Cancer in North West London Cancer Network for - NWLCN

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					Cancer in North West
London Cancer Network,
2009
North West London Cancer Network, 2009
Table of contents


Cancer in North West London Cancer Network residents

Explanation of tables for residents

Table 1:    Cancer registrations in North West London Cancer Network, 2009, by sex, 5-year age group and tumour
            type with age-standardised rates
            a: Males
            b: Females

Table 2:    Number of registered cancer patients alive at 31/12/2009 by sex and tumour type

Table 3:    Number of registered cancer patients alive at 31/12/2009, by sex and 5-year age-group at 31/12/2009

Table 4a:   Number of cancer registrations by treatment modality and tumour type, males and females combined

Table 4b: Number of cancer registrations and percentage of patients who received different treatments by tumour
          type, males and females combined

Table 5:    Patients visiting trusts within North West London Cancer Network
            Number of cancer registrations by trust and type of visit and tumour type
            a: First trust visited
            b: First trust visited for surgery, trust visited for investigative surgery only, and trust visited for cancer
            surgery
            c: First trust visited for chemotherapy
            d: First trust visited for hormone therapy
            e: First trust visited for radiotherapy

Table 6:    Quality of cancer registrations by tumour type




Cancer in patients treated in North West London Cancer Network

Explanation of tables for patients

Table 7:    Number of cancer registrations by type of visit and tumour type

Table 8:    Networks in which North West London Cancer Network patients have been seen, by type of visit

Table 9:    Number of cancer registrations by sex, tumour type and age-group

Table 10a: Number of cancer registrations by primary care trust of residence and tumour type for patients resident in
           this Cancer Network

Table 10b: Number of cancer registrations for patients resident in other cancer networks by tumour type
Definition of trusts associated with North West London Cancer Network



We are aware, for some cancer networks, that there is a shared responsibility for trusts and primary care trusts on the
borders or that patients may visit trusts within a neighbouring Network for part or all of their treatment.

For the purposes of this report, we are using the following trusts and primary care trusts to designate the treated and
resident patients associated with this Cancer Network.


Trusts in the Network
Chelsea & Westminster
Ealing Hospital
Hillingdon Hospital
Imperial College Healthcare NHS Trust
North West London Hospitals
Royal Brompton & Harefield
West Middlesex University




Other Trusts associated with the Network
Central and North West London NHS Foundation Trust




Primary Care Trusts in the Network
Brent Teaching PCT
Ealing PCT
Hammersmith & Fulham PCT
Harrow PCT
Hillingdon PCT
Hounslow PCT
Kensington & Chelsea PCT
Westminster PCT
Cancer in North West London Cancer Network residents, 2009


All the data presented in this part of the report refer to patients normally resident in the North West London Cancer
Network area, as designated by the primary care trust residential populations, at the time of diagnosis. The Thames
Cancer Registry uses the postcode of the address at diagnosis to assign each patient to the PCT of residence
according to the most recent cancer postcode directory.

The main focus of this report is the most recent complete diagnosis period, 2009. Prevalence data are for persons
still alive at 31/12/2009 and diagnosed in the period 1985-2009. Data are presented for incidence, prevalence and
treatment.

The treatment data presented in this report are for the first planned treatment received within the first six months
after diagnosis. Any treatment given after six months from the date of diagnosis is not counted.

Residents are counted once for each tumour in the incidence, prevalence, death tables and treatment table 4a. In
treatment table 4b, patients may be counted more than once depending on the treatment modalities they received, and
therefore, the percentages will not add up to 100%. In tables 5a to 5e, patients will be counted only once per tumour
per trust per first visit for any of the treatments and for the highest surgery.

First treating Trust includes one count per patient per tumour per visit for the first treatment received which can be
any surgery, chemotherapy, hormone therapy or radiotherapy received within six months of diagnosis.

The population for the Network is calculated from the populations of the primary care trusts and/or the local
authorities using the mid year estimates for 2009 based on the 2001 census, as supplied by the Office for National
Statistics.
North West London Cancer Network,
Explanation of tables for residents




Tables 1a and 1b show the number of new cases registered in 2009 by five-year age group, and the age-specific
incidence rate per 100,000 for each major tumour type grouping. The cumulative rate (CR%) is calculated by adding
the age-specific incidence rates for the 0-74 year age groups. It shows the risk of patients getting a particular cancer
before their 75th birthday. For example, if both males and females have a 1 in 4 chance of developing cancer before
75 years of age, the cumulative rate would be 25%. Age standardised rate (ASR) per 100,000 is calculated using the
number of cases that would arise in the standard european population if each age group had the same cancer rate as
that observed. This is calculated by applying the age-specific cancer rates observed in a given area/year to the
standard population in each age group. The 95% CI shows the upper and lower limits of the confidence intervals.
MV% shows the percentage of cases that have been microscopically verified. DCO% shows the percentage of cases
that are registered from a death certificate only - their date of death is used as the date of diagnosis.

Table 2 shows the number of registered cancer patients still alive at 31/12/2009 by sex and major tumour type
groupings. Patients were diagnosed during the period 1985-2009.

Table 3 shows the number of registered cancer patients still alive at 31/12/2009 by sex and 5-year age-group at
31/12/2009. Patients were diagnosed during the period 1985-2009.

Table 4a shows the number of cancer patients by the treatment modality, received within six months of diagnosis,
and the major tumour type groupings.

Table 4b shows the number of cancer patients and the percentage of patients who received different treatments,
within six months of diagnosis, and the major tumour type groupings.

Tables 5a-5e show the number of patients resident in and seen at the named Network within 6 months by the major
tumour type groupings. The tables show the number of residents first seen at a Trust within the named Network for
each treatment type. The Trust which gives the most invasive/curative surgery is also included as the Trust of highest
surgery.

