THE HOSPITAL

Over the past decade, Shaukat Khanum Memorial Cancer Hospital & Research Centre has established itself as a centre of excellence providing comprehensive care free of cost to thousands of indigent cancer patients. This pioneering, state-of-the-art hospital located in the heart of the Punjab was founded by Imran Khan, one of Pakistan's most illustrious cricketers. As a charitable institute, it is funded predominantly from the donations of friends and wellwishers from around the country and across the world.

FAST FACTS
Inagurated Founder Annual budget Financially supported patients Philanthropic spending Area/Location Beds December 29, 1994 Imran Khan (Chairman Board of Governors) Rs. 3.3 billion 75% (since 1994) Rs. 6.97 billion 20 acres, Lahore (Pakistan) 115

New registrations Outpatient visits Chemotherapy Radiation treatments Admissions Surgical procedures

7,981 (Year 2009) 124,372 (Year 2009) 26,448 (Year 2009) 43,307 (Year 2009) 6,545 (Year 2009) 4,487 (Year 2009)

Pathology tests Imaging studies Pharmacy Dispensing Staff

2,494,616 (Year 2009) 132,578 (Year 2009) 792,795 (Year 2009) 1393 (41 Consultants, Physicians & Surgeons)

HISTORY
Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH&RC) is a state-of-the-art cancer centre located in Lahore, Pakistan. It is a project of the Shaukat Khanum Memorial Trust, which is a charitable organization established under the Societies Registration Act XXI of 1860 of Pakistan. The institution is the brainchild of Pakistani cricket superstar, Imran Khan. The inspiration came after the death of his mother, Mrs. Shaukat Khanum, from cancer

Fundraising
Imran Khan made a nation-wide appeal for the collection of funds from a match between Pakistan and India on November 10, 1989 at Gaddafi Stadium, Lahore which raised Rs. 2,902,600. This was followed by a series of more than 50 successful fund raisers held throughout the world. Pakistan's win under Imran's captaincy in the 1992 cricket world cup in Melbourne helped fundraising efforts. He was able to collect one and a half million pounds in just six weeks after the World Cup when the same amount had taken 2 years to collect earlier. He donated his entire prize money of 85,000 pounds for the project. In 1994 when the project required more financing for the ongoing construction, Imran Khan launched a mass contact campaign in which he toured 27 cities in the country and collected Rs. 120 million. During the entire campaign for the construction of the hospital, over a million individual donors from ordinary citizens to the rich and famous pitched in. Everything from cash to jewelry and valuables was donated.

SOURCES OF FUNDS PHASE I
Donations Credit and Loans 67% 33%

EXPENSES - PHASE I

Expenses Land and Building

Pak Rupees US$ 231,000,000

Medical Equipment 314,000,000 Ancillary Equipment 132,000,000 Total 677,000,000 22,200,000

Making Of The Hospital

Designing and execution of the master plan was overseen by Dr. Nausherwan K Burki MB, PhD, FRCP, FCPS, FCCP, of the University of Kentucky Medical Center, Lexington, Kentucky, USA in collaboration with an international team of cancer physicians and research workers. Designing and architectural services were provided by Arrasmith, Judd & Rapp, Architects in Health Planning of Louiseville, Kentucky, USA. Architectural details were handled by Messrs. Nayyar Ali Dada & Associates of Lahore. Local engineering was performed by Messrs. Progressive Consultants, Lahore. Ground was broken in April 1991 and the hospital opened its doors on December 29, 1994.

A WORD FROM IMRAN KHAN
Over the years, my faith in the goodness of mankind has increased greatly. Shaukat Khanum Memorial Cancer Hospital & Research Centre is a living tribute to your kindness and generosity. I am personally thankful to all those men, women, children, old and young who have made a contribution to launch SKMCH & RC and who have continued to support us in alleviating the sufferings of the victims of cancer. We needed your support then and we need your support ever more now. More than Rs. 3.3 billion are required annually to run the Hospital. Almost 50% of our revenue is collected from selling Hospital services. The rest comes from Zakat and generous donations from well-wishers all over the world. We were able to launch SKMCH & RC because we had your support. I sincerely hope that I can look forward to your continued support to help keep the Hospital running and providing

hope to those victims of cancer who have no other hope for treatment. Yours faithfully, Imran Khan

MISSION STATEMENT
To act as a model institution to alleviate the suffering of patients with cancer through the application of modern methods of curative and palliative therapy irrespective of their ability to pay, the education of health care professionals and the public and perform research into the causes and treatment of cancer.

PROJECTS OF SKMT
Being the only cancer centre in the entire region with all the specialized cancer diagnostic and therapeutic facilities the Shaukat Khanum Trust realizes the its colossal responsibilities in its fight against cancer. It has established a number of centres all over Pakistan that help in the awareness, diagnosis and treatment of cancer in Pakistan.

Mujahid Hamid Mr. Planning in progress Shaukat Khanum Memorial Cancer Hospital & Research Centre (Peshawar. Pakistan ) Community screening service ( Lahore . Pakistan ) Shaukat Khanum Diagnostic Centre ( Karachi . y y y y y y y y y y Mr. Pakistan ) Shaukat Khanum Peshawar Clinic ( Peshawar . Javed Dr. Pakistan ) Pathology Collection Centres: y 56 Shaukat Khanum Pathology Collection Centres (all over Pakistan ) BOARD OF GOVERNORS The Board of Governors of the Shaukat Khanum Memorial Trust comprises of bankers. Nausherwan Khan Burki Mrs. Pakistan) Land Purchased. researchers. Tauseef Ahmed . Sarfaraz Ahmed Rehman Mr. Zain ul Hassan Shabbir Mr. Pakistan) Shaukat Khanum Memorial Cancer Hospital & Research Centre (Karachi. Mansoor A. Aleema Khanum Dr. businessmen and physicians. Pakistan ) Diagnostic Centres: y y Shaukat Khanum Diagnostic Centre ( Lahore . Uzma Ahad Mr. Imran Khan (Chairman) Dr.Hospitals: y y y Shaukat Khanum Memorial Cancer Hospital & Research Centre (Lahore. Ashiq Hussain Qureshi Mr. Pakistan) Planning in progress Outreach Cancer Screening Clinics: y y y Shaukat Khanum Karachi Clinic ( Karachi .

Director Nursing FINANCIAL STATISTICS Revenue (Rs. Medical Director Mr.186 1.y y y y y y y y y y Professor Jeffery Lucas Mr.008 1.268 2.281 1.222 Dec 2009 * Dec 2008 Dec 2007 Dec 2006 Dec 2005 Dec 2004 865 646 535 438 265 397 602 460 486 273 320 368 . Director Marketing & Resource Development Mr.125 954 750 573 424 Zakat Donations Other Income 40 37 33 34 29 33 Total Revenue 2. Saifuddin Zoomkawala Mian Arshad Alam Mr. M. In Millions) 1994. Gumley.788 2. Chief Executive Officer Dr. Munir Kamal Mr. Tariq Azam. Faisal Sultan. Virginia A. Liaquat H. Muneer Mr.2009 Year Hospital Services 1. S. Chief Financial Officer Mrs. Aasim Yusuf. Merchant Mr. Irfan Mustafa MANAGEMENT y y y y y Dr. Marriana Karim Mian Muhammad Abdullah Mr. Muhammad Fareedullah Qureshi. Ali Habib Mrs.495 1. M.

