Dharmais National Cancer Center IndonesiaThe role in National Cancer Control Program of Indonesia.

Sutoto MD, MHAPresident Director of

Dharmais National Cancer Center Indonesia

Capital city of Indonesia : Jakarta

“Dharmais” National Cancer CenterIndonesia

THE TEN COMMONEST MALIGNANCY in "DHARMAIS" NATIONAL CANCER CENTER 1995 - 2004

0

50

100

150

200

250

300

350

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

YEARS

NUMB

ER

Cervical Cancer

Nodal Lymphoma

Breast Cancer

Skin Cancer

Colorectal Cancer

Ovarial Cancer

Nasopharynx

Leukemia

Bronchus and Lung

Soft Tissue Sarcoma

Bone Sar coma

Ca Corpus Uteri

Thyroid Gland

2.51 % Leukemia

2.62 % Ca. Corpus Uteri

2.62 % Ca. Thyroid Gland3.12% Nodule Lymphoma

3.79 % Ca. Pharynx

3.96 % Ca. Colorectal

4.46 % Ca. Bronchus and Lung

7.25 % Ca. Ovary

27.05 % Ca. Breast

27.55 % Ca. Cervix Uteri

2.40 %Ca. Oral Cavity

2.58 %Ca. Skin

2.84 %Ca. Prostate Gland

3.02 %Soft Tissue Sarcoma

4.97 %Ca. Hepar

5.42 %Leukemia

6.93 %Nodule Lymphoma

7.55 %Ca. Colorectal

16.43%Ca. Pharynx

22.56 %Ca. Bronchus and Lung

The Most Common Malignancy in Male and Female Dharmais National Cancer Hospital, Jakarta-Indonesia in 1997-1999

Sub Division Cancer RegistryResearch and Development DepartmentDharmais National Cancer Hospital, Jakarta, IndonesiaData unpublished

1.84 % Ca. Oral Cavity

2.07 % Ca. Thyroid Gland3.00 % Nodule Lymphoma

3.23 % Ca. Pharynx

4.38 % Ca. Colorectal

4.38 % Leukemia

8.53 % Ca. Bronchus and Lung

9.68 % Ca. Ovary

27.42 % Ca. Breast

18.20 % Ca. Cervix Uteri

2.04 %Ca. Oral Cavity

3.21 %Ca. Stomach

2.33 %Ca. Prostate Gland

3.79 %Ca. Pancreas7.87 %Ca. Hepar

6.41 %Leukemia

5.83 %Nodule Lymphoma

8.45 %Ca. Colorectal

11.66%Ca. Pharynx

29.74 %Ca. Bronchus and Lung

The Most Common Mortality in Male and FemaleDharmais National Cancer Hospital, Jakarta-Indonesia in 1997-1999

Sub Division Cancer Registry

Research and Development Department

Dharmais National Cancer Hospital, Jakarta, Indonesia

Data unpublished

Site Specific Cancer Registry (Breast Cancer)

in Dharmais NCC-Indonesia

Dharmais Hospital based Cancer Registry.Department of Research and Development

Breast Cancer by Age Group per yearin Dharmais NCC-Indonesia.

0

20

40

60

80

100

15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94

Age Group

Freq

uenc

y

2000 2001 2002 2003 2004 2005 2006 2007

Stage - No Stage in Breast Cancer Cases in 1993-1996

45.3%

54.7%

know nunknown

Stage of Ca.Mammae cases in Dharmais Hospital 1993-1996

2.5%

18.4%

32.0%

47.2%

0%

10%20%

30%40%

50%

stage 1 stage 2 stage 3 stage 4

Stage

%

Stage by Status 1993-1996

0.00%

23.08%

8.98%15.64%

59.04%67.52%

5.98%3.42%

15.05%

1.28%

0%10%20%30%40%50%60%70%80%

Stage 1 Stage 2 Stage 3 Stage 4 Unknown

Stage

%

Dead Alive

Mortality Rate of The 10 Commones t Malignancyin 1994-1998 in Dharm ais Cancer Centre

Jakarta, Indonesia

0.00% 20.00% 40.00% 60.00% 80.00% 100.00%

Bronchus and Lung

Hepar

Leukemia

Colon

Breast

Ovarium

Nasopharynx

Lymphoma

Rectum

Cervix

To

po

gra

ph

y

Percent

% Dead

% Alive

627

198

1 13

936

844 7

69 62 4 00

200

400

600

800

1000

BIRADS 1 627 936 69

BIRADS 2 198 84 62

BIRADS 3 0 3 1

BIRADS 4 1 4 4

BIRADS 5 7 33 1

0thers 13 7 0

US Mammo Mammo+US

Breast Cancer Early Detection in Dharmais Hospital 2001 -2005

Courtesy Kardinah, SpRad

Implementation Screening Mammography in Jakarta

‘Modified’ screening

• Primary health care awareness promotion: nurses / midwives

• Risk Factors • Familial cancer : pedigree• Education : CBE and BSE• Ultrasound Examination : cyst

or solid lesion• Mammography (mobile unit)• Referral system

• The goal : Early detection (tumor less than 3 cm/Stage II) • Identified High risk

population• Introducing Familial cancer• Promote Awareness• To build easy access to care

Courtesy Kardinah, SpRad

Result91.5

4.40.9

74.2

9.90.9

97.4

1.5 0

87.7

3.53.50

102030405060708090

100

YKPJ US EDU US YKPJ Mamo EDU Mamo

NormalCystMalignant

EDU : Early Detection Unit

YKPJ: Jakarta Breast Health Foundation

Value in percentage

KECAMATAN KOJA – JAKARTA UTARA

ProfilePopulation : 592.586 Male : 308.957 Female : 283.626 Primary Health Care : 6 Units Courtesy Kardinah, SpRad

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