CANCER OF THE LUNG IN NEW ZEALAND

WF 558 [QJ AN 1973

DEPARTMENT OF HEALTH

CANCER OF THE LUNG IN NEW ZEALAND

A e w (I the trtnds n Deaths Rcglste ed Ind Caes Reported to the Nat 01131

C n2er Rg t Y w thJ c am nat 0 of the ~k)SS ble effects of rba satlOn

PJtllr n d agnos dnd r I of 2 148 Cases Treated dur ng 195765 n the Tlw c c l t (I the fOll rna n ce trc hosp t~ds are discussed A h gh sk gop The f1 or ~ dcnt fi J RlC())nmend1 nns a c mack for th~ ntroduct on of per odic

Su uf the Srnlk ng H b ts of the New Zeala d Ad It Popular on

by

J B) c Ch f1 (N Z) F R C S F RAe S Assoc ate Pnfessor Un crs tv of Ot go t-lcdlC I S hOl)1 shy

~lT of the Va kato Bav of Plenty D VIS on Cancer elv of New Zcaland (Inc )

and

G F S M Sc (N Z) Se or Leetu ef n Stat st cs (JIll c s ty of Otago Med lal Sdl(lol

M B Ch B (N Z) Ass stant LeclU ef n Surgery lin vcrs ty of Otago Med cal Schcloi

SPECIAL REPORT NO 42

085758

IsslIcd by the Nat onal Health Stat stlcs Centre Dcpartrn nt of HCdith Vell ngton

1973

A R SHEARER GOVERNr-lENT PRINTER WELLINGTON

)iEW ZEALND

LIBRARY DFPArrrrvEH OF HEALTH

LL LlNJTON

FOREWORD

As recent as years c carCilloma was a cond tlon wluch doctors rarely came across for mal of the skln

t lS the most common cancer se In New ealand numbers are In women ts ilgly lethal na tme far most cmmon ailSe d ath JII men Th s s HI strlk ng contrast to ence In other shown llttle over a of years

lon ncrease has aroused the concer1 of the es of all countres whlle on the lnternatlonal scene

tion v ews ~~ s d Sease as one of ts maJor concerns lntens ~he e hab t

a World on four ELld twerty seven Zealand

Throughout the world truly maSSlve research resources are g ven ov-er ldent - f catlon of s rlnch cause caLcer n dlfferent of the

cancer lS the one Sl te in wh eh the calltse 1S known s know 1 Gtie so SiAIe s the

affected by cancer lS pre mature onset of heart dlseas In respect lung cancer current over e hillldred New Zealru~d smokers each pay for the r lilSC ion w th the I I ves

1 ie a of rs contalns rrefutable eVldeLce garette as prlID cause lung er A spec feature

comb nes the measures of lncrease ill the lonal f of death stratlor IT th 311 d rn hi features of of Gh cases whlen to 1h na-loool over1ng Ghe New Zealand rta n -0 arouse

deal lnterest cverseas h Ie ltI 11 prove of value to lClans and surgeons ill thelr sons as to the treatnent of

educators and epldem sts should als flnd It a source of reference

C has gone illto contI but by to of of health problems comend the cf the authors stat stlC rulS Inth al thanks the of Unlts ill tre lllalI c s vho so ly

lents between 1957 and 1 5

H J H ddl one Dlrector-Gen ral Halt

DEPARTMENT OF HEALTH

CANCER OF THE LUNG IN NEW ZEALAND

A e w (I the trtnds n Deaths Rcglste ed Ind Caes Reported to the Nat 01131

C n2er Rg t Y w thJ c am nat 0 of the ~k)SS ble effects of rba satlOn

PJtllr n d agnos dnd r I of 2 148 Cases Treated dur ng 195765 n the Tlw c c l t (I the fOll rna n ce trc hosp t~ds are discussed A h gh sk gop The f1 or ~ dcnt fi J RlC())nmend1 nns a c mack for th~ ntroduct on of per odic

Su uf the Srnlk ng H b ts of the New Zeala d Ad It Popular on

by

J B) c Ch f1 (N Z) F R C S F RAe S Assoc ate Pnfessor Un crs tv of Ot go t-lcdlC I S hOl)1 shy

~lT of the Va kato Bav of Plenty D VIS on Cancer elv of New Zcaland (Inc )

and

G F S M Sc (N Z) Se or Leetu ef n Stat st cs (JIll c s ty of Otago Med lal Sdl(lol

M B Ch B (N Z) Ass stant LeclU ef n Surgery lin vcrs ty of Otago Med cal Schcloi

SPECIAL REPORT NO 42

085758

IsslIcd by the Nat onal Health Stat stlcs Centre Dcpartrn nt of HCdith Vell ngton

1973

A R SHEARER GOVERNr-lENT PRINTER WELLINGTON

)iEW ZEALND

LIBRARY DFPArrrrvEH OF HEALTH

LL LlNJTON

FOREWORD

As recent as years c carCilloma was a cond tlon wluch doctors rarely came across for mal of the skln

t lS the most common cancer se In New ealand numbers are In women ts ilgly lethal na tme far most cmmon ailSe d ath JII men Th s s HI strlk ng contrast to ence In other shown llttle over a of years

lon ncrease has aroused the concer1 of the es of all countres whlle on the lnternatlonal scene

tion v ews ~~ s d Sease as one of ts maJor concerns lntens ~he e hab t

a World on four ELld twerty seven Zealand

Throughout the world truly maSSlve research resources are g ven ov-er ldent - f catlon of s rlnch cause caLcer n dlfferent of the

cancer lS the one Sl te in wh eh the calltse 1S known s know 1 Gtie so SiAIe s the

affected by cancer lS pre mature onset of heart dlseas In respect lung cancer current over e hillldred New Zealru~d smokers each pay for the r lilSC ion w th the I I ves

1 ie a of rs contalns rrefutable eVldeLce garette as prlID cause lung er A spec feature

comb nes the measures of lncrease ill the lonal f of death stratlor IT th 311 d rn hi features of of Gh cases whlen to 1h na-loool over1ng Ghe New Zealand rta n -0 arouse

deal lnterest cverseas h Ie ltI 11 prove of value to lClans and surgeons ill thelr sons as to the treatnent of

educators and epldem sts should als flnd It a source of reference

C has gone illto contI but by to of of health problems comend the cf the authors stat stlC rulS Inth al thanks the of Unlts ill tre lllalI c s vho so ly

lents between 1957 and 1 5

H J H ddl one Dlrector-Gen ral Halt

FOREWORD

As recent as years c carCilloma was a cond tlon wluch doctors rarely came across for mal of the skln

t lS the most common cancer se In New ealand numbers are In women ts ilgly lethal na tme far most cmmon ailSe d ath JII men Th s s HI strlk ng contrast to ence In other shown llttle over a of years

lon ncrease has aroused the concer1 of the es of all countres whlle on the lnternatlonal scene

tion v ews ~~ s d Sease as one of ts maJor concerns lntens ~he e hab t

a World on four ELld twerty seven Zealand

Throughout the world truly maSSlve research resources are g ven ov-er ldent - f catlon of s rlnch cause caLcer n dlfferent of the

cancer lS the one Sl te in wh eh the calltse 1S known s know 1 Gtie so SiAIe s the

affected by cancer lS pre mature onset of heart dlseas In respect lung cancer current over e hillldred New Zealru~d smokers each pay for the r lilSC ion w th the I I ves