2004. * Draft figures (Click here for exchange rates) Operating Expenses (Rs.06 Months from Financial year ended June 30. December 2004 represents 12 months results . In Millions) * For The Year 2009 Category Salaries and benefits . Therefore.2003-2004 2002-2003 2001-2002 2000-2001 1999-2000 1998-1999 1997-1998 1996-1997 1995-1996 1994-1995 374 261 234 211 139 113 90 62 35 5 287 244 152 131 117 100 99 117 109 46 238 178 174 190 152 129 103 105 87 85 14 15 17 15 17 11 11 7 18 5 913 698 577 547 425 353 303 291 249 141 Financial year changed from June 30 to Dec 31 in December 2004.medical staff Salaries and benefits -admin staff Medicines Amount 584 222 476 Percentage 24% 9% 20% . 2004 and six months ended December 31.

981 84.231 125.408.025 62.696 9.616 850.930 1.178 6.176.828 2.868 18.763 878.844 132.750 3.719 23.Dec. 1994 .703 31.455 95.149 32.373 17.325 49.190 69.143 43.372 907.646 1. Nursing & Other Supplies Utilities Fundraising expenses Finance costs Repairs and maintenance Other Operating Expenses Operating expense 537 62 43 60 136 267 2.120 565. 1999 Note: 75% of the patients receive financial support.709 26.656 3.093 3.649 128.795 4.330 1. PATIENT STATISTICS Year *1994 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Total Patients Outpatient Chemotherapy Surgical Radiation Imaging Pathology Admissions Registered Visits Treatments Operations Therapy Studies Tests 25.Pathology.762.206 23.080 4.511 49.847 1.636 2.531 1.276 79.721 9.462 36. 2009.924 2.033 22.307 405.657 80.125 9.839 15.545 54.514 4.529 7.398 4.134 6.009 40.037 124.486 4.668 4.578 2.389 22% 3% 2% 3% 6% 11% 100% * Operating Expenses for the year ended December 31.916 26.448 224.600 9.219 6.778 1.667 * Dec.270 54.326 39. .224 1.177 4.736 87.534 112.170 25.411.322 11.023 76.400 9.102 3.570 7.023 6.377 15.309 3.148.368.714 119.690 12.886 92.268 2.140 15.138 45.358 392.545 41.487 38.862 3.079 6.638 57.116 117.717 664. * These are draft figures and subject to audit.318 36.059 26.092 2.494.910 5.599 3.271.463 43.014 3.

CLINICAL SERVICES y y y y y y y y y y Anesthesiology Clinical Radiology Medical Oncology Internal Medicine Nuclear Medicine Pathology Pediatric Oncology Pharmacy Radiation Oncology Surgical Oncology ANESTHESIOLOGY & PAIN MEDICINE .

Muhammad Zafar Khan MBBS. is well equipped with the latest tools to safely conduct anesthesia and sedation. FCPS Dr. We are in the process to updating all the older equipment in the operating rooms and the PACU ( post anesthesia care unit) to the most modern equipment available. Wide variety of interventional pain procedures including Radiofrequency Nerve and Joint Ablations as well as permanent neurolysis for cancer pain are routinely performed. . Interventional Pain Service with dedicated pain nurse provides a wide variety of solutions to patients in sever pain Training The dept. Our practice is as wide based as are the demands for anesthesia requirements in different specialties and varied locations through out the hospital. weekly interactive problem based anesthesiology meeting. weekly presentations. Sedation and anesthesia is provided in Endoscopy unit for either Gastro-esophageal or pulmonary interventions. has 10 Resident Doctors positions. Syed Zia Haider MBBS. Training is provided as per collage of physicians and Surgeons Pakistan curriculum. of Radiation Oncology. Fibro-optic intubations in a wide case mix of clinical scenarios. The dept.Anesthesia is also provided in MRI suit. FCARCSI Head of the Department Dr. Other areas for activity are sedation for Radiation simulations in children in the dept.Medical Staff Full Time Consultants: Dr. Departmental academic activity includes daily patient rounds. FCPS Facilities & Services Anesthesia Department at Shaukat Khanum Memorial Cancer Hospital & Research Centre provides anesthesia to a wide variety of surgical patients inside the four operating rooms. Sedation and anesthesia is also provided for vascular coiling and for neuro-interventional radiology. weekly Journal Club meeting and fortnightly M& M meetings Trainees get training for Invasive monitoring. FFARCSI Visiting Consultants: Dr. Mian Muhammad Yaqub MBBS. both inside as well as out of operating rooms. Operating rooms are equipped with most modern anesthesia machines with availabity of invasive monitoring. Ahmad Khan MBBS. where a state of the art MRI compatible anesthesia machine and monitoring is used for safe conduct of the diagnostic test.

Comparison of Quality of Pain control in patients having Total Knee Replacement with epidural infusion consisting of morphine with preservative compared to epidural infusion consisting of preservative free morphine. Certifications & Affiliations The Department of anesthesiology is recognized for full four year training programme for FCPS (Anesthesiology) and MCPS (Anesthesiology) degrees by the College of Physicians and Surgeons of Pakistan . 4. Comparison of recovery and quality of analgesia between inhalational anesthesias compared to total intravenous anesthesia in patients having Brachytherapy. Awards. Quality and duration of analgesia after Pulsed Radiofrequency ablation of the Glossopharyngeal nerve in patients with Oral cancer and Glossopharyngeal Neuralgia.Research 1. 3. Comparison of degree of pain relief with continuous epidural infusions containing 0. 2.125% Bupivacaine and Morphine.125% Bupivacaine with epidural infusions containing 0.

The Radiology Department has full time Consultant Radiologists. Interventional Radiology Suite. Gray Scale and Color Doppler Mammography o Digital .000 procedures. Images can be viewed on standard office desktop computers or designated workstations in the clinics.5T unit o . Fellows. We support clinicians in the management of patients with the entire spectrum of Radiological imaging. Hepatobiliary procedures. two Fellows. we perform more than 100. Molecular imaging . 64 slice CT scanners. other non-Vascular and Vascular Procedures.5 Tesla & Open MRI units. Technologists. CT angiography. 10 residents. Unit Coordinators and other support staff. We offer alcohol injection. CR and DDR Ultrasound o 2D and 3D units. The cyclotron is already in use. MRI o 1. radiofrequency ablation and TACE to patients with Heptacellular Carcinoma. Facilities & Services The Department of Clinical Radiology at SKMCH&RC is equipped with the state of art equipment. all CT biopsies and drainage procedures.CLINICAL RADIOLOGY Medical Staff Three Consultants. The spectrum of available facilities includes: y y y y y y y Radiography o Digital.35T open MR unit Interventional Radiology o Total body intervention is offered including Neuro-Intervention. Yearly. Resident Doctors. Transcriptionists. Digital Mammography with stereotactic biopsy facility. 4-channel and Single Channel units o CT Scans with spiral imaging [4th generation scanner from Siemens] o 3D CT.CR/FFDM o Stereotactic biopsies CT o Two 64-channel units. Our CT/PET Suite should be functional by July 2009. which includes 1. Color Doppler ultrasound and CT Bone Densitometery. cardiac CT. HIS/RIS are implemented. Urology Intervention.

o Time of Flight 16 slice CT PET. (Hons) in Medical Imagingprogramme which started in 2007.Sc. The department is associated with the University of Bradford and running a B. Training Our Radiology Resident Training is affiliated with the CPSP. Awards. Certifications & Affiliations The Department of Radiology is ISO certified and working towards JCIA. .