Table 6 shows the number of cases and data quality indicators for patients seen at the named Network within 6
months by the major tumour type groupings. The "Clinically staged (%)" column indicates the number of cases with
a TNM or other stage (eg Dukes for colorectal cancer, Breslow for malignant melanoma of skin) recorded in the
clinical notes.
TABLE 1a:
Cancer registrations in North West London, 2009, by sex, 5-year age-group and tumour type
Number of new cases, percentage of cases histologically verified (HV%) and death certificate only (DCO%);
Annual rate per 100,000, cumulative rate (CR%: 0-74 years) and age-standardised rate (ASR: european standard) with 95% confidence interval (CI)

Sex                          Male                 1
Cancer
                     North West London          N21
Network

MALES
                                                                                                                                                      Age Group                                                                                                                    MV % DCO %
               Major Group                                                                                                                                                                                                                                                 Total                     95% CI
                                                        0-4        5-9       10-14       15-19       20-24       25-29       30-34       35-39       40-44       45-49       50-54       55-59       60-64       65-69       70-74       75-79       80-84       85+               CR % ASR (E)
C00-C14,C30-                                    Cases          0         0           0           1           0           1           4           6      11               8      17          27          28          21          22          16          12             3     177       91       1
               Head and neck
C32 & C73                                       Rates     0.0        0.0        0.0         1.9         0.0         1.1         3.9         7.0        13.8        12.6        32.6        62.0        71.7        75.1        83.9        79.2        92.2       26.5      18.7      1.8   20.70   17.6 23.8
                                                Cases          0         0           0           0           0           0           1           1           3           5           4      14               9      14               5           9           7         7      79       87       2
C15            Oesophagus
                                                Rates     0.0        0.0        0.0         0.0         0.0         0.0         1.0         1.2         3.8         7.9         7.7        32.1        23.1        50.1        19.1        44.6        53.8       61.7       8.4      0.7    9.20    7.1 11.3
                                                Cases          0         0           0           0           0           0           3           0           3           5           3           4      12               7      18          13          13         12         93       82       3
C16            Stomach
                                                Rates     0.0        0.0        0.0         0.0         0.0         0.0         3.0         0.0         3.8         7.9         5.7         9.2        30.7        25.0        68.7        64.4        99.9      105.8       9.8      0.8    9.92    7.9 12.0
                                                Cases          0         0           0           0           1           0           7           2           5           8      10          15          24          37          34          34          34         28        239       84       2
C18            Colon
                                                Rates     0.0        0.0        0.0         0.0         1.4         0.0         6.9         2.3         6.3        12.6        19.2        34.4        61.5       132.4       129.7       168.3       261.3      246.9      25.3      2.0   26.18   22.8 29.6
               Rectum (incl. rectosigmoid       Cases          0         0           0           0           0           0           3           1           3      10          11          18          20          22          25          27          13         15        168       84       3
C19-C21
               junction & anus)                 Rates     0.0        0.0        0.0         0.0         0.0         0.0         3.0         1.2         3.8        15.7        21.1        41.3        51.2        78.7        95.4       133.7        99.9      132.3      17.8      1.5   19.17   16.2 22.1
                                                Cases          0         0           0           1           0           0           0           0           2           3           8           8           9           9      15          17               8         9      89       48       4
C25            Pancreas
                                                Rates     0.0        0.0        0.0         1.9         0.0         0.0         0.0         0.0         2.5         4.7        15.3        18.4        23.1        32.2        57.2        84.2        61.5       79.4       9.4      0.8   10.06    7.9 12.2
               Lung (incl. trachea &            Cases          0         0           0           0           0           0           1           4           5      13          22          40          56          60          80          68          63         41        453       66       5
C33-C34
               bronchus)                        Rates     0.0        0.0        0.0         0.0         0.0         0.0         1.0         4.7         6.3        20.4        42.2        91.8       143.5       214.7       305.1       336.6       484.2      361.5      47.9      4.1   50.83   46.1 55.6
                                                Cases          1         0           0           0           0           3           3           6           2           5           6           6           7           9           9      11               5         8      81       97       0
C43            Melanoma of skin
                                                Rates     1.5        0.0        0.0         0.0         0.0         3.2         3.0         7.0         2.5         7.9        11.5        13.8        17.9        32.2        34.3        54.5        38.4       70.5       8.6      0.7    8.79    6.8 10.7
                                                Cases          0         0           0           0           0           0           0           0           0           0           0           1           3           1           0           2           0         0       7       96       1
C50            Breast
                                                Rates     0.0        0.0        0.0         0.0         0.0         0.0         0.0         0.0         0.0         0.0         0.0         2.3         7.7         3.6         0.0         9.9         0.0        0.0       0.7      0.1    0.86    0.2 1.5
                                                Cases          0         0           0           0           0           0           0           0           2      11          42          83          97         157         189         134          79         63        857       86       1
C61            Prostate
                                                Rates     0.0        0.0        0.0         0.0         0.0         0.0         0.0         0.0         2.5        17.3        80.5       190.5       248.5       561.7       720.9       663.4       607.2      555.5      90.7      8.7   99.86   93.1 106.6
                                                Cases          0         0           0           0           0           0           1           0           2           6           3           3           9      19          22          21          13         22        121       79       3
C67            Bladder
                                                Rates     0.0        0.0        0.0         0.0         0.0         0.0         1.0         0.0         2.5         9.4         5.7         6.9        23.1        68.0        83.9       104.0        99.9      194.0      12.8      1.0   13.13   10.7 15.5
                                                Cases          1         0           0           0           1           3           2           1           5      14          10          12               9           9      24          17          15         10        133       84       3
C82-C85        Non-Hodgkin's lymphomas
                                                Rates     1.5        0.0        0.0         0.0         1.4         3.2         2.0         1.2         6.3        22.0        19.2        27.5        23.1        32.2        91.5        84.2       115.3       88.2      14.1      1.1   14.54   12.0 17.1
                                                Cases          8         5           2      11          16          31          28          29          33          45          63          87          92          91         108         132         111        135       1027       79      3
Other          All other sites
                                                Rates    11.9        9.8        4.3        21.3        23.1        32.7        27.6        33.7        41.4        70.7       120.7       199.7       235.7       325.6       411.9       653.5       853.2 1190.3 108.6              7.5 110.57 103.7 117.5
               All malignant neoplasms (excl.   Cases         10         5           2      13          18          38          53          50          76         133         199         318         375         456         551         501         373        353       3524      83       2
C00-C97
               BCC of skin)                     Rates    14.8        9.8        4.3        25.1        26.0        40.0        52.2        58.1        95.3       209.1       381.4       729.9       960.7 1631.5 2101.5 2480.2 2867.0 3112.3 372.8                                 30.8   393.8




                                                                                                                                                                                                                                                                                   TCR, 31/03/2011
TABLE 1b:
Cancer registrations in North West London, 2009, by sex, 5-year age-group and tumour type
Number of new cases, percentage of cases histologically verified (HV%) and death certificate only (DCO%);
Annual rate per 100,000, cumulative rate (CR%: 0-74 years) and age-standardised rate (ASR: european standard) with 95% confidence interval (CI)

Sex                      Female                 2
Cancer
                   North West London          N21
Network

