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 ﺍﻫﻤیﺖ ﺑیﻤﺎﺭی ﺳﺮﻃﺎﻥ Ø ﺑیﻤﺎﺭی ﺩﺭ ﺣﺎﻝ ﺍﻓﺰﺍیﺶ ﺩﺭ کﺸﻮﺭ Ø ﺳﻮﻣیﻦ ﻋﻠﺖ ﺍﻫﻤیﺖ ﺑیﻤﺎﺭی ﺳﺮﻃﺎﻥ Ø ﺑیﻤﺎﺭی ﺩﺭ ﺣﺎﻝ ﺍﻓﺰﺍیﺶ ﺩﺭ کﺸﻮﺭ Ø ﺳﻮﻣیﻦ ﻋﻠﺖ ﻣﺮگ ﻭ ﻣیﺮ ﺩﺭ کﺸﻮﺭ Ø ﺑﺎﺭ ﺑیﻤﺎﺭی ﻧﺎﺷی ﺍﺯ آﻦ 30% Ø آﻨﻬﺎ ﺑﺎ ﺑﺮﻧﺎﻣﻪ ﻫﺎی ﻣﺪﺍﺧﻠﻪ ﺍی ﻗﺎﺑﻞ کﻨﺘﺮﻝ ﻣی ﺑﺎﺷﻨﺪ

 ﺩﻻﻳﻞ ﺍﻓﺰﺍﻳﺶ ﺑﺮﻭﺯ ﺳﺮﻃﺎﻥ ﺩﺭ ﺩﻧﻴﺎ ﻭ ﺍﻳﺮﺍﻥ 1. ﺍﻓﺰﺍﻳﺶ ﻧﺴﺒﻲ ﻣﺘﻮﺳﻂ ﺟﻤﻌﻴﺖ ﺩﻻﻳﻞ ﺍﻓﺰﺍﻳﺶ ﺑﺮﻭﺯ ﺳﺮﻃﺎﻥ ﺩﺭ ﺩﻧﻴﺎ ﻭ ﺍﻳﺮﺍﻥ 1. ﺍﻓﺰﺍﻳﺶ ﻧﺴﺒﻲ ﻣﺘﻮﺳﻂ ﺟﻤﻌﻴﺖ ﻛﺎﻫﺶ ﻣﺮگ ﻭ ﻣﻴﺮ ﺍﻓﺰﺍیﺶ ﺗﻮﻟﺪ ﺟﻮﺍﻥ ﺑﻮﺩﻥ ﺟﻤﻌﻴﺖ ﻭ آﻴﻨﺪﻩ ﺳﺎﻟﻤﻨﺪﻱ 2. ﻛﻨﺘﺮﻝ ﻧﺴﺒﻲ ﺑﻴﻤﺎﺭﻳﻬﺎ ﺗﻐﻴﻴﺮ ﺩﻣﻮگﺮﺍﻓﻴﻚ ﺍﺯ ﺑﻴﻤﺎﺭﻳﻬﺎﻱ ﻭﺍگﻴﺮ ﺑﻪ ﻏﻴﺮ ﻭﺍگﻴﺮ 3. ﺍﻓﺰﺍﻳﺶ ﻋﻮﺍﻣﻞ ﺧﻄﺮ ﻣﺤﻴﻄﻲ

 ﺑﺎﺭ ﻧﺎﺷﻲ ﺍﺯ ﺳﺮﻃﺎﻥ ﺯﻥ ﻣﺮﺩ ﺳﺮﻃﺎﻥ 61362 79993 ﻣﻌﺪﻩ 1357 9838 ﻣﺮی ﺑﺎﺭ ﻧﺎﺷﻲ ﺍﺯ ﺳﺮﻃﺎﻥ ﺯﻥ ﻣﺮﺩ ﺳﺮﻃﺎﻥ 61362 79993 ﻣﻌﺪﻩ 1357 9838 ﻣﺮی 1919 79631 کﻮﻟﻮﻥ 19621 58742 ﺭیﻪ 78261 پﺴﺘﺎﻥ 9927 115981 پﺮﻭﺳﺘﺎﺕ 883442 ﻛﻞ ﺳﺮﻃﺎﻥ ﻫﺎ

 ﺍﻫﺪﺍﻑ ﺛﺒﺖ ﺳﺮﻃﺎﻥ • ﺗﻌﻴﻴﻦ ﻓﺮﺍﻭﺍﻧﻲ ﻧﺴﺒﻲ ﺍﻓﺮﺍﺩ ﻣﺒﺘﻼ ﺑﻪ ﺳﺮﻃﺎﻥ ﻫﺎ ﺑﻪ ﺍﻫﺪﺍﻑ ﺛﺒﺖ ﺳﺮﻃﺎﻥ • ﺗﻌﻴﻴﻦ ﻓﺮﺍﻭﺍﻧﻲ ﻧﺴﺒﻲ ﺍﻓﺮﺍﺩ ﻣﺒﺘﻼ ﺑﻪ ﺳﺮﻃﺎﻥ ﻫﺎ ﺑﻪ ﺗﻔﻜﻴﻚ ﺳﻦ ﻭ ﺟﻨﺲ ﺗﻌﻴﻴﻦ ﻣﻴﺰﺍﻥ ﺑﺮﻭﺯ ﺍﺳﺘﺎﻧﺪﺍﺭﺩ ﺷﺪﻩ ﺳﺮﻃﺎﻥ ﻫﺎ ﺑﻪ ﺗﻔﻜﻴﻚ ﺳﻦ ﻭ ﺟﻨﺲ ﻭ ﺧﺼﻮﺻﻴﺎﺕ ﺗﻮپﻮگﺮﺍﻓﻲ ﻭﻣﻮﺭﻓﻮﻟﻮژﻲ ﺩﺭ ﻛﺸﻮﺭ /ﺍﺳﺘﺎﻥ /ﺷﻬﺮﺳﺘﺎﻥ ﺗﻌﻴﻴﻦ ﺭﻭﻧﺪ ﺯﻣﺎﻧﻲ ﺑﺮﻭﺯ ﺳﺮﻃﺎﻥ ﺩﺭ ﻛﺸﻮﺭ ﺗﻌﻴﻴﻦ ﻣﻮﺍﺭﺩ ﻋﻮﺩ ﺑﺮﺍﻱ ﺳﺮﻃﺎﻥ ﻫﺎﻱ ﺷﺎﻳﻊ ﺗﻌﻴﻴﻦ ﻣﻴﺰﺍﻥ ﺑﻘﺎﻱ ﺳﺮﻃﺎﻥ ﻫﺎﻱ ﺷﺎﻳﻊ ﺗﻌﻴﻴﻦ ﻋﻮﺍﻣﻞ ﺧﻄﺮ ﺷﻨﺎﺧﺘﻪ ﺷﺪﻩ ﺑﺮﺍﻱ ﺳﺮﻃﺎﻥ ﻫﺎﻱ ﺷﺎﻳﻊ ﻛﺸﻮﺭ

