural (2009 ­ 2010)

Pune (2009 ­ 2010)

Manipur State (2009 ­ 2010)

Tripura State (2010)

Sikkim State (2009 ­ 2011)

India (2012)

Kolkata (2008 ­ 2009)

Chandigarh (2013)

Nagpur (2008 ­ 2009)

Mumbai PBCR (2009 ­ 2010)

Dibrugarh District (2009 ­ 2011)

Bhopal (2009 ­ 2010)

Banglore (2008 ­ 2009)

Chennai PBCR (2009)

Kollam (Kerala) (2009 ­ 2010)

Delhi (2008 ­ 2009)

Nagaland (2010)

Cachar District (2009 ­ 2010)

Thiruvananthapuram (2009 ­ 2011)

Meghalaya (2010 ­ 2011)

Kamrup Urban District (2009 ­ 2011)

Mizoram State (2009 ­ 2010)

AAR per 100,000

All site: Males

13

Figure 12: Age Adjusted Incidence Rate for all cancer sites from Indian PBCR ­ females

Reference: 1 to 6

51.6

52.6

55.8

56.1

62.1

62.6

64.0

70.2

71.8

73.9

75.7

83.7

91.6

94.2

97.4

98.0

99.4

103.0

104.2

105.0

105.5

105.6

120.6

123.2

123.8

137.2

153.7

156.3

0 50 100 150 200

Ahmedabad Rural (2009 ­ 2010)

Sangrur (2013)

Mansa (2013)

Tripura State (2010)

Aurangabad (2009 ­ 2010)

Barshi Rural (2009 ­ 2010)

Wardha ((2010 ­ 2011)

Nagaland (2010)

Dibrugarh District (2009 ­ 2011)

Manipur State (2009 ­ 2010)

Pune (2009 ­ 2010)

Meghalaya (2010 ­ 2011)

Kollam (Kerala) (2009 ­ 2010)

Sikkim State (2009 ­ 2011)

India (2012)

Cachar District (2009 ­ 2010)

Kolkata (2008 ­ 2009)

Nagpur (2008 ­ 2009)

SAS Nagar (2013)

Chandigarh (2013)

Mumbai PBCR (2009 ­ 2010)

Bhopal (2009 ­ 2010)

Delhi (2008 ­ 2009)

Thiruvananthapuram (2009 ­ 2011)

Chennai PBCR (2009)

Banglore (2008 ­ 2009)

Mizoram State (2009 ­ 2010)

Kamrup Urban District (2009 ­ 2011)

AAR per 100,000

All site: Females

14

Figure 13: Age Adjusted Incidence Rate of Breast Cancer from Indian PBCR

Reference: 1 to 6

7.2

8.6

9.1

9.1

9.5

10.5

10.6

11.1

11.8

12.3

16.4

16.4

18.3

18.8

22.8

23.3

25.8

25.8

26.1

27.4

31

32.2

32.5

32.6

33.9

35.1

36.7

37.5

0 10 20 30 40

Tripura State (2010)

Sikkim State (2009 ­ 2011)

Manipur State (2009 ­ 2010)

Meghalaya (2010 ­ 2011)

Nagaland (2010)

Mansa (2013

Dibrugarh District (2009 ­ 2011)

Ahmedabad Rural (2009 ­ 2010)

Sangrur (2013)

Barshi Rural (2009 ­ 2010)

Cachar District (2009 ­ 2010)

Mizoram State (2009 ­ 2010)

Wardha ((2010 ­ 2011)

Aurangabad (2009 ­ 2010)

Kamrup Urban District (2009 ­ 2011)

Pune (2009 ­ 2010)

India (2012)

Kollam (Kerala) (2009 ­ 2010)

Kolkata (2008 ­ 2009)

Bhopal (2009 ­ 2010)

Mumbai PBCR (2009 ­ 2010)

Delhi (2008 ­ 2009)

Nagpur (2008 ­ 2009)

Chennai PBCR (2009)

SAS Nagar (2013)

Thiruvananthapuram (2009 ­ 2011)

Bangalore (2008 ­ 2009)

Chandigarh (2013)

AAR per 100,000

15

Figure 14: Age Adjusted Incidence Rate of Cervix Uteri Cancer from Indian PBCR

Reference: 1 to 6

5.6

6.8

7.4

7.8

8.0

8.1

8.1

9.7

9.9

10.1

10.1

10.3

10.4

10.9

11.0

11.7

12.3

13.7

13.8

14.0

15.1

15.4

16.7

16.8

17.1

18.0

18.9

22.0

0.0 5.0 10.0 15.0 20.0 25.0

Dibrugarh District (2009 ­ 2011)