1 ie a of rs contalns rrefutable eVldeLce garette as prlID cause lung er A spec feature

comb nes the measures of lncrease ill the lonal f of death stratlor IT th 311 d rn hi features of of Gh cases whlen to 1h na-loool over1ng Ghe New Zealand rta n -0 arouse

deal lnterest cverseas h Ie ltI 11 prove of value to lClans and surgeons ill thelr sons as to the treatnent of

educators and epldem sts should als flnd It a source of reference

C has gone illto contI but by to of of health problems comend the cf the authors stat stlC rulS Inth al thanks the of Unlts ill tre lllalI c s vho so ly

lents between 1957 and 1 5

H J H ddl one Dlrector-Gen ral Halt

TA30E OF

FOREWORD

IW

S~CTIOH

1

THS -

rends

Trend 3 Tyend

4 Trends 5

5

6 Jeaths

III eaths t 1lUnbers

ll

It

e art Eed

races

middotlp or

In deaths future th 9lbl effect

Urbar and 118 great

non urban 99 ept

d str bt

t

ok

and sex

1a t

ath

lon

S

7 8

11

ASES EEGIS 12

Slid st id -t~tue deLOeuro

14

3 3 3 3 4

1 1 17 17

19

AGE

Sl~CrIOH OF 3IRTH

SECTIUN

4 ATION

3CT EESPIRL

SECL b PREVIOUS HIS~ORY

SECTICN 7 J1IODE

TABLE OF CONTEIiiTS

OF PEESENTATION

- COltnaed Page

24

7 7

1 2

cmIDonsst Mode of presentat

on on

and S~ te 24 25

8 DURATION

9 INITLU X RtY FINJINGS 27

SECTION i 0 PARI LUNG AFFECIED 28

SECTIon 11 30

SECIJN 1 CELL TYPES 31

12

2 3 4 lsease

31 31 32 33

~3 34

15 I

1 2

h~story hab~t8 and cell type

34 34

SEen

SECTION 15

SURVIVAl 37

1shy0

i 6

c

3

4 5

6

Surv~val pattern surVlval frou

entlon of the treatment sex Survlval from d agGOSlstreatment by

slte Survlval rom SJrv~va fro resp~ratcrv

3urv~val ac lS

d agnos d abrtos disease

to nt

re JrIlCHTl

durat~on of nts

by by

by the

anatom~cal

cell pre Lng

37

37

39 41

43

44

3E8T20n 1 45

COlJCLUSI

it Ci-tJ OILEDGIiJEH TS

nued

2

3

4

APPENDIX A

APPENDIX B

The of

Page

r9-te r 100 of on years and over ma~e fem9-1e 4

Lobar t e -Jer age d str but on

ern 38

Survlval pa-tern treatment co~par son 40

Table Deaths numbers arld rates 71 5 02 Deaths munbers at ages 192 7~ 11ale

Female 54 3 Deaths rates at ages 1934 71

s 1n ntmbers at ag s [1a Ie Female 57

new cases races ages 1948 70

r Haor d numb rs at ages 7 Male

7 1a or deaths es at ages 194 61

1laorl new ases reg stered numbers at ages 1953-70 Males 62

ernales

9 Maor new cases reg tered rates ae ages 1953 70

ilaor1 estllliat true 1no den e ntunbers at ages 1 70 65

SURVEY CJ)JESTIOliJAIRE 6

c nts th s O1 are anal opthe authors and do ct t-l we

of th

A DEATHS HEGISTfJ~ED

death been ott Lned and from Healch Stat Zealard

S aeh of sed In t s 18 ows

Ir~ls se tlon

71~able lhunbers BlId rates I

OLE Numbers at ages 71

Table gt iates ages 1 934 71

4 N d cas s L1 Etunb

n ro

rs at

at

ages

aEes

I

Table

n

lIe caSES

New cases

pounds Imated

nmllb rs

races at

r stered

reg stered

denee

ag s 1949 71

ages

In numbers at

In rates at

n munbers

s

ages

s 19

3 70

70

has

xtract from Table 1 year dhIeh f gures

LU1JG CANCER ilm TOTAL RAT2S

1 0 I ltCI J 45

J 2

j194 2 cshy~

10OJ 314 140 9 -+ 140 Q ltC - J

37 2 0 b 8 1E4_f

6 4 19t q 61+ 3 1 1 7

48 24 149 278

247

) VI~llch t Ue

flve years ago carcers afect the of the total cancer death total males and fe12lales

represented 1971 the cond tlon contributed twen y total r mer W02en lve In In cane rs s es there has beer 1 ng over the In many sltes there been some decllne In ty p01nts to an Emvlronmen tal ndluence cated In tte llmg cancer lncrease w1th the garette the dornlnant factor

The quest on aT1ses as t whether the lncrease 1S llkely the 81tua1lon to sTaJnllse For

lon ar exarn nat-on of The

death rates (ever the last in the 1955 itND

UBI ZEALAITD These the ad ed to the of and

5 the ee have been calculated In the same way

THE LGTG IEEE IF~31m LIT AGE ADcTUSED LUNG CANCE DEATH RAT2S 1929 71

AGE ADJCSKJ DEATH RATES PER 00 000 OF FOPljlATION

IlaleFenalePer10d 1ale8 Fe2ales ratlc

71 4gt 2 16

19 41 1 1 1 C(jJ ~ 9 1949 51 77 2 6 1

195 21 41 3 48 6 2

1901

3

AdJustmert to tte on stTucture of a year 80 far ln very low and unr for years close to tte that the dlfferences betreen the rates are a tr-cle measure

over thl per od of tlme

The perc the Eclropean age acJust d rates ~lt

lnterval

[middot1ales

w 192 and 1939 41 +

41 and 1949 51 +196 +53 ltS1 and 1959 0 + 68 +74

and 9-71 + 60 +87

the n neteen fort es saVI a e lncrease As yet that dowry to -he off races took

neteen tles and the has cant mued to rlse

For 8e lD female death rates t r malefemale rat 0 wh eh has

ad ch rat s or y

aland 2 an p te

lung e921cer occurs years ar neluded n the rates for ~le otal ages

Per od iales Females

56 4 64 7 3

70 5 9 7

73 2 ~7

IJ 9

74 7 10 4

81 3 6

7 75 8 13 3 Q~ J 4 14 4

1 93 16 7 I

1970 97 0

1971 95 3 to the mean Zealand

ages 0lt L )