Multidisciplinary teams for a number of cancer types are well established including lymphomas. sarcomas as well as breast. Training Training in Medical Oncology has been established within the department. leading to FCPS in medical Oncology. The department also supports a training programme in Clinical Oncology leading to FRCR(clinical oncology). The department has contributed posters and abstracts to several national and international meetings. INTERNAL MEDICINE . Trained oncology nurses provide services both in the outpatient chemobay and inpatient floors. genitourinary. Facilities & Services The department provides comprehensive medical oncology care for solid tumours and haematological malignancies. supportive care and treatment of emergencies and complications is available. Inpatient care for chemotherapy. There are a number of fellows in Medical Oncology and Clinical Oncology as well as junior medical officers to support the consultants. ovary.MEDICAL ONCOLOGY Medical Staff At present there are three full time consultants in the department. Research The department has been involved in a number of in-house clinical research projects as well as participating in several multinational clinical trials. including chemotherapy and autologous bone marrow transplant. A recently expanded 15 bed chemobay ward provides outpatient chemotherapy facilities. A facility for allogeneic bone marrow transplant is being planned. The fellowship programme in Medical Oncology provides training in all aspects of medical oncology through a structured training programme recognized by the College of Physicians and Surgeons Pakistan. gastrointestinal and thoracic cancers.

Faiz Ur Rehman Endocrinology Dr. Syed Abbas Raza Gastroenterology Dr. Nauman Tarif Pulmonology Dr. Qayyum Khan Hospital Medicine Dr. M. Faisal Sultan Dr. Haroon Hafeez MRCP/FCPS Trainees There are twenty four Part II positions. M. Ahsan Azhar Dr. Facilities & Services Cancer Screening Clinics Executive Health Clinics Consultation and Inpatient Services in the areas of : y y General Medicine Infectious Diseases o Febrile neutropaenia service o HIV infection o The Infectious Diseases service is in the process of obtaining recognition as a training site leading to the FCPS in Infectious Diseases. . Haroon Hafeez Infectious Diseases Dr. Hammad Nazir Neurology Dr. Faheem Mahmood Butt Palliative Care Dr. Aasim Yusuf Dr. Ahmad Fawad Nephrology Dr. Cardiology Dr.Medical Staff The Internal Medicine Department currently has 11 consultants (6 full time and 5 part times) from different specialties.

metallic stent and percutaneous endoscopic gastrostomy (PEG) placement o Lower GI endoscopy (Colonoscopy) Diagnostic and therapeutic colonoscopy including polypectomy. argon plasma coagulation (APC) and metallic stent placement. surgical. Staff have extensive experience with relatively uncommon hepatobiliary procedures including resection of biliary tract cancer. polypectomy. o Endoscopic Ultrasound (EUS) y y y . banding. o Endoscopy Services Shaukat Khanum Memorial Cancer Hospital & Research Center provides state of the art diagnostic and therapeutic endoscopic facilities. o Medical. both plastic as well as metallic. metallic stent placement. Consultants are well-versed in innovative and comprehensive therapies for liver disease including complications of cirrhosis. ablation of liver cancers using a radio frequency probe and chemoembolization of liver tumors. and radiological specialists cooperate closely to diagnose and treat all types of liver disease and disorders including liver masses. A computerized reporting system ensures a permanent record is maintained of all the procedures performed. resection of liver cancer. The Hospital is a tertiary referral center for primary liver cancer or hepatocellular carcinoma. o Upper GI Endoscopy (oesophago-gastroduodenoscopy) Diagnostic and therapeutic OGD including dilatation.y Cardiovascular Diseases o Echocardiography Exercise o Treadmill Testing Pulmonary Medicine o Bronchoscopy with lavage and biopsy o Transbronchial biopsy o Laryngoscopy o Pleuroscopy o Foreign body removal Critical Care Service o Modern ICU with facilities for mechanical ventilation and invasive monitoring o Staffed by fully qualified respiratory technicians and ICU nurses o Supervision by a full time Intensive Care Specialist Gastroenterology The department runs daily Consultant run clinics for GI disorders. o Endoscopic retrograde Cholangiopancreatography (ERCP) Diagnostic and therapeutic ERCP including biliary / pancreatic stone removal and / or stent placement. endoscopy Unit provides facilities for all endoscopic procedures and is fully equipped with the latest videoscopes and recording systems. The purpose-built. argon plasma coagulation (APC) therapy. o Liver Diseases The hospital is a referral center for cirrhosis and its complications. International standards of cleansing and sterilization of equipment are followed to ensure patient safety. dilatation.

Certifications & Affiliations The Department of Medicine is working towards JCIA recognition. The department offers a one year diploma in Respiratory Therapy. Awards. imaging and treatment of pancreatic pseudocysts Other Tests / Procedures Small bowel enteroscopy Liver biopsy PEG tube change y y y Endocrinology Nephrology Neurology Training The department is recognized for both FCPS and MRCP training in Medicine.o Diagnosis and staging of esophageal cancer Diagnosis and staging of pancreatic cancer EUS guided FNA of mediastinal masses/lymph nodes EUS guided pancreatic mass FNA EUS-guided aspiration of cystic lesions Coeliac axis neurolysis for pain control Diagnosis. MRCP PACES courses. ACLS courses. NUCLEAR MEDICINE . superior teamwork and an excellent environment for the house staff and faculty to be involved in Clinical Research independently and in collaboration with other institutions. Research The department provides an infrastructure. Selective publications from House staff and faculty.

Fellow. Nuclear Medicine Hot Lab for Gamma Imaging Radiopharmaceuticals. Cyclotron. NM nursing staffs. Cyclotron Engineers.Medical Staff The Department has full time Consultant Nuclear Physician. Medical Physicists. Resident Doctors. Technologists and Unit Coordinator. The Nuclear Medicines Studies available are: Cardiology Myocardial Perfusion Studies (MIBI Stress & MIBI Rest) MUGA for Ventricular Function Urinary System Dynamic Renal Studies (DTPA & MAG3) DMSA Renal Scan Hepatobiliary System Cholescintigraphy (HIDA) RBC labeled Liver Scintigraphy (Hemangioma) Liver-Spleen Scan Spleen Scintigraphy Gastrointestinal System Urea Breath Test Gastrointestinal Bleeding Scan Meckel¶s Diverticulum Esophageal & Gastric Motility Studies Salivary Scan Central Nervous System Cerebral Perfusion Imaging Endocrinology . PET Hot Lab. The annual turnover of Thyroid Cancer Outpatient Clinic is 850patients/year. Radio Pharmacists. Around 7000 procedures are performed per annum. Facilities & Services Department of Nuclear Medicine has two Dual Head Gamma Cameras. Radioablative Iodine Therapy is offered as an inpatient service to about 60 patients per year. Transcriptionist. Philips Gemini ToF16 slice PET-CT Scanner and Heli-Probe for Diagnostic purposes. More than 100 patients are given Radioactive Iodine Therapy for Hyperthyroidism yearly.