 ﺍﻫﺪﺍﻑ کﺎﺭﺑﺮﺩی ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﺗﻌﻴﻴﻦ ﻋﻮﺍﻣﻞ ﺧﻄﺮ ﺷﻨﺎﺧﺘﻪ ﺷﺪﻩ ﺑﺮﺍﻱ ﺳﺮﻃﺎﻥ ﻫﺎﻱ ﺷﺎﻳﻊ ﺍﻫﺪﺍﻑ کﺎﺭﺑﺮﺩی ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﺗﻌﻴﻴﻦ ﻋﻮﺍﻣﻞ ﺧﻄﺮ ﺷﻨﺎﺧﺘﻪ ﺷﺪﻩ ﺑﺮﺍﻱ ﺳﺮﻃﺎﻥ ﻫﺎﻱ ﺷﺎﻳﻊ ﻛﺸﻮﺭ ﺗﻌﻴﻴﻦ ﺍﻭﻟﻮﻳﺖ ﻫﺎﻱ ﺑﻬﺪﺍﺷﺘﻲ ﺑﺮﻧﺎﻣﻪ ﺟﺎﻣﻊ ﻣﻠﻲ ﻛﻨﺘﺮﻝ ﺳﺮﻃﺎﻥ ﻫﺪﻓﻤﻨﺪ ﻧﻤﻮﺩﻥ ﺑﺮﻧﺎﻣﻪ ﻫﺎﻱ آﻤﻮﺯﺷﻲ ، پژﻮﻫﺸﻲ ﻭ ﺑﻬﺪﺍﺷﺘﻲ ﺑﻪ ﻣﻨﻈﻮﺭ ﺑﻬﺮﻩ گﻴﺮﻱ ﺑﻬﻴﻨﻪ ﺍﺯ ﺍﻣﻜﺎﻧﺎﺕ ﻭ ﺑﻮﺩﺟﻪ ﻋﻤﻮﻣﻲ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺩﺍﺩﻩ ﻫﺎﻱ ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﺑﺮﺍﻱ پﺮﻭژﻪ ﻫﺎﻱ ﺗﺤﻘﻴﻘﺎﺗﻲ ﻛﺎﺭﺑﺮﺩﻱ ﺗﻌﻴﻴﻦ ﺑﺎﺭ ﻧﺎﺷﻲ ﺍﺯ ﺳﺮﻃﺎﻥ ﺩﺭ ﻛﺸﻮﺭ ﻣﻘﺎﻳﺴﻪ ﻣﻴﺰﺍﻥ پﺬﻳﺮﺵ ﻭ ﻧﺘﺎﻳﺞ ﺭﻭﺵ ﻫﺎﻱ ﻣﺨﺘﻠﻒ ﺩﺭﻣﺎﻧﻲ )ﺩﺭ ﺳﻄﻮﺡ ﺑﻴﻤﺎﺭﺳﺘﺎﻧﻲ ،ﻣﺤﻠﻲ،ﻣﻠﻲ ﻭ ﺑﻴﻦ ﺍﻟﻤﻠﻠﻲ (

 ﺍﻣکﺎﻧﺎﺕ ﻣﻮﺟﻮﺩ *ﻣﻄﺎﺑﻖ ﻗﺎﻧﻮﻥ ﻣﺼﻮﺏ 71/7/36 ﻣﺠﻠﺲ ﺷﻮﺭﺍی ﺍﺳﻼﻣی ﻫﺮیک ﺍﺯ پﺰﺷکﺎﻥ ﻭﻣﻮﺳﺴﺎﺕ ﺍﻣکﺎﻧﺎﺕ ﻣﻮﺟﻮﺩ *ﻣﻄﺎﺑﻖ ﻗﺎﻧﻮﻥ ﻣﺼﻮﺏ 71/7/36 ﻣﺠﻠﺲ ﺷﻮﺭﺍی ﺍﺳﻼﻣی ﻫﺮیک ﺍﺯ پﺰﺷکﺎﻥ ﻭﻣﻮﺳﺴﺎﺕ ﺩﺭﻣﺎﻧی ﺍﻋﻢ ﺍﺯ ﺩﻭﻟﺘی ﻭ ﻏیﺮ ﺩﻭﻟﺘی ﻣکﻠﻔﻨﺪ ﻫﺮ ﺑﺎﻓﺖ ﻭﻧﻤﻮﻧﻪ ﺍی کﻪ ﺑﻪ ﻫﺮ ﻋﻨﻮﺍﻥ ﺍﺯ ﺑﺪﻥ ﺍﻧﺴﺎﻥ ﺯﻧﺪﻩ ﻧﻤﻮﻧﻪ ﺑﺮﺩﺍﺭی ﻣیﺸﻮﺩ ﺭﺍ ﻣﻮﺭﺩ آﺰﻣﺎیﺶ ﻗﺮﺍﺭ ﺩﺍﺩﻩ ﻭ گﺰﺍﺭﺵ ﺩﻫﻨﺪ. *ﺗکﻤیﻞ ﺍیﻦ ﻓﺮﻡ ﺩﺭ ﺍﺭﺯﺷیﺎﺑی ﺑیﻤﺎﺭﺳﺘﺎﻧﻬﺎ ﻣﺪ ﻧﻈﺮ ﻣیﺒﺎﺷﺪ

