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In Pakistan there is no proper National Cancer Registry. The age-standardized rates (ASR) for cancer (all sites), 1995 to 1997 in Karachi South (KS) were 139.11/1 in males and 169.5/1 in females. Corresponding rates for 1998 to 2002 were 179.0/1 in males and 204.1/1 in females. In the 1995-1997 data, the most common malignancies (ASR per 100,000) in males were lung (21.3), oral cavity (14.2), urinary bladder (9.0), and larynx (8.8). The commonest cancers in females were breast (53.1), oral cavity (14.5), and ovary (10.9). Data from 1998 to 2002 showed a rising incidence for lung (25.5), larynx (11.8), and urinary bladder (9.9) cancers in males and breast (69.1), esophagus (8.6), and cervical (8.6) cancers in females. The mean age of cancer for all sites was 51.2 years (95% CI 49.4; 53.1) for males and 50.0 years (95% CI 48.2; 52.4) for females in 1995-1997. Corresponding rates for 1998-2002 were 49.5 years (95%CI 47.5; 51.4) in males and 53.7 years (95% CI51.5; 55.6) in females [1]. Some institutions are now starting to develop their own Cancer Registry.

Effective Cancer Management can only be Possible via a Multi-Disciplinary Team Approach - Need for Establishment of Site Specific Tumor Boards