(Physics) students from the University of Punjab (PU). (Nuclear Medicine and Medical Physics) fellows from the Pakistan Institute of Engineering and Applied Sciences (PIEAS University) and to M.Sc. post FCPS one year fellowship in Nuclear Oncology/ Nuclear Medicine. Lahore. Department also offers 4 or 8 weeks elective rotation for Medical College students. training and research facilities to M.Sc. Students from College of Pharmacy PU come to the department for observing and attending lecture on . Strontium-89 Palliative Pain Therapy (* F18-FDG PET-CT Scanner will be functional shortly) Training The department of Nuclear Medicine offers full four years of FCPS II training for resident doctors.Thyroid Scans (Tc0499m & I-131 post therapy scan) Parathyroid Scan Adrenal Scan Infection and Inflammation Gallium Scan (Sarcoidosis & Infection) Labeled White Cell Scan Three Phase Bone Scan Pulmonary System Lung Perfusion Scan Ventilation Scintigram Quantitative Lung Scan Molecular Imaging MIBG Scan Octreotide Scan (Neuroendocrine tumors) F18-FDG PET-CT Scan* Oncology Gallium 67 Whole Body Scan Bone Scan I-131 Whole body Scan Scintimammography MIBI for Non-Specific Tumor Imaging Lymphatic System Sentinel Lymph Node Scintigraphy for Breast Cancer Lymphoscintigraphy Therapies Radioactive Iodine Therapy for Hyperthyroidism and Thyroid Cancer. Department is also actively involved in teaching and training of BSc in Medical Imaging from Bradford University.

Turkey from March 22nd to 24th 2009. . ³Differentiated thyroid carcinoma in a juvenile patient´ Clin Nucl Med 2008. 11: 575-6. April 2009. Sydney Australia. 27:9-10. 58 No: 12S: S25. Clinical rotation of nursing for Diploma in Oncology/Cancer Nursing is also entertained. ³Judicious Use of Recombinant TSH in Management of Differentiated Thyroid Carcinoma in a Developing Country and Charity-based Hospital Setting´ 8th INCTR meeting held at Anatalya. Canada. April 2009. ³Recombinant TSH (rhTSH) use in pediatric differentiated thyroid carcinoma (DTC) patients´ 37th Annual Scientific meeting of the BNMS to be held in Manchester. ³Sentinel lymph node biopsy in the treatment of early breast cancer: Experience in 300 cases´ J Pak Med Assoc 2008. ³Preoperative cardiac risk stratification with Gated myocardial perfusion scintigraphy (GMPS) for non-cardiac surgery in cancer patients´ 37th Annual Scientific meeting of the BNMS to be held in Manchester. ³Oncological Imaging with Ga-68 PET: The story so far«´ Accepted at the 56th SNM Annual meeting to be held from 13th to 17th June 2009 in Toronto. 33:319-20. Published Papers ³Pleomorphic Liposarcoma Metastatic to the Thyroid Gland´ Clin Nucl Med 2002. Research Three research projects of trainees are underway apart from the other miscellaneous research activities. ³Clinical utility of I-131 MIBG in patients with neuroblastoma: 8 years experience´ 39th Annual Scientific Meeting of ANZSNM to be held in April 2009. Poster and Oral Presentations ³Managing Juvenile differentiated thyroid carcinoma: Our Experience from 1994-2008´ Accepted at the 56th SNM Annual meeting to be held from 13th to 17th June 2009 in Toronto. ³Abdominal Tuberculosis Diagnosed on Gallium Scintigraphy in a child with Pyrexia of Unknown Origin´ Ann King Edward Med Col 2005.radiopharmaceuticals preparation and handling. Canada. Every year abstracts are sent for poster and oral presentations to renowned nuclear medicine societies and research work is presented internationally.

India held from 31st October to 4th November 2008. ³Sentinel lymph node detection in early breast carcinoma patients: A single center preliminary experience´ Eur J Nucl Med Mol Imaging 2008. India held from 31st October to 4th November 2008. India held from 31st October to 4th November 2008.³Correlation between serum thyroglobulin levels done prior to baseline I-131 whole body pre-therapy scan and frequency of radioactive iodine therapy in juvenile differentiated thyroid carcinoma´ J Pak Med Assoc 2008. 35 (Suppl 2): S265 ³Clinical usefulness of rhTSH aided Radioactive Iodine (RAI) treatment of patients with differentiated thyroid carcinoma´ Eur J Nucl Med Mol Imaging 2007 ³Assessment of pulse rate as initial predictor of final outcome of Radioactive Iodine (RAI) therapy in patients with hyperthyroidism´ Eur J Nucl Med Mol Imaging 2007 ³High dose radioactive iodine I-131 therapy for treatment of hyperthyroidism in Pakistani patients: A single center experience´ . at New Delhi. at New Delhi. Bangladesh from 21st October to 23rd October 2008. ³Recombinant TSH in management of differentiated thyroid carcinoma: Five year experience 2003-2008´ 9th Asia Oceania Congress of Nuclear Medicine & Biology. at New Delhi. ³Sentinel lymph node detection in bilateral early breast cancer patients´ 9th Asia Oceania Congress of Nuclear Medicine & Biology. ³Correlation between serum Thyroglobulin levels prior to baseline I-131 whole body pretherapy scan and frequency of radioactive iodine therapy in juvenile differentiated thyroid carcinoma´ Joint International Conference of the CPSP and Bangladesh College of Physicians held at Dhaka. Clinical usefulness of low dose Gallium scintigraphy in the diagnosis of Sarcoidosis. 9th Asia Oceania Congress of Nuclear Medicine & Biology. 58 No: 12S: S23 ³Low dose Gallium Scintigraphy in the diagnosis of Sarcoidosis´ 94th Scientific Assembly and Annual Meeting of RSNA 2008. 35 (Suppl 2): S289 ³Clinical significance of Somatostatin Receptor Scintigraphy in follow up of Medullary carcinoma thyroid patients with hypercalcitoninaemia´ Eur J Nucl Med Mol Imaging 2008.

