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29 CHAPTER IV RESULT The data obtained from the medical records of head and neck cancer patients between 2010 and 2014 in Kariadi Central Hospital and Waspada Laboratory Semarang resulting: Figure 6. The Incidence of Head and Neck Cancer in Semarang during 2010- 2014 Where : C.00 : Malignant Neoplasm of Lip C.01 : Malignant Neoplasm of Base of Tongue C.02 : Malignant Neoplasm of Other and Unspecified Parts of Tongue C.03 : Malignant Neoplasm of Gum C.04 : Malignant Neoplasm of Floor of Mouth C.05 : Malignant Neoplasm of Palate 4 4 24 0 0 5 4 18 5 17 2 100 3 64 4 22 C.00 C.01 C.02 C.03 C.04 C.05 C.06 C.07 C.08 C.09 C.10 C.11 C. 14 C. 30 C. 31 C. 32
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29

CHAPTER IV

RESULT

The data obtained from the medical records of head and neck cancer patients

between 2010 and 2014 in Kariadi Central Hospital and Waspada Laboratory

Semarang resulting:

Figure 6. The Incidence of Head and Neck Cancer in Semarang

during 2010- 2014

Where :

C.00 : Malignant Neoplasm of Lip

C.01 : Malignant Neoplasm of Base of Tongue

C.02 : Malignant Neoplasm of Other and Unspecified Parts of Tongue

C.03 : Malignant Neoplasm of Gum

C.04 : Malignant Neoplasm of Floor of Mouth

C.05 : Malignant Neoplasm of Palate

4 4

24

0 0 5 4

18

5

17

2

100

3

64

4

22

C.00 C.01 C.02 C.03 C.04 C.05 C.06 C.07 C.08 C.09 C.10 C.11 C. 14 C. 30 C. 31 C. 32

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30

C.06 : Malignant Neoplasm of Other and Unspecified Parts of Mouth

C.07 : Malignant Neoplasm of Parotid Gland

C.08 : Malignant Neoplasm of Other and Unspecified Major Salivary Glands

C.09 : Malignant Neoplasm of Tonsil

C.10 : Malignant Neoplasm of Oropharynx

C.11 : Malignant Neoplasm of Nasopharynx

C.14 : Malignant Neoplasm of Other and Ill- defined Sites in The Lip, Oral

Cavity and Pharynx

C.30 : Malignant Neoplasm of Nasal Cavity and Middle Ear

C.31 : Malignant Neoplasm of Accessory Sinuses

C.32 : Malignant Neoplasm of Larynx

From the figure above, nasopharyngeal cancer, coded with C.11 is the most

cases diagnosed in this period. It is followed with malignant neoplasm of nasal

cavity and middle ear (C.30). It is similar with the previous research conducted by

Onggo Wiliyanto that nasopharyngeal cancer is the most cases diagnosed of head

and neck cancer.

Figure 7. Age Distribution of Head and Neck Cancer in Semarang during

2010-2014

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31

Based on the figure above, the age of Head and Neck Cancer patients

diagnosed in Semarang between 2010- 2014, distributed mostly in age group 40-

44 and followed with age group 45- 49.

4.1 Malignant Neoplasm of Lip (C. 00)

As can be seen from the figure below, the highest cases of lip cancer occurred

in 2010 and higher in women. The distributions of age have the similar total case

in the age group of 25-29, 35- 39, 65-69 and 70- 74.

Figure 8. The Incidence of Malignant Neoplasm of Lip Based on Sex

in Semarang during 2010- 2014

Figure 9. The Incidence of Malignant Neoplasm of Lip Based on Age

in Semarang during 2010- 2014

0

1

2

3

2010 2011 2012 2013 2014

Male

Female

0

1

2

0-4

5-9

10-1

4

15-1

9

20-2

4

25-2

9

30-3

4

35-3

9

40-

44

45-

49

50-

54

55-

59

60-

64

65-

69

70-

74

75-

79

80-

84

85 +

+

2010

2011

2012

2013

2014

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32

Table 6. ASR and ASCR score of Malignant Neoplasm of Lip in Semarang

during 2010-2014

*n.a. : not available

The highest score of both ASR and ASCR were occurred in 2012, which the

ASR in women showed 0,04 and the ASCR was 7.93.

