INCTR Cancer Registry Programme: Progress Report 2014

Program: Cancer Registries
Coordinators: Max Parkin
Other INCTR Participants: Biying Liu
Collaborators: 1.International Agency for Research on Cancer
2.American Cancer Society (ACS)
3.AFCRN Database
Branch(es): INCTR Challenge Fund
Location: Single Continent
Country(s): Sub-Saharan African Countries
Institutions: List of members:
Botswana National Cancer Registry
Congo (Republic of):
Registre des cancers de Brazzaville
Cote d’Ivoire
Registre des Cancer d’Abidjan
Addis Ababa Cancer Registry
Gambia Cancer Registry
Kumasi Cancer Registry
Registre de Cancer de Guinee
Eldoret Cancer Registry
Nairobi Cancer Registry
Malawi Cancer Registry
Mauritius Cancer Registry
Beira Cancer Registry
Namibian National Cancer Registry
Registre des cancers du Niger
Abuja Cancer Registry
Calabar Cancer Registry
Ibadan Cancer Registry
Nigerian National System of Cancer Registries (NSCR)
Seychelles National Cancer Registry
South Africa:
Eastern Cape Province Cancer Registry
South African Children's Cancer Group (SACCSG) Tumour Registry
South African National Cancer Registry
Kampala Cancer Registry
Zimbabwe National Cancer Registry
AFCRN is a project of the Cancer Registry Program of INCTR.

2014 is the third year of the work of the African Cancer Registry Network (AFCRN). AFCRN remains in official partnership with the International Agency for Research on Cancer (IARC); as part of the “Global Initiative for Cancer Registry Development in Low- and Middle-Income Countries”, the Network acts as a consortium to provide a “Regional Hub” services for cancer registries in Sub Saharan Africa (SSA).
The secretariat of AFCRN is based in Oxford, UK (address above) with Dr Max Parkin ( as coordinator and Mrs Biying Liu ( as administrator. Activities in Africa are assisted by a group of skilled consultants. Confidentiality of data and the interests of those involved in the data collection and processing is being safeguarding by the Research Committee.

The Network is financially supported by the UK registered charity The INCTR Challenge Fund (charity number 1079181) which receives restricted funds to support cancer registries in Africa. In 2014, majority funding was from the Doris Duke Charitable Foundation (DDCF), IARC, and Union for International Cancer Control (UICC). The AFCRN coordinating centre is currently fundraising for 2015.
Objectives: Increasing the coverage of population based cancer registration in SSA, from 20 countries (2014) to
24 by mid 2016, and to 28 by 2017 and improving the quality of existing registries, so that, by 2017, 8
cancer registries (including at least ONE in each of the AFROCaNN partner countries) meet the quality
criteria for inclusion in “Cancer incidence in V continents” (currently, only 4 registries do so).
Methods: 1. providing technical and scientific support to countries;
2. delivering tailored training in population-based cancer registration and use of data;
3. advocating the cause of cancer registration in the region and facilitating setting up associations and networks of cancer registries; and
4. coordinating international research projects and disseminating findings
35 participants, directors and leaders of member registries as well as significant individuals, attended the 2 days Annual Review Meeting (ARM) from 21st – 22nd January, followed by an academic seminar “Making sense of the data”, an Advocacy Workshop (UICC), and a presentation on the Female Cancer Studies in Africa (Dr Eva Kantelhardt, Halle University) on 23rd January 2014. The ARM had two components (Meeting Agenda is described in Appendix 2; the list of participants is shown in Appendix 3):
1. A general meeting of AFCRN members to review activities in 2013, agree common policies and membership rules, and plan activities for 2014.
2. A workshop, featuring presentations from:
a. selected AFCRN members, on
i. problems/solutions and innovative work in registration,
ii. research activities,
iii. local and international collaborations
b. members of the steering committee, on
i. Activities in other regional Hubs relevant to the African consortium (AFCRN)
ii. Central GICR activity – advocacy, fund raising
iii. IACR – activities relevant to African members
iv. WHO-AFRO – activities in Cancer Control
Minutes are available on request.
The Advisory group of AFCRN comprises representatives of IARC, UICC and IACR. The meeting was convened, on
the 23rd Jan 2014, after the Annual Review Meeting. Work progress was reviewed, suggestions were made for
future activities and external collaborations, as well as identifying additional sources of funding for the Network.