Kollam (Kerala) (2009 ­ 2010)

Sikkim State (2009 ­ 2011)

Meghalaya (2010 ­ 2011)

Thiruvananthapuram (2009 ­ 2011)

Wardha (2010 ­ 2011)

Manipur State (2009 ­ 2010)

Sangrur (2013)

Ahmedabad Rural (2009 ­ 2010)

Mumbai PBCR (2009 ­ 2010)

Tripura State (2010)

Chandigarh (2013)

Pune (2009 ­ 2010)

Cachar District (2009 ­ 2010)

Nagaland (2010)

Kolkata (2008 ­ 2009

Mansa (2013)

Aurangabad (2009 ­ 2010)

SAS Nagar (2013)

Kamrup Urban District (2009 ­ 2010)

Nagpur (2008 ­ 2009)

Delhi (2008 ­ 2009)

Chennai PBCR (2009)

Bhopal (2009 ­ 2010)

Mizoram State (2009 ­ 2010)

Barshi Rural (2009 ­ 2010)

Banglore (2008 ­ 2009)

India (2012)

AAR per 100,000

16

Figure 15: Age Adjusted Incidence Rate of Prostate cancer from Indian PBCR

Reference: 1 to 6

0.5

0.9

0.9

1.0

1.0

1.4

1.5

1.6

1.7

1.7

2.0

2.0

2.6

2.7

3.4

4.2

5.7

6.3

6.6

6.9

7.0

7.2

7.8

8.5

8.8

8.9

10.7

11.2

0.0 2.0 4.0 6.0 8.0 10.0 12.0

Tripura State (2010)

Manipur State (2009 ­ 2010)

Sikkim State (2009 ­ 2011)

Mansa (2013)

Nagaland (2010)

Cachar District (2009 ­ 2010)

Aurangabad (2009 ­ 2010)

Mizoram State (2009 ­ 2010)

Dibrugarh District (2009 ­ 2011)

Meghalaya (2010 ­ 2011)

Barshi Rural (2009 ­ 2010)

Wardha (2010 ­ 2011)

Ahmedabad Rural (2009 ­ 2010)

Sangrur (2013)

Nagpur (2008 ­ 2009)

India (2012)

Kollam (Kerala) (2009 ­ 2010)

SAS Nagar (2013)

Bhopal (2009 ­ 2010)

Kolkata (2008 ­ 2009

Chennai PBCR (2009)

Pune (2009 ­ 2010)

Mumbai PBCR (2009 ­ 2010)

Thiruvananthapuram (2009 ­ 2011)

Chandigarh (2013)

Banglore (2008 ­ 2009)

Delhi (2008 ­ 2009)

Kamrup Urban District (2009 ­ 2010)

AAR per 100,000

17

Figure 16: Age Adjusted Incidence Rate of Oesophagus Cancer from Indian PBCR

Reference: 1 to 6

1.6

2.7

3.6

1.7

0.9

1.9

2.8

3.2

3.6

2.9

5.1

3.9

1.2

2.8

2.2

2.8

4.1

4.9

6.2

3.1

6.6

6.9

8.3

7.8

3.6

6.4

18.3

19.8

2.9

3.3

3.4

3.8

4.2

4.2

4.3

4.4

4.6

5.0

5.1

5.1

5.2

5.4

5.6

5.8

6.3

6.3

6.8

7.3

7.4

7.6

11.7

15.3

19.9

26.0

27.0

46.2

0.0 10.0 20.0 30.0 40.0 50.0

Kolkata (2008 ­ 2009

Aurangabad (2009 ­ 2010)

Wardha (2010 ­ 2011)

Ahmedabad Rural (2009 ­ 2010)

Thiruvananthapuram (2009 ­ 2011)

Manipur State (2009 ­ 2010)

Mumbai PBCR (2009 ­ 2010)

Pune (2009 ­ 2010)

Barshi Rural (2009 ­ 2010)

Delhi (2008 ­ 2009)

Bhopal (2009 ­ 2010)

Sangrur (2013)

Kollam (Kerala) (2009 ­ 2010)

India (2012)

Chandigarh (2013)

SAS Nagar (2013)

Chennai PBCR (2009)

Nagpur (2008 ­ 2009)

Mansa (2013)

Tripura State (2010)

Sikkim State (2009 ­ 2011)

Banglore (2008 ­ 2009)

Cachar District (2009 ­ 2010)

Dibrugarh District (2009 ­ 2011)

Nagaland (2010)

Mizoram State (2009 ­ 2010)

Kamrup Urban District (2009 ­ 2010)

Meghalaya (2010 ­ 2011)