FEMALES
                                                                                                                                                    Age Group                                                                                                                     MV % DCO %
              Major Group                                                                                                                                                                                                                                                Total                      95% CI
                                                      0-4        5-9       10-14       15-19       20-24       25-29       30-34       35-39       40-44       45-49       50-54       55-59       60-64       65-69       70-74       75-79       80-84       85+                CR % ASR (E)
C00-C14,C30-                                  Cases          0         0           0           3           2      10               5           5      10               5      14          12               9      13          10          11               5         9     123       91       1
             Head and neck
C32 & C73                                     Rates     0.0        0.0        0.0         6.2         2.8        10.7         5.7         6.6        13.9         7.9        25.8        26.0        20.6        38.5        33.8        45.4        26.6       44.8      13.1       1.0   12.34   10.1 14.6
                                              Cases          0         0           0           0           0           0           0           0           2           1           3           3           6           6           6           3      10             8      48       87       2
C15          Oesophagus
                                              Rates     0.0        0.0        0.0         0.0         0.0         0.0         0.0         0.0         2.8         1.6         5.5         6.5        13.8        17.7        20.3        12.4        53.2       39.8       5.1       0.3    4.27    3.0 5.5
                                              Cases          0         0           0           0           0           0           3           0           1           1           3           7           8           9           4           9           6         9      60       82       3
C16          Stomach
                                              Rates     0.0        0.0        0.0         0.0         0.0         0.0         3.4         0.0         1.4         1.6         5.5        15.2        18.3        26.6        13.5        37.2        31.9       44.8       6.4       0.4    5.64    4.1 7.1
                                              Cases          0         0           0           0           3           1           3           0           2           5           9           8      22          35          25          42          31         38        224       84       2
C18          Colon
                                              Rates     0.0        0.0        0.0         0.0         4.2         1.1         3.4         0.0         2.8         7.9        16.6        17.4        50.4       103.5        84.4       173.5       164.8      189.0      23.8       1.4   19.76   17.0 22.5
             Rectum (incl. rectosigmoid       Cases          0         0           0           0           0           0           1           2           2           2           8           6      12          14          20          20          14         21        122       84       3
C19-C21
             junction & anus)                 Rates     0.0        0.0        0.0         0.0         0.0         0.0         1.1         2.6         2.8         3.1        14.8        13.0        27.5        41.4        67.5        82.6        74.4      104.5      13.0       0.9   10.99    8.9 13.0
                                              Cases          0         0           0           0           0           0           0           3           0           1           3           8      10          11          12          14          15         16         93       48       4
C25          Pancreas
                                              Rates     0.0        0.0        0.0         0.0         0.0         0.0         0.0         4.0         0.0         1.6         5.5        17.4        22.9        32.5        40.5        57.8        79.7       79.6       9.9       0.6    8.23    6.5 10.0
             Lung (incl. trachea &            Cases          0         0           0           0           0           0           0           1           6      13          20          28          38          45          54          46          54         40        345       66       5
C33-C34
             bronchus)                        Rates     0.0        0.0        0.0         0.0         0.0         0.0         0.0         1.3         8.3        20.4        36.9        60.7        87.1       133.1       182.3       190.0       287.0      199.0      36.7       2.6   32.15   28.6 35.7
                                              Cases          0         0           0           1           7           8           3           4           4           1           3           6      11               5           4           5           5         9      76       97       0
C43          Melanoma of skin
                                              Rates     0.0        0.0        0.0         2.1         9.8         8.6         3.4         5.3         5.6         1.6         5.5        13.0        25.2        14.8        13.5        20.7        26.6       44.8       8.1       0.5    7.09    5.4 8.8
                                              Cases          0         0           0           0           1           9      21          39          69          97         138         124         143         135          83          75          73         71       1078       96       1
C50          Breast
                                              Rates     0.0        0.0        0.0         0.0         1.4         9.6        24.1        51.4        95.8       152.6       254.7       269.0       327.9       399.3       280.2       309.8       388.0      353.2 114.6           8.9 111.79 104.9 118.7
                                              Cases          0         0           0           0           1           4           7      10               9           5           6           5           2           4           4           4           6         5      72       90       3
C53          Cervix
                                              Rates     0.0        0.0        0.0         0.0         1.4         4.3         8.0        13.2        12.5         7.9        11.1        10.8         4.6        11.8        13.5        16.5        31.9       24.9       7.7       0.5    6.74    5.1 8.3
                                              Cases          0         0           0           0           0           1           3           6           3           8      12          20          31          29          23          21          10         12        179       97       1
C54          Uterus
                                              Rates     0.0        0.0        0.0         0.0         0.0         1.1         3.4         7.9         4.2        12.6        22.2        43.4        71.1        85.8        77.6        86.8        53.2       59.7      19.0       1.6   18.37   15.6 21.1
                                              Cases          0         0           0           2           4           1           1           4           5           7           4      16          15          15          15          13          13         14        129       81       5
C56          Ovary
                                              Rates     0.0        0.0        0.0         4.1         5.6         1.1         1.1         5.3         6.9        11.0         7.4        34.7        34.4        44.4        50.6        53.7        69.1       69.6      13.7       1.0   12.54   10.3 14.8
                                              Cases          0         0           0           0           0           0           0           0           1           0           1           3           7           4           8      11          10         11         56       79       3
C67          Bladder
                                              Rates     0.0        0.0        0.0         0.0         0.0         0.0         0.0         0.0         1.4         0.0         1.8         6.5        16.0        11.8        27.0        45.4        53.2       54.7       6.0       0.3    4.69    3.4 6.0
                                              Cases          1         0           0           0           0           1           1           7           3           4           9           8           8      12          17          19          13         10        113       84       3
C82-C85      Non-Hodgkin's lymphomas
                                              Rates     1.5        0.0        0.0         0.0         0.0         1.1         1.1         9.2         4.2         6.3        16.6        17.4        18.3        35.5        57.4        78.5        69.1       49.7      12.0       0.8   10.68    8.6 12.7
                                              Cases         14         6           5           4      10          17          15          15          21          31          32          44          67          67          94          84          87        155        768       79       3
Other        All other sites
                                              Rates    21.7       12.2       11.2         8.3        14.0        18.2        17.2        19.8        29.1        48.8        59.1        95.5       153.6 198.2 317.3 347.0 462.4 771.1 81.6                                         5.0   85.11   63.4 73.6
             All malignant neoplasms (excl.   Cases     15           6          5         10          28          52          63          96         138         181         265         298         389    404    379    377    352    428 3486                                      83       2
C00-C97
             BCC of skin)                     Rates    23.2       12.2       11.2        20.7        39.3        55.7        72.3       126.4       191.5       284.7       489.2       646.5       891.9 1195.0 1279.5 1557.5 1871.0 2129.1 370.6                                  24.7   333.8




                                                                                                                                                                                                                                                                                 TCR, 31/03/2011
TABLE 2:
Prevalence of cancer, North West London Cancer Network, 1985-2009
Number of registered cancer patients alive at 31/12/2009
by sex and tumour type