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33

4.2. Malignant Neoplasm of Base of Tongue (C.01)

As can be seen from the figure below, the highest cases of malignant

neoplasm of Base of Tongue occurred in 2010 and higher in men. The

distributions of age have the similar total case in the age group of 35- 39, 55-59,

60-64 and 70-74.

Figure 10. The Incidence of Malignant Neoplasm of Base of Tongue

Based on Sex in Semarang during 2010- 2014

Figure 11. The Incidence of Malignant Neoplasm of Base of Tongue

Based on Age in Semarang during 2010- 2014

0

1

2

2010 2011 2012 2013 2014

Male

Female

0

1

2

2010

2011

2012

2013

2014

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34

Table 7. ASR and ASCR score of Malignant Neoplasm of Base of Tongue in

Semarang during 2010-2014

*n.a. : not available

The highest score of ASR occurred in 2012, which the women ASR score was

0.05 in age group 60-64. Whereas, the highest ASCR score was also in 2012 in

age group 35-39.

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35

4.3. Malignant Neoplasm of Other and Unspecified Parts of Tongue (C.02)

As can be seen from the figure below, the highest cases of malignant

neoplasm of other and Unspecified Parts of Tongue occurred in 2013 and higher

in women. The highest distributions of age were in age 35-39

Figure 12. The Incidence of Malignant Neoplasm of Other and Unspecified

Parts of Tongue Based on Sex in Semarang during 2010- 2014

Figure 13. The Incidence of Malignant Neoplasm of Other and Unspecified

Parts of Tongue Based on Age in Semarang during 2010- 2014

0

1

2

3

4

5

6

7

8

2010 2011 2012 2013 2014

Male

Female

0

1

2

3

2010

2011

2012

2013

2014

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36

Table 8. ASR and ASCR score of Malignant Neoplasm of Other and Unspecified

Parts of Tongue in Semarang during 2010-2014

*n.a. : not available

The highest ASR score in 2014 was the women ASR score in age group 35-

39. The highest ASCR score occurred in 2014 was also in age group 35-39.

4.4 Malignant Neoplasm of Gum (C.03)

The data was not available, ASR and ASCR score cannot be determined.

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37

4.5. Malignant Neoplasm of Floor of Mouth (C.04)

The data was not available, ASR and ASCR score cannot be determined.

4.6. Malignant Neoplasm of Palate (C.05)

As can be seen from the figure below, the highest cases of malignant

neoplasm of other and Unspecified Parts of Tongue occurred in 2013 and higher

in men. The distributions of age have the similar total case in the age group of 40-

44, 50-54 and 60-64.

Figure 14. The Incidence of Malignant Neoplasm of Palate Based on Sex

in Semarang during 2010- 2014

Figure 15. The Incidence of Malignant Neoplasm of Palate Based on Age

in Semarang during 2010- 2014

0

1

2

2010 2011 2012 2013 2014

Man

Woman

0

0.5

1

0-4

5-9

10-1

4

15-1

9

20-2

4

25-2

9

30-3

4

35-3

9

40-

44

45-

49

50-

54

55-

59

60-

64

65-

69

70-

74

75-

79

80-

84

85 +

+

2010

2011

2012

2013

2014

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38

Table 9. ASR and ASCR score of Malignant Neoplasm of Palate in Semarang

during 2010-2014

*n.a. : not available

The highest women ASR score was in 2013, meanwhile, the highest men ASR

score occurred in 2012 and 2013. Both of men and women ASR score were

similar, which was 0.04. The highest ASCR score occurred in 2012 in age group

50-54.