7

tlrrnng ll18

three year m)v fluctua tlons ~Jh

In 11 rd

The rA I rCpnt 1 ~ 6~

there ons n ezp t

itould

Dea~h rat per 100 000 of ears and

1971 averages

100 090 80

MALES70 c 0 6015 l 50 0 0 0 40 0 0 0

S 30

L

bullQ) 0 20 OJ 0 bullL

c

bull bull bull 2

bull bull bull0 FEMALES

1960 61 62 63 64 65 66 67 68 69 70 71

10

5shy

2

The prevlous sub Se tlon has exam trends n rates cover at death sub sect on exam movement III the rat s a ages

x A corrpar s and bren hus d ath rat B ar to 1971 The s 20 rs nterval and In y ar

ava labl ) H re as folloHs

LONG TEPJmiddotj TREND IN

Death rates p r 1

3

35 - 3 2 3 c- + 15 6 + 4

40 - L4 3 15 7 + 14 +

45 49 29 2 35 + 1 1 9 21 c cSO 4 42 2 44 5 + j

Ce 5 85 94 7 + 11 C) -I- 7

c64 2 4 + 96 T

77 01 Cj5 7 C oc70 1+ j J 9 +

+ 215 4 1 1 158 7

C) 4 + 66 7 + 4 44 2 2 2 4 IT 1 + 190 45 - 4 0 6 8 4 161 5 50 54 6 6 9 4 13 + 42 4 + 94 7 55 - 59 13 0 14 0

7 j3 + 5

60 1 4 21 40 3 106 7 65 9 14 9 26 4 40 + 77 2

70 74 18 34 4 46 + 84 9 +

75+ 31 4 + 5

It ul under 60 ars that er tHenty y ars has b en

J

r Th s exp rlenc ommon to both Sexes

There lS a correlat on b tHeen th s flnd ng and tl I se In consumptlon toba co n trat It takes an average Qf tweny lve smok ng to e a Imlg C8Icer The anulal eorsumptlon tobace per of DOlmlatlon In NeH vroman ard from around three poUnds per heae ill th rtles pO~1nds per head In the early for es pOt~ncls per he early flft es wo~ld appear off at thls

The trend last twelve years In age death rates was as follows ill age groups

THE ilin AGE GBOUP

Year

4 S n C

Co C) 10 15

196 e -L ~ 0 21 242 35 9 9 25 25

1965 14 1 1 7 239 24 7 i 1 1 1 14 CO 24

7 c 4 q 33

PerS1s-ent lncreases ill hEva -Jeen recorded t all ages over h 8

twelve vear recent per ra d movem has been at 55-64 a~ong There are some 1cat1ons that t rates at ages may be to Scab1-L se

3

ill ttl ra tes of The me 18

of t1me ( n thlS case between 1921 and In th1S death exper1ence of

The table covers a total and s to the European

been xcluded

COHORT DEATH RATES IL4LES

~5 3 4 5 27 5 8 7 i 1 9 186 7

1579 83 251 4 1 3 1

~ tl 1 1 i 199

i)1894 98

242 1J

1899 1 5 2 282 1904-08 2 7 7 1 p

- 3 7 719~4 1 3 r 9

191 9-)- 1 4 10 1 1924 28 7 0 11 4

-7

ln accordaYlce lt[1 th the spread lons there been

lon a conCOYl tant rlse at all ages ill the I sk Those of the 1 1 23 gen8rat on who have d1ed

close to trose of the llnmed pre 14 18 who d ed at the same ages The

rat 1919 23 on who d at s over posslb Ilty that spread

()Us c auld have g ve up

f mELle d from now lncreased t a e becomes born from far back

1 4

The gures avalable seems lnc men lS 1 to r se most on the sloHsr a behaV10~lT 0 th d seovery or wlth se cane r caUSln~

tr nds ln the extent of shywhen generally C01)Jcry TJn t States f1guIes on s General

te p ro smoklng c garet es year of birtl substaJ1 tlally There lS reason

from small 11 er Zealarld bac observshyreduct on tude LYl the percen0ages of

also occurred 11

H th

rate of p for

The as belng not at all cancer and more

rea h the present betreen Illen s

r18e to produce

dOIllen lmder the vh of llmg eel-IT t reIllal~lS 08 seen Vlhether the clgal tte smok ng

d1l~ 87er reach hat of Illen It certa nly appears 1 kely to of lcnrer onOIll1C status erable lS that

reason ln hab1s ar at tor WOIllen shod a sl le ~g

factors lI1 Tease 1n cancer poss ev ntuat lil women d t n tl ars

Reasons be d for the l r E

~rOIllen s d th Illen naIl tlnngs ho=-d suburban so boredom s plus bel trat r sad S III n

hazard aUG VI lne content cOlmtr1es awareness

Doll and Hlll A B relat cn t observat ons 1n Dr cT 139

8

8shy

of the rlsks nvo1ved ill eX1sts ln

s Eoth these

nade have some arne

5

fr)m the lrJ10Wn e of lndustr a1

smoke as can have

a causatlve factor lnfluence on tlle

r

EOHever the effect lndustr al t es to be

measured d betw en app n many n lndustrlal sed overseas

Hhen th n non smokers s Pres ent and IIed D rector illllerlcan

o=ents

Host 1nvest 1 standard zatlon for

C81 cer and st~d_es

opound lurg canoer saIe ill resldents

opound on

h 1 -

ttave been used as a base ob actual numJers of deaths 00 respect ve areas or lons cf areas while the

are the of the calculated the deat rates the resident ncluded and

on ncn urban rateS represerted ill the

1S that the sis 18 acc deceased person at the tlme of death

of cancer deaths take ln the older s or the years of ret1rement when the deceased

ntucber of nstances have moved from the the 11pounde It 18 1mp08S1ble ~o

01 belace more persons of m11dle 8r older an Jrba~l eDV ronment to a nOD ~rban thEL1 -11088 wh the Opposlte d re8tlon

-lc (1972) Et CEUlcer Cancer 30 No 5 1335 Duell F Dunn J E and Ereslow Cancer of tle

ar~d a1r liltlon c ~ve Cancer

Doll Nortal1ty from cancer amorg non-smokers Br 7J 7 ~

Auekl821G lJ---ban

urban area

ChI h

DU1ed urbsn

Rema 1Il(1

I~ orth Island

Rernalnder South I land

and Hutt urban areas have tleen combllled reason that contlgtOUs and there 1S a re1)lar mternal movement of

the I popJlatlons Other North Island cITban areas comprlse the Clt es of -lan~are Hamllton Rotorua G sborne Nel-l

Naplr Hast ngs and on North Other outh 13 urban areas comprlse three ( t es only Nelson Tlmaru and 1nvercarg 11 Femalnder North Island and Rema cd l

made up of the b tOimiddotm dcscr cts and c of the two Islands arid ~rcqy be COLS dered as compr

as dHellers In a nITal romnent

1JHBAl~ AND 1959

1959 ( 5 ye2rs)