Cancer Network                                     North West London     N21




                 Major Group                            Males          Females   Total
C00-C14,C30-
             Head and neck                               1472           1175     2647
C32 & C73

C15          Oesophagus                                   216            129      345

C16          Stomach                                      340            231      571

C18          Colon                                       1460           1635     3095

             Rectum (incl. rectosigmoid junction
C19-C21                                                  1101            892     1993
             & anus)

C25          Pancreas                                     137            114      251

C33-C34      Lung (incl. trachea & bronchus)              958            710     1668

C43          Melanoma of skin                             688            982     1670

C50          Breast                                       82            13282    13364

C53          Cervix                                                     1039     1039

C54          Uterus                                                     1612     1612

C56          Ovary                                                      1016     1016

C61          Prostate                                    6494                    6494

C67          Bladder                                     1326            463     1789

C82-C85      Non-Hodgkin's lymphomas                     1129            911     2040

Other        All other sites                             6445           4163     10608

             All malignant neoplasms (excl.
C00-C97                                                 21848           28354    50202
             BCC of skin)




                                                                                    TCR, 31/03/2011
TABLE 3:
Prevalence of cancer, North West London Cancer Network, 1985-2009
Number of registered cancer patients alive at 31/12/2009
by sex and 5-year age-group at 31/12/2009

Cancer Network          North West London         N21




     Age Group               Males              Females             Total
         0-4                   21                  21                42

         5-9                   53                  52                105

        10-14                  82                  64                146

        15-19                 115                  88                203

        20-24                 161                 111                272

        25-29                 251                 237                488

        30-34                 387                 427                814

        35-39                 516                 671               1187

        40-44                 692                 1094              1786

        45-49                 856                 1612              2468

        50-54                 979                 2089              3068

        55-59                 1352                2547              3899

        60-64                 2092                3548              5640

        65-69                 2514                3404              5918

        70-74                 3091                3441              6532

        75-79                 3251                3014              6265

        80-84                 2598                2466              5064

         85+                  2837                3468              6305

        Total                21848               28354              50202




                                                                            TCR, 31/03/2011
TABLE 4a:
North West London Cancer Network residents, 2009
Number of cancer registrations by treatment modality and tumour type, males and females combined

                      North West
Cancer Network                              N21
                       London


                    C00-C14,C30-C32
                                            C15            C16          C18            C19-C21          C25           C33-C34         C43          C50           C53           C54          C56            C61           C67           C82-C85        Other            C00-C97
                         & C73
                                                                                     Rectum (incl.                                                                                                                                                                   All malignant
                                                                                                                     Lung (incl.                                                                                                         Non-
                                                                                     rectosigmoid                                   Melanoma                                                                                                         All other        neoplasms
                     Head and neck       Oesophagus       Stomach       Colon                         Pancreas       trachea &                    Breast        Cervix        Uterus        Ovary        Prostate       Bladder        Hodgkin's
                                                                                       junction &                                    of skin                                                                                                           sites         (excl. BCC of
                                                                                                                     bronchus)                                                                                                        lymphomas
                                                                                         anus)                                                                                                                                                                           skin)
Chemotherapy                         5                2             1            6                7              8            21                           15                                        3            10              1              5            38              122

Hormones                                                                                                                                                    4                           1                         11                                             1               17

Radiotherapy                         5                1                                           3                           10                            9             1                                         7                            4            17                 57

Surgery                         156                65             83          267              143             46            277            116          369             43            94           33           463            95            84            769              3103

Chemotherapy &
                                                                                                                                                            6                                                                                                    2                8
hormones
Chemotherapy &
                                     1                              2                             4                             3             1                                         1                           1                                         10                 23
radiotherapy
Surgery &
                                     5             23             25            72               44            20             85              1          238              2            10           41              4           10            66            193               839
chemotherapy
Hormones &
                                                                                                                                                            3                           1                           1                                                             5
radiotherapy
Surgery &
                                                                                 1                                              1                        139                            1                        142              1              1               1            287
hormones
Surgery &
                                   37                 3             3            2                7                           59              1            50             3            22            1              7             7              6            42              250
radiotherapy
Chemotherapy,
hormones &                                                                                                       1                                                                                                                                                                1
radiotherapy
Surgery,
chemotherapy &                                        1                                                          1                                         13             1                          1              2                                            3               22
hormones
Surgery,
chemotherapy &                     33                 4             4            2               18                           32                           13            10             7                                         3              2            36              164
radiotherapy
Surgery, hormones
                                                                                                                                                           70                                                     44              1                                           115
& radiotherapy
All treatment
                                                                                                                                                            4                                                                                                                     4
modalities
No treatment
                                   55              26             30          104                56            98            273             38          142             10            41           43           156            54            71            626              1823
recorded
Death certificate
                                     3                2             5            9                8              8            37                           10             2             1            7              9             5              7            57              170
only
Total                          300                127            153          463              290            182           798             157      1085                72          179          129            857           177          246           1795               7010




                                                                                                                                                                                                                                            TCR, 31/03/2011
TABLE 4b:
North West London Cancer Network residents, 2009
Number of cancer registrations and percentage of patients who received different treatments by tumour type, males and females combined

                       North West
Cancer Network                               N21
                        London


                     C00-C14,C30-C32
                                             C15            C16          C18            C19-C21          C25           C33-C34         C43          C50           C53           C54          C56            C61           C67           C82-C85        Other            C00-C97
                          & C73
                                                                                      Rectum (incl.                                                                                                                                                                   All malignant
                                                                                                                      Lung (incl.                                                                                                         Non-
                                                                                      rectosigmoid                                   Melanoma                                                                                                         All other        neoplasms
                      Head and neck       Oesophagus       Stomach       Colon                         Pancreas       trachea &                    Breast        Cervix        Uterus        Ovary        Prostate       Bladder        Hodgkin's
                                                                                        junction &                                    of skin                                                                                                           sites         (excl. BCC of
                                                                                                                      bronchus)                                                                                                        lymphomas
                                                                                          anus)                                                                                                                                                                           skin)

Patients                         300               127            153          463              290            182            798            157       1085               72          179          129            857           177           246           1795              7010


% DCOs                                1                2             3            2                3              4              5             0             1             3             1            5              1             3              3               3                2


% Any surgery                       77              76             75            74               73            37             57             75            83            82            75           59            77            66            65              58                 68


% Cancer surgery                    49              13             16            63               61              8            14             63            62            31            54           43            27            55            28              31                 38


% Other surgery                       0                3             3            1                1              3              3             1             0             4             5            4              0             1              1               1                1