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39

4.7. Malignant Neoplasm of Other and Unspecified Parts of Mouth (C.06)

As can be seen from the figure below, the highest cases of malignant

neoplasm of other and Unspecified Parts of Mouth occurred in 2013 and higher in

men. The distributions of age have the similar total case each year in the age

group of 0-4, 50-54 and 55-59.

Figure 16. The Incidence of Malignant Neoplasm of other and Unspecified

Parts of Mouth Based on Sex in Semarang during 2010- 2014

Figure 17. The Incidence of Malignant Neoplasm of other and Unspecified

Parts of Mouth Based on Age in Semarang during 2010- 2014

0

1

2

3

2010 2011 2012 2013 2014

Man

Woman

0

0.5

1

0-4

5-9

10-1

4

15-1

9

20-2

4

25-2

9

30-3

4

35-3

9

40-

44

45-

49

50-

54

55-

59

60-

64

65-

69

70-

74

75-

79

80-

84

85 +

+

2010

2011

2012

2013

2014

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40

Table 10. ASR and ASCR score of Malignant Neoplasm of other and Unspecified

Parts of Mouth in Semarang during 2010-2014

*n.a. : not available

The highest men ASR score was in 2013, which was 0.05. The highest ASCR

score occurred in 2014 in age group 60-64.

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41

4.8. Malignant Neoplasm of Parotid Gland (C.07)

As can be seen from the figure below, the highest cases of malignant

neoplasm of parotid gland occurred in 2013 and higher in men. The highest

distribution of age was in group 45- 49.

Figure 18. The Incidence of Malignant Neoplasm of Parotid Gland

Based on Sex in Semarang during 2010- 2014

Figure 19. The Incidence of Malignant Neoplasm of Parotid Gland

Based on Age in Semarang during 2010- 2014

0

1

2

3

4

5

6

7

2010 2011 2012 2013 2014

Man

Woman

0

0.5

1

1.5

2

2.5

0-4

5-9

10-1

4

15-1

9

20-2

4

25-2

9

30-3

4

35-3

9

40-

44

45-

49

50-

54

55-

59

60-

64

65-

69

70-

74

75-

79

80-

84

85 +

+

2010

2011

2012

2013

2014

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42

Table 11. ASR and ASCR score of Malignant Neoplasm of Parotid Gland in

Semarang during 2010-2014

*n.a. : not available

The highest men ASR score was in 2013, which was 0.06 in both age groups

30-34 and 45-49. The highest ASCR score occurred in 2012 in age group 20-24.

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43

4.9. Malignant Neoplasm of Other and Unspecified Major Salivary Glands

(C.08)

As can be seen from the figure below, the highest cases of malignant

neoplasm of other and unspecified major salivary glands occurred in 2012 and

higher in men. The highest distributions of age was in group 65- 69.

Figure 20. The Incidence of Malignant Neoplasm of other and Unspecified

Major Salivary Glands Based on Sex in Semarang during 2010- 2014

Figure 21. The Incidence of Malignant Neoplasm of other and Unspecified

Major Salivary Glands Based on Age in Semarang during 2010- 2014

0

1

2

3

4

2010 2011 2012 2013 2014

Man

Woman

0

0.5

1

0-4

5-9

10-1

4

15-1

9

20-2

4

25-2

9

30-3

4

35-3

9

40-

44

45-

49

50-

54

55-

59

60-

64

65-

69

70-

74

75-

79

80-

84

85 +

+

2010

2011

2012

2013

2014

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44

Table 12. ASR and ASCR score of Malignant Neoplasm of other and Unspecified

Major Salivary Glands in 2010-2014

*n.a. : not available

The highest ASR score in both men and women was 0.03 The men ASR score

was mutual in 3 age group, 50-54, 55-59, and 65-69. The highest ASCR score

occurred in 2010 in age group 65- 69.

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45

4.10. Malignant Neoplasm of Tonsil (C.09)

As can be seen from the figure below, the highest cases of malignant

neoplasm of other and unspecified major salivary glands occurred in 2010 and

higher in men. The highest distributions of age were both in age group 40-44 and

55-59.