Minutes available on request.
Basic training course in English (16-27th June)
The team of Kampala Cancer Registry has hosted a 10 days basic training for Francis
Okongo (registrar, the Gulu Cancer Registry) from 16-27th June. A follow up visit by Ms
Sarah Nambooze (Kampala) to the St Mary’s Hospital, Lacor (Gulu) for the provision of
training and advice with respect to establishing a population based cancer registry was
carried out from 16-26th September. Reports on both trainings are available on request.
Basic training course in Portuguese (14-25th July)
Dr Gonçalo Lacerda acted as the international faculty on the AFCRN Basic training course in
Portuguese. This 10 days course took place from 14th – 25th July in Maputo, Mozambique.
The aim of this course was to provide basic training on cancer registration for the 4 newly
employed staff from the Maputo Cancer Registry and one staff from the Beira Cancer
Registry. Report available on request. A further practical training section and a follow up consultancy visit have been
proposed for the first half of 2015.
Training course in French (11-29th August)
In collaboration with the Abidjan Cancer Registry, the AFCRN training course in French was held from 11-29th August
2014. Despite the Ebola epidemic around West Africa, nine international trainees (from 7 countries) attended the
course. The course aimed to cover cancer registration methods including basics of oncology and pathology, case
finding, recording, analysis, and the use of CanReg 5. A detailed report on the course is available on request.
List of participants.
CanReg 5 Training
Technical support and enhanced training have been provided to member registries in Namibia, Beira
(Mozambique) and Guinea (June/July 2014).
Ms Gladys Chebet (Eldoret Cancer Registry, Kenya), AFCRN CanReg expert, visited the
Namibia National Cancer Registry from 16th-20th June to repair and install the CanReg 5
Benin Mr Marcel Dieu-Donne Egue
RD Congo (Lubumbashi) Papy Gaël Mfunyi Muluma
Guinea HABA Cécé Maxime
Senegal (Dakar) Dr Oumar BA
Senegal (Dakar) Dr Sérigne NIANG
Mauretania (Nouakchott) M. Mohamed Sa;em MANDHOUM
Mauretania (Nouakchott) Dr Oumar DIOP
Burkina Faso (Bobo) Mme Kagoné Thérèse
Niger Dr Zaki Mahamane
Côte d'Ivoire Mademoiselle GUIA Nathalie
Côte d'Ivoire Mademoiselle KINDA Korotoum
Côte d'Ivoire Mme KOUAME Sali
Rwanda (Kigali) Mlle Cécile Ingabire
United Kingdom (Oxford) Dr Max Parkin
Côte d'Ivoire Dr Amalado Ayemou
Côte d'Ivoire Dr Guy N’da
Côte d'Ivoire Dr Akanji Oseni
system; import missing data from CanReg4 and to provide sufficient and necessary training to the local registrar. Report available on request. Further onsite training on the use of CanReg 5 is needed and it has been proposed for early 2015.
Ms Cecile Ingabire (Kigali Cancer Registry, Rwanda), AFCRN CanReg expert, visited the Beira Cancer Registry from 7th – 11th July to install the CanReg5 system in the Registry (in Portuguese); import the existing data and provide sufficient and necessary training to the local registrar. Report available on request. A further practical training in Maputo for the cancer registry staff from Beira has been proposed for early 2015.
Dr Louise Mbus, supported by the AFCRN, visited the Guinee Cancer Registry in Conakry (21st July – 1st August) to set up a new CanReg5 system for the registry accordingly and to assist in migrating the old dataset to CanReg5 and provide sufficient and necessary training to the local registrar. Report available on request.
Ms Ntuthu Somdyala, with the support of a Calum Muir Fellowship (IACR), visited Dr Parkin at the Nuffield Department of Population Health (NDPH), University of Oxford, from 8-26th September 2014. The purpose of this visit was to 1) prepare a report for the cancer registry of the Eastern Cape Province, for the period 2008-2012, based on the AFCRN Model Report. 2) collaborate in an analysis of trends in the incidence of 8 major cancers (Oesophagus, Liver, Lung, Kaposi, Breast, Cervix, Prostate) for the 15 year period 1997 – 2012. This has now been published (Int J Cancer. 2014 Sep 18. doi: 10.1002/ijc.29224)
Dr Robai Gakunga, visited Dr Parkin at the Nuffield Department of Population Health (NDPH), University of Oxford, from 10-28th November 2014. The purpose of the visit was to finalise a report on structure and use of data by cancer registries, members of the African Network of Cancer Registries, based on a questionnaire survey, and prepare an article for publication in a peer-reviewed journal.
