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THIS paper discusses, from two standpoints, malignant tumours of the liver, pancreas and peritoneum in Singapore. Firstly, the incidence and morbid anatomy of such tumours, seen in the post mortem room by the staffs of the University and Government Departments of Pathology, in the 22,997 autopsies carried out in the years 1948-58 inclusive, are described. Secondly, the morbidity and mortality from these cancers, derived from hospital and Registrar General's figures, for the years 1954-58 inclusive, are considered. This study is complementary to a previous review of gastro-intestinal tract tumours (Muir, 1959). The age, sex, and racial structure of the Singapore population for this period have already been described (Muir, 1959) and some of the possible sources of error and bias in the post mortem material and in the records of the Registrar General (Singapore) have been indicated. Briefly, half the Singapore population, both living and post mortem, is under 21 years of age, and while the relative racial proportions for the population as a whole are: Chinese, 763 per cent; Malay, 13 1 per cent; Indians and Pakistanis, 8 1 per cent; and Others 2 5 per cent, the corresponding post mortem figures are 87 0 per cent, 2-6 per cent, 8-4 per cent, and 2-0 per cent. Some one-third of deaths are registered by hospital assistants and police officers. The records of nearly all post mortems performed on the Island in this period were available to the author. These were scrutinised individually and the relevant data entered on a proforma for subsequent analysis.

Cancer of the Liver, Pancreas and Peritoneum in Singapore