 ﺍﻧﻮﺍﻉ ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﻣﺒﺘﻨﻲ ﺑﺮ پﺎﺗﻮﻟﻮژﻲ ﻛﻠﻴﻪ آﺰﻣﺎﻳﺸگﺎﻩ ﻫﺎﻱ پﺎﺗﻮﻟﻮژﻲ )ﺍﻋﻢ ﺍﺯ ﺩﻭﻟﺘﻲ ﺍﻧﻮﺍﻉ ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﻣﺒﺘﻨﻲ ﺑﺮ پﺎﺗﻮﻟﻮژﻲ ﻛﻠﻴﻪ آﺰﻣﺎﻳﺸگﺎﻩ ﻫﺎﻱ پﺎﺗﻮﻟﻮژﻲ )ﺍﻋﻢ ﺍﺯ ﺩﻭﻟﺘﻲ ﻭ ﺧﺼﻮﺻﻲ( ﻣﺮﺍﻛﺰ ﺍﻳﻤﻨﻮﻫﻴﺴﺘﻮﺷﻴﻤﻲ/ﻓﻠﻮﺳﻴﺘﻮﻣﺘﺮﻱ ﺳﺎﺯﻣﺎﻥ ﺍﻧﺘﻘﺎﻝ ﺧﻮﻥ ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﻣﺒﺘﻨﻲ ﺑﺮ ﺟﻤﻌﻴﺖ ﻣﺮﺍﻛﺰ ﺗﺸﺨﻴﺼﻲ )پﺎﺗﻮﻟﻮژﻲ /ﺗﺼﻮﻳﺮﺑﺮﺩﺍﺭﻱ /ﺍﻧﺘﻘﺎﻝ ﺧﻮﻥ( ﻣﺮﺍﻛﺰ ﺩﺭﻣﺎﻧﻲ ﺑﺨﺸﻬﺎی ﺗﺨﺼﺼی ﻫﻤﺎﺗﻮﻟﻮژی –ﺍﻧکﻮﻟﻮژی ﺍﺩﺍﺭﻩ ﻧﻈﺎﺭﺕ ﺑﺮ ﻣﻮﺍﺩ ﺍﻋﺘیﺎﺩ آﻮﺭ ﻭ ﺍﻟکﻞ ﻣﻌﺎﻭﻧﺖ ﺩﺭﻣﺎﻥ ﺍﻃﻼﻋﺎﺕ ﻣﺮگ ﻭ ﻣﻴﺮ )ﺑﻬﺸﺖ ﺯﻫﺮﺍ( ﻣﺮﺍکﺰ پﺰﺷکی ﻗﺎﻧﻮﻧی ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﺑﻴﻤﺎﺭﺳﺘﺎﻧﻲ

 پﻮﺷﺶ ﺩﻫﻲ ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﻣﺒﺘﻨﻲ ﺑﺮ پﺎﺗﻮﻟﻮژﻲ 08% ﺍﻃﻼﻋﺎﺕ ﺩﺭ ﻣﺮﺍﻛﺰ پﺎﺗﻮﻟﻮژﻲ ﺛﺒﺖ پﻮﺷﺶ ﺩﻫﻲ ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﻣﺒﺘﻨﻲ ﺑﺮ پﺎﺗﻮﻟﻮژﻲ 08% ﺍﻃﻼﻋﺎﺕ ﺩﺭ ﻣﺮﺍﻛﺰ پﺎﺗﻮﻟﻮژﻲ ﺛﺒﺖ ﺩﻗﻴﻖ ﻫﻤﻜﺎﺭﻱ ﻛﺎﻣﻞ ﺗﻤﺎﻣﻲ ﻣﺮﺍﻛﺰ ﺗﺸﺨﻴﺼﻲ ﺍﺩﺍﺭﻩ ﺳﺮﻃﺎﻥ ﻣﺒﺘﻨﻲ ﺑﺮ ﺟﻤﻌﻴﺖ 001% ﺩﺭ ﺳﺎﻝ ﻫﺎﻱ پﻨﺠﻢ ﺑﻪ ﺑﻌﺪ پﻮﺷﺶ ﻛﺎﻣﻞ ﺛﺒﺖ ﻣﺮگ ﻭ ﻣﻴﺮ ﻫﻤﻜﺎﺭﻱ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﻫﺎ

 Case finding ﺳیﺴﺘﻤی ﺑﺮﺍی ﺟﻤﻊ ﺍﻭﺭی ﻣﻮﺭﺍﺩ ﺟﺪیﺪ ﺳﺮﻃﺎﻥ ﺩﺭ ﻣﻨﻄﻘﻪ ﺗﺤﺖ پﻮﺷﺶ Case finding ﺳیﺴﺘﻤی ﺑﺮﺍی ﺟﻤﻊ ﺍﻭﺭی ﻣﻮﺭﺍﺩ ﺟﺪیﺪ ﺳﺮﻃﺎﻥ ﺩﺭ ﻣﻨﻄﻘﻪ ﺗﺤﺖ پﻮﺷﺶ ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﺗﺎﺭیﺦ ﻣﻮﺭﺩ ﺑﺎیﺪ ﺑﺎ ﺯﻣﺎﻥ ﺷﺮﻭﻉ ﺛﺒﺖ ﻭ یﺎ ﺑﻌﺪ ﺍﺯ آﻦ ﻣﻄﺎﺑﻘﺖ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ ﻣﻮﺍﺭﺩیکﻪ ﻃﺒﻖ ICD-o ﺑﺪﺧیﻢ ﺷﻨﺎﺧﺘﻪ ﺷﻮﻧﺪ : ﻫﻤﻪ ﺑﺪﺧیﻢ ﻫﺎ کﺎﺭﺳیﻨﻮﻡ ،ﺳﺎﺭکﻮﻡ ،. . ﻭ ﻣﻮﺍﺭﺩ ﺧﻮﺵ ﺧیﻢ ﻭ ﺩﺭﺟﺎ ﻭ ﻧﺎﻣﺸﺨﺺ کﻪ ﻧﺌﻮپﻼﺯی ﺳﺮﻭیکﺲ ﺑﺎﻻﺳﺖ ﻣﺜﻞ ﺍﺣﺘﻤﺎﻝ ﺑﺪﺧیﻤی ﺩﺭ ﺍﻧﻬﺎ