Sex 3xpe t d

ncUllber number ted

TIlunber of

dea~r1S deacts deachs d of aths

of deaths

of deaths

tlales Perna1 s

460 84

405 564 558 92

024 181 164

ii]ales Femal 3

280 51 5

cot H

551 01

11a 1 3 19 2se 45 F~male8 27 45

8 11 1 1 1 1 7 0 Ferrlal s 1(1 1 21

1~

s 13 Q 34

r- t ~)o 1 7 65

42 4-G 1 1

I404 462 5 7 590 IHales 071

emales 65 5 11 81 183

IIaleB 221 34 Females 29 34 46

because extreme contrasts do not ex~st n Zealand the analysls do any clear cut urb~n b as tviO orrllLantl non urban lons Helllamplnder Hcrth Island and Rema nder antlclpated 101 r exper ~n the male sex In 8 x however the

nder North ISland dw ller ly lower lncldenc I-Ilth the reverse sltuat South Island dw ller

by far the w Zealcud urbax~ c ntre H til a lon et l sk (at r y a~8) 03 mJre th811 has

can er expel en e

-Iel t urban areas ShOd cantly h gher obBerv cl deaths (vel expected number As th wllldlest 10 al ty In New Zeciland pe slstent atmospher c on lS [m LillI kely factor A much more 1 explanatlon s the fact that ~t lS the government aEd

admlnlstrat ve centre of th olmtry Hth than average proport ons In clerlcal or nOll manual occapat (see ~art B Sectlon

14

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

SECTICN 7 J1IODE

TABLE OF CONTEIiiTS

OF PEESENTATION

- COltnaed Page

24

7 7

1 2

cmIDonsst Mode of presentat

on on

and S~ te 24 25

8 DURATION

9 INITLU X RtY FINJINGS 27

SECTION i 0 PARI LUNG AFFECIED 28

SECTIon 11 30

SECIJN 1 CELL TYPES 31

12

2 3 4 lsease

31 31 32 33

~3 34

15 I

1 2

h~story hab~t8 and cell type

34 34

SEen

SECTION 15

SURVIVAl 37

1shy0

i 6

c

3

4 5

6

Surv~val pattern surVlval frou

entlon of the treatment sex Survlval from d agGOSlstreatment by

slte Survlval rom SJrv~va fro resp~ratcrv

3urv~val ac lS

d agnos d abrtos disease

to nt

re JrIlCHTl

durat~on of nts

by by

by the

anatom~cal

cell pre Lng

37

37

39 41

43

44

3E8T20n 1 45

COlJCLUSI

it Ci-tJ OILEDGIiJEH TS

nued

2

3

4

APPENDIX A

APPENDIX B

The of

Page

r9-te r 100 of on years and over ma~e fem9-1e 4

Lobar t e -Jer age d str but on

ern 38

Survlval pa-tern treatment co~par son 40

Table Deaths numbers arld rates 71 5 02 Deaths munbers at ages 192 7~ 11ale

Female 54 3 Deaths rates at ages 1934 71

s 1n ntmbers at ag s [1a Ie Female 57

new cases races ages 1948 70

r Haor d numb rs at ages 7 Male

7 1a or deaths es at ages 194 61

1laorl new ases reg stered numbers at ages 1953-70 Males 62

ernales

9 Maor new cases reg tered rates ae ages 1953 70

ilaor1 estllliat true 1no den e ntunbers at ages 1 70 65

SURVEY CJ)JESTIOliJAIRE 6

c nts th s O1 are anal opthe authors and do ct t-l we

of th

A DEATHS HEGISTfJ~ED

death been ott Lned and from Healch Stat Zealard

S aeh of sed In t s 18 ows

Ir~ls se tlon

71~able lhunbers BlId rates I

OLE Numbers at ages 71

Table gt iates ages 1 934 71

4 N d cas s L1 Etunb

n ro

rs at

at

ages

aEes

I

Table

n

lIe caSES

New cases

pounds Imated

nmllb rs

races at

r stered

reg stered

denee

ag s 1949 71

ages

In numbers at

In rates at

n munbers

s

ages

s 19

3 70

70

has

xtract from Table 1 year dhIeh f gures

LU1JG CANCER ilm TOTAL RAT2S

1 0 I ltCI J 45

J 2

j194 2 cshy~

10OJ 314 140 9 -+ 140 Q ltC - J

37 2 0 b 8 1E4_f

6 4 19t q 61+ 3 1 1 7

48 24 149 278

247

) VI~llch t Ue

flve years ago carcers afect the of the total cancer death total males and fe12lales

represented 1971 the cond tlon contributed twen y total r mer W02en lve In In cane rs s es there has beer 1 ng over the In many sltes there been some decllne In ty p01nts to an Emvlronmen tal ndluence cated In tte llmg cancer lncrease w1th the garette the dornlnant factor

The quest on aT1ses as t whether the lncrease 1S llkely the 81tua1lon to sTaJnllse For

lon ar exarn nat-on of The

death rates (ever the last in the 1955 itND

UBI ZEALAITD These the ad ed to the of and

5 the ee have been calculated In the same way

THE LGTG IEEE IF~31m LIT AGE ADcTUSED LUNG CANCE DEATH RAT2S 1929 71

AGE ADJCSKJ DEATH RATES PER 00 000 OF FOPljlATION

IlaleFenalePer10d 1ale8 Fe2ales ratlc

71 4gt 2 16

19 41 1 1 1 C(jJ ~ 9 1949 51 77 2 6 1

195 21 41 3 48 6 2

1901

3

AdJustmert to tte on stTucture of a year 80 far ln very low and unr for years close to tte that the dlfferences betreen the rates are a tr-cle measure

over thl per od of tlme

The perc the Eclropean age acJust d rates ~lt

lnterval

[middot1ales

w 192 and 1939 41 +

41 and 1949 51 +196 +53 ltS1 and 1959 0 + 68 +74

and 9-71 + 60 +87

the n neteen fort es saVI a e lncrease As yet that dowry to -he off races took

neteen tles and the has cant mued to rlse

For 8e lD female death rates t r malefemale rat 0 wh eh has

ad ch rat s or y

aland 2 an p te

lung e921cer occurs years ar neluded n the rates for ~le otal ages

Per od iales Females

56 4 64 7 3

70 5 9 7

73 2 ~7

IJ 9

74 7 10 4

81 3 6

7 75 8 13 3 Q~ J 4 14 4

1 93 16 7 I

1970 97 0

1971 95 3 to the mean Zealand

ages 0lt L )