By Dr Max Parkin
On 27th – 29th January Dr Parkin visited the Namibia National Cancer Registry (NNCR) to advise on cancer registration methodology and to discuss potential collaborations between the Network and the Registry. A Report has been prepared and shared with related professionals. The registry accepted an invitation to become the 26th member of the Network.
On 19th-21st February Dr Parkin, Prof Henry Wabinga (Director of Kampala Cancer Registry) and Sarah Nambooze visited the Gulu Hospital in Uganda following discussions with Dr Martin Ogwang and Dr Ian Magrath (INCTR) to review the requirements for a population based registry serving the population of Gulu. A Report has been prepared and shared with the personnel concerned. A two-way training, between Gulu and Kampala cancer registries, has been arranged for Francis Okongo (registrar). The registry began data collection in 2014. A follow up visit to review progress will take place in early 2015.
On 2nd – 3th April, Dr Parkin visited Dr Freddie Bray (IARC), Lyon, France, to discuss the programme and plans for the African Hub under the scheme of GICR.
On 23rd April, Dr Parkin, accompanied by Dr Freddie Bray (IARC), visited Dr Msafiri Marijani & Mr Omar Abdalla Ali in Zanzibar to discuss logistics of establishing a population based registry in Zanzibar. A report has been prepared and shared with the personnel concerned.
On 24th-25th April, Dr Parkin visited the Kampala Cancer Registry. After reviewing the data, a schedule of work (to complete data on cases seen in Uganda Hospice) for the registry staff was developed. The work comprises part of the MoU with Kampala Cancer Registry for 2014. The MoU includes provision for the training of new staff from Gulu, Uganda.
On 27th-29th April, Dr Parkin visited the Ministry of Health in Rwanda to advise on the development of cancer registration for the country. The visit was hosted by Dr Marie-Aimee Muhipundu and Leonard Kayonde from the
MoH NCD Department. Recommendations for Rwanda National Cancer Registry were prepared and shared with the personnel concerned, and the Minister of Health, Hon Agnes Binagwaho.
On 21st-23rd July, Dr Parkin met Dr Marie Ka Cissé, chef de la division des maladies non transmissibles, ministère de la santé et de l'action sociale du Sénégal, and Pr. Mamadou Diop, Director of the Senegal Tumour Registry and at the Institut Joliot-Curie (BP 15647 Dakar-Fann, Bur 221 33 889 38 50, Port 221 77 450 39 45) from 20th to 23rd July 2014. The aim of the visit was to discuss a) how to establish a substantial cancer registration system under the leadership and support from ministêre de la santé; b) the practical issue of restarting cancer registration in Dakar, Senegal and how the AFCRN may provide support; c) arrangement for the basic training for two junior cancer registry staff in Abidjan, Cote d’Ivoire in August.
On 20th-27th August, Dr Parkin, accompanied by Dr Guy N’Da (Abidjan, Cote d’Ivoire) met stakeholders from institute in Bobo-Diolassso, Burkina Faso. The aim of the visit was to assess and discuss the possibility of starting PBCR in Bobo-Diolasso, with the support the NCD department, Ministry of Health. A Report was prepared and circulated to the personnel concerned..
On 8-9th September, Dr Parkin visited Dr Bray at IARC, Lyon, to discuss the programme and plans for the African Hub under the scheme of GICR for 2015.
On 11th September, Dr Sujha Subramanian (IARC), Dr Rachael Joseph and Dr Florence Tangka (CDC) visited Dr Parkin at the NAPH, Oxford, to discuss the situation of cancer registration in Uganda, Malawi, Zimbabwe, South Africa, and possibly within English speaking Western African countries.
On 9-11th October, Dr Parkin was invited by the African Caribbean Cancer Consortium to speak In a session "Planning, Organizational Structure and Management of a Cancer Registry” at their 5th International Scientific Training Conference, Schoelcher, Martinique, French West Indies.
