Time trends in the incidence of cancer cervix in Karachi South, 1995-2002.

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dc.contributor.authorBhurgri, Yasminen_US
dc.contributor.authorPervez, Shahiden_US
dc.contributor.authorKayani, Nailaen_US
dc.contributor.authorAfif, Muneezaen_US
dc.contributor.authorTahir, Imranen_US
dc.contributor.authorNazir, Kauseren_US
dc.contributor.authorUsman, Ahmeden_US
dc.contributor.authorFaridi, Naveenen_US
dc.contributor.authorBhurgri, Hadien_US
dc.contributor.authorMalik, Jawaiden_US
dc.contributor.authorBashir, Imtiazen_US
dc.contributor.authorBhurgri, Asifen_US
dc.contributor.authorAhmed, Rashidaen_US
dc.contributor.authorHasan, Sheema Hen_US
dc.contributor.authorKhurshed, Mohammeden_US
dc.contributor.authorZaidi, S M Hen_US
dc.date.accessioned2009-05-27T17:37:02Z
dc.date.available2009-05-27T17:37:02Z
dc.date.issued2008-07-08en_US
dc.descriptionAsian Pacific Journal of Cancer Prevention.en_US
dc.description.abstractINTRODUCTION: The objective of the study was to determine the trends of cancer cervix in Karachi South during an eight (1995-2002) year period. METHODOLOGY: Cancer cervix cases recorded at Karachi Cancer Registry during 1st January 1995 to 31st December 2002 were analyzed. Trends were studied by analyzing the age standardized incidence rates (ASR)s in 2 time periods, 1995-97 and 1998-2002. RESULTS: Cancer cervix ranked sixth in the 1995-97 period the age standardized incidence rate (ASR) world and crude incidence rate (CIR) per 100,000 were 6.81 and 3.22. It reached the fifth ranking in the 1998-2002 period with an ASR and CIR of 7.5 and 4.0 per 100,000. Thus between 1995 and 2002, the incidence of cervical cancer registered an approximate 10% increase. The mean age of the cancer cases was 53.3 years (SD 11.6; 95% CI 50.58, 55.96; range 32-85 years) and 50.7 years (SD 11.7; 95% CI 48.8, 52.5; range 51 years) in period 1 and 2 respectively. The morphological components of squamous cell carcinoma and adenocarcinoma remained stable during this period, though a marginally higher component and increasing incidence of adenocarcinoma was observed throughout. A negligible down staging was observed in the 1998-2002 period. Localized malignancy was observed in 30.8% in period 2 as compared to 25.7% in period 1 and the component of carcinoma in situ increased from 0% percent in period 1 to 1.3% in the second period. Despite this two thirds of the cases still presented with a regional or distant spread of disease. CONCLUSION: Pakistan at present falls into a low risk cancer cervix region. The cause of concern is the steadily increasing incidence especially in the younger birth cohorts, the advanced disease at presentation; insignificant in-situ cancers and no preventive intervention or awareness practices in place.en_US
dc.description.affiliationKarachi Cancer Registry, Department of Pathology and Microbiology, Aga Khan University Hospital, Karachi, Pakistan. bhurgri@cyber.net.pken_US
dc.identifier.citationBhurgri Y, Pervez S, Kayani N, Afif M, Tahir I, Nazir K, Usman A, Faridi N, Bhurgri H, Malik J, Bashir I, Bhurgri A, Ahmed R, Hasan SH, Khurshed M, Zaidi SM. Time trends in the incidence of cancer cervix in Karachi South, 1995-2002. Asian Pacific Journal of Cancer Prevention. 2008 Jul-Sep; 9(3): 533-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/37526
dc.language.isoengen_US
dc.source.urihttps://www.apocp.orgen_US
dc.titleTime trends in the incidence of cancer cervix in Karachi South, 1995-2002.en_US
dc.typeJournal Articleen_US
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