7

tlrrnng ll18

three year m)v fluctua tlons ~Jh

In 11 rd

The rA I rCpnt 1 ~ 6~

there ons n ezp t

itould

Dea~h rat per 100 000 of ears and

1971 averages

100 090 80

MALES70 c 0 6015 l 50 0 0 0 40 0 0 0

S 30

L

bullQ) 0 20 OJ 0 bullL

c

bull bull bull 2

bull bull bull0 FEMALES

1960 61 62 63 64 65 66 67 68 69 70 71

10

5shy

2

The prevlous sub Se tlon has exam trends n rates cover at death sub sect on exam movement III the rat s a ages

x A corrpar s and bren hus d ath rat B ar to 1971 The s 20 rs nterval and In y ar

ava labl ) H re as folloHs

LONG TEPJmiddotj TREND IN

Death rates p r 1

3

35 - 3 2 3 c- + 15 6 + 4

40 - L4 3 15 7 + 14 +

45 49 29 2 35 + 1 1 9 21 c cSO 4 42 2 44 5 + j

Ce 5 85 94 7 + 11 C) -I- 7

c64 2 4 + 96 T

77 01 Cj5 7 C oc70 1+ j J 9 +

+ 215 4 1 1 158 7

C) 4 + 66 7 + 4 44 2 2 2 4 IT 1 + 190 45 - 4 0 6 8 4 161 5 50 54 6 6 9 4 13 + 42 4 + 94 7 55 - 59 13 0 14 0

7 j3 + 5

60 1 4 21 40 3 106 7 65 9 14 9 26 4 40 + 77 2

70 74 18 34 4 46 + 84 9 +

75+ 31 4 + 5

It ul under 60 ars that er tHenty y ars has b en

J

r Th s exp rlenc ommon to both Sexes

There lS a correlat on b tHeen th s flnd ng and tl I se In consumptlon toba co n trat It takes an average Qf tweny lve smok ng to e a Imlg C8Icer The anulal eorsumptlon tobace per of DOlmlatlon In NeH vroman ard from around three poUnds per heae ill th rtles pO~1nds per head In the early for es pOt~ncls per he early flft es wo~ld appear off at thls

The trend last twelve years In age death rates was as follows ill age groups

THE ilin AGE GBOUP

Year

4 S n C

Co C) 10 15

196 e -L ~ 0 21 242 35 9 9 25 25

1965 14 1 1 7 239 24 7 i 1 1 1 14 CO 24

7 c 4 q 33

PerS1s-ent lncreases ill hEva -Jeen recorded t all ages over h 8

twelve vear recent per ra d movem has been at 55-64 a~ong There are some 1cat1ons that t rates at ages may be to Scab1-L se

3

ill ttl ra tes of The me 18

of t1me ( n thlS case between 1921 and In th1S death exper1ence of

The table covers a total and s to the European

been xcluded

COHORT DEATH RATES IL4LES

~5 3 4 5 27 5 8 7 i 1 9 186 7

1579 83 251 4 1 3 1

~ tl 1 1 i 199

i)1894 98

242 1J

1899 1 5 2 282 1904-08 2 7 7 1 p

- 3 7 719~4 1 3 r 9

191 9-)- 1 4 10 1 1924 28 7 0 11 4

-7

ln accordaYlce lt[1 th the spread lons there been

lon a conCOYl tant rlse at all ages ill the I sk Those of the 1 1 23 gen8rat on who have d1ed

close to trose of the llnmed pre 14 18 who d ed at the same ages The

rat 1919 23 on who d at s over posslb Ilty that spread

()Us c auld have g ve up

f mELle d from now lncreased t a e becomes born from far back

1 4

The gures avalable seems lnc men lS 1 to r se most on the sloHsr a behaV10~lT 0 th d seovery or wlth se cane r caUSln~

tr nds ln the extent of shywhen generally C01)Jcry TJn t States f1guIes on s General

te p ro smoklng c garet es year of birtl substaJ1 tlally There lS reason

from small 11 er Zealarld bac observshyreduct on tude LYl the percen0ages of

also occurred 11

H th

rate of p for

The as belng not at all cancer and more

rea h the present betreen Illen s

r18e to produce

dOIllen lmder the vh of llmg eel-IT t reIllal~lS 08 seen Vlhether the clgal tte smok ng

d1l~ 87er reach hat of Illen It certa nly appears 1 kely to of lcnrer onOIll1C status erable lS that

reason ln hab1s ar at tor WOIllen shod a sl le ~g

factors lI1 Tease 1n cancer poss ev ntuat lil women d t n tl ars

Reasons be d for the l r E

~rOIllen s d th Illen naIl tlnngs ho=-d suburban so boredom s plus bel trat r sad S III n

hazard aUG VI lne content cOlmtr1es awareness

Doll and Hlll A B relat cn t observat ons 1n Dr cT 139

8

8shy

of the rlsks nvo1ved ill eX1sts ln

s Eoth these

nade have some arne

5

fr)m the lrJ10Wn e of lndustr a1

smoke as can have

a causatlve factor lnfluence on tlle

r

EOHever the effect lndustr al t es to be

measured d betw en app n many n lndustrlal sed overseas

Hhen th n non smokers s Pres ent and IIed D rector illllerlcan

o=ents

Host 1nvest 1 standard zatlon for

C81 cer and st~d_es

opound lurg canoer saIe ill resldents

opound on

h 1 -

ttave been used as a base ob actual numJers of deaths 00 respect ve areas or lons cf areas while the

are the of the calculated the deat rates the resident ncluded and

on ncn urban rateS represerted ill the

1S that the sis 18 acc deceased person at the tlme of death

of cancer deaths take ln the older s or the years of ret1rement when the deceased

ntucber of nstances have moved from the the 11pounde It 18 1mp08S1ble ~o

01 belace more persons of m11dle 8r older an Jrba~l eDV ronment to a nOD ~rban thEL1 -11088 wh the Opposlte d re8tlon

-lc (1972) Et CEUlcer Cancer 30 No 5 1335 Duell F Dunn J E and Ereslow Cancer of tle

ar~d a1r liltlon c ~ve Cancer

Doll Nortal1ty from cancer amorg non-smokers Br 7J 7 ~

Auekl821G lJ---ban

urban area

ChI h

DU1ed urbsn

Rema 1Il(1

I~ orth Island

Rernalnder South I land

and Hutt urban areas have tleen combllled reason that contlgtOUs and there 1S a re1)lar mternal movement of

the I popJlatlons Other North Island cITban areas comprlse the Clt es of -lan~are Hamllton Rotorua G sborne Nel-l

Naplr Hast ngs and on North Other outh 13 urban areas comprlse three ( t es only Nelson Tlmaru and 1nvercarg 11 Femalnder North Island and Rema cd l

made up of the b tOimiddotm dcscr cts and c of the two Islands arid ~rcqy be COLS dered as compr

as dHellers In a nITal romnent

1JHBAl~ AND 1959

1959 ( 5 ye2rs)

Sex 3xpe t d

ncUllber number ted

TIlunber of

dea~r1S deacts deachs d of aths

of deaths

of deaths

tlales Perna1 s

460 84

405 564 558 92

024 181 164

ii]ales Femal 3

280 51 5

cot H

551 01

11a 1 3 19 2se 45 F~male8 27 45

8 11 1 1 1 1 7 0 Ferrlal s 1(1 1 21

1~

s 13 Q 34

r- t ~)o 1 7 65

42 4-G 1 1

I404 462 5 7 590 IHales 071

emales 65 5 11 81 183

IIaleB 221 34 Females 29 34 46

because extreme contrasts do not ex~st n Zealand the analysls do any clear cut urb~n b as tviO orrllLantl non urban lons Helllamplnder Hcrth Island and Rema nder antlclpated 101 r exper ~n the male sex In 8 x however the

nder North ISland dw ller ly lower lncldenc I-Ilth the reverse sltuat South Island dw ller

by far the w Zealcud urbax~ c ntre H til a lon et l sk (at r y a~8) 03 mJre th811 has

can er expel en e

-Iel t urban areas ShOd cantly h gher obBerv cl deaths (vel expected number As th wllldlest 10 al ty In New Zeciland pe slstent atmospher c on lS [m LillI kely factor A much more 1 explanatlon s the fact that ~t lS the government aEd

admlnlstrat ve centre of th olmtry Hth than average proport ons In clerlcal or nOll manual occapat (see ~art B Sectlon

