Title: The National Cancer Institute Cairo University www'nci'edu'eg Kasr ElAini Street, Kornish ElNil, Fom
1(No Transcript)
2CANCER CARE IN EGYPT PAST, PRESENT
FUTURE
By Prof. Sherif Omar MD, FACS
3HISTORY
4HISTORY
- Cairo first radiotherapy treatment machine (DXR)
in 1928 - Alexandria first radiotherapy treatment machine
(DXR) in 1954
5HISTORY
- Prof. M. Mahfouz first to introduce Cobalt
teletherapy in Egypt.
6HISTORY OF NATIONAL CANCER INSTITUTE, CAIRO
UNIVERSITY
- The idea of establishing a National Cancer
Institute arose in the 1950s and it was
eventually implemented through the determined
efforts of professor Ahmed Lotfy Abou El Nasr.
7HISTORY OF NATIONAL CANCER INSTITUTE, CAIRO
UNIVERSITY
- With the same enthusiasm, Prof. Ismail EL-Sebai
introduced radical surgery for cancer and trained
a large group of Egyptian surgeons.
8HISTORY OF NATIONAL CANCER INSTITUTE, CAIRO
UNIVERSITY
- Thanks to their efforts, Cairo University
recognized oncology as a separate specialty in
1959.
9HISTORY OF NATIONAL CANCER INSTITUTE, CAIRO
UNIVERSITY (cont.)
- The National Cancer Institute, including its
first hospital of 270 beds, was opened in 1969. - The 2nd building was opened in 1989.
10HISTORY OF NATIONAL CANCER INSTITUTE, CAIRO
UNIVERSITY (cont.)
- Now, NCI is the largest comprehensive cancer
center in Egypt, the Middle East and Africa. - Both buildings, among other facilities, includes
558 beds - 362 beds for free section
- 196 insurance and private section
11Prof. P. Denoix
Prof. P. Denoix
12Training Abroad
- France
- USA
- Japan
- United Kingdom
- Netherlands
13CANCER PROBLEMIN EGYPT
14CANCER PROBLEMIN EGYPT
- In Egypt today, the number of new cancer patients
per year is estimated to be 100,000. - Accumulated patients represent about three times
the number of new cases. - This patient load will expand in the future as
- The population continues to grow and age
increases. - Advances in early detection and medical
facilities. - The prevalence of known etiological factors
increase.
15PATIENT POPULATION Of NCI
- About 38 of patients came from the Cairo
metropolitan area, 40from Lower Egypt, and 22
from Upper Egypt. - About 65 of patients are treated free of charge
and private patients generally have health
insurance which covers their cost. - No. of new cases 18,000/year follow up from
previous years
16Most Common Sites in Males
17Most Common Sites in Females
18Clinical Breast Exam for IBC
19Bilharzial Bladder Cancer
20FACILITIES
- The hospital includes a broad array of medical
services - Ten operating theatres, an intensive care and
recovery unit (36 beds). - Adult and pediatric medical oncology units.
- Radiotherapy facilities include 4 linear
accelerators, 2 cobalt machines, 2 simulators,
and interstitial therapy after-loading
capabilities.
21FACILITIES (cont.)
- The hospital includes a broad array of medical
services - Bone marrow transplantation unit .
- Pain control clinic.
- Nuclear medicine unit.
- Radiodiagnosis department equipped with standard
x-ray facilities, mammography, computerized
tomographic scanning, ultrasonography, and
magnetic resonance imaging.
22FACILITIES (cont.)
- The hospital includes a broad array of medical
services - There is a diagnostic endoscopies unit.
- Several clinical pharmacy units.
- Clinical pathology laboratories, a blood bank.
- Laboratory of surgical pathology and a laboratory
of cytopathology. - Cancer registration and epidemiology department.
- Cancer biology department, an electron microscopy
unit, and an experimental surgery unit associated
with an animal house.
23FACILITIES (cont.)
High dose rate Brachytherapy
Electron Microscopy
24Bone Marrow Transplantation
- Number of cases already transplanted 1055 by the
team of the NCI. - BMT facilities are present in
- NCI
- Naser Institute
- Mansoura University Hospital
- Maadi Military Hospital
- Kasr Al Aini Hospital
- Alexandria University Hospital
- Private hospitals
25Positron Emission Tomography (PET Scan)
26NATIONAL CANCER INSTITUTE STRATIGIES
- Prevention and Early detection
- Management Diagnosis and Treatment
- Education Training and Certification
- Research Basic and Clinical
- National and International Role
27 Prevention and Early Detection
- Active programs in cancer prevention and early
detection through public education.
28Prevention and Early Detection
29Prevention and Early Detection
- Active programs in cancer prevention and early
detection through public education.
30Education Training Certification Post
Graduate Studies
- NCI offers academic degrees in various oncology
specialties, including
31Education Training Certification (cont.)
- Educating doctors throughout Egypt who serve in
various health care sectors via its visiting
residency programs. - Continuing education programs, and staff visits
to satellite clinics. - National Cancer Institute Journal,
32Education Training Certification (cont.)
33Education Training Certification (cont.)
34Education Training Certification (cont.)
35- National TOBACCO Control Activities
36National Cancer Control Centers
- University Cancer Institutes.
- M.O.H. 8 cancer centres.
- Oncology departments of other universities.
- Non Governmental Organizations.
37(No Transcript)
38Radiation Therapy in Africa
- Total 160
- Egypt 62
- South Africa 40
39Future
Children Cancer Hospital
40Future
- New Extension of the National Cancer Institute
- Restructuring and Expansion of Small cancer
centers already functioning.
41Future (cont.)
- National population based registry designed to
- Monitor cancer trends over time.
- Determine cancer patterns in various populations.
- Guide planning and evaluation of cancer control
programs (e.g., determine whether prevention,
screening, and treatment efforts are making a
difference). - Help set priorities for allocating health
resources. - Advance clinical, epidemiologic, and health
services research. - Provide information for a national database of
cancer incidence.
42Future (cont.)
- Cancer Informatics and Information Flow.
- Activation of Telemedicine programs
- Telemedicine involves the use of electronic
communication technologies to provide or support
clinical care at a distance. - The care includes the medical diagnosis,
management, or monitoring of diseases or
illnesses through the use of technology
43Future (cont.)
- Implementation of screening and early detection
programs.
Early detection Without Screening
Opportunistic Screening
Organized Screening
Methods of early detection
Early detection of breast cancer in countries
with limited resources
44Accuracy of Mammography
In a diagnostic centre in Cairo, Egypt between
July 2002 to December 2003, 7220 mammograms have
been done for 6585 patients
45Future (cont.)
- Professional and public education activities.
- Medical schools curriculum.
- Continuous medical education.
- Training of para-medical staff.
46Future (cont.)
- National Clinical Trials Program
- Studying Emerging Trends in Cancer.
- Regional oriented research
- AMAAC
- KFSH RC
- Salah Aziz Cancer Center ( Tunisia)
47Future (cont.)
- International
- World Health Organization WHO.
- European Organization for Research and Treatment
of Cancer EORTC. - Internal Union Against Cancer UICC.
- International Atomic Energy Agency IAEA.
- International network for cancer treatment
research INCTR. - The National Cancer Institute, Holland. .
48Future (cont.)
- Enforcing activities for better control of
tobacco consumption
49Future (cont.)
- Living related liver transplantation
- In selected cases of hepatobiliary tumours
50www.nci.edu.eg
Thank you
Cairo University
National Cancer Institute