% Investigative
                                    27              60             56            11               11            26             40             11            20            47            16           12            50              9           36              26                 29
surgery
% Any
                                    15              24             21            17               25            16             18              1            27            18            10           35              2             8           30              16                 17
chemotherapy
% Any hormone
                                      0                1             0            0                0              1              0             0            22             1             2            1            23              1              0               0                7
treatment

% Any radiotherapy                  25                 6             6            1               11              1            13              1            14            19            17            1              7             6              5               6                9

% No treatment
                                    18              20             20            22               19            54             34             24            13            14            23           33            18            31            29              35                 26
recorded




                                                                                                                                                                                                                                             TCR, 31/03/2011
TABLE 5a:
North West London Cancer Network residents, 2009
Patients visiting Trusts within North West London Cancer Network
Number of cancer registrations by Trust and type of visit and tumour type, males and females combined

                                North West
Cancer Network                                        N21
                                 London


                              C00-C14,C30-C32
                                                      C15            C16          C18            C19-C21          C25           C33-C34         C43         C50           C53           C54          C56            C61           C67           C82-C85        Other            C00-C97
                                   & C73
                                                                                               Rectum (incl.                                                                                                                                                                  All malignant
                                                                                                                               Lung (incl.                                                                                                        Non-
                                                                                               rectosigmoid                                   Melanoma                                                                                                        All other        neoplasms
                               Head and neck       Oesophagus       Stomach       Colon                         Pancreas       trachea &                   Breast        Cervix        Uterus        Ovary        Prostate       Bladder        Hodgkin's
                                                                                                 junction &                                    of skin                                                                                                          sites         (excl. BCC of
                                                                                                                               bronchus)                                                                                                       lymphomas
                                                                                                   anus)                                                                                                                                                                          skin)
First Trust visited

Chelsea & Westminster                          4            11              10            41               17            13             39            16             2             6            24            9            15            27            17            117               368

Ealing Hospital                                6            14                9           36               14              5            62             2            56             5            13            6            63            11            17            105               424

Ealing Primary Care                                                                                                        1              1                                                                                                               1                                3

Hillingdon Hospital                          12             14              12            45               31            18             89            16            97            14            22           10            95            16            14            149               654

Imperial College Healthcare
                                             96             31              50          102                82            45            223            24          254             14            39           45           173            42            38            395              1653
NHS Trust
Kensington & Chelsea
                                               1                                                            4              6              7                                                                                  1                                            2               21
Primary Care
North West London
                                             85             20              33          120                73            38            138            18          184              7            30           17           262            35            61            328              1449
Hospitals

Royal Brompton & Harefield                                                                 1                                            47                           1                                                                                    1            17                 67

West Middlesex University                    22                 8             9           35               18              9            50             4            74             8            17            1            46              7           15              99              422

                                                                                                                                                                                                                                                                                           0

                                                                                                                                                                                                                                                                                           0

Total                                    226                98             123          380              239            135           656             80          668             54          145            88           655           138          164           1212               5061




                                                                                                                                                                                                                                                    TCR, 31/03/2011
TABLE 5b:
North West London Cancer Network residents, 2009
Patients visiting Trusts within North West London Cancer Network
Number of cancer registrations by Trust and type of visit and tumour type, males and females combined

                                  North West
Cancer Network                                         N21
                                   London


                              C00-C14,C30-C32
                                                       C15            C16          C18            C19-C21          C25           C33-C34        C43         C50           C53           C54          C56            C61           C67           C82-C85        Other          C00-C97
                                   & C73
                                                                                                Rectum (incl.                                                                                                                                                               All malignant
                                                                                                                                Lung (incl.                                                                                                       Non-
                                                                                                rectosigmoid                                  Melanoma                                                                                                        All other      neoplasms
                               Head and neck        Oesophagus       Stomach       Colon                         Pancreas       trachea &                  Breast        Cervix        Uterus        Ovary        Prostate       Bladder        Hodgkin's
                                                                                                  junction &                                   of skin                                                                                                          sites       (excl. BCC of
                                                                                                                                bronchus)                                                                                                      lymphomas
                                                                                                    anus)                                                                                                                                                                       skin)
First Trust visited for surgery
Chelsea & Westminster                           3            10                7           26               10              5            23           12            1              5             8            6              9           24            13              63            225

Ealing Hospital                                 6            13                8           32               13              5            45            2            55             5            13            5            56            11            15              79            363

Hillingdon Hospital                             9            14             11             34               25              4            41           15            58            10            13            5            79            13               5            66            402
Imperial College Healthcare
                                               93            24             42             92               73           35             166           17          223             11            37           38           159            38            30            307            1385
NHS Trust
North West London
                                               61            14             22             94               54              6            64           14          174              7            28            8           212            17            43            179             997
Hospitals
Royal Brompton & Harefield                                                                  1                                            48                                                                                                               1            16               66

West Middlesex University                      20                7             9           32               17              4            31            4            73             8            17            1            41              3           13              70            350

                                                                                                                                                                                                                                                                                        0

Total                                      192               82             99           311              192            59            418            64          584             46          116            63           556           106          120            780             3788

First Trust visited for investigative surgery only
Chelsea & Westminster                                            8             4            2                2              3            21            2                           1             1            2              5             3           10              23               87

Ealing Hospital                                 1            13                6            6                2              4            36            1            22             3             3            1            47              2              8            38            193

Hillingdon Hospital                             6            13             11              6                6              4            33            4            27             8             5            2            50              2              2            33            212
Imperial College Healthcare
                                               24            19             26             11                7           24             116            2            42             8             3            4           107              4           18            142             557
NHS Trust
North West London
                                               22            11             21             13                7              5            53                         52             5             6            3           141              2           24              76            441
Hospitals
Royal Brompton & Harefield                                                                  1                                            16                                                                                                               1            13               31

West Middlesex University                      14                3             9            7                5              3            21            1            23             5             5            1            28              1              5            44            175

                                                                                                                                                                                                                                                                                        0

Total                                          67            67             77             46               29           43            296            10          166             30            23           13           378            14            68           369             1696




                                                                                                                                                                                                                                                              TCR, 31/03/2011
TABLE 5b (continued):
North West London Cancer Network residents, 2009
Patients visiting Trusts within North West London Cancer Network
Number of cancer registrations by Trust and type of visit and tumour type, males and females combined