 Case finding ﺍﺯ ﻭﻇﺎیﻒ کﻤیﺘﻪ ﻋﻠﻤی ﻭ ﺳﻮپﺮﻭﺍیﺰﺭﻫﺎی ﺳیﺴﺘﻢ ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﺍیﻦ ﺍﺳﺖ Case finding ﺍﺯ ﻭﻇﺎیﻒ کﻤیﺘﻪ ﻋﻠﻤی ﻭ ﺳﻮپﺮﻭﺍیﺰﺭﻫﺎی ﺳیﺴﺘﻢ ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﺍیﻦ ﺍﺳﺖ کﻪ ﻣﻮﺍﺭﺩیکﻪ ﺑﺎیﺪ ﺩﺭ ﺳیﺴﺘﻢ ﺛﺒﺖ ﺟﻤﻊ آﻮﺭی گﺮﺩﻧﺪ ﺭﺍ ﺗﺤﺖ یک پﺮﻭﺗکﻞ ﻭ ﺑﺼﻮﺭﺕ ﻣکﺘﻮﺏ ﺩﺭ ﺍﺧﺘیﺎﺭ پﺮﺳﻨﻞ ﺛﺒﺖ ﻗﺮﺍﺭ ﺩﻫﻨﺪ کﻪ ﺩﺭ ﻫﺮ ﺯﻣﺎﻥ ﺑﺎ ﻣﺮﺍﺟﻌﻪ ﺑﻪ آﻦ ﻋﻤﻞ ﻧﻤﺎیﻨﺪ. ﻫﻤچﻨیﻦ چﻪ ﺗﻮﻣﺮﻫﺎﺋی کﻪ ﺑﺼﻮﺭﺕ ﺑﺎﻟیﻨی ﺗﻮﺳﻂ پﺰﺷک ﻭ یﺎ ﺩﻧﺪﺍﻧپﺰﺷک ﻧﻮﺷﺘﻪ ﻣی ﺷﻮﻧﺪ، ﺑﺎیﺪ ﺟﻤﻊ آﻮﺭی گﺮﺩﻧﺪ.

 Case finding ﻣﻨﺎﺑﻊ ﻣﺨﺘﻠﻔی ﺟﻬﺖ کﺸﻒ ﻣﻮﺍﺭﺩ ﺳﺮﻃﺎﻥ ﺩﺭ ﻫﺮ ﺑیﻤﺎﺭﺳﺘﺎﻥ ﻭﺟﻮﺩ ﺩﺍﺭﺩ Case finding ﻣﻨﺎﺑﻊ ﻣﺨﺘﻠﻔی ﺟﻬﺖ کﺸﻒ ﻣﻮﺍﺭﺩ ﺳﺮﻃﺎﻥ ﺩﺭ ﻫﺮ ﺑیﻤﺎﺭﺳﺘﺎﻥ ﻭﺟﻮﺩ ﺩﺍﺭﺩ ﺍﺯ یک ﺑیﻤﺎﺭﺳﺘﺎﻥ ﺑﻪ ﺑیﻤﺎﺭﺳﺘﺎﻥ ﺩیگﺮ ﻣﻨﺎﺑﻊ ﺗﻔﺎﻭﺕ ﺩﺍﺭﻧﺪ ﺑﺴﺘﻪ ﺑﻪ آﺸﻨﺎﺋی پﺮﺳﻨﻞ ﺑﺎ ﺳیﺴﺘﻢ ﻫﺎی ﺩﺍﺧﻞ ﻫﺮ ﺑیﻤﺎﺭﺳﺘﺎﻥ ﻭ ﺍﺣﺎﻃﻪ ﻓﺮﺩ ﺑﺎ ﺍﻫﺪﺍﻑ ﻭ ﻣﺮﺍﺣﻞ ﺍﺟﺮﺍﺋی ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﺩﺍﺭﺩ.

 Source of Case finding 1( ü ü ﻣﺪﺍﺭک پﺰﺷکی : ﺑﺎیگﺎﻧی ﺑیﻤﺎﺭﺍﻥ ﺳﺮپﺎﺋی Source of Case finding 1( ü ü ﻣﺪﺍﺭک پﺰﺷکی : ﺑﺎیگﺎﻧی ﺑیﻤﺎﺭﺍﻥ ﺳﺮپﺎﺋی ﺍﺯ ﺑﺴﺘﺮی ﻣﻤکﻨﺴﺖ ﺩﺭ ﺩﻭ ﻣﺤﻞ ﻭ یﺎ ﺩﺭ یک ﻣﺤﻞ ﺻﻮﺭﺕ گیﺮﺩ ﻭ ﺩﺭ ﺑیﻤﺎﺭﺳﺘﺎﻥ ﻫﺎی ﻣﺨﺘﻠﻒ ﻣﺘﻔﺎﻭﺕ ﺍﺳﺖ. ﺑﺎیگﺎﻧی ﺑیﻤﺎﺭﺍﻥ ﺑﺴﺘﺮی : ﻟیﺴﺖ پﺬیﺮﺵ ﻭ ﺗﺮﺧیﺺ )ﺩﺭ یک ﺩﻓﺘﺮچﻪ یﺎ ﺟﺪﺍگﺎﻧﻪ ( ﺷﺎﻣﻞ ؛ﻧﺎﻡ ،ﻓﺎﻣیﻞ ،ﺳﻦ ،ﺷﻤﺎﺭﻩ پﺮﻭﻧﺪﻩ،ﺗﺎﺭیﺦ پﺬیﺮﺵ یﺎ ﺗﺮﺧیﺺ ،ﺷﻤﺎﺭﻩ پﺮﻭﻧﺪﻩ ﺩﺭ ﺑﺮﺧی ﺑیﻤﺎﺭﺳﺘﺎ ﻫﺎ کﻪ ﻟیﺴﺖ پﺬیﺮﺵ ﺍﺯ ﺗﺮﺧیﺺ ﻣﺠﺰﺍ ﺍﺳﺖ ﺑﺎیﺪ ﺩﻗﺖ ﻧﻤﻮﺩ کﻪ ﺗﻤﺎﻣی ﻣﻮﺍﺭﺩ ﺑﺮﺭﺳی گﺮﺩﺩ ﻭ ﻣﻮﺭﺩ گﻢ ﺷﺪﻩ ﺍی ﻧﺒﺎﺷﺪ. ﻭ ﻫﻤچﻨیﻦ ﺗﺸﺨیﺺ پﺬیﺮﺵ ﺑﺎ ﺗﺮﺧیﺺ ﻣﻘﺎیﺴﻪ ﻭ ﻧﺘﺠﻪ گﺮﻓﺘﻪ ﺷﻮﺩ. ﺑﺎیگﺎﻧی ﺑیﻤﺎﺭﺍﻥ ﺳﺮپﺎﺋی : ﺑﺪﻟیﻞ ﺣﺠﻢ ﺑﺴیﺎﺭ ﺯیﺎﺩ ﺍیﻦ ﺑیﻤﺎﺭﺍﻥ ﺑﺎیﺪ ﺍﻧﺘﺨﺎﺑی ﻋﻤﻞ ﻧﻤﻮﺩ ﻭ ﻣیﺘﻮﺍﻥ ﺗﻨﻬﺎ ﺩﺭ ﺩﺭﻣﺎﻧگﺎﻩ ﻫﺎی ﺗﺨﺼﺼی کﻪ ﺍﻣکﺎﻥ ﻣﺮﺍﺟﻌﻪ ﺍیﻦ ﺑیﻤﺎﺭﺍﻥ ﻭﺟﻮﺩ ﺩﺍﺭﺩ ، ﺍﺟﺮﺍ ﻧﻤﻮﺩ ﻣﺎﻧﻨﺪ : ﺍﻧکﻮﻟﻮژی،ﺍﻧکﻮﻟﻮژی ﺯﻧﺎﻥ ،ﻫﻤﺎﺗﻮﻟﻮژی،ﺍﻭﺭﻭﻟﻮژی، ،ENT پﻮﺳﺖ ،پﺴﺘﺎﻥ،،ﺍﻧﺪﻭﺳکﻮپی،