14

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

nued

2

3

4

APPENDIX A

APPENDIX B

The of

Page

r9-te r 100 of on years and over ma~e fem9-1e 4

Lobar t e -Jer age d str but on

ern 38

Survlval pa-tern treatment co~par son 40

Table Deaths numbers arld rates 71 5 02 Deaths munbers at ages 192 7~ 11ale

Female 54 3 Deaths rates at ages 1934 71

s 1n ntmbers at ag s [1a Ie Female 57

new cases races ages 1948 70

r Haor d numb rs at ages 7 Male

7 1a or deaths es at ages 194 61

1laorl new ases reg stered numbers at ages 1953-70 Males 62

ernales

9 Maor new cases reg tered rates ae ages 1953 70

ilaor1 estllliat true 1no den e ntunbers at ages 1 70 65

SURVEY CJ)JESTIOliJAIRE 6

c nts th s O1 are anal opthe authors and do ct t-l we

of th

A DEATHS HEGISTfJ~ED

death been ott Lned and from Healch Stat Zealard

S aeh of sed In t s 18 ows

Ir~ls se tlon

71~able lhunbers BlId rates I

OLE Numbers at ages 71

Table gt iates ages 1 934 71

4 N d cas s L1 Etunb

n ro

rs at

at

ages

aEes

I

Table

n

lIe caSES

New cases

pounds Imated

nmllb rs

races at

r stered

reg stered

denee

ag s 1949 71

ages

In numbers at

In rates at

n munbers

s

ages

s 19

3 70

70

has

xtract from Table 1 year dhIeh f gures

LU1JG CANCER ilm TOTAL RAT2S

1 0 I ltCI J 45

J 2

j194 2 cshy~

10OJ 314 140 9 -+ 140 Q ltC - J

37 2 0 b 8 1E4_f

6 4 19t q 61+ 3 1 1 7

48 24 149 278

247

) VI~llch t Ue

flve years ago carcers afect the of the total cancer death total males and fe12lales

represented 1971 the cond tlon contributed twen y total r mer W02en lve In In cane rs s es there has beer 1 ng over the In many sltes there been some decllne In ty p01nts to an Emvlronmen tal ndluence cated In tte llmg cancer lncrease w1th the garette the dornlnant factor

The quest on aT1ses as t whether the lncrease 1S llkely the 81tua1lon to sTaJnllse For

lon ar exarn nat-on of The

death rates (ever the last in the 1955 itND

UBI ZEALAITD These the ad ed to the of and

5 the ee have been calculated In the same way

THE LGTG IEEE IF~31m LIT AGE ADcTUSED LUNG CANCE DEATH RAT2S 1929 71

AGE ADJCSKJ DEATH RATES PER 00 000 OF FOPljlATION

IlaleFenalePer10d 1ale8 Fe2ales ratlc

71 4gt 2 16

19 41 1 1 1 C(jJ ~ 9 1949 51 77 2 6 1

195 21 41 3 48 6 2

1901

3

AdJustmert to tte on stTucture of a year 80 far ln very low and unr for years close to tte that the dlfferences betreen the rates are a tr-cle measure

over thl per od of tlme

The perc the Eclropean age acJust d rates ~lt

lnterval

[middot1ales

w 192 and 1939 41 +

41 and 1949 51 +196 +53 ltS1 and 1959 0 + 68 +74

and 9-71 + 60 +87

the n neteen fort es saVI a e lncrease As yet that dowry to -he off races took

neteen tles and the has cant mued to rlse

For 8e lD female death rates t r malefemale rat 0 wh eh has

ad ch rat s or y

aland 2 an p te

lung e921cer occurs years ar neluded n the rates for ~le otal ages

Per od iales Females

56 4 64 7 3

70 5 9 7

73 2 ~7

IJ 9

74 7 10 4

81 3 6

7 75 8 13 3 Q~ J 4 14 4

1 93 16 7 I

1970 97 0

1971 95 3 to the mean Zealand

ages 0lt L )

7

tlrrnng ll18

three year m)v fluctua tlons ~Jh

In 11 rd

The rA I rCpnt 1 ~ 6~

there ons n ezp t

itould

Dea~h rat per 100 000 of ears and

1971 averages

100 090 80

MALES70 c 0 6015 l 50 0 0 0 40 0 0 0

S 30

L

bullQ) 0 20 OJ 0 bullL

c

bull bull bull 2

bull bull bull0 FEMALES

1960 61 62 63 64 65 66 67 68 69 70 71

10

5shy

2

The prevlous sub Se tlon has exam trends n rates cover at death sub sect on exam movement III the rat s a ages

x A corrpar s and bren hus d ath rat B ar to 1971 The s 20 rs nterval and In y ar

ava labl ) H re as folloHs

LONG TEPJmiddotj TREND IN

Death rates p r 1

3

35 - 3 2 3 c- + 15 6 + 4

40 - L4 3 15 7 + 14 +

45 49 29 2 35 + 1 1 9 21 c cSO 4 42 2 44 5 + j

Ce 5 85 94 7 + 11 C) -I- 7

c64 2 4 + 96 T

77 01 Cj5 7 C oc70 1+ j J 9 +

+ 215 4 1 1 158 7

C) 4 + 66 7 + 4 44 2 2 2 4 IT 1 + 190 45 - 4 0 6 8 4 161 5 50 54 6 6 9 4 13 + 42 4 + 94 7 55 - 59 13 0 14 0

7 j3 + 5

60 1 4 21 40 3 106 7 65 9 14 9 26 4 40 + 77 2

70 74 18 34 4 46 + 84 9 +

75+ 31 4 + 5

It ul under 60 ars that er tHenty y ars has b en

J

r Th s exp rlenc ommon to both Sexes

There lS a correlat on b tHeen th s flnd ng and tl I se In consumptlon toba co n trat It takes an average Qf tweny lve smok ng to e a Imlg C8Icer The anulal eorsumptlon tobace per of DOlmlatlon In NeH vroman ard from around three poUnds per heae ill th rtles pO~1nds per head In the early for es pOt~ncls per he early flft es wo~ld appear off at thls

The trend last twelve years In age death rates was as follows ill age groups

THE ilin AGE GBOUP

Year

4 S n C

Co C) 10 15

196 e -L ~ 0 21 242 35 9 9 25 25

1965 14 1 1 7 239 24 7 i 1 1 1 14 CO 24

7 c 4 q 33

PerS1s-ent lncreases ill hEva -Jeen recorded t all ages over h 8

twelve vear recent per ra d movem has been at 55-64 a~ong There are some 1cat1ons that t rates at ages may be to Scab1-L se