                              C00-C14,C30-C32
                                                      C15            C16          C18            C19-C21          C25           C33-C34         C43         C50           C53           C54          C56            C61           C67           C82-C85        Other            C00-C97
                                   & C73
                                                                                               Rectum (incl.                                                                                                                                                                  All malignant
                                                                                                                               Lung (incl.                                                                                                        Non-
                                                                                               rectosigmoid                                   Melanoma                                                                                                        All other        neoplasms
                               Head and neck       Oesophagus       Stomach       Colon                         Pancreas       trachea &                   Breast        Cervix        Uterus        Ovary        Prostate       Bladder        Hodgkin's
                                                                                                 junction &                                    of skin                                                                                                          sites         (excl. BCC of
                                                                                                                               bronchus)                                                                                                       lymphomas
                                                                                                   anus)                                                                                                                                                                          skin)
First Trust visited for cancer surgery
Chelsea & Westminster                          3                              1           24               8               2                           9                           2             5            4              4          19                3            39              123

Ealing Hospital                                2                                          26               11                             3            1            27             1             6            3              8             7              7            39              141

Hillingdon Hospital                            1                1                         28               19                             6           10            30             2             7            2            28           11                3            33              181
Imperial College Healthcare
                                           71                   7          15             81               66           10              53            17          218              5            42           35            62           39             11            162               894
NHS Trust
North West London
                                           43                                 1           81               45                             2           14          162                           20            3            66           11             19            100               567
Hospitals
Royal Brompton & Harefield                                                                                                              34                                                                                                                                1               35

West Middlesex University                      5                                          25               12              1              2            2            50             3             4                           9             2              8            19              142

                                                                                                                                                                                                                                                                                          0

Total                                    125                    8          17           265              161            13            100             53          487             13            84           47           177           89             51           393               2083




                                                                                                                                                                                                                                                              TCR, 31/03/2011
TABLE 5c:
North West London Cancer Network residents, 2009
Patients visiting Trusts within North West London Cancer Network
Number of cancer registrations by Trust and type of visit and tumour type, males and females combined

                                North West
Cancer Network                                       N21
                                 London


                              C00-C14,C30-C32
                                                     C15            C16        C18            C19-C21          C25           C33-C34         C43        C50           C53          C54          C56            C61           C67           C82-C85        Other            C00-C97
                                   & C73
                                                                                            Rectum (incl.                                                                                                                                                                All malignant
                                                                                                                            Lung (incl.                                                                                                      Non-
                                                                                            rectosigmoid                                   Melanoma                                                                                                      All other        neoplasms
                               Head and neck      Oesophagus       Stomach     Colon                         Pancreas       trachea &                  Breast        Cervix       Uterus        Ovary        Prostate       Bladder        Hodgkin's
                                                                                              junction &                                    of skin                                                                                                        sites         (excl. BCC of
                                                                                                                            bronchus)                                                                                                     lymphomas
                                                                                                anus)                                                                                                                                                                        skin)
First Trust visited for chemotherapy
Chelsea & Westminster                                                                                                                  7                                                                                1                            8            11                 27

Ealing Hospital                                                                                                                                                  1                                                      1             3              6            12                 23

Hillingdon Hospital                                                                                                                    1                                                                 1                                                           6                8
Imperial College Healthcare
                                             34            11             15           26               32           15              79                       114             7            14           35              1             7              8            80              478
NHS Trust
North West London
                                                               1                       24                8              1            21                         50                                                                    1           21              40              167
Hospitals
West Middlesex University                                                               2                1                                                      33                                                                                   9            13                 58

                                                                                                                                                                                                                                                                                      0

Total                                        34            12             15           52               41           16            108             0          198             7            14           36              3          11             52           162                761




                                                                                                                                                                                                                                               TCR, 31/03/2011
TABLE 5d:
North West London Cancer Network residents, 2009
Patients visiting Trusts within North West London Cancer Network
Number of cancer registrations by Trust and type of visit and tumour type, males and females combined

                                North West
Cancer Network                                        N21
                                 London


                              C00-C14,C30-C32
                                                      C15            C16          C18           C19-C21         C25           C33-C34         C43        C50           C53          C54         C56           C61           C67           C82-C85        Other            C00-C97
                                   & C73
                                                                                              Rectum (incl.                                                                                                                                                             All malignant
                                                                                                                             Lung (incl.                                                                                                    Non-
                                                                                              rectosigmoid                                  Melanoma                                                                                                    All other        neoplasms
                               Head and neck       Oesophagus       Stomach       Colon                       Pancreas       trachea &                  Breast        Cervix       Uterus       Ovary       Prostate       Bladder        Hodgkin's
                                                                                                junction &                                   of skin                                                                                                      sites         (excl. BCC of
                                                                                                                             bronchus)                                                                                                   lymphomas
                                                                                                  anus)                                                                                                                                                                     skin)
First Trust visited for hormone treatment
Chelsea & Westminster                                                                                                                                                                                                  1                                                             1

Ealing Hospital                                                                                                                                                  12                                                  19                                                             31

Hillingdon Hospital                                                                                                                                              15                                                  26                                                             41
Imperial College Healthcare
                                                                                                                                                                 78                                                  47              1                                           126
NHS Trust
North West London
                                                                                                                                                                 63                                                  63                             1                            127
Hospitals
West Middlesex University                                                                                                               1                        19                         1                        24                                             1               46

                                                                                                                                                                                                                                                                                     0

Total                                          0                0             0           0               0              0              1           0          187             0            1           0           180              1              1               1            372




                                                                                                                                                                                                                                              TCR, 31/03/2011
TABLE 5e:
North West London Cancer Network residents, 2009
Patients visiting Trusts within North West London Cancer Network
Number of cancer registrations by Trust and type of visit and tumour type, males and females combined

                                North West
Cancer Network                                       N21
                                 London


                              C00-C14,C30-C32
                                                     C15            C16          C18           C19-C21          C25           C33-C34         C43        C50           C53           C54          C56           C61           C67         C82-C85        Other            C00-C97
                                   & C73
                                                                                             Rectum (incl.                                                                                                                                                              All malignant
                                                                                                                             Lung (incl.                                                                                                    Non-
                                                                                             rectosigmoid                                   Melanoma                                                                                                    All other        neoplasms
                               Head and neck      Oesophagus       Stomach       Colon                        Pancreas       trachea &                  Breast        Cervix        Uterus        Ovary       Prostate       Bladder      Hodgkin's
                                                                                               junction &                                    of skin                                                                                                      sites         (excl. BCC of
                                                                                                                             bronchus)                                                                                                   lymphomas
                                                                                                 anus)                                                                                                                                                                      skin)
First Trust visited for radiotherapy
Chelsea & Westminster                                                                                                                                                                                                    1                                          1               2

Hillingdon Hospital                                                                                                                     2                                       1                                                                                                   3
Imperial College Healthcare
                                             56                2             5           3               22                           83                         88             9            25                       42            11              4            55              405
NHS Trust
North West London
                                                               1                                                                                                                                                         1                                          1               3
Hospitals
West Middlesex University                                                                                                                                         1                                                                                                                 1