 Source of Case finding 2(ﺑﺎیگﺎﻧی پﺎﺗﻮﻟﻮژی : ﺷﺎﻣﻞ ؛ ﻫیﺴﺘﻮﻟﻮژی،ﺳیﺘﻮﻟﻮژی،ﻫﻤﺎﺗﻮﻟﻮژی،ﺍﺗﻮپﺴی،ﺑیﻮپﺴی یﺎ آﺴپیﺮﺍﺳیﻮﻥ ﻣﻐﺰ Source of Case finding 2(ﺑﺎیگﺎﻧی پﺎﺗﻮﻟﻮژی : ﺷﺎﻣﻞ ؛ ﻫیﺴﺘﻮﻟﻮژی،ﺳیﺘﻮﻟﻮژی،ﻫﻤﺎﺗﻮﻟﻮژی،ﺍﺗﻮپﺴی،ﺑیﻮپﺴی یﺎ آﺴپیﺮﺍﺳیﻮﻥ ﻣﻐﺰ ﺍﺳﺘﺨﻮﺍﻥ ü گﺰﺍﺭﺷﺎﺕ پﺎﺗﻮﻟﻮژی ﺍﺯ ﺍﺗﺎﻕ ﻋﻤﻞ ü گﺰﺍﺭﺷﺎﺕ ﺍﺗﻮپﺴی؛ gross /microscopic ü گﺰﺍﺭﺷﺎﺕ ﻫﻤﺎﺗﻮﻟﻮژی ؛ peripheral blood smear/Bone marrow Aspiration / Bone marrow Biopsy آﺰﻣﺎیﺶ ﺧﻮﻥ ﻣﺤیﻄی ﺍﺯ آﻦ ﺟﻬﻬﺖ ﻣﻬﻢ ﺍﺳﺖ کﻪ ﻣﻮﺍﺭﺩی ﺍﺯ ﻟﻨﻔﻮﻡ ﻭ ﻟﻮﺳﻤی ﺗﻨﻬﺎ ﺩﺭ ﺍیﻦ ﻗﺴﻤﺖ یﺎﻓﺖ ﻣی ﺷﻮﻧﺪ ﻭ ﺑﻪ B. M ﻧﻤی ﺭﺳﻨﺪ. ü گﺰﺍﺭﺷﺎﺕ ﺳیﺘﻮﻟﻮژی ؛ ﺗﻤﺎﻣی ﻣﻮﺍﺭﺩ ﺍﺯ ﺟﻤﻠﻪ ﺑﺪﺧیﻢ ،ﻣﺸکﻮک ﻭﺩﺭﺟﺎ ﺟﻤﻊ آﻮﺭی ﻣی گﺮﺩﺩ ﺳیﺴﺘﻢ ﻃﺒﻘﻪ ﺑﻨﺪی ﺩﺭ ﺳیﺘﻮﻟﻮژی ﻣﻤکﻦ ﺍﺳﺖ ﻣﺘﻔﺎﻭﺕ ﺑﺎﺷﺪ

Terms (malignant /non malignant) Malignant : apparently /presumed/compatible with/probable/consistent with/suspect or suspected/favour/suspicious/most likely /typical Terms (malignant /non malignant) Malignant : apparently /presumed/compatible with/probable/consistent with/suspect or suspected/favour/suspicious/most likely /typical Nonmalignant: approaching/rule out/ equivalent/ suggests/ possible/very close to/questuonable/worrisome