Figure 22. The Incidence of Malignant Neoplasm of Tonsil Based on Sex

in Semarang during 2010- 2014

Figure 23. The Incidence of Malignant Neoplasm of Tonsil Based on Age

in Semarang during 2010- 2014

0

1

2

3

4

5

6

2010 2011 2012 2013 2014

Man

Woman

0

1

2

2010

2011

2012

2013

2014

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46

Table 13. ASR and ASCR score of Malignant Neoplasm of Tonsil in Semarang

during 2010-2014

*n.a. : not available

The highest ASR score in men was 0.06 and occurred in 2010. The highest

women ASR score was 0.04 which mutual in 4 age group; 45-49 in 2010 and

2011; 45-49 and 55-59 in 2013. The highest ASCR score occurred in 2014 in age

group 50-54.

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47

4.11. Malignant Neoplasm of Oropharynx (C.10)

As can be seen from the figure below, the incidence of malignant neoplasm of

oropharynx was mutual in 2010 and 2014. Both of year showed that this

malignancy happened in men. The highest distributions of age were in age group

55-59.

Figure 24. The Incidence of Malignant Neoplasm of Oropharynx Based on

Sex in Semarang during 2010- 2014

Figure 25. The Incidence of Malignant Neoplasm of Oropharynx

Based on Age in Semarang during 2010- 2014

0

0.5

1

2010 2011 2012 2013 2014

Man

Woman

0

0.5

1

0-4

5-9

10-1

4

15-1

9

20-2

4

25-2

9

30-3

4

35-3

9

40-

44

45-

49

50-

54

55-

59

60-

64

65-

69

70-

74

75-

79

80-

84

85 +

+

2010

2011

2012

2013

2014

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48

Table 14. ASR and ASCR score of Malignant Neoplasm of Oropharynx in

Semarang during 2010-2014

*n.a. : not available

Both ASR score in men and ASCR score were mutual in 2010 and 2014, in

age group 55- 59.

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49

4.12. Malignant Neoplasm of Nasopharynx (C.11)

As can be seen from the figure below, the highest incidence of malignant

neoplasm of nasopharynx was in 2013 and higher in men. Both of year showed

that this malignancy happened in men. The highest distributions of age were in

age group 40-44.

Figure 26. The Incidence of Malignant Neoplasm of Nasopharynx

Based on Sex in Semarang during 2010- 2014

Figure 27. The Incidence of Malignant Neoplasm of Nasopharynx Based on

Age in Semarang during 2010- 2014

0

5

10

15

20

25

2010 2011 2012 2013 2014

Man

Woman

0

2

4

6

8

10

2010

2011

2012

2013

2014

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50

Table 15. ASR and ASCR score of Malignant Neoplasm of Nasopharynx in

Semarang during 2010-2014

*n.a. : not available

The highest ASR score in men was 0,12, occurred in 2013 in both age group

35-39 and 40- 44. The highest ASR score in women was 0,2, occurred in 2012 in

age group 45-49. The highest ASCR score was 1,79, occurred in 2013 in age

group 40-44.

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51

4.13. Malignant Neoplasm of Piriform Sinus (C.12)

The data was not available, ASR and ASCR score cannot be determined.

4.14. Malignant Neoplasm of Hypopharinx (C. 13)

The data was not available, ASR and ASCR score cannot be determined.

4.15 Malignant Neoplasm of Other and Ill- defined Sites in The Lip, Oral

Cavity and Pharynx (C.14)

As can be seen from the figure below, the highest incidence of malignant

neoplasm of other and Ill-defined Sites in The Lip, Oral Cavity and Pharynx was

in 2010 and higher in men. The incidence of thus malignancy were mutual in

several age group ; 20-24, 45-49 and 80-84.