                                                                                                                                                                                                                                                                                    0

Total                                        56                3             5           3               22              0            85            0            89            10            25           0           44            11              4            57              414




                                                                                                                                                                                                                                              TCR, 31/03/2011
TABLE 6:
North West London Cancer Network, 2009
Quality of cancer registrations by tumour type

Cancer
                          North West London                    N21
Network



                                                                             Microscopically     Death certificate      TCR Staged        Clinically staged
   ICD10 code                  ICD10 site              Number of cases
                                                                               verfied (%)          only (%)               (%)                   (%)
C00-C14,C30-
                    Head and neck                             300                   91                   1                   45                   44
C32 & C73
C15                 Oesophagus                                127                   87                   2                   42                   17

C16                 Stomach                                   153                   82                   3                   54                   19

C18                 Colon                                     463                   84                   2                   61                   67
                    Rectum (incl. rectosigmoid
C19-C21                                                       290                   84                   3                   53                   48
                    junction & anus)
C25                 Pancreas                                  182                   48                   4                   47                   9
                    Lung (incl. trachea &
C33-C34                                                       798                   66                   5                   53                   23
                    bronchus)
C43                 Melanoma of skin                          157                   97                   0                   41                   61

C50                 Breast                                    1085                  96                   1                   48                   83

C53                 Cervix                                     72                   90                   3                   50                   46

C54                 Uterus                                    179                   97                   1                   42                   60

C56                 Ovary                                     129                   81                   5                   55                   46

C61                 Prostate                                  857                   86                   1                   43                   80

C67                 Bladder                                   177                   79                   3                   50                   73

C82-C85             Non-Hodgkin's lymphomas                   246                   84                   3                   n/a                  23

Other               All other sites                           1795                  79                   3                   43                   23

                    All malignant neoplasms (excl.
C00-C97                                                       7010                  83                   2                   48                   47
                    BCC of skin)




Microscopically For the purposes of this report, the term "microscopical verification" includes those cases with a basis of diagnosis recorded as
verfied         histology, cytology, haematology or cases notified by other cancer registries as microscopically verified, but without specification.

                  Registration made from a death certificate only. The only details we have about these cases are from the death certificate. These
Death certificate
                  patients are excluded from such analysis as survival rates and treatment tables, but are included in incidence figures by using their
only
                  date of death as their date of diagnosis.

                    The Registry has employed its own simple 4-level staging system since 1965 and successfully stages around 80% of all solid
TCR Staged          tumours. The classification system uses information in the patients' notes to determine if the disease is local (stage 1), has extension
                    beyond the organ of origin (stage 2), has regional lymph node involvement (stage 3) or has metastasised (stage 4).

                    The Registry is reliant upon the NHS Trust to record this information, so monitoring the service level agreement between Trusts and
Clinically staged
                    the Registry and the implementation of clinical governance in Trusts may encourage clinicians to record staging.

                                                                                                                                                    TCR, 31/03/2011
Cancer in patients treated in North West London Cancer Network, 2009



All the data presented in this part of the report refer to patients normally resident in the Thames Cancer Registry
catchment area at the time of diagnosis who were treated at the named Network within 6 months of diagnosis. Data
are presented for incidence and treatment.

The tables in this report refer to patients seen at the named Network within 6 months of diagnosis. Patients seen at
the named Network more than 6 months after diagnosis are not counted. Patients who are normally resident outside
the Thames Cancer Registry catchment area are not counted. There is up to one count per patient per Network per
treatment type. The data do not correspond to finished consultant episodes or number of hospital visits; the counts
presented in this report are always lower.
North West London Cancer Network, 2009
Explanation of tables for patients seen within the Network


Table 7 shows the number of patients seen at the named Network within 6 months of diagnosis by the type of
hospital visit.

Table 8 shows the number of patients seen at the named Network within 6 months of diagnosis by the other
networks in which they have been treated and type of hospital visit at that network. The table shows to what extent
these patients have been seen at other networks as well during the course of their treatment.

Table 9 shows the number of patients seen at the named Network within 6 months by sex and age-group at diagnosis
for the major tumour type groupings.

Table 10a shows the number of patients seen at the named Network within 6 months and resident in the named
Network at the time of diagnosis by the major tumour type groupings and the primary care trust of residence at the
time of diagnosis.

Table 10b shows the number of patients seen at the named Network within 6 months and resident in the other
networks within the Thames Cancer Registry catchment area at the time of diagnosis by the major tumour type
groupings and the cancer network of residence at the time of diagnosis.
TABLE 7:
North West London Cancer Network, 2009
Number of cancer registrations by type of visit and tumour type

Cancer
                    North West London              N21
Network



                                                                         Type of surgery visit                   First                         First
                                               First hospital                                                             First hormone
 ICD10 code              Major Group                                                                         chemotherapy                  radiotherapy
                                                    visit                                                                       visit
                                                                Cancer          Other        Investigative       visit                         visit

C00-C14,C30-
             Head and neck                         260           148              2               74             41             0              66
C32 & C73


C15           Oesophagus                           119           10               1               78             14             0               3


C16           Stomach                              138           21               4               87             17             0               5


C18           Colon                                424           302              1               48             57             0               3


              Rectum (incl. rectosigmoid
C19-C21                                            275           189              2               34             47             0              28
              junction & anus)


C25           Pancreas                             156           14               3               49             17             0               0


              Lung (incl. trachea &
C33-C34                                            745           140             27              337             122            1              95
              bronchus)


C43           Melanoma of skin                      94           62               0               14              0             0               0


C50           Breast                               743           546              2              183             229           209             95


C53           Cervix                                63           13               1               36              9             0              12


C54           Uterus                               154           91               8               24             17             1              27


C56           Ovary                                 97           53               3               15             41             0               0


C61           Prostate                             705           197              0              401              3            197             50


C67           Bladder                              153           96               1               17             12             1              12


C82-C85       Non-Hodgkin's lymphomas              185           63               1               73             59             1               4


Other         All other sites                     1374           466             13              425             189            1              69


              All malignant neoplasms (excl.
C00-C97                                           5685          2411             69              1895            874           411            469
              BCC of skin)

                                                                                                                                    TCR, 31/03/2011
TABLE 8:
North West London Cancer Network, 2009
Networks in which North West London Cancer Network patients have been seen, by type of visit

Cancer
                      North West London        N21
Network



                                                                     Type of surgery visit                       First                        First
                                           First hospital                                                                 First hormone
 Cancer Network in which patient treated                                                                     chemotherapy                 radiotherapy
                                                visit                                                                           visit
                                                            Cancer          Other            Investigative       visit                        visit