On 6-7th November, Dr Parkin was invited to speak at the '1st Portuguese Meeting of Epidemiology and Cancer Registration' in Porto, Portugal. The talk covered the role of AFCRN in the development of cancer registration (Portuguese-speaking ones) in sub-Saharan African countries. The meeting permitted direct discussions with representative from Angola, Mozambique and Cape Verde, on developments of cancer registries in these countries.
On 4-6th December, Dr Parkin spoke about ‘The African Regional Cancer Network: An IARC Regional Hub in Practice‘ on the GICR session at the UICC World Cancer Congress. Dr Parkin also tried to work with Drs James Brierley and Mary Gospodarowicz to review the old ENCR recommendations and to develop simple TNM usable by cancer registries with limited recourses. Discussion is ongoing and a scientific section will be held at the 3rd annual meeting in Feb 2015.
On 15-18th December, Dr Parkin visited Dr Cheikh Oumar DIOP at the Ministere de la Sante, Direction de la Lutte contre, les Maladies, Republique Islamique de Mauritanie. The aim of the visit was to discuss how AFCRN may help establish a substantial cancer registration system under the leadership and support from the Ministere de la Sante. A report was prepared and shared with persons concerned.
Dr Elisebete Weiderpass Vainio visited cancer the National Oncology Centre, Luanda, Angola as AFCRN consultant from 25th January to 1st February 2014 to teach on a training course for cancer registrars, and report on the potential for the development of cancer registration in Angola. A detailed report on the consultancy visit and the course has been received and shared with persons concerned.
On 10th October, Dr Elisebete Weiderpass Vainio visited Dr Amos Mwakigonja at the Tanzania Cancer Registry as AFCRN consultant. The aim of the visit was to assess the current situation of the cancer registry. A report was prepared.
In April, Catherine Okello spent three weeks with the staff from the Kampala Cancer Registry to find out the situation of two survival studies, in order to verify that all follow up possible has been done, and to suggest
where further work needed to be done on case-finding for the years 2010-2012. Catherine Okello has proposed a design for further AFCRN follow up studies.
In August, Catherine Okello (funded by NCI) visited the Zimbabwean National Cancer Registry for a week prior to her consultancy visit to the cancer registry in Zambia. A consultancy report on Zambia cancer registry will be provided to AFCRN. A copy of data of the Zambia cancer registry is requested for the evaluation for AFCRN membership.
Dr Shyam Manraj (Mauritius) visited the Registre de Reunion from 11-14th November as AFCRN consultant. The aim of the visit was to assess the situation of the Registre de Reunion. Dr manraj has recommended that the Registre de Reunion could be qualified as a member of the Network. The membership is pending on acceptance.
The MoU is the mechanism used by INCTR to set up contracts with the member registries of the AFRCN, to provide them with funds to perform agreed tasks. In 2014, three MoUs for general support of member registries have been signed. They are with member registries of Abidjan (Cote d’Ivoire), Mauritius, Kampala (Uganda) and Eastern Cape Province (RSA). A general support MoU has been signed for cancer registry in Dakar (non-member), Senegal. Total fund was just under $50,000.
1. IARC. The official partnership between AFCRN and IARC continues. AFCRN provides the facilities and features of a “Regional Hub” for sub-Saharan Africa, as part of the Global initiative for Cancer Registration (GICR). The capacity of AFCRN to undertake this work is supported through funds received via a contract (APW - Agreement for Performance of Work). Up to August 31st, this included funds provided by The GAVI Alliance (the “Global Alliance for Vaccines and Immunisation”), the National Cancer Institute of France (INCa) and a contribution of $23,000 from CDC to IARC. A new contract for 2014/2015, starting on 1st September, was agreed. Dr Parkin has been given the status of an IARC “Senior Visiting Scientist” which enables him to negotiate contracts through IARC.
2. American Cancer Society (ACS). Following the AFCRN database update, the preparation of monograph ‘Cancer in Africa’, in collaboration with IARC, funded by ACS has begun. An editorial board has been established. The first set of draft tables has been produced, and in undergoing editorial review.
A joint research project STUDY OF BREAST CANCER SIZE & STAGE in AFRICAN CANCER REGISTRIES. The protocol and data collection form were completed, and 10 registries took part: Abidjan (Cote d’Ivoire), Addis Ababa (Ethiopia), Mauritius, Ibadan (Nigeria), PROMEC (SA), Nairobi (Kenya), Registre de Cancer de Guinee, Zimbabwe NCR, Brazzaville (Congo) and Kumasi (Ghana). Data analysis has completed. Responsible researcher Dr Joannie Tieulent at ACS (Atlanta).