AAR per 100,000

Males

Females

18

Figure 17: Age Adjusted Incidence Rate of Lung cancer from Indian PBCR

Reference: 1 to 6

0.9

0.1

0.6

0.9

1.7

1.6

2.0

2.6

2.1

7.9

2.5

1.3

3.5

3.6

4.8

2.8

3.1

3.8

4.9

4.2

4.2

11.9

3.9

7.7

2.3

5.0

2.7

28.7

1.5

1.7

2.5

3.2

4.2

4.3

4.7

5.2

5.8

6.3

7.3

8.3

8.7

10.5

10.8

10.9

11.0

12.4

12.4

12.6

13.9

14.1

14.4

15.0

16.1

16.8

19.5

28.3

0 5 10 15 20 25 30 35

Mansa (2013)

Sangrur (2013)

Barshi Rural (2009 ­ 2010)

Nagaland (2010)

Wardha (2010 ­ 2011)

Dibrugarh District (2009 ­ 2011)

Aurangabad (2009 ­ 2010)

Pune (2009 ­ 2010)

Nagpur (2008 ­ 2009)

Sikkim State (2009 ­ 2011)

SAS Nagar (2013)

Ahmedabad Rural (2009 ­ 2010)

Mumbai PBCR (2009 ­ 2010)

Cachar District (2009 ­ 2010)

Banglore (2008 ­ 2009)

Meghalaya (2010 ­ 2011)

India (2012)

Bhopal (2009 ­ 2010)

Chandigarh (2013)

Chennai PBCR (2009)

Delhi (2008 ­ 2009)

Manipur State (2009 ­ 2010)

Thiruvananthapuram (2009 ­ 2011)

Kamrup Urban District (2009 ­ 2010)

Tripura State (2010)

Kolkata (2008 ­ 2009

Kollam (Kerala) (2009 ­ 2010)

Mizoram State (2009 ­ 2010)

AAR per 100,000

Males

Females

19

7. Highlights:

� Population based cancer registry covers 100% population of the Chandigarh Union Territory.

� SAS Nagar, Sangur and Mansa registries covers around 3.6 million population, which is 8% of the

total state population of Punjab.

� The Chandigarh PBCR incidence rate of Males and Females are slightly higher than the national

rate (Male 93.4, India 92.4, Female 105.0, India 97.4 per 100,000).

� SAS Nagar Female cancer incidence rate is slightly higher than the national rate (103 Vs 97.4 Per

100,000), however male cancer incidence rates are lower than the national rate (73.5 VS 92.4

per 100,000).

� Sangrur and Mansa Cancer Registry rates are lower than the urban cancer registries, however, it

is in comparison with other rural registries in the country.

� Female Breast Cancer Incidence rate 37.5 per 100,000 from Chandigarh is the highest incidence

rate in the country. The Breast cancer incidence rate of SAS Nagar Cancer registry are higher

than Mumbai and Kolkata PBCR.

� Breast cancer is the predominant cancer in all the population based cancer registries.

� Cervix uteri cancer is second leading cancer site followed by breast cancer in Chandigarh, SAS

Nagar, Sangrur PBCR however, it is the first leading cancer site in Mansa PBCR.

� 15% to 20% registered cancer cases are under other and unspecified sites in Sangrur and Mansa

PBCR. It shows poor diagnostic facilities in this area. In the coming year due to improvement in

the diagnostic facilities the patterns of leading cancer sites may change

� Lung, and prostate cancer are the predominant cancer in the urban male population while

oesophagus cancer is the predominant cancer in the rural area.

� The prostate cancer incidence rate of Chandigarh PBCR is slightly higher than Mumbai and

Chennai PBCR, however, it is lower than the New Delhi PBCR.

� Oesophagus cancer incidence rates in males in Mansa district are higher than Chandigah , SAS

Nagar and Sangrur district.

� Most of the cancer cases from rural area are diagnosed at the advanced stage of the disease.

� Around 50 to 60% male cancer cases are surviving in the urban population, however around 35

to 40% male cases are surviving in the rural population.

� Around 70% female cases are surviving in the urban population, however around 45 to 50%

cases are surviving in the rural population.

20

8. Cancer Control in Punjab

Cancer registries are the first step in cancer control. The registry data has estimated the risk of getting

cancer the in males Is in the range of 5 to 11% and in females 6 to 13%. The risk is double in the urban

area as compared to rural area. The major cancers in Punjab are Breast, Cervix Uteri, Lung, Prostate and

Oesophagus. Most of the cancers are preventable. Based on the observation from the registry, Tata

Memorial Centre has started satellite centre in Sangrur and will establish comprehensive cancer centre

in Mohali. PGIMER is also starting 500 bedded multispecialty hospital in Sangrur besides the facilities

offered at Regional Cancer Centre, PGIMER, Chandigarh.

