Cancer Program Annual Report 2011 - St. Vincent's Health System

St. Vincent’s Medical Center Southside
For 2010, Oncology Data Services accessioned a total of 316 cases; 191 of which cases
analytic diagnosed and/or treated at St. Vincent’s Southside. The most common primary
sites seen in 2010 were breast, colorectal, lung, melanoma of the skin and pancreas which
is consistent with national trends. A total of 63% of patients reside in Duval County and
37% are from surrounding communities. In addition, there were a total of 29 historical
cases captured which accounted for incidence reporting to the state (not included in incidence
comparison reports).
Sex Distribution
St. Vincent’s Medical Center Southside
2010 Cases by County of Diagnosis
Florida County Number Percent
of Diagnosis
of Cases
DUVAL 121 63%
CLAY 22 12%
NASSAU 6 3%
ST. JOHNS 12 6%
ALL OTHER 30 16
TOTAL CASES 191 100%
Sex distribution for St. Vincent’s Southside is male 124 (39%) and female 192 (60%). Our
data reveals a higher incidence in female gender compared to national trends.
St. Vincent’s Medical Center Riverside
Corpus Uteri (Endometrium Study)
By Paul Nowicki, MD
Uterine Corpus (body of the uterus) cancer is the seventh most common
malignancy diagnosed at St. Vincent’s Medical Center Riverside and nationally
represents 6% of cases seen in 2010. This report will analyze management of
corpus uteri adenocarcinoma endometrioid type by incidence at age, gender, race
AJCC stage, first course of treatment and outcome, compared to national trends.
The ACS Facts & Figures estimated new cancer case for uterine corpus (endometrium)
in the United States were 43,470 with 7,950 deaths in 2010 for females.
Uterine Corpus cancer usually occurs in the endometrium (lining of the uterus).
The most common symptom includes abnormal bleeding or spotting (especially in
postmenopausal women) is a frequent early sign. Estrogren is a strong risk factor
for endometrium cancer (American Cancer Society). Other risk factors include:
menopausal estrogen therapy (without use of progestin), obesity, late menopause,
never having children and history of polycycstic ovary syndrome.
2010 Endometrium Cases By Combination Treatment
Treatment Type Number of Cases Percent
Surgery 60 84.51%
Surgery/Chemo 3 4.23%
None 3 4.23%
Surgery/Radiation 3 4.23%
Chemo 1 1.41%
Radiation 1 1.41%
TOTAL CASES 71 100%
St. Vincent’s Southside
Review of Tumor Board (Jan-Dec) 2010
Review of 2010 cases reveals cancer directed surgery were performed on 92% of
St. Vincent’s endometrium cases.
22
Total number of cases presented 96
Total number of cases prospective 62 (64%)
AJCC Staging discussed 43 (45%)
National Guidelines discussed 15 (16%)
Multidisciplinary representation 99% - 100%
Physician attendance (average) 8-10
Top Sites discussed
Frequency of Tumor Board meetings
1st and 3rd Wed.
Treatment Hospital Number of Cases Percent
Surgical Approach 2010
Open Approach or Unspecified 42 59.15%
Robotic Assisted 16 22.54%
Endoscopic Converted to Open 5 7.04%
Robotic Converted to Open 5 7.04%
No Surgical Procedure of 2 2.82%
Primary Site at This Facility;
Diagnosed at Autopsy
Endoscopic or Laprascopic 1 1.41%
TOTAL CASES 71 100%
23