Cancer Registry Report 2017

Cancer Registry Report

The Cancer Registry is known for its substantial supportive role in the Missouri Baptist Medical Center’s Cancer Program. The Registry works with physicians, administrators, healthcare providers and planners to provide support for cancer program development, to ensure compliance to regulatory reporting requirements and standards, and to serve as a primary resource for cancer information and statistical information. A major function of the Registry is to record and analyze relevant patient data to include cancer diagnosis and treatment. The Registry also ensures compliance with the Commission on Cancer (CoC) standards, which ensures that Missouri Baptist provides the most comprehensive and patient centered cancer care for our patients.

The registry currently has almost 30,000 cancer patients entered into the database, representing individuals who were diagnosed and treated at Missouri Baptist Medical Center since its reference date in 2002. The Registry provides lifetime follow up on all of these patients. The information collected in follow up ensures continuous medical surveillance of the patient and enables monitoring of treatment efficacy and survival.

In addition to the primary functions of data collection relevant to each cancer patient we treat, the Registry is involved in analyzing cancer data for the purpose of education, research, quality of care and outcomes measurement. This data is submitted to the state and the National Cancer Database. Aggregate data can be used as a clinical surveillance mechanism in review of patterns of care, and outcomes and survival, with the ultimate goals being cancer prevention and quality treatment delivery.

Physicians and other healthcare professionals are encouraged to utilize the data collected by the Cancer Registry.

Analysis of Cancer Cases 2017

Primary Site Total M F Analytic* Non-Analytic**
ORAL CAVITY & PHARYNX 21 18 3 19 2
Tongue 4 4 0 4 0
Salivary Glands, Major 1 1 0 1 0
Mouth, Other & Nos 4 2 2 3 1
Tonsil 9 9 0 8 1
Oropharynx 2 1 1 2 0
Hypopharynx 1 1 0 1 0
DIGESTIVE SYSTEM 433 218 215 359 74
Esophagus 35 25 10 18 17
Stomach 39 16 23 30 9
Small Intestine 15 8 7 14 1
Colon 122 59 63 110 12
Rectum & Rectosigmoid 33 20 13 21 12
Anus, Anal Canal, Anorectum 12 4 8 9 3
Liver 25 18 7 21 4
Gallbladder 6 2 4 4 2
Bile Ducts 16 3 13 14 2
Pancreas 122 61 61 112 10
Retroperitoneum 3 1 2 3 0
Peritoneum, Omentum, Mesentery 3 0 3 2 1
Other Digestive 2 1 1 1 1
RESPIRATORY SYSTEMS 315 150 165 283 32
Nose, Nasal Cavity & Middle Ear 2 0 2 2 0
Larynx 3 2 1 3 0
Lung/Bronchus-Small Cell 55 28 27 48 7
Lung/Bronchus-Non Sm Cell 252 117 135 227 25
Pleura 1 1 0 1 0
Other Respir & Thoracic 2 2 0 2 0
LEUKEMIA 55 27 28 50 5
MYELOMA 29 14 15 24 5
OTHER HEMATOPOETIC 42 21 21 37 5
BONE 2 2 0 1 1
SOFT TISSUE 4 2 2 2 2
SKIN 26 18 8 17 9
Melanoma of Skin 23 15 8 15 8
Other Skin Cancer 3 3 0 2 1
EYE 1 1 0 1 0
Melanoma of Uvea 1 1 0 1 0
BREAST 356 2 354 325 31
FEMALE GENITAL SYSTEM 193 0 193 157 36
Cervix Uteri 27 0 27 21 6
Corpus Uteri 110 0 110 98 12
Uterus Nos 4 0 4 3 1
Ovary 26 0 26 22 4
Vagina 1 0 1 1 0
Vulva 22 0 22 9 13
Other Female Genital 3 0 3 3 0
MALE GENITAL SYSTEM 133 133 0 98 35
Prostate  120 120 0 86 34
Testis 12 12 0 12 0
Other Male Genital 1 1 0 0 1
URINARY SYSTEM 167 110 57 156 11
Bladder 70 52 18 63 7
Kidney & Renal Pelvis 87 54 33 84 3
Ureter 7 2 5 7 0
Other Urinary 3 2 1 2 1
BRAIN & OTHER NERVOUS SYSTEM 36 16 20 33 3
Brain 14 10 4 12 2
Other Nervous System 22 6 16 21 1
ENDOCRINE SYSTEM 50 10 40 45 5
Thyroid 44 6 38 41 3
Other Endocrine 6 4 2 4 2
LYMPHOMA 60 39 21 53 7
Hodgkin's Disease 9 5 4 8 1
Non-Hodgkin's Lymphoma 51 34 17 45 6
UNKNOWN OR ILL-DEFINED 16 7 9 14 2
Total 1939 788 1151 1674 265

*Analytic cases: Diagnosed and/or treated first course treatment at Missouri Baptist

**Non-analytic cases: Received subsequent treatment at Missouri Baptist (diagnosed and all first-course treatment received elsewhere).

 

Top Cancer Sites

Site Missouri Baptist State of Missouri
  Total Percentage Total Percentage
Breast 356 18% 4930 14%
Lung 307 16% 5620 16%
Colorectal 155 8% 2860 8%
Pancreas 122 6% 1070 3%
Prostate 120 6% 2990 9%

Skin Cancer Screening at Missouri Baptist Medical Center

Skin cancer is the most common type of cancer in the United States, most can be treated successfully if detected early. Lee Portnoff, MD, leads the St. Louis region's annual St. Louis Dermatological Society Skin Cancer Screening Program. Missouri Baptist participates as one of several sites including: Barnes-Jewish West County Hospital, Barnes-Jewish St. Peters Hospital, Mercy Hospital St. Louis, SSM St. Clare Hospital, St. Anthony's Medical Center, St. Louis University School of Medicine, and St. Luke's Hospital.

In support of this effort, Rebecca Peck, MDOsamuede Osemwota, MD; and Dr Portnoff participated in a screening event at Missouri Baptist Medical Center on May 19, 2018.

Forty-three (43) people were screened at this one day event and 2 basal cell cancers were identified. An additional 7 patients were recommended for biopsy. Patients were given a form to identify the location of suspicious area and advised to follow up with their dermatologist. Patients without a dermatologist were provided a list from the St. Louis Dermatological Society.

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