North East London                                5            2               0                   1               0             1              0


North West London                             5685          2411             69                 1895             874           411           469


TCR part of North London                        15            8               0                   4              10             2             11


South East London                                4            1               0                   0               2             0              5


South West London                               25           32              10                   5              103            8             11


Kent & Medway                                    1            1               0                   0               0             0              0


TCR part of SWSH                                 3            1               0                   0               1             0              1


Sussex                                           0            0               0                   0               0             0              2


TCR part of Central South Coast                  2            0               0                   0               0             0              0


ExtraRegional                                   14            3               1                   1              20             2             18


Other and Not Known                            120           16               0                   11              8             2              9




                                                                                                                           TCR, 31/03/2011
TABLE 9:
North West London Cancer Network, 2009
Number of cancer registrations by sex, tumour type and age-group

Cancer
                    North West London          N21
Network



                                                                        Males                                                                Females
 ICD10 code              Major Group
                                               0-14       15-34         35-74         75+          All ages         0-14       15-34          35-74         75+          All ages
C00-C14,C30-
             Head and neck                                         7            130          28               165                      16              67          18               101
C32 & C73
C15           Oesophagus                                                        52           24                76                                      24          21                45

C16           Stomach                                              3            51           33                87                       4              28          24                56

C18           Colon                                               10            118          85               213                       6             101         109               216
              Rectum (incl. rectosigmoid
C19-C21                                                            1            106          48               155                       1              69          51               121
              junction & anus)
C25           Pancreas                                             1            49           28                78                                      34          44                78
              Lung (incl. trachea &
C33-C34                                                            1            275         156               432                       2             205         132               339
              bronchus)
C43           Melanoma of skin                        1            1            34           14                50                      11              26           8                45

C50           Breast                                                             5            1                 6                      28             639         185               852

C53           Cervix                                                                                            0                       9              43          11                63

C54           Uterus                                                                                            0                       3             117          38               158

C56           Ovary                                                                                             0                       6              62          32               100

C61           Prostate                                                          458         251               709                                                                     0

C67           Bladder                                              1            57           52               110                                      19          24                43

C82-C85       Non-Hodgkin's lymphomas                              5            66           32               103          1            1              49          36                87

Other         All other sites                         4           71            430         292               797          6           36             279         274               595

              All malignant neoplasms (excl.
C00-C97
              BCC of skin)
                                                      5           101       1831            1044         2981              7           123        1762            1007         2899


                                                                                                                                                            TCR, 31/03/2011
TABLE 10a:
North West London Cancer Network, 2009
Number of cancer registrations by primary care trust of residence and tumour type for patients resident in the named Cancer Network

                       North West
Cancer Network                              N21
                        London


                     C00-C14,C30-C32
                                            C15            C16         C18            C19-C21          C25           C33-C34        C43          C50           C53           C54          C56            C61          C67           C82-C85      Other          C00-C97
                          & C73
                                                                                    Rectum (incl.                                                                                                                                                             All malignant
                                                                                                                    Lung (incl.                                                                                                       Non-
                                                                                    rectosigmoid                                  Melanoma                                                                                                      All other      neoplasms
 PCT of residence     Head and neck      Oesophagus       Stomach      Colon                         Pancreas       trachea &                   Breast        Cervix        Uterus        Ovary        Prostate      Bladder        Hodgkin's
                                                                                      junction &                                   of skin                                                                                                        sites       (excl. BCC of
                                                                                                                    bronchus)                                                                                                      lymphomas
                                                                                        anus)                                                                                                                                                                     skin)
Brent Teaching PCT                  47             17             23           44               32           11              64            11          144              8            23           10           128           19            33          152             766

Ealing PCT                          36             22             20           68               43           14              93            13          157             10            22           17           149           28            34          204             930
Hammersmith &
                                    24                6           12           33               25              9            61            13            68             7             8           10            75           13            14            95            473
Fulham PCT
Harrow PCT                          21                7           13           48               19              9            45            17          175              4            16           10           102             9           24          150             669

Hillingdon PCT                      30             17             14           46               37              7            75            30            97            12            21           11            81           16            19          177             690

Hounslow PCT                        40             11             17           46               27           13              65            11          155             12            23           12            81             7           17          159             696
Kensington &
                                    20                7           10           38               17           12              60            17            55             5            13            4            37           15            12            96            418
Chelsea PCT
Westminster PCT                     27             14             14           36               34              9            62             7            92             4            12           12            48           16            22          136             545

Total                           245               101            123         359              234            84            525            119          943             62          138            86           701          123          175         1169             5187




                                                                                                                                                                                                                                         TCR, 31/03/2011
TABLE 10b:
North West London Cancer Network, 2009
Number of cancer registrations for patients resident in other Cancer Networks by tumour type

                                        North West
Cancer Network                                                N21
                                         London


                                      C00-C14,C30-C32
                                                              C15            C16          C18            C19-C21          C25           C33-C34         C43         C50           C53          C54          C56            C61           C67           C82-C85        Other            C00-C97
                                           & C73
                                                                                                       Rectum (incl.                                                                                                                                                                 All malignant
                                                                                                                                       Lung (incl.                                                                                                       Non-
                                                                                                       rectosigmoid                                   Melanoma                                                                                                       All other        neoplasms
        Cancer Network of residence    Head and neck       Oesophagus       Stomach       Colon                         Pancreas       trachea &                   Breast        Cervix       Uterus        Ovary        Prostate       Bladder        Hodgkin's
                                                                                                         junction &                                    of skin                                                                                                         sites         (excl. BCC of
                                                                                                                                       bronchus)                                                                                                      lymphomas
                                                                                                           anus)                                                                                                                                                                         skin)
North East London                                      2                              2            3                1              2              3            1             4                                                      1             1              3            10                 33

TCR part of North London                             11                 3             6            6                8              4            33             2            14            4             1            1           12               2              3            30              140

South East London                                      1                1             2            2                               2              9            1             1            1             1                           1                            2            18                 42

South West London                                    20             14                7           32               20           13              41            10            68            2             7            7           35            10             10              93              389

Kent & Medway                                          1                              1            2                3                                                                     1                          1              1             2              1               1               14

TCR part of SWSH                                       2                              1                             1                           14                           2            1             1            1              3                            5            13                 44

Sussex                                                 1                2                          2                3                             6                                                                  1                                                           3               18

TCR part of Central South Coast                                         1                                                                         1                                                                                                                                               2

Total                                                38             21             19             47               36           21            107             14            89            9            10           11           53            15             24           168                682




                                                                                                                                                                                                                                                           TCR, 31/03/2011

				
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