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M.K. Piya
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P3.11 - Poster Session/ Palliative and Supportive Care (ID 231)
- Event: WCLC 2015
- Type: Poster
- Track: Palliative and Supportive Care
- Presentations: 1
- Moderators:
- Coordinates: 9/09/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)
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P3.11-009 - Lung Cancer in Nepal: Five Years Review from a Tertiary Cancer Center of Nepal (ID 515)
09:30 - 09:30 | Author(s): M.K. Piya
- Abstract
Background:
Lung cancer is the leading cause of cancer related morbidity and mortality in both the sexes in Nepal. It accounts for 15.4 % of total cancer as per hospital based Cancer Registry in Nepal. The purpose of this study was to review the patient characteristics and sociocultural factors and their influences in lung cancer cases presenting to the National Hospital and Cancer Research Center of Nepal.
Methods:
A retrospective cross-sectional study was done for the lung cancer cases from January 2009 to May 2014. 72 cases were identified by searching through inpatient records at the National Cancer Hospital but only 43 cases were selected for the analysis purpose due to lack of complete data in other remaining cases. Mean age, gender, ethnicity, locality, smoking habits, histological cell types and staging of the lung cancer patients at the initial presentation time were evaluated. Data were analyzed using SPSS statistical software.
Results:
The highest incidence of lung cancer is seen between 61-80 years of age (62.7%). There was no significant difference between the number of cases among male (51.16%) and female (48.83%). Majority of cases were from central part of the country near capital city (76.7%) whereas eastern and the entire western regions contributed to 7.1% and 16.2% cases respectively which clearly shows the lack of easy accessibility among patient for treatment at tertiary cancer center. People from Newar (39.5%) and Chettri (30.2%) ethnic origin were among the group with highest incidence of lung cancer in our study. 79.06% were smoker than compared to 20.93% who were non-smokers. 76.47% of patient started smoking at age between 10-20 years. 85.29% of the patients consumed local brand cigarettes which has either poor filter or no filter at all. 88.37% of the patients were diagnosed with Non Squamous lung Cancer (NSCLC) and 11.62% were diagnosed with Small Cell lung Cancer(SCLC). In NSCLC majority had squamous cell carcinoma (68.42%) and adenocarcinoma (31.57%). 86.84% of the patients were diagnosed with advanced stage III/IV lung cancer at the time of presentation to the hospital which shows significant delay in getting early diagnosis and treatment in majority of patient with the lung cancer.
Conclusion:
Because of the negligence for the simple cough patient tend to come to see the doctors late. The other reason for late presentation (stage III and IV) being the terrain and lack of diagnostic facilities in many parts of the country. Other important aspect of late presentation is treating the lung lesions as Pulmonary TB by the general physicians because of TB being one of the most common pulmonary diseases in the country. Such a study in larger scale would be beneficial for the implementation of awareness campaign, early detection, and treatment of the disease at the possible early stage.