3

ill ttl ra tes of The me 18

of t1me ( n thlS case between 1921 and In th1S death exper1ence of

The table covers a total and s to the European

been xcluded

COHORT DEATH RATES IL4LES

~5 3 4 5 27 5 8 7 i 1 9 186 7

1579 83 251 4 1 3 1

~ tl 1 1 i 199

i)1894 98

242 1J

1899 1 5 2 282 1904-08 2 7 7 1 p

- 3 7 719~4 1 3 r 9

191 9-)- 1 4 10 1 1924 28 7 0 11 4

-7

ln accordaYlce lt[1 th the spread lons there been

lon a conCOYl tant rlse at all ages ill the I sk Those of the 1 1 23 gen8rat on who have d1ed

close to trose of the llnmed pre 14 18 who d ed at the same ages The

rat 1919 23 on who d at s over posslb Ilty that spread

()Us c auld have g ve up

f mELle d from now lncreased t a e becomes born from far back

1 4

The gures avalable seems lnc men lS 1 to r se most on the sloHsr a behaV10~lT 0 th d seovery or wlth se cane r caUSln~

tr nds ln the extent of shywhen generally C01)Jcry TJn t States f1guIes on s General

te p ro smoklng c garet es year of birtl substaJ1 tlally There lS reason

from small 11 er Zealarld bac observshyreduct on tude LYl the percen0ages of

also occurred 11

H th

rate of p for

The as belng not at all cancer and more

rea h the present betreen Illen s

r18e to produce

dOIllen lmder the vh of llmg eel-IT t reIllal~lS 08 seen Vlhether the clgal tte smok ng

d1l~ 87er reach hat of Illen It certa nly appears 1 kely to of lcnrer onOIll1C status erable lS that

reason ln hab1s ar at tor WOIllen shod a sl le ~g

factors lI1 Tease 1n cancer poss ev ntuat lil women d t n tl ars

Reasons be d for the l r E

~rOIllen s d th Illen naIl tlnngs ho=-d suburban so boredom s plus bel trat r sad S III n

hazard aUG VI lne content cOlmtr1es awareness

Doll and Hlll A B relat cn t observat ons 1n Dr cT 139

8

8shy

of the rlsks nvo1ved ill eX1sts ln

s Eoth these

nade have some arne

5

fr)m the lrJ10Wn e of lndustr a1

smoke as can have

a causatlve factor lnfluence on tlle

r

EOHever the effect lndustr al t es to be

measured d betw en app n many n lndustrlal sed overseas

Hhen th n non smokers s Pres ent and IIed D rector illllerlcan

o=ents

Host 1nvest 1 standard zatlon for

C81 cer and st~d_es

opound lurg canoer saIe ill resldents

opound on

h 1 -

ttave been used as a base ob actual numJers of deaths 00 respect ve areas or lons cf areas while the

are the of the calculated the deat rates the resident ncluded and

on ncn urban rateS represerted ill the

1S that the sis 18 acc deceased person at the tlme of death

of cancer deaths take ln the older s or the years of ret1rement when the deceased

ntucber of nstances have moved from the the 11pounde It 18 1mp08S1ble ~o

01 belace more persons of m11dle 8r older an Jrba~l eDV ronment to a nOD ~rban thEL1 -11088 wh the Opposlte d re8tlon

-lc (1972) Et CEUlcer Cancer 30 No 5 1335 Duell F Dunn J E and Ereslow Cancer of tle

ar~d a1r liltlon c ~ve Cancer

Doll Nortal1ty from cancer amorg non-smokers Br 7J 7 ~

Auekl821G lJ---ban

urban area

ChI h

DU1ed urbsn

Rema 1Il(1

I~ orth Island

Rernalnder South I land

and Hutt urban areas have tleen combllled reason that contlgtOUs and there 1S a re1)lar mternal movement of

the I popJlatlons Other North Island cITban areas comprlse the Clt es of -lan~are Hamllton Rotorua G sborne Nel-l

Naplr Hast ngs and on North Other outh 13 urban areas comprlse three ( t es only Nelson Tlmaru and 1nvercarg 11 Femalnder North Island and Rema cd l

made up of the b tOimiddotm dcscr cts and c of the two Islands arid ~rcqy be COLS dered as compr

as dHellers In a nITal romnent

1JHBAl~ AND 1959

1959 ( 5 ye2rs)

Sex 3xpe t d

ncUllber number ted

TIlunber of

dea~r1S deacts deachs d of aths

of deaths

of deaths

tlales Perna1 s

460 84

405 564 558 92

024 181 164

ii]ales Femal 3

280 51 5

cot H

551 01

11a 1 3 19 2se 45 F~male8 27 45

8 11 1 1 1 1 7 0 Ferrlal s 1(1 1 21

1~

s 13 Q 34

r- t ~)o 1 7 65

42 4-G 1 1

I404 462 5 7 590 IHales 071

emales 65 5 11 81 183

IIaleB 221 34 Females 29 34 46

because extreme contrasts do not ex~st n Zealand the analysls do any clear cut urb~n b as tviO orrllLantl non urban lons Helllamplnder Hcrth Island and Rema nder antlclpated 101 r exper ~n the male sex In 8 x however the

nder North ISland dw ller ly lower lncldenc I-Ilth the reverse sltuat South Island dw ller

by far the w Zealcud urbax~ c ntre H til a lon et l sk (at r y a~8) 03 mJre th811 has

can er expel en e

-Iel t urban areas ShOd cantly h gher obBerv cl deaths (vel expected number As th wllldlest 10 al ty In New Zeciland pe slstent atmospher c on lS [m LillI kely factor A much more 1 explanatlon s the fact that ~t lS the government aEd

admlnlstrat ve centre of th olmtry Hth than average proport ons In clerlcal or nOll manual occapat (see ~art B Sectlon

14

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

A DEATHS HEGISTfJ~ED

death been ott Lned and from Healch Stat Zealard

S aeh of sed In t s 18 ows

Ir~ls se tlon

71~able lhunbers BlId rates I

OLE Numbers at ages 71

Table gt iates ages 1 934 71

4 N d cas s L1 Etunb

n ro

rs at

at

ages

aEes

I

Table

n

lIe caSES

New cases

pounds Imated

nmllb rs

races at

r stered

reg stered

denee

ag s 1949 71

ages

In numbers at

In rates at

n munbers

s

ages

s 19

3 70

70

has

xtract from Table 1 year dhIeh f gures

LU1JG CANCER ilm TOTAL RAT2S

1 0 I ltCI J 45

J 2

j194 2 cshy~

10OJ 314 140 9 -+ 140 Q ltC - J

37 2 0 b 8 1E4_f

6 4 19t q 61+ 3 1 1 7

48 24 149 278

247

) VI~llch t Ue

flve years ago carcers afect the of the total cancer death total males and fe12lales

represented 1971 the cond tlon contributed twen y total r mer W02en lve In In cane rs s es there has beer 1 ng over the In many sltes there been some decllne In ty p01nts to an Emvlronmen tal ndluence cated In tte llmg cancer lncrease w1th the garette the dornlnant factor