 Source of Case finding 3(ﺑﺎیگﺎﻧی ﺭﺍﺩیﻮﺗﺮﺍپی 4(ﺑﺎیگﺎﻧی پﺰﺷکی ﻫﺴﺘﻪ ﺍی 5(ﺭﺍﺩیﻮﻟﻮژی/ﺳﻮﻧﻮگﺮﺍﻓی/ MRI/CT scan Source of Case finding 3(ﺑﺎیگﺎﻧی ﺭﺍﺩیﻮﺗﺮﺍپی 4(ﺑﺎیگﺎﻧی پﺰﺷکی ﻫﺴﺘﻪ ﺍی 5(ﺭﺍﺩیﻮﻟﻮژی/ﺳﻮﻧﻮگﺮﺍﻓی/ MRI/CT scan 6(ﺳیﺴﺘﻢ ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﺑیﻤﺎﺭﺳﺘﺎﻧی) (HTR ﺍﻟﺒﺘﻪ ﻧﺒﺎیﺪ ﺗﻨﻬﺎ ﻣﻨﺒﻊ ﺟﻤﻊ آﻮﺭی ﺍﻃﻼﻋﺎﺕ ﺍﺯ یک ﺑیﻤﺎﺭﺳﺘﺎﻥ ﺑﺎﺷﺪ ﻣﻮﺍﺭﺩ ﻧﻘﺺ ﺍیﻦ ﺳیﺴﺘﻢ ؛ ü ﺑیﻤﺎﺭﺍﻧی کﻪ ﻧﻤﻮﻧﻪ ﺑﺎﻓﺘی ﺭﺍ ﺍﺯ ﺧﺎﺭﺝ ﺍیﻦ ﺑیﻤﺎﺭﺳﺘﺎﻥ ﻣی آﻮﺭﻧﺪ ü ﻣﻮﺍﺭﺩ ﻣﺸﺎﻭﺭﻩ کﻪ ﻧﻤﻮﻧﻪ ﺍﺳﻼیﺪ یﺎ پﺎﺭﺍﻓیﻦ ﺭﺍ ﺟﻬﺖ آﺰﻣﺎیﺶ ﺩﻭﺑﺎﺭﻩ ﻭ یﺎ ﻣﺸﺎﻭﺭﻩ ﻓﺮﺳﺘﺎﺩﻩ ﻣی ﺷﻮﺩ ﺑیﻤﺎﺭﺍﻥ ﺳﺮپﺎﺋی کﻪ ﺑﺮﺍی ﺧﻂ ﺩﻭﻡ ﺩﺭﻣﺎﻥ ﻭ یﺎ ﻣﺸﺎﻭﺭﻩ ﺑﺮﺍی ﺩﺭﻣﺎﻥ ﻓﺮﺳﺘﺎﺩﻩ ﺷﺪﻩ ﺍﻧﺪ ﺍﻓﺮﺍﺩ ﻣﻬﺎﺟﺮ یﺎ ﻣﺴﺎﻓﺮ ü ﺗﻮﻣﺮ ﺑﻮﺭﺩ: ﻣﻮﺍﺭﺩیکﻪ ﺩﺭ کﻤیﺘﻪ پﺰﺷکی ﻣﻄﺮﺡ ﻣی گﺮﺩﻧﺪ ﻭ ﻣﻤکﻦ ﺍﺳﺖ ﺩﺭ آﻦ ﺑیﻤﺎﺭﺳﺘﺎﻥ ﺑﺴﺘﺮی ﻧﺒﺎﺷﻨﺪ.

 Abstracting پیﺪﺍ ﻧﻤﻮﺩﻥ ﻣﻮﺍﺭﺩ ﻭ ﺧﻼﺻﻪ ﻧﻮیﺴی آﻦ ﻣﻤکﻦ ﺍﺳﺖ ﻫﻤﺰﻣﺎﻥ ﻭ یﺎ Abstracting پیﺪﺍ ﻧﻤﻮﺩﻥ ﻣﻮﺍﺭﺩ ﻭ ﺧﻼﺻﻪ ﻧﻮیﺴی آﻦ ﻣﻤکﻦ ﺍﺳﺖ ﻫﻤﺰﻣﺎﻥ ﻭ یﺎ پی ﺩﺭ پی ﺍﻧﺠﺎﻡ گیﺮﺩ. ﺗﻤﺎﻣی ﺟﺰﺋیﺎﺕ ﺑﺎیﺪ ﺩﺭ پﺸﺖ ﺑﺮگﻪ ﻧﻮﺷﺘﻪ ﺷﻮﺩ ﺑﺎیﺪ ﺗﻤﺎﻣی پﺮﺳﻨﻞ ﺟﻤﻊ آﻮﺭی کﻨﻨﺪﻩ ﺍﻃﻼﻋﺎﺕ ﺍﺣﺎﻃﻪ کﺎﻣﻞ ﺑﻪ ﺍﻫﺪﺍﻑ کﻠی ﻭ ﺟﺰﺋی ﺛﺒﺖ ﺳﺮﻃﺎﻥ ﻭ ﻣﺮﺍﺣﻞ ﺍﺟﺮﺍﺋی ﺍﺣﺎﻃﻪ کﺎﻣﻞ ﺩﺍﺷﺘﻪ ﺑﺎﺷﻨﺪ ﺗﺎ ﺑﺘﻮﺍﻧﻨﺪ ﻣﻄﺎﻟﺐ ﻣﻮﺭﺩ ﻧیﺎﺯ ﺭﺍ یﺎﺩﺩﺍﺷﺖ ﻧﻤﺎیﻨﺪ

 Abstracting ﺗﺮکیﺐ پﺮﻭﻧﺪﻩ ﻫﺎی ﺑیﻤﺎﺭﺳﺘﺎﻧی ﺩﺭ ﻫﺮ ﺑیﻤﺎﺭﺳﺘﺎﻥ ﻣﻤکﻦ ﺍﺳﺖ ﻣﺘﻔﺎﻭﺕ ﺑﺎﺷﺪ ﻭ Abstracting ﺗﺮکیﺐ پﺮﻭﻧﺪﻩ ﻫﺎی ﺑیﻤﺎﺭﺳﺘﺎﻧی ﺩﺭ ﻫﺮ ﺑیﻤﺎﺭﺳﺘﺎﻥ ﻣﻤکﻦ ﺍﺳﺖ ﻣﺘﻔﺎﻭﺕ ﺑﺎﺷﺪ ﻭ ﻫﺮ ﺑیﻤﺎﺭﺳﺘﺎﻥ ﺳﺎﺯﻣﺎﻧﺪﻫی ﺧﺎﺻی ﺩﺭ ﺑﺎیگﺎﻧی ﺍﻃﻼﻋﺎﺕ پﺰﺷکی ﺩﺍﺭﺩ،کﻪ ﺗﻮﺳﻂ ﺑﺨﺶ ﻣﺪﺍﺭک پﺰﺷکی ﺗﺪﻭیﻦ ﻭ ﻗﺎﺑﻞ ﺍﺟﺮﺍ ﻣیگﺮﺩﺩ. ﺍﺻﻮﻻ آﺨﺮیﻦ پﺬیﺮﺵ ﺩﺭ ﺭﻭ ﻗﺮﺍﺭ ﻣی گیﺮﺩ ﻭ ﺧﻼﺻﻪ ﺍی ﺍﺯ ﻣﺸﺨﺼﺎﺕ ﺑیﻤﺎﺭ ، ﻣﺸکﻞ ﺍﺻﻠی ، ﺗﺸﺨیﺺ ﻭ ﺩﺭﻣﺎﻥ ﻭی ﺗﻮﺳﻂ پﺰﺷک ﻣﻌﺎﻟﺞ ﻭ یﺎ ﺩﺳﺘیﺎﺭﺍﻥ ﻧﻮﺷﺘﻪ ﻣی ﺷﻮﺩ ﻭﻟی ﻧﺒﺎیﺪ ﺑﻪ ﺍیﻦ ﺑﺴﻨﺪﻩ ﻧﻤﻮﺩ ﺑﻠکﻪ ﺑﺎیﺪ ﺗﻤﺎﻣی پﺮﻭﻧﺪﻩ ﺑیﻤﺎﺭ ﻣﻄﺎﻟﻌﻪ گﺮﺩﺩ. ﻭ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ کﻠیﻪ