Figure 28. The Incidence of Malignant Neoplasm of other and Ill-defined

Sites in The Lip, Oral Cavity and Pharynx Based on Sex in Semarang during

2010- 2014

0

0.5

1

2010 2011 2012 2013 2014

Man

Woman

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52

Figure 29. The Incidence of Malignant Neoplasm of other and Ill-defined

Sites in The Lip, Oral Cavity and Pharynx Based on Age in Semarang during

2010- 2014

Table 16. ASR and ASCR score of Malignant Neoplasm of other and Ill-defined

Sites in The Lip, Oral Cavity and Pharynx in Semarang during 2010-2014

*n.a. : not available

0

0.5

1

0-4

5-9

10-1

4

15-1

9

20-2

4

25-2

9

30-3

4

35-3

9

40-

44

45-

49

50-

54

55-

59

60-

64

65-

69

70-

74

75-

79

80-

84

85 +

+

2010

2011

2012

2013

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53

The highest ASR score in men was 0,03, occurred in 2012 in age group 45-49.

The highest ASR score in women was 0,03, occurred in 2010 in age group 20-24.

The highest ASCR score was 6.04, occurred in 2012 in age group 45-49.

4.16. Malignant Neoplasm of Nasal Cavity and Middle Ear (C.30)

As can be seen from the figure below, the highest incidence of malignant

neoplasm of nasal cavity and middle ear was mutual in 2012 and 2013 and higher

in men. The highest age distribution was in age group 45- 49.

Figure 30. The Incidence of Malignant Neoplasm of Nasal Cavity and Middle

Ear Based on Sex in Semarang during 2010- 2014

Figure 31. The Incidence of Malignant Neoplasm of Nasal Cavity and Middle

Ear Based on Age in Semarang during 2010- 2014

0

2

4

6

8

10

12

2010 2011 2012 2013 2014

Man

Woman

0

1

2

3

4

5

2010

2011

2012

2013

2014

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54

Table 17. ASR and ASCR score of Malignant Neoplasm of Nasal Cavity and

Middle Ear in Semarang during 2010-2014

*n.a. : not available

The highest ASCR score was 1.69, occurred in 2014 in age group 40-44.

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55

4.17. Malignant Neoplasm of Accessory Sinuses (C.31)

As can be seen from the figure below, the highest incidence of malignant

neoplasm of accessory sinuses was in 2010 and higher in women.

Figure 32. The Incidence of Malignant Neoplasm of Accessory Sinuses

Based on Sex in Semarang during 2010- 2014

Figure 33. The Incidence of Malignant Neoplasm of Accessory Sinuses

Based on Age in Semarang during 2010- 2014

0

0.5

1

2010 2011 2012 2013 2014

Man

Woman

0

0.5

1

0-4

5-9

10-1

4

15-1

9

20-2

4

25-2

9

30-3

4

35-3

9

40-

44

45-

49

50-

54

55-

59

60-

64

65-

69

70-

74

75-

79

80-

84

85 +

+

2010

2011

2012

2013

2014

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56

Table 18. ASR and ASCR score of Malignant Neoplasm of Accessory Sinuses in

Semarang during 2010-2014

*n.a. : not available

The highest both men and women ASR were 0.06, occurred in 2010. The

highest score of ASCR was in 2013 in age group 45-49.

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57

4.18. Malignant Neoplasm of Larynx (C.32)

As can be seen from the figure below, the highest incidence of malignant

neoplasm of larynx was in 2014 and all cases happened in men. Meanwhile, most

cases distributed in age group 60-64.

Figure 34. The Incidence of Malignant Neoplasm of Larynx Based on Sex in

Semarang during 2010- 2014

Figure 35. The Incidence of Malignant Neoplasm of Larynx Based on Age

in Semarang during 2010- 2014

0

1

2

3

4

5

6

7

8

9

2010 2011 2012 2013 2014

Man

Woman

0

1

2

3

2010

2011

2012

2013

2014

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58

Table 19. ASR and ASCR score of Malignant Neoplasm of Larynx in Semarang

during 2010-2014

*n.a. : not available

The highest men ASR were 0.08, occurred in 2014 in age group 60-64. The

highest score of ASCR was in 2013 in age group 55-59.


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