3. AFCRN Database. As agreed at the ARM in Victoria Falls (Jan 2014), the database comprising a listing of case records (anonymous) from each AFCRN member has been updated. Under a Research Agreement with IARC, the latter organisation has agreed to host the database. Contributing to the database is a criteria for membership of AFCRN and all members, except Rwanda and Tanzania cancer registries, have submitted. Access for research studies will be via request to the AFCRN Research Committee. The project was undertaking by Dr Robai Gakunga (contracted to 30th May).
Joint research projects within the context of AFCRN (i.e., involving more than one member) have to be submitted to, and approved by the AFCRN Research Committee. Criteria for collaborative studies have been developed (
1. Following the AFCRN database update, the preparation of monograph ‘Cancer in Africa’, in collaboration with IARC, funded by ACS has begun. An editorial board has been established. The first set of draft tables has been produced, and in undergoing editorial review.
2. A questionnaire survey on Use of Data has completed within cancer registry members. This questionnaire covers five areas (background, funding situation, data collection, registry output and use of data in cancer control). To date, all members submitted their questionnaire except Rwanda and Niger cancer registries. A report on the finding will be published. Dr Robai Gakunga is responsible for the task.
3. A model procedure manual, designed for the use of cancer registry in SSA setting, is being developed. The writing group representatives are: Anne Finesse (Seychelles) [chair] in collaboration with Eric Chokunonga (Zimbabwe) and Ntuthu Somdyala (South Africa).
4. Following the success in Nairobi and Eldoret, it was agreed in principal that, in collaboration with the US Centers for Disease Control (CDC), the Economic Assessment of the Resources Required to Report High Quality Cancer Registry Data: A Cost Study would be extended to the new cancer registry in Gulu and the long-established Kampala Cancer Registry, Uganda. The aim is to further study the economics of cancer registration in an African context, and to modify for African cancer registries the costing “tool” that has been developed in the US.
5. A study to document the stage at presentation of breast cancer cases in 10 population based registries in sub Saharan Africa was agreed with American Cancer Society (see above). The PI with ACS is Dr Ahmedin Jemal. An interim report was presented at the AORTIC meeting (22 November), and full analysis has been completed.
6. Ongoing studies of survival from 4 cancers (breast, cervix, oesophagus and prostate) in four centres (Blantyre, Harare, Nairobi and Kampala) were extended to include follow up of the cases registered in 2004-2008 through to the end of 2012. Data collection in Blantyre and Kampala been completed; the contract for the work in Harare terminated on 31 March 2014. Mauritius joined the study in February.
7. New study of survival of childhood cancer has been in place since early 2013. It involves follow up of a sample of the most common childhood cancers (150-300 cases in total), for 5-10 years post-diagnosis. This study was provisionally planned for 4 registries: Harare, Kampala, Nairobi and Mauritius, although the latter (Mauritius) has too few cases for valid statistical analysis. Follow up is underway in Harare, and started in Kampala and Nairobi early in 2014.
8. Data analysis on oesophageal cancer from East Africa, including the results of the survival study, has been completed. The person responsible is Katherine Van Loon (Assistant Clinical Professor, Department of Medicine, University of California, San Francisco), and the results were presented at AORTIC (22nd November) and submitted for publication.
9. As part of their MoU agreements, several registries are scheduled to produce complete reports of their work, for periods of 1-4 years, in the format of the AFCRN Model, developed in 2012. The triennial report for the Seychelles Cancer Registry (2009-11), the Nairobi Cancer Registry (2004-2008), the Eastern Cape Province Cancer Registry (2003-2007), and the Registre des Cancers de Brazzaville (2010-2013) were published. That of Mauritius is in final preparation. The registries of Blantyre (Malawi) and Calabar (Nigeria) are also planning to do so in 2015.
10. A proposal to study Expression of Hormone Receptors in West, East and Southern Africa - Breast Cancer Biology in Africa was approved by the Network’s Research Committee. It is funded by Martin Luther-Universität Halle, Germany and managed by Dr Eva Kantelhardt. Several AFCRN members, including Beira, Blantyre, Calabar, Conakry, Kampala, Kumasi, Niamey & Abuja, as well as other pathologists, have agreed to take part, and will each receive a small AFCRN contract to cover their expenses. The study has been completed in Ibadan, Mauritius and RD Congo.