54: 3-4. FCPS-II final examination (April 2009) was held at SKMCH & RC. ³Differentiated Thyroid Cancer (DTC: A Single Center Experience in Pakistan)´ Eur J Nucl Med Mol Imaging 2004. Certifications & Affiliations The department of Nuclear Medicine is recognized by the College of Physicians and Surgeons of Pakistan for the full four years of FCPS II training.Proceeding of 9th World Congress of Nuclear Medicine & Biology. St. ³Attenuation of Ionizing Radiation by Water and its Impact on Image´ Pakistan Journal of Science 2003. at New Delhi. 55: 4-9. PET-CT training fellowship with EANM Marie-Curie Training Grant at Clinical PET Center. ³Impact of Pixel Size on Resolution of Gamma Camera´ Pakistan Journal of Scientific Research 2003. ARCCNM Award for oral and poster presentations The 9th Asia Oceania Congress of Nuclear Medicine & Biology. United Kingdom. India held from 31st October to 4th November 2008. 31: ppS436. Abstract selected for 3rd Scientific Writing Workshop of INCTR to be held in fall 2009. London. ³Patients with Differentiated Thyroid Carcinoma: A 10-year experience from Pakistan´ Eur J Nucl Med Mol Imaging 2005. United Kingdom for project ³Radioimmunotherapy in Non-Hodgkin¶s Lymphoma´ 2006 . Korea 2006. 32: ppS197. Trainees are encouraged during their due course for research awards and fellowship grants. ³Correlative Study of Gallium-67 Uptake in Histological Variants of Non Hodgkin¶s Lymphoma´ Eur J Nucl Med and Mol Imaging 2007. ³Verification of Thyroid Uptake Calculations and Calculation of Radiation Absorbed Dose to the Thyroid Gland from Tc-99m thyroid uptake scans´ Pakistan Journal of Scientific Research 2002. 55: 1-4. Seoul. Awards. ³Recombinant human thyrotropin for Iodine-131 therapy in management of differentiated thyroid carcinoma: A single center case series from Pakistan´ Eur J Nucl Med Mol Imaging 2005. INCTR Poster Award. 32: ppS222. UICC ICRETT Fellowship Award in Nuclear Oncology at Royal Free Hospital London. CYP-APPNA & YPPRC Award for poster presentations December 2008. Korea 2006. ARCCNM Award for oral presentation at the 9th World Congress of Nuclear Medicine and Biology. 2007. Thomas¶ Hospital. Seoul.

PATHOLOGY .

The laboratory facilities are modern with up-to-date. 9000 cytological cases. Clinical pathology includes hematology. certified by the American Board of Pathology and Royal College of Pathologists with sub-specialization in areas of oncologic pathology. All the lab staff works under the close supervision of these pathologists. clinical chemistry. state of the art automated equipment and procedures. transfusion medicine.Medical Staff The department is staffed by highly trained pathologists. The departments engages in Quality Assurance Systems including a Quality Control Program. microbiology.(Based on 2008 figures). 2500 bone marrows and 2300000 clinical tests annually. Equipment and test kit validation. The hematology service provides prompt and accurate diagnosis through microscopic bone marrow and peripheral blood analyses and flowcytometry. One of the specialized areas of anatomic pathology is Immunohistochemistry. immunology. Anatomic Pathology includes surgical pathology including frozen section diagnosis facility and cytopathology which includes FNA procurement and analysis. residents and the laboratory manager to ensure reliability. and molecular pathology. Clinical Pathology and the Blood Bank The department consists of fully functional Anatomic and Clinical Pathology sections. cytopathology and hematopathology. which is offered by only a few centers in Pakistan. accuracy and promptness of lab test results. Fully active programs in clinical specialties and sub-specialties provide material for approximately 39000 surgical specimens. Facilities & Services The department comprises Anatomical Pathology. which are integral parts of the laboratory function. Quality Control Protocols. . The Shaukat Khanum Cancer Hospital laboratory provides a very high quality. Peer review and the laboratory information system. coagulation. prompt and reliable diagnostic service for both cancer and non-cancer diseases the lab facilities are also available to the general public through a nationwide network of collection centres.

Research All areas in anatomic and clinical pathology engage in developmental and research activities. Hematology and Routine Microbiology.Range of services include: y y y y y y y y y y y y y y y y y y Hematological studies and coagulation profiles Bone marrow evaluations and Flow Cytometry Full range of clinical chemistry Hormonal studies Drug levels Tumor markers Serologic tests Microbiology . for Routine Chemistry. malaria. The Faculty comprises Pathologists. Certifications & Affiliations . HIV. syphilis. Microbiologist and Senior Medical Technologists. Shaukat Khanum Cancer Hospital laboratory has been acting as the Central lab of the region for multinational clinical trials. Hepatitis B and C The Department of Pathology operates a STAT lab at Karachi. Training The Department of Pathology conducts a one year Post Graduate Diploma Program in Medical Laboratory Technology in Clinical Pathology.using standard and automated culture detection methods PCR for HBV. Fresh Frozen Plasma and Platelets Platelet and granulocyte aphaeresis Screening of all donated products for HIV. MolecurBiologists. HCV Genotype for HCV Histopathology including Immunohistochemistry Frozen sections Cytopathology Electrophoresis Separation of blood components including Packed Red Blood Cells. The Department of Pathology works in close collaboration with the Basic Sciences Department of the Research Wing of SKMCH&RC Awards.

.The Department of Pathology at SKMCH&RC is recognized by the College of Physicians and Surgeons of Pakistan for FCPS-II training in Anatomic Pathology. The Department of Pathology is ISO 9001-2000 (QMS) certified and is registered with the College of American Pathologists in their External Survey Program for proficiency testing.

our team of doctors. Chemotherapy Bay The department has a 10-bed day unit where outpatient chemotherapy is provided to 35-40 patients every day. Six Fellows and Nine Medical Officers Facilities & Services The SKMCH&RC Pediatric Oncology department takes approximately 300 new cancer patients every year.000 outpatient appointments are made every year to evaluate those undergoing treatment and to follow-up others who have completed theirs. These patients are then given the most up-to-date treatment for the large majority of childhood cancers following international protocols. Department sub-sections: y Inpatients The Pediatric Oncology department shares a 31-bed Inpatient Ward with the Adult Oncology Department with an average of 20-25 children admitted at any time.PAEDIATRIC ONCOLOGY Medical Staff Paediatric Oncology is staffed by three full time Consultant Paediatric Oncologists. nurses and supportive services strive to provide the best possible care for children with cancer. The aim is not only to provide cancer treatment but also to improve the lives of those who receive it. Intensive care unit (ICU) facility is also available for children requiring such care. y y Training . There is a formal long term follow up clinic where children. but also to help these individuals integration into society. who are long term survivors of cancers are followed up with a view not only to oversee the late toxicities of cancer treatment. At Shaukat Khanum Memorial Cancer Hospital. The department participates in local and international trials and has an active teaching program for its doctors and nurses. Around 7. one Paediatric Hospitalist (part time). Clinics Outpatient clinics for cancer patients are held on a daily basis. There is also a General Clinic for non-cancer children (mainly for employees children) as well as a Pediatric Surgery clinic. A child with cancer needs very special attention: good medical care and constant nurturing in addition to unconditional support for his or her family as well.

a fellowship certificate is awarded which is widely respected nationally and internationally. histological subtype and geographical locale Awards. fellows are provided specialist training by direct teaching. Certifications & Affiliations Affiliation to INCTR CCLG UK PHARMACY . both in-house and in collaboration with international bodies such as INCTR. At the end of the three year programme. DION: Paediatric oncology is an integral part of the diploma in oncology nursing. Relationship to EBV status. Understanding the problems faced by parents of children with Retinoblastoma prior to treatment (INCTR trial) 2. Training format is fashioned in line with the Paediatric Oncology specialist training in the UK. Radiation Oncology. Lab Haematology).The department runs a three year fellowship programme for paediatrcians wishing to undertake specialist training in Paediatric Oncology. Transcriptional profiling of Hodgkin s Lymphoma. work experience in various disciplines of Oncology ( Paediatric Oncology. During the three year period. Two such studies are: 1. Consultant physicians actively participate in teaching/training the nursing students enrolled in the diploma programme Research The department actively carries out clinical and basic research.

