Cancer Incidence and Mortality in Central Myanmar: Report of Nay Pyi Taw Population-Based Cancer Registry

Abstract

Background: Cancer is a major public health problem in Myanmar, and cancer registration activities are currently underway through both hospital-based and population-based approaches. So far, there are no population-based cancer incidence and mortality estimates in the country. Methods: According to the 2014 census, the total population of Nay Pyi Taw Union Territory was 1,160,242 within the area of 70,571 km 2 . Nay Pyi Taw Cancer Registry team collected data of new cancer cases both actively and passively from all data sources in the region. The data were registered, updated, cross-checked, quality-assured, and analyzed in CanReg5. The results were presented as the number of cases by site, sex, and age, cumulative risk (CR), crude rate, age-specific, and age-standardized incidence rates (ASRs) per 100,000. Results: Total 5,952 new cancer cases and 1874 cancer deaths were recorded among the population of the Nay Pyi Taw Union Territory between 2013 and 2017. The age-standardized incidence rate for all cancer sites excluding nonmelanoma skin cancers in males was 125.9 and 107.3 for females. For both sexes combined, the most common cancers were lung (14%), breast (11.4%), liver (10.2%), mouth and pharynx (8.5%), and stomach cancers (7.8%). In males, the most common were lung (18.1%), liver (14.8%), mouth and pharynx (13%), stomach (8.9%) and colon, rectum, and anus (7.4%) cancers. In females, these were breast (21.2%), cervix (13.0%), lung (10.3%), stomach (6.9%) and colon, rectum, and anus (6.3%) cancers. The most common cancer deaths were caused by liver (20.8%), lung (15.7%), mouth and pharynx (9.3%), stomach (7.5%), and Colon, rectum, and anus (6.8%) cancers. Conclusion: The findings in this study are salient and have potential to serve as important information for the National Cancer Control Program to formulate prevention and control strategies.

Differences in the incidence and mortality of digestive cancer between Global Cancer Observatory 2020 and Global Burden of Disease 2019

“…22 Myanmar's cancer registries mostly hospitalbased, except Nay Pyi Taw's population-based registry. 23 Yangon General Hospital and Mandalay General Hospital adopted computerized registries in 2002, often receiving cancer referrals. 24 Uganda's Gulu Cancer Registry actively collects new cases from healthcare facilities, medical centers and labs in the district.…”

“…However, other nine cancer registries in Vietnam vary in quality and cannot meet healthcare needs due to rapid population growth 22 . Myanmar's cancer registries mostly hospital‐based, except Nay Pyi Taw's population‐based registry 23 . Yangon General Hospital and Mandalay General Hospital adopted computerized registries in 2002, often receiving cancer referrals 24 .…”

Breast cancer epidemiology and sociodemographic differences in BRICS-plus countries from 1990 to 2019: An age period cohort analysis

“…These risks used to be more present in high and high-middle SDI areas, while social development over time showed a very different scenario. Driven by significant period and cohort effects, a heavier burden of BC was observed in the elderly and the recent birth cohorts ( Shwe et al, 2022 ). With social development and initial increases in national wealth, diet conditions have unexpectedly worsened, leading to higher calorie intake and high FPG.…”

Virtual colonoscopy and fibrocolonoscopy in colorectal cancer patients

“…Резултатите Съгласно националната статистика на Централен Мианмар през 2014 г. в регистъра по рака са посочени общо 5952-ма новодиагностицирани болни при население от 1160242-ма души (18). Ракът на дебелото, правото черво и ануса е сред най-честите злокачествени заболявания при мъжете (при 7,4%) и при жените (при 6,3% от всички малигнени заболявания).…”