Composition of a medical report 1. 2. 3. 4. 5. 6. 7. 8. 9. Composition of a medical report 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Patient identification full name/hospital case number/adress/ Refferal information name /adress of reffering physician/ Biographical information sex/age at diagnosis/birth date/place of birth/race/nationality/ethic group/marital status/occupation Medical history Physical examination Special examination : X-ray/ECG/sonography/Scans/Lab/refferal report/endoscopic exams/procedures/pathology reports/final diagnosis/ Treatment reports Doctors orders or notes. Nurses notes Discharge summery or case summery Follow up reports Autopsy report Death certificate

 Abstracting ﺧﻼﺻﻪ ﻧﻮیﺴی ﺷﺎﻣﻞ 2 ﺑﺨﺶ ﺍﺳﺖ : ﻓﺮﻡ o ﻣﺸﺨﺼﺎﺕ ﺩﻣﻮگﺮﺍﻓیک : Abstracting ﺧﻼﺻﻪ ﻧﻮیﺴی ﺷﺎﻣﻞ 2 ﺑﺨﺶ ﺍﺳﺖ : ﻓﺮﻡ o ﻣﺸﺨﺼﺎﺕ ﺩﻣﻮگﺮﺍﻓیک : کﺪ ﺛﺒﺖ ﺳﺮﻃﺎﻥ ) PRN (Patient Registry Number ﻧﺎﻡ /ﻧﺎﻡ ﺧﺎﻧﻮﺍﺩگی /ﻧﺎﻡ پﺪﺭ/ﺷﻤﺎﺭﻩ ﺷﻨﺎﺳﻨﺎﻣﻪ ﺟﻨﺲ/ﺳﻦ ﺯﻣﺎﻥ ﺗﺸﺨیﺺ ﺑیﻤﺎﺭی /ﺗﺎﺭیﺦ ﺗﻮﻟﺪ ﺗﺮﺟیﺤﺎ ﺭﻭﺯ ﻭ ﻣﺎﻩ کﺪ ﻣﻠی ﺷﻤﺎﺭﻩ پﺮﻭﻧﺪﻩ ﺑیﻤﺎﺭﺳﺘﺎﻧی ﻣﺤﻞ ﺗﻮﻟﺪ /ﻣﺤﻞ ﺯﻧﺪگی )آﺪﺭﺱ ﺩﺍﺋﻢ(/ ﻧژﺎﺩ یﺎ ﻗﻮﻡ /ﻭﺿﻌیﺖ ﺗﺎﻫﻞ /ﺷﻐﻞ / ﻣﺬﻫﺐ

 Abstracting ﺗﺎﺭیﺦ ﺗﺸﺨیﺺ : ﺗﺎﺭیﺦ پﺬیﺮﺵ ﺗﺎﺭیﺦ ﻋﻤﻞ ﺟﺮﺍﺣی ﺗﺎﺭیﺦ گﺰﺍﺭﺵ پﺎﺗﻮﻟﻮژی /ﻫﻤﺎﺗﻮﻟﻮژی Abstracting ﺗﺎﺭیﺦ ﺗﺸﺨیﺺ : ﺗﺎﺭیﺦ پﺬیﺮﺵ ﺗﺎﺭیﺦ ﻋﻤﻞ ﺟﺮﺍﺣی ﺗﺎﺭیﺦ گﺰﺍﺭﺵ پﺎﺗﻮﻟﻮژی /ﻫﻤﺎﺗﻮﻟﻮژی /. . . ﺗﺎﺭیﺦ ﻣﺮگ ﺗﺎﺭیﺦ ﺍﺗﻮپﺴی

 Abstracting ﺍﺳﺎﺱ ﺗﺸﺨیﺺ : ﻏیﺮ ﻣیکﺮﻭﺳکﻮپی . I کﻠیﻨیکی ﺟﺮﺍﺣی/ﺍﺗﻮپﺴی ﺗﺴﺘﻬﺎی ﺍیﻤﻮﻧﻮﻟﻮژی/ﺷیﻤیﺎﺋی کﻠیﻨیکی Abstracting ﺍﺳﺎﺱ ﺗﺸﺨیﺺ : ﻏیﺮ ﻣیکﺮﻭﺳکﻮپی . I کﻠیﻨیکی ﺟﺮﺍﺣی/ﺍﺗﻮپﺴی ﺗﺴﺘﻬﺎی ﺍیﻤﻮﻧﻮﻟﻮژی/ﺷیﻤیﺎﺋی کﻠیﻨیکی ﻫﻤﺮﺍﻩ ﺑﺎ ﺭﻭﺷﻬﺎی کﻤکی ﺭﺍﺩیﻮﻟﻮژی. . . II ﻣیکﺮﻭﺳکﻮپی ﺳیﺘﻮﻟﻮژی o ﻫﻤﺎﺗﻮﻟﻮژی o ﻫیﺴﺘﻮﻟﻮژی ﻣﺘﺎﺳﺘﺎﺯ o ﻫیﺴﺘﻮﻟﻮژی ﻣﺤﻞ ﺍﻭﻟیﻪ o ﺍﺗﻮپﺴی o . III گﻮﺍﻫی ﻓﻮﺕ . IV ﻧﺎﺷﻨﺎﺧﺘﻪ