11. A five year (2015-19) collaborative research proposal on African Female Reproductive Organ Cancers in the Context of Emerging NCD’s Networking for Evidence: Universal Access to Cancer Care – AFROCaNN was submitted for funding by the Federal Ministry of Education and Research, Germany in December 2014. The leading researcher is Dr Eva Kantelhardt from Martin Luther-Universität Halle, Germany.
The large volume of work, and the analysis of data being generated by the AFCRN membership, demands the help of a full time Research Assistant.
Ms Catherine Okello, an information analyst from the Thames Cancer Registry, UK, has assisted with the updating of the database, and analysing data collected from the Kampala registry (Uganda). Catherine also helped the 10 centres participating in the Breast Cancer Size & Stage study (vide supra) to develop their protocol and data collection forms. Catherine’s formal post-doctoral Fellowship ended on 26th April 2013, but she continues to provide assistance to several ongoing projects.
Dr Louise Ekobena Ekobo, an AFCRN Research Fellow, has joined the Network from 1st September 2013 – 30th April 2014. Louise worked under the direction of Dr Parkin, to provide scientific support to projects within the African Network. Louise provided training and support to Dr Stanislas DJIRO Djomo (MSP) from the Registre de Cancer de Guinea following the decease of Mr KABBA Ibrahim.
Three potential PhD students, with the University of Oxford, will be interviewed on 29th January 2015.
Dr Yohannie Mlombe (Malawi) provides support to Mrs Biying Liu on the maintenance for the website The website is the main forum for publicising the Network’s activities and collaboration guidelines. Providing an introductory page is one of the criteria of becoming a member of the AFCRN.
Future Plans: Future plans were discussed at the recent Annual Meeting in Cote d'Ivoire (16-18th Feb 2015)
Duration: Indefinite
Publications: 1. AFCRN collaborated with UICC (and IARC) to produce a short, 6-page brochure (“Cancer Registries: why, what and how?”) describing the purposes, uses, and requirements for a population based cancer registry in low and middle income countries. It is aimed primarily at policy makers, for advocacy and information purposes.
2. A paper on Cancer in Africa in 2012 has been published. (Ref: Parkin DM, Bray F, Ferlay J, Jemal A. Cancer in Africa 2012. Cancer Epidemiol Biomarkers Prev. 2014 Jun; 23(6):953-66.
3. The report “Cancer in Nairobi 2004-2008” has been published.
4. Paper “Trends in the incidence of cancer in Kampala, Uganda 1991-2010” has been published: International Journal of Cancer 135. 432-439 (2014).
5. Paper “Trends in cancer incidence in the Eastern Cape Province, South Africa, 1998-2012” has been
published, International Journal of Cancer 2014 Sep 18
6. Dr Parkin worked with colleagues from IARC, Lyon, and representatives of the
International Association of Cancer Registries (IACR) to prepare a Technical Report
“Planning and developing population-based cancer registration in low or middle
income settings”. This was launched by the IARC/WHO and IACR on 26th May 2014. It
provides a short guide to the technicalities of cancer registration, especially for new
projects, or recently established registries. It has been published as the IARC
Technical Publication No. 43. Available at
online/treport-pub/treport-pub43/index.php .
7. Dr Parkin has co-authored a paper “Adewole I et al, Building capacity for sustainable research programmes for cancer in Africa. Nat Rev Clin Oncol. 2014 11(5):251-9.”
8. AFCRN is collaborating with ACS and IARC to produce a monograph: Cancer in Africa.
9. A publication on childhood cancer in Harare (Zimbabwe) for the period 1990-2012 is in preparation.
10. A full report of the findings on Survey of Registry Function and Uses is being prepared and, and a shorter version will be submitted for publication in an academic journal.
11. A procedure manual for cancer registries in Africa is being developed by Anne Finesse (Seychelles), Ntuthu Somdyala (PROMEC, Eastern Cape) and Eric Chokunonga (Zimbabwe).
12. Via the AFCRN Database 2012, all member registries have contributed to the paper Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F. Int J Cancer. 2014 Sep 13.
Month: Feb
Year: 2014
Last Update: February 2015
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