In additon cancer awareness programme need to start particularly for early detection of Breast and

Cervical cancer. The registries will useful in furture to monitor cancer trends and evaluate the effects of

prevention and treament.

9. Reference

1. National Cancer Registry Programme – Indian Council of Medical Research : Three year report of PBCR

2009­2011, Bangalore 2013

2. GLOBOCAN 2012: Estimated Cancer Incidence, Mortality and Prevalence worldwide: IARC/WHO, Lyon

France 2012.

3. Chandigarh Population Based Cancer Registry Report: 2013 – Tata Memorial Center, Mumbai and Post

Graduate Institute of Medical Education and Research (PGI), Chandigarh

4. SAS Nagar Population Based Cancer Registry Report: 2013 – Tata Memorial Center, Mumbai and Post

Graduate Institute of Medical Education and Research (PGI), Chandigarh

5. Mansa Population Based Cancer Registry Report: 2013 – Tata Memorial Center, Mumbai and Post

Graduate Institute of Medical Education and Research (PGI), Chandigarh.

6. Sangrur Population Based Cancer Registry Report: 2013 – Tata Memorial Center, Mumbai and Post

Graduate Institute of Medical Education and Research (PGI), Chandigarh.

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10. Acknowledgement

PBCR Chandiagrh, SAS Nagar, Sangrur and Mansa PBCR gratefully acknowledge the support provided by

Chandigarh Administration Mr Vijay Dev, IAS, Adviser to the Administrator, Mr. Anurag Aggarwal, IAS

Home cum Health Secretary, Dr. V K Gagneja DHS Chandigarh, Prof Atul Sachdeva, Director Principal

GMCH­32, Chandigarh, Dr AK Janmeja, Medical Superintendent, Dr Awadhesh Kumar Pandey, Prof. and

Head, Radiotherapy, Dr Uma Handa, Prof and Head of Pathology, Dr Sonia Puri, Associate Professor,

Community Medicine, GMCH­32, Dr.P.S Bhatti, Medical Officer cum District Registrar MOH, Mr.

Harshwardhan, OSD Birth and Death Registrar Office Chandigarh, Dr. Manjit Singh Trehan, State

Programme officer, NPCDCS,Chandigarh, Dr. Soma Rani, DFWO, Dr. Sangeeta, Nodal officer, NHM,

Chandigarh.

We are also grateful to Govt of Punjab especially Mrs. Vini Mahajan, IAS, Principal Secretary,

Department of Health and Family Welfare, Sh Hussan Lal, IAS, Secretary, Health and Medical Education,

Dr. Raj Bahadur, Vice Chancellor , Baba Farid University of Health Sciences, Dr. Bali, DHS Punjab, Dr HP

Yadav, Professor and Head Radiotherapy, GGSMC, Faridkot, Dr. G.B. Singh, Nodal officer, NPCDCS, Dr.

Neelam Bhardwaj, Civil Surgeon, Mohali, Dr. Subodh Gupta, Civil Surgeon, Sangrur, Dr. Vinod Kumar

Beri, Civil Surgeon, Mansa.

We are also thankful to Dr. M.R. Bardia, Director Acharya Tulsi Das Hospital Bikaner Rajasthan, Dr. H.S.

Kumar Prof. & Head Radiotherapy Acharya Tulsi Das Rajasthan, Additional Chief Secretary, Haryana, Dr

DP Lochan, DGHS, Dr. Rekha Singh, DD­NCD, Haryana and Dr. Kajal Medical officer­State NCD Cell,

Haryana for their support. We also acknowledge the support provided by the participating Public health

sector hospitals namely: Command Hospital Chandimandir, Govt; Multi­speciality Hospital Sector­16

Chandigarh, Guru Gobind Singh Medical College and Hospital Faridkot, Rajindra Medical College Patiala

and Private Sector Hospitals namely Fortis Multispeciality Hospital Mohali, Max Superspeciality Hospital

Mohali, IVY Hospital Mohali, Indus Superspeiciality Hospital Mohali,Grecian Superspeciality Hospital

Mohali, Gian Sagar Medical College and Hospital Bannur, Behgal Hospital Mohali, Shri Guru Harkrishan

Hospital Sohana Mohali, Mayo Hospital Mohali, JP Superspeciality Hospital Zirakpur Mohali, Kidney &

Uro Stone Centre Chandigarh, Chandigarh Cancer and Diagnostic Centre Chandigarh, Oswal Hospital