A restricted Hospital Formulary approved by the Pharmacy & Therapeutics Committee and the Medical Staff is used within the hospital. The control and management of drug costs. work collaboratively with other health care professionals and direct the control of medication administration and drug distribution in the ward. enabling them to participate in direct patient care activities. the appropriate. safe. an online clinical pharmacy practice module implemented at SKMCH&RC. Pharmacy Technicians and Pharmacy Support Officers. Services are provided for all inpatients as well as those patients served by our outpatient service departments and clinics. The evaluation of drug literature and the communication of drug and disease related information. The application of professional and scientific principles in the selection. use.Medical Staff The Pharmacy Department is staffed with a full-time Manager Pharmacy. Clinical consultations are provided for patients and physicians as requested. Although drugs are commodities which have significant implications for cost. the effectiveness and safety of their use in all patients is one of the most important components of health care. . including 2 new positions added in a year 2009 (in all areas of SKMCH&RC). In addition. the department of pharmacy is responsible for: y y y y y y The specifications of quality for procurement of all drugs The preparation and distribution of all drugs. The Pharmacy Department maintains a complete and comprehensive computerized patient drug profile on all patients. This module expands the role of the clinical pharmacist beyond pharmacy operations. Facilities & Services The Pharmacy Department is a full service centralized inpatient hospital pharmacy. The Department of Pharmacy provides pharmaceutical care to both inpatients and outpatients. Nine full-time staff Pharmacists. Specifically. and improve medication use. working with physicians to achieve desired therapeutic outcomes. Currently. administration and monitoring of drug effectiveness for all patients. The monitoring and assurance of quality of drug use. A unit dose drug distribution system is used throughout the hospital with computerized dispensing cabinets to reduce the potential for medication errors. As such. practice full time providing direct patient care services. two Senior Pharmacists. prevent or minimize drug-related problems. and cost-effective use of drugs is the primary concern of the pharmacy. Clinical pharmacists function as integral members of health care teams at SKMCH&RC. 2 clinical pharmacists.

policies and procedures. The SKMCH&RC Pharmacy also provides this service to other hospitals. Awards. It is the mission of the pharmacy to excel in the provision of pharmaceutical care to our community and hospital. drug utilization review. Department of Pharmacy also conducted in-house research including medication errors. implementation and enforcement of drug use guidelines. is the ability to provide Total Parental Nutrition to those patients who are not on natural diet. The pharmacy department provides comprehensive leadership within the hospital for any and all matters relating to drugs or drug therapy. preparation. dispensing and drug accountability. Certifications & Affiliations The Department of Pharmacy is ISO certified and working towards Joint Commission International Accreditation (JCIA) RADIATION ONCOLOGY . Pharmacy is responsible to manage the drug storage. help to ensure appropriate use of high-risk medications. We have a comprehensive Internship program for fresh pharmacy graduate from various Universities of the country as well as foreign Pharmacists. which distinguishes our Pharmacy department from the rest. which don t have this facility. clinical efficacy of new drug added in the formulary and also headed patient care related research in collaboration with local universities scholars. Another feature. Training Department of Pharmacy takes keen interest in providing training and educational services that can be gauged from the periodical Pharmacy News Letter and the compiled Hospital Formulary. and serve on quality improvement committees throughout the institution. Research Pharmacy is actively involved and participated in all clinical research studies conducted at SKMCH&RC. Specific departmental programs help assure cost-effective and appropriate use of high-risk or high-cost medications.Pharmacists actively participate in the development.

Facilities And Services The department is equipped with two Linear Accelerators with dual energies both photons and electrons (photons from 6mv to 15 mv and electrons from 4 mev to 15 mev). We have Cobalt 60 unit ideal for treating advanced head and neck cancers and palliative radiotherapy for boney metastasis. Training of students for B. We have a CT simulator and conventional simulator. We have nine posts for resident doctors who are trained to sit in FCPS II examination at the end of their training period. Training The department of radiation oncology is recognized for fellowship training programme in radiation therapy by College of Physicians and Surgeons Pakistan. each treating a specified cancer. Facility for treating patients with gynecological cancers with Brach therapy is also available. There are three radiation nurses and three nursing assistants. Awards. The department is equipped with state of the art three dimensional radiation treatment planning system. and both machines has the capability of treating patients with precise conformal radiation treatment planning techniques. Facility of a mould room for mould fabrication with Cerroband blocks is available were manual blocking is required during radiation treatment. The Department of physics is staffed with six medical physicists one radiation dosimeterest and fourteen radiation technologists.Medical Staff The Department is staffed with five radiation oncologists with site specialization . in medical imaging affiliated with Bradford University is also done. Certifications & Affiliations .Sc.One of the linear accelerator is capable of delivering IMRT (intensity modulated radiation therapy.

Ahsan Shamim .Gynecologic Surgery Dr. SURGICAL ONCOLOGY Medical Staff Full Time Dr. Saleem Malik . Amina Iqbal Khan .Thoracic and Vascular Surgery Dr.Neurosurgery Dr. Raja Pervaiz Akhtar . Ali Raza Khan .Breast Surgery Dr. Aamer Ali Syed .Maxillofacial Surgery Dr.Ophthalmic Surgery Facilities & Services Shaukat Khanum offers four modern theatre suites with excellent CSSD facilities. Kamran Hussain .Thoracic Surgery Dr. Raza Hussain . Hepatobiliary.Urological Surgery Visiting Dr. Training The Department currently offers a one year fellowship in Breast Surgery Research Research projects are currently underway in the treatment of breast.Plastic and Reconstructive Surgery Dr. gastrointestinal.The Department of Radiation Oncology at SKMCH&RC is recognized by the CPSP for FCPS II training. Zahid Kamal . Abdul Hameed . Zia ul Meraj . Muhammad Usman Khan . colorectal. maxillofacial and musculoskeletal tumors.Urological Surgery Dr. . Irfan Ahmed .Pediatric Surgery Dr.Golorectal. Gynaecologic and Upper GI Surgery Dr. The operation theatres are well equipped to allow a wide range of surgical procedures in all available specialties.Orthopedic Surgery Dr.