Abstracting ﺗﺸﺨیﺺ ICD-O-M کﺪ ICD-O-C کﺪ Abstracting ﺗﺸﺨیﺺ ICD-O-M کﺪ ICD-O-C کﺪ

 Abstracting ﻣﺤﻞ ﻣﺘﺎﺳﺘﺎﺯ : 1 2 3 ﺩﺭﻣﺎﻥ : 1 2 3 ﺗﺎﺭیﺦ Abstracting ﻣﺤﻞ ﻣﺘﺎﺳﺘﺎﺯ : 1 2 3 ﺩﺭﻣﺎﻥ : 1 2 3 ﺗﺎﺭیﺦ ﻣﺘﺎﺳﺘﺎﺯ : 1 2 3 ﺗﺎﺭیﺦ ﺷﺮﻭﻉ ﺩﺭﻣﺎﻥ : 1 2 3

Abstracting Follow up : 1. Date of last contact 2. Status ot last contact Abstracting Follow up : 1. Date of last contact 2. Status ot last contact 3. Date of death 4. Cause of death 5. Place of death

 %ﺳﺎﻳﺮ ﻣﻨﺎﺑﻊ ﺟﻤﻌﻴﺘﻲ ﺗﻌﺪﺍﺩ ﺛﺒﺖ پﺎﺗﻮﻟﻮژﻲ %ﺛﺒﺖ پﺎﺗﻮﻟﻮژﻲ ﺍﺳﺘﺎﻥ 2641 053 42 702 %ﺳﺎﻳﺮ ﻣﻨﺎﺑﻊ ﺟﻤﻌﻴﺘﻲ ﺗﻌﺪﺍﺩ ﺛﺒﺖ پﺎﺗﻮﻟﻮژﻲ %ﺛﺒﺖ پﺎﺗﻮﻟﻮژﻲ ﺍﺳﺘﺎﻥ 2641 053 42 702 41 309 26 ﺍﺭﺩﺑﻴﻞ 5305 001 2 5611 32 2773 57 ﺍﺻﻔﻬﺎﻥ ﺗﻌﺪﺍﺩ ﻛﻞ ﺛﺒﺖ ﻣﺒﺘﻨﻲ ﺑﺮ ﺟﻤﻌﻴﺖ ﺗﻌﺪﺍﺩ % ﺍﻃﻼﻋﺎﺕ ﻣﺮگ ﺍﻃﻼﻋﺎﺕﺗﻌﺪﺍﺩ ﺳﺎﻳﺮ ﻣﺮگ ﻣﻨﺎﺑﻊ ﺟﻤﻌﻴﺘﻲ

Lung Esophagus Colorectal Prostate bladder Ardabil Stomach All cancers Table 2. ASR of common Lung Esophagus Colorectal Prostate bladder Ardabil Stomach All cancers Table 2. ASR of common cancer types among Iranian male in selected provinces which had both pathology base and population base cancer registration. 2004 to 2006 ASR Provinces Type of Cancer Registry Pathology base 113. 2 32. 8 8. 4 3. 5 7. 2 12. 1 2. 0 Population base 183. 3 51. 8 13. 1 5. 7 9. 6 19. 5 10. 8 Kerman Pathology base 86. 0 8. 16 9. 41 4. 1 3. 36 1. 59 3. 93 Population base 183. 1 32. 0 10. 3 11. 7 15. 9 22. 8 17. 6 Golestan Pathology base 98. 9 17. 8 7. 6 5. 4 9. 8 14. 0 3. 7 Population base 163 19. 7 13. 2 15. 5 10. 7 6. 8 15. 2 Tehran Pathology base 106. 2 11. 3 9. 4 12. 3 10. 7 3. 7 4. 5 Population base 153 36. 9 7. 2 10. 1 11. 4 11. 7 9. 2 Semnam Pathology base 106. 9 16. 6 14. 8 9. 9 11. 9 7. 9 2. 7 Population base 153. 0 36. 9 7. 2 10. 1 11. 4 11. 7 9. 2 Iran* Pathology base 102. 2 17. 3 9. 9 7. 0 8. 6 7. 9 3. 4 Population base 167. 1 35. 5 10. 2 10. 6 11. 8 14. 5 12. 4 Iran Path. /Pap. Ratio** 0. 61 0. 49 0. 97 0. 66 0. 73 0. 54 0. 27 *ASRs for Iran is the average of the population based ASRs reported from each provinces. ** Pathology base to population base ASR ratio. indicating the under registration by pathology based registry

18. 7 24. 9 3. 66 5. 1 8. 0 12. 1 5. 8 18. 7 24. 9 3. 66 5. 1 8. 0 12. 1 5. 8 18. 4 19. 7 2. 22 1. 8 19. 9 2. 5 Ovary 7. 8 7. 4 5. 47 5. 9 5. 5 9. 5 10. 8 Thyroid Tehran 7. 4 11. 9 18. 0 16. 9 19. 8 27. 2 32. 1 Esophagus Golestan 89. 8 133. 2 83. 0 68. 0 81. 4 145. 6 102. 3 Stomach Kerman Pathology base Population base Colorectal Ardabil Breast All cancers Table 3. ASR of common cancer types among Iranian female in selected provinces which had both pathology base and population base cancer registration. 2004 to 2006 ASR Provinces Type of Cancer Registry 1. 2 3. 3 3. 44 2. 4 3. 4 4. 7 3. 6 1. 8 3. 9 2. 31 0. 8 2. 2 6 4. 2 142 31. 5 9. 6 10 5. 3 2. 8 6. 5 Semnan Pathology base 91. 0 19. 8 6. 0 8. 7 3. 9 0. 5 Population base 136 21. 3 10. 5 14. 8 8. 8 4. 5 1. 7 Iran* Pathology base 89. 5 19. 4 7. 9 8. 4 8. 7 3. 1 2. 2 Population base 124. 96 21. 76 8. 58 13. 38 11. 1 3. 54 4. 3 Iran ASR Ratio* 0. 72 0. 89 0. 92 0. 63 0. 78 0. 88 0. 51 *ASRs for Iran is the average of the population based ASRs reported from each provinces ** Pathology base to population base ASR ratio. indicating the under registration by pathology based registry