The quest on aT1ses as t whether the lncrease 1S llkely the 81tua1lon to sTaJnllse For

lon ar exarn nat-on of The

death rates (ever the last in the 1955 itND

UBI ZEALAITD These the ad ed to the of and

5 the ee have been calculated In the same way

THE LGTG IEEE IF~31m LIT AGE ADcTUSED LUNG CANCE DEATH RAT2S 1929 71

AGE ADJCSKJ DEATH RATES PER 00 000 OF FOPljlATION

IlaleFenalePer10d 1ale8 Fe2ales ratlc

71 4gt 2 16

19 41 1 1 1 C(jJ ~ 9 1949 51 77 2 6 1

195 21 41 3 48 6 2

1901

3

AdJustmert to tte on stTucture of a year 80 far ln very low and unr for years close to tte that the dlfferences betreen the rates are a tr-cle measure

over thl per od of tlme

The perc the Eclropean age acJust d rates ~lt

lnterval

[middot1ales

w 192 and 1939 41 +

41 and 1949 51 +196 +53 ltS1 and 1959 0 + 68 +74

and 9-71 + 60 +87

the n neteen fort es saVI a e lncrease As yet that dowry to -he off races took

neteen tles and the has cant mued to rlse

For 8e lD female death rates t r malefemale rat 0 wh eh has

ad ch rat s or y

aland 2 an p te

lung e921cer occurs years ar neluded n the rates for ~le otal ages

Per od iales Females

56 4 64 7 3

70 5 9 7

73 2 ~7

IJ 9

74 7 10 4

81 3 6

7 75 8 13 3 Q~ J 4 14 4

1 93 16 7 I

1970 97 0

1971 95 3 to the mean Zealand

ages 0lt L )

7

tlrrnng ll18

three year m)v fluctua tlons ~Jh

In 11 rd

The rA I rCpnt 1 ~ 6~

there ons n ezp t

itould

Dea~h rat per 100 000 of ears and

1971 averages

100 090 80

MALES70 c 0 6015 l 50 0 0 0 40 0 0 0

S 30

L

bullQ) 0 20 OJ 0 bullL

c

bull bull bull 2

bull bull bull0 FEMALES

1960 61 62 63 64 65 66 67 68 69 70 71

10

5shy

2

The prevlous sub Se tlon has exam trends n rates cover at death sub sect on exam movement III the rat s a ages

x A corrpar s and bren hus d ath rat B ar to 1971 The s 20 rs nterval and In y ar

ava labl ) H re as folloHs

LONG TEPJmiddotj TREND IN

Death rates p r 1

3

35 - 3 2 3 c- + 15 6 + 4

40 - L4 3 15 7 + 14 +

45 49 29 2 35 + 1 1 9 21 c cSO 4 42 2 44 5 + j

Ce 5 85 94 7 + 11 C) -I- 7

c64 2 4 + 96 T

77 01 Cj5 7 C oc70 1+ j J 9 +

+ 215 4 1 1 158 7

C) 4 + 66 7 + 4 44 2 2 2 4 IT 1 + 190 45 - 4 0 6 8 4 161 5 50 54 6 6 9 4 13 + 42 4 + 94 7 55 - 59 13 0 14 0

7 j3 + 5

60 1 4 21 40 3 106 7 65 9 14 9 26 4 40 + 77 2

70 74 18 34 4 46 + 84 9 +

75+ 31 4 + 5

It ul under 60 ars that er tHenty y ars has b en

J

r Th s exp rlenc ommon to both Sexes

There lS a correlat on b tHeen th s flnd ng and tl I se In consumptlon toba co n trat It takes an average Qf tweny lve smok ng to e a Imlg C8Icer The anulal eorsumptlon tobace per of DOlmlatlon In NeH vroman ard from around three poUnds per heae ill th rtles pO~1nds per head In the early for es pOt~ncls per he early flft es wo~ld appear off at thls

The trend last twelve years In age death rates was as follows ill age groups

THE ilin AGE GBOUP

Year

4 S n C

Co C) 10 15

196 e -L ~ 0 21 242 35 9 9 25 25

1965 14 1 1 7 239 24 7 i 1 1 1 14 CO 24

7 c 4 q 33

PerS1s-ent lncreases ill hEva -Jeen recorded t all ages over h 8

twelve vear recent per ra d movem has been at 55-64 a~ong There are some 1cat1ons that t rates at ages may be to Scab1-L se

3

ill ttl ra tes of The me 18

of t1me ( n thlS case between 1921 and In th1S death exper1ence of

The table covers a total and s to the European

been xcluded

COHORT DEATH RATES IL4LES

~5 3 4 5 27 5 8 7 i 1 9 186 7

1579 83 251 4 1 3 1

~ tl 1 1 i 199

i)1894 98

242 1J

1899 1 5 2 282 1904-08 2 7 7 1 p

- 3 7 719~4 1 3 r 9

191 9-)- 1 4 10 1 1924 28 7 0 11 4

-7

ln accordaYlce lt[1 th the spread lons there been

lon a conCOYl tant rlse at all ages ill the I sk Those of the 1 1 23 gen8rat on who have d1ed

close to trose of the llnmed pre 14 18 who d ed at the same ages The

rat 1919 23 on who d at s over posslb Ilty that spread

()Us c auld have g ve up

f mELle d from now lncreased t a e becomes born from far back

1 4

The gures avalable seems lnc men lS 1 to r se most on the sloHsr a behaV10~lT 0 th d seovery or wlth se cane r caUSln~

tr nds ln the extent of shywhen generally C01)Jcry TJn t States f1guIes on s General

te p ro smoklng c garet es year of birtl substaJ1 tlally There lS reason

from small 11 er Zealarld bac observshyreduct on tude LYl the percen0ages of

also occurred 11

H th

rate of p for

The as belng not at all cancer and more

rea h the present betreen Illen s

r18e to produce

dOIllen lmder the vh of llmg eel-IT t reIllal~lS 08 seen Vlhether the clgal tte smok ng

d1l~ 87er reach hat of Illen It certa nly appears 1 kely to of lcnrer onOIll1C status erable lS that

reason ln hab1s ar at tor WOIllen shod a sl le ~g

factors lI1 Tease 1n cancer poss ev ntuat lil women d t n tl ars

Reasons be d for the l r E

~rOIllen s d th Illen naIl tlnngs ho=-d suburban so boredom s plus bel trat r sad S III n

hazard aUG VI lne content cOlmtr1es awareness

Doll and Hlll A B relat cn t observat ons 1n Dr cT 139

8

8shy

of the rlsks nvo1ved ill eX1sts ln

s Eoth these

nade have some arne

5

fr)m the lrJ10Wn e of lndustr a1

smoke as can have

a causatlve factor lnfluence on tlle

r

EOHever the effect lndustr al t es to be

measured d betw en app n many n lndustrlal sed overseas

Hhen th n non smokers s Pres ent and IIed D