The pattern of growth of cancer cells often resembles a twisted and distorted version of the tissue that is arising. squamous. There are 4 major types of epithelium in the body (Glandular. 3. These sites most commonly include the lymph nodes and spleen. Cancer refers to any malignant tumor. Broadly speaking. For example. These are the pigment producing cells present in the skin. A carcinoma with a growth pattern resembling the squamous lining cells is termed a squamous cell carcinoma. Being diagnosed with cancer can be frightening. A tumor means a swelling or mass. although these latter diagnoses are exceedingly rare. A carcinoma is a cancer which is derived from the lining cells. Cancer can spread throughout your body. colon. However. A mole is a benign growth of melanocytes. There are many types of cancers which can occur in nearly every organ. 4. and pseudostratified). . Soft tissues include the fat. muscle. Although not usually soft. Common squamous cell carcinomas are found in the esophagus and skin. and breast. A tumor can be benign or malignant. breast carcinoma is most commonly derived from the lining cells of the milk producing glands. and connective tissue support. transitional. any of these organs may have either type of carcinoma arising from it. or epithelium. of an organ. Benign to a tumor which does not have the potential to spread beyond the organ it arises. A lymphoma a cancer derived from the white blood cells that are present in the lymphoid tissues of the body. lymhomas may arise from any organ and body site. Common adenocarcinomas include prostate. there are a few basic terms which must be defined. But understanding what's going on inside your body can help you feel more in control of your disease. A carcinoma with a glandular growth pattern is an adenocarcinoma.ABOUT CANCER What Is Cancer? Cancer refers to any one of a large number of diseases characterized by the development of abnormal cells that divide uncontrollably and have the ability to infiltrate and destroy normal body tissue. However. cancers can be divided into four major categories: 1. Carcinomas can arise from any of these epithelial types. 2. it also includes bone and cartilage. nerves. Some types are only found in a few select organs such as the lung (pseudostratified) or urinary bladder (transitional). Before we proceed. A sarcoma a cancer derived from the soft tissues of the body. A melanoma a cancer derived from melanocytes. Malignant refers to a tumor which has the ability to spread or metastasize beyond the organ from which it arises.

Your genetic makeup. A progressor to cause cancer to become aggressive and spread. could come from inside your body or could come from outside your body. What Increases Your Risk of Cancer? . The ACS estimates that about 1.4 million new cases of cancer are expected in 2007.000 people will die of the disease. your lifestyle choices and your environment can all set the stage for cancer or help complete the process once it's started. A promoter to cause rapid cell growth. Sometimes you're born with this initial genetic mutation. However. if they can't make the repairs.Who Gets Cancer? Cancer doesn't discriminate when it comes to race. Normal cells often develop mutations in their DNA. and the cancer-causing substance could play a role in further cancer development. such as ultraviolet (UV) light from the sun or cancercausing chemicals (carcinogens) in your environment. and about 560. take advantage of genetic mutations created by initiators. Promoters could be inherited. Without a progressor a tumor may remain benign and localized. sex or age ² anyone can get cancer. Like initiators and promoters. Promotors cause cells to divide rapidly. The genetic mutation begins the cancer process. such as hormones. smokers who work with asbestos are more likely to develop lung cancer than smokers who don't work with asbestos because the two carcinogens both play roles in cancer development. The initial genetic mutation is just the beginning of the process by which cancer develops. This could lead to a tumor. forces within your body. For instance. Progressors make cancers more aggressive and more likely to spread. progressors could be inherited or they could come from environmental sources. certain mutations aren't repaired. Or. Your DNA is like a set of instructions for your cells. you may be more likely than other people to develop cancer when exposed to a certain cancer-causing substance. the cells often die. viruses and chronic inflammation. What Causes Cancer? Cancer begins with damage (mutations) in your DNA. Genetic mutations can also be caused by forces outside of your body. Mutations also cause cancer cells to live beyond a normal cell life span. This causes the cancerous cells to accumulate. causing the cells to grow and become cancerous. if you've inherited a genetic mutation that predisposes you to cancer. telling them how to grow and divide. Scientists believe you need a number of changes within your cells in order to develop cancer. Other times a genetic mutation is caused by forces within your body. Likewise. The ACS estimates that half the men and one-third of the women in the United States will develop cancer in their lifetimes. but they have the ability to repair most of these mutations. including: y y y An initiator to cause a genetic mutation.

shtml How Does Cancer Grow? Normal. Your family history About 10 percent of cancers are due to an inherited condition. nipples. Your health conditions Some chronic health conditions. If cancer is common in your family.org/publications/2007_v07_n04_w01. Thickening or lump in breast. 6. scrotum or elsewhere in the body 5. a cough that does not go away. Reference: http://www. Your health conditions Some chronic health conditions. your body replaces it with another normal cell. diarrhea or constipation. Warning Symptoms And Signs of Cancers 1. excessive exposure to the sun or frequent blistering sunburns. hoarseness or change in the voice. blood in the sputum 8. A cough that persists. When a normal cell dies. can markedly increase your risk of developing certain cancers. A sore or ulcer that does not heal. healthy cells in your body grow in a very orderly and well-controlled way. can markedly increase your risk of developing certain cancers. They forget to die and . discharge (particularly if blood stained) from any part of the body. the majority of cancers occur in people who don't have any known risk factors. Indigestion or difficulty in swallowing or feeling full after eating only a small amount of food. urethra or vagina. You might be a candidate for genetic screening to see whether you have inherited mutations that might increase your risk of cancer.While doctors have an idea of what can put you at risk of cancer. lasting more than four weeks. Cancer cells grow in an uncontrolled manner. it's possible that mutations are being passed from one generation to the next. and having unsafe sex can contribute to cancer. Talk to your doctor about your risk. Keep in mind that having an inherited genetic mutation doesn't necessarily mean you'll get cancer.inctr. Smoking. You can break these habits to lower your risk of cancer ² though some habits are easier to break than others. bleeds or becomes painful 2. Obvious change in a wart or mole 7. Unusual bleeding or discharge in urine or stools. Change in bowel or bladder frequency. Talk to your doctor about your risk.. bleeding in between menstrual cycles. such as ulcerative colitis. such as ulcerative colitis.g. bleeding after sexual intercourse. increases in size. drinking more than one drink a day (for women) or two drinks a day (for men). Factors known to increase your risk of cancer include: Your habits Certain lifestyle choices are known to increase your risk of cancer. living for a set period of time and then dying on schedule. e. blood in urine or stools. 3. change in color of stool. A white or red patch in the mouth. 4.

with similar sizes and orderly organization. two become four. Not all tumors are cancerous.three leading causes of premature death. Your doctor uses a surgical process called a biopsy to get a sample of suspect tissue. normal cells look uniform.. leukemia is a cancer that involves blood. but cancer can be definitively diagnosed only by looking closely at the cancer cells under a microscope. it's likely that 100 million to 1 billion cancer cells are present. How To Diagnose The only way to diagnose cancer is to examine the cells under a microscope. saturated fat and cholesterol help maintain a healthy weight. cardiovascular disease and stroke -. research. Cancer can also spread (metastasize) and invade healthy tissue in other areas of your body. and the original cancer may have been dividing for five years or more. until a mass of cells (a tumor) is created. Find out more. Cancer cells look less orderly. can indicate the possible presence of cancer by showing an abnormal mass. and so on. One malignant cell becomes two. treatment and other aspects of cancer: y y y y y American Institute For Cancer Research National Cancer Institute Fred Hutchinson Cancer Research Center Abramson Cancer Center. four become eight. but doesn't form a single mass or tumor. Some imaging tests. University of Pennsylvania AMC Cancer Research Centre How To Live A Healthy Life Eat Less: In animal studies. with varying sizes and without apparent organization. which allows them to obtain the oxygen and nutrients they need to grow larger. the lymphatic system and the spleen. and reduce the risks for diabetes. Cancer can take decades to develop. Tumors remain small until they're able to attract their own blood supply. While this hasn't been proven in humans.therefore the diseased cells accumulate. Please click on the following links for more information on symptoms. such as computerized tomography (CT) or mammography. and not all cancers form tumors. bone marrow. By the time a cancerous mass is detected. For example. we do know that modest reductions in total fat. reducing calories increased life expectancy and delayed age-related disease. Under the microscope. ..