Ludhiana, DMC Hospital Ludhiana, CMC Hospital Ludhiana, Sri Guru Ramdas Institute of Medical

Sciences & Research Amritsar, Amar Hospital, Patiala, Bansal Cancer Care Hospital Bathinda and

Pathological Laboratories in the registry areas namely: Malhotra Lab Chandigarh, Medicos Lab

Chandigarh, Indira Holiday Home Charitable Trust Chandigarh, Altus Medical Lab Chandigarh, Atulaya

Healthcare Chandigarh, SRL Lab Chandigarh, Mujoo’s lab Chandigarh , Helix Path Lab Mohali Chandigarh,

Nimbus Path Lab Mohali and Poonam Lab Sangrur.NGO’s running in the registry areas, namely Pindi

Foundation, Global Cancer Concern, Cancer Sahayata Sehyog, Bhai Kanhaiya Cancer Roko Society also

contributed to our registry.

We acknowledge the co­operation provided by Dr .Tapas Dora, Radio­oncologist, Dr. Sankalp Sancheti,

Pathalogist Dr. Sumit Gupta, Asst. Prof. Head & Neck Surgery from Homi Bhabha Cancer Hospital,

Sangrur. Population Based Cancer Registry gratefully acknowledge the support provided by the many

participating departments of PGI which includes: Dr. Sushmita Ghoshal Prof. & Head, Dr. S.C. Verma

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Prof. & Head, Dr. Pankaj Malhotra Professor, Dept. of Internal Medicine, Late Dr. R.K. Marwaha Former

Professor, Dr. Pratibha D. Singhi Prof & Head, Dr. Deepak Bansal Professor, Dept. of Advanced Paediatric

Centre, Dr. A.K. Mandal, Prof. & Head, Dept. of Urology, Dr. Jagat Ram Prof. & Head, Dr. Usha Singh,

Professor, Dept. of Ophthalmology, Dr. Naresh K Panda Professor & Head, Dr. Rijuneeta Associate

Professor Dept of Otolaryngology, Dr Vanita Suri Prof. & Head, Dr. P.K Saha Assistant Professor, Dept. of

Obstetrics & Gynaecology, Dr. R.K Dhiman Professor, Dr Ajay Duseja, Additional Professor Dept. of

Hepatology, Dr. D. Behra Professor and Head, Dr. Navneet Singh Assistant Professor, Dept. of Pulmonary

Medicine, Dr. Rajinder Singh Prof. & Head, Dr. Gurpreet Singh Professor, Dept of General Surgery, Dr.

Arvind Rajwanshi Prof. & Head, Dept. of Cytology and Gynecological Pathology, Dr. Ranjana W. Minz,

Dept. of Immunopathology, Dr. RK Vasishta, Dr Neelam Varma Prof & Head, Haematology, Dr.A.K Gupta

Medical Superintendent cum Prof. & Head, Dr. Pankaj Arora, Assistant Professor, Dr. N Khandelwal Prof.

& Head, Dept, of Radio­diagnosis & Imaging, Mr. Kartikeyan SMRO, Mrs C Uma Rani SMRO, Mr. Sunil

Kumar JMRO, Mr. Mukesh JMRO. Our special thanks to Dr. M. Bashar for completing the quality control

assessment of all the cancer registries.

We graterfully acknoledge the support provided by district adminstration of Sangrur and Mansa

districts.

We would like to thanks the support provided by Dr. A.K. D’Cruz, Director Tata Memorial Hospital

(TMH), Mumbai, Dr. K.S Sharma, Director­Academics, Dr. Venkata V.P.R.P., CAO TMC, Mrs. Indira

Pasupathy, JCFA – TMH, Mr. Anil Sathe Sr. AO –TMH, Mr. Sukumaran Krishnan Perumpully HR & Admin

Coordinator, Mr. S. G. Masdekar, Jr Administrative Officer HRD, Mr. Chandrakant T. Shetty, Assistant

Administrative Officer. We acknowledge the help rendered by Mumbai and Barshi PBCR.

Contact details

Chandigarh and SAS Nagar PBCR

Office Address:

Population Based Cancer Registry, Chandigarh and SAS Nagar

Room No­ 0005, School of Public Health,

PGIMER, Chandigarh – 160 012

Contact:

Landline Number­ 0172­2755219 Email ­ [email protected], [email protected]

Sangrur and Mansa PBCR

Office Address:

Population Based Cancer Registry, Sangrur District

Homi Bhabha Cancer Hospital,

Civil Hospital Campus, Sangrur – 148 001

Punjab State, India

Contact:

Mobile Number: 09029624937 Email ­ [email protected], [email protected]