Clinicopathological profile of malignancies treated in a urology unit over a period of five years

Sutharshan, Kugadas; Balagobi, B.; Gajasinghe, S; Sasikumar, S.; Weligamage, A.; Ishak, M.C.M.; Maddumage, H.; Abeygunasekera, Anuruddha M

doi:10.4038/sljs.v34i4.8313

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…141 patients diagnosed over the last three years in a tertiary care hospital in Northern province is indeed a big number. A similar trend has also been noted in a tertiary care hospital in the south of Srilanka, with 386 cases over 5 years [9].…”

Section: Discussionsupporting

confidence: 75%

With the rising trend of prostate cancer, where does northern Sri Lanka stand? A cohort study from a tertiary care centre.

Balagobi,

Gobinath,

Rajasooriyar

et al. 2023

Sri Lanka j Surg

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Introduction: Prostate cancer is the second most common cancer among males all over the world in 2020. As per the global cancer observatory 1, 414, 259 (7.3%) cases were diagnosed in 2020 worldwide. The study aims to analyse the variations in demographic and clinico-pathological characteristics of prostate cancer in the Northern Province. Methods: This is a cross-sectional descriptive institution-based study that recruited all the prostate cancer patients who were treated at the Teaching hospital, Jaffna from August 2019 to August 2022. Data were extracted retrospectively from the clinic records of the patients as well as histopathology documents. Results: A total of 141 diagnosed patients at Teaching Hospital Jaffna were analysed. The mean age of the sample was 70.11± 8.43 years. Out of 141 patients, 30.49% were diagnosed to have localized disease and 26.24% and 43.26% with locally advanced and metastatic disease respectively. Out of those who had localized disease 68.5% were managed with radiotherapy, 23.25% with active surveillance and 11.6% with radical prostatectomy. The mean value of PSA was 70.11±8.4. The majority 97.2% had small acinar adeno carcinoma as histology. As per the D’Amico classification system for prostate cancer, 2.83% belonged to low-risk category and 80.1% belonged to high-risk category. Conclusion: There is a rising trend in the incidence of prostate cancer in Sri Lanka over the recent past. Most of the cases are advanced at the initial presentation. It implies the need for screening programmes with PSA in near future to detect cancer at early stages, implementation of cancer awareness programmes as practised in Western countries and strict adherence to national guidelines on management and referral pathways.

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Section: Discussionsupporting

confidence: 75%

With the rising trend of prostate cancer, where does northern Sri Lanka stand? A cohort study from a tertiary care centre.

Balagobi,

Gobinath,

Rajasooriyar

et al. 2023

Sri Lanka j Surg

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“…With the enhancement of facilities for minimally invasive radiologically guided tissue sampling methods, the diagnosis and reporting of these malignancies could be further improved. Immunohistochemistry facilities, although not widely available, have helped precise histopathological diagnosis of complex malignancies which is essential for selection of appropriate therapy [25].…”

Section: Diagnosis and Treatmentmentioning

confidence: 99%

Cancer services in Sri Lanka: current status and future directions

Jayarajah

Abeygunasekera

2021

J Egypt Natl Canc Inst

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Background The burden of cancer in Sri Lanka is on the rise. The overall incidence of cancer in Sri Lanka has doubled over the past 25 years with a parallel rise in cancer-related mortality. Cancer has become the second commonest cause of hospital mortality in Sri Lanka. In this review, we aim to provide an overview of the current status and future direction of cancer care in Sri Lanka. Main body In Sri Lanka, cancer services are predominantly provided by the state sector free of charge to the general public. With the establishment of national cancer policy on cancer prevention and control, there has been a commendable improvement in the cancer services provided island-wide. An increasing number of breast, oropharyngeal, thyroid, oesophageal, colorectal, lung, and gastric cancers are being diagnosed and treated annually. Primary prevention measures include restrictions in tobacco and HPV vaccination. Screening programs for selected cancers such as breast, oral and cervical cancers are delivered. Medical oncology units with facilities for systemic therapy and adequately supported by surgical, pathology, and radiology departments have been established in each district general hospital island-wide. Although the current progress is commendable, future changes are necessary to overcome the current limitations and to cater the ever increasing burden of cancer. Measures are necessary to enhance the coverage of Sri Lanka Cancer Registry. Timely high-quality research and audits are essential. Community participation in planning strategies for cancer prevention and treatment is minimal. Community-based palliative care facilities and radiation and other systemic therapy should be made available in all provinces. A culture of multi-disciplinary care with proper referral pathways would help to improve the current setting. Conclusion In conclusion, Sri Lanka has a reasonably balanced and continuously expanding program for prevention, screening, and treatment of cancers. Emphasis on preventive strategies related to reducing tobacco smoking, chewing betel, and obesity, making cancers a notifiable disease, involving the community in planning cancer care and prevention strategies, conducting research to evaluate cost-effectiveness of existing treatment and increasing radiotherapy facilities would further improve the cancer services in Sri Lanka.

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Clinicopathological profile of malignancies treated in a urology unit over a period of five years

Cited by 2 publications

References 9 publications

With the rising trend of prostate cancer, where does northern Sri Lanka stand? A cohort study from a tertiary care centre.

With the rising trend of prostate cancer, where does northern Sri Lanka stand? A cohort study from a tertiary care centre.

Cancer services in Sri Lanka: current status and future directions

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