D and E. Take a Daily Nutritional Supplement: This is especially important for older people to ensure an adequate intake of calcium and vitamins B-6. But that doesn't mean you're restricted to broccoli and apples. Get Regular Exercise: It's critical not only for weight control and cardiovascular health. Boost Your Consumption of Fruits and Vegetables: A diet rich in produce halves your risk of developing certain cancers. to 3 p.. Put your fork down after every bite. and only one had done so in the past. or red.. giving your stomach time to signal your brain that you are full. try to buy at least one fruit or vegetable that you've never tried before and integrate it into your regular meals..from animal products. yellow and orange peppers mixed with cilantro and a bit of vinegar for an interesting salad. Examples: Mango salsa with fish or chicken. Walk in the Sun: Older people especially need regular sun exposure to get enough vitamin D.m.. Avoid the sun from 11 a.to 10%.Helpful: Eat several small meals during the day instead of three large ones. None of them used alcohol excessively. Take a Daily Aspirin Tablet: One children's aspirin (81 mg) per day reduces your risk for heart attack and stroke. Quit Smoking And Drink Only Moderately: One recent study of Kentucky centenarians found that none currently smoked. eggs. such as butter. Consume Less Fat: Limit your total fat intake to 30% of the calories you get each day. but also for building strong .m. This vitamin is essential for strong bones and to regulate the sleep-wake cycle. B-12. Limit saturated fat -... and wear sunscreen. Every week. This encourages you to eat more slowly. meat and regular milk -. or eat from a smaller plate so that it appears you have more food. tomatillos in salad.

learn how to catch a ball while standing on one foot. We make less of it as we age. Excessive stimulation wreaks havoc on the immune system.human growth hormone -. . Ankle weights can help build up your thigh muscles.000 steps a day. Each year. Relax: Today's world is faster and more complex than ever.yoga. Get Out The Weights: Without resistance training. Stand on One Foot: Better yet. which reduces your risk of falling. You can purchase a pedometer at a sporting-goods store. so get as much sleep as you can. muscle mass decreases by 40% between ages 30 and 70. Forty percent of these patients die within one year of sustaining the injury.. to pick up prescriptions and call a doctor. about 250. Aim for 10.is produced during sleep. Try Eastern relaxation methods -. It may be because there's someone there to care for you if you get sick. Get More Sleep: Natures own fountain of youth -. Biggest Culprits: Weak thighs.bones. setting the stage for such age-related diseases as cancer and hypertension. It improves your balance. legs and ankles. Track Your Steps: Wear an electronic pedometer to measure how many steps you take every day. which lead to falls. Use the bathroom on another floor. tai chi or meditation.000 older Americans suffer hip fractures. and park your car in the farthest parking place at the mall.. Regularly using hand weights reduces flab and fragility and increases life expectancy. walk down the hall to talk to a coworker instead of Emailing. Stay Connected: People who live with someone else live longer. Consult a personal trainer for a customized weight-training routine. But it also may be that the emotional connection strengthens your own resolution to survive. To avoid this.

Find A Purpose: People who have goals for which they actively strive live longer and enjoy a better quality of life. PATIENT INFORMATION BROCHURES y Cancer o Breast Cancer  Breast Cancer  Breast Awareness o Child Cancer o Liver Cancer o Lung Cancer y Diagnostic Test o o o o Ultrasound Scan CT Scan MRI Mammography y Cancer Treatment o o o Having an Operation Chemotherapy Radiotherapy    Radiotherapy (Abdomen) Radiotherapy (Chest) Radiotherapy (Head & Neck) y Others . Exercise Your Brain: Crossword puzzles. returning to school and writing your autobiography are all good ways to make sure that the most important "muscle" in your body gets exercised. computer games.

34% were diagnosed in children. From December 1994 till December 2003. leukemia. and non-Hodgkin¶s lymphoma (NHL). stage.908 neoplasms were registered at SKMCH & RC (of which 1. On January 2004. a total of 43. Clinical Modification. in adult males. In adults. . The top three malignancies amongst adult females were: cancers of the breast. whereas. Every year the Registry generates cancer statistics according to sex. whereas. topography. liver & intrahepatic bile ducts and non-Hodgkin¶s lymphoma. bereavement and grief) Clean Food Clean Hands . The Cancer Registry at the Hospital has been functioning since the inauguration of the Hospital in December 1994. ovary & uterine adnexa. respectively). management. the commonest malignancies were categorized as acute lymphoblastic leukemia (ALL). the International Classification of Diseases. and lip & oral cavity. were established as the leading malignancies.163 malignant). regardless of gender. the Registry implemented the International Classification of Disease for Oncology. Ninth Revision. age. About 88. Results During the last fifteen years. Third Edition (ICD-O-3) to code the cancer cases. demographic area. lip & oral cavity. morphology.92%.745 were benign and 42. grade etc. and nonHodgkin¶s lymphoma. The distributions seen amongst males and females were (49.08% and 50.o o o o o o o Post-Mastectomy Exercises Lymphoedema After Someone Dies (A leaflet about death. malignant neoplasm of the breast. was used to code the diseases.66% tumors were found in adults whereas 11. and non-Hodgkin¶s lymphoma (NHL). and analysis of detailed data on patients registered at the Hospital.Save Lives (Help to prevent the spread of infection) Clean Water Cover Your Cough CANCER REGISTRY AND CLINICAL DATA MANAGEMENT Introduction The computerized Cancer Registry at SKMCH & RC is a data system designed for collection. they were lip & oral cavity. Hodgkin¶s disease. The top three malignancies in all age group and both sexes combined were breast cancer. in children.

Hodgkin¶s lymphoma.58% in Grade III.98%) were analytical cases.97% in stage IV. In 9. TNM categorizes cancers in stages 0. 3. 22. .15% of the patients. a total of 3. 4. 24. and 17.69% Grade was not determined. and in 43.68% of the cases were unstageable.836 malignant cases.60 % in Grade II. lip & oral cavity and cervix uteri were the leading malignancies. Of a total of 3. liver & intrahepatic bile ducts. In adult males.In the year 2009. 0.94% cases were staged into stage 0.02%) were non analytical cases (Class of case 0 to 2 and 3 to 9 are considered analytical cases and nonanalytical cases respectively according to the Facility Oncology Revised Data Standards (FORDS) Revised for 2004).38% in stage III. 22. non-Hodgkin¶s lymphoma and ALL were the commonest malignancies. In histological grading.288 analytical cases (Class of case 0.00% presented in Grade I. Amongst 3. 1. 1. 25. lip & oral cavity and liver & intrahepatic bile ducts cancer. no AJCC stage was defined and 10. 2. prostate and lip & oral cavity were the top malignancies whereas in adult females. whereas 326 (9. 3. In children. 13.288 (90. The top three malignancies in all age groups and both sexes combined were breast cancer. 8. and also as unstageable.13% in Grade IV. breast. The Registry uses the American Joint Committee on Cancer (AJCC) staging manual for staging all available cancer sites.72% in stage I.15% in stage II.836 malignancies were added to the Registry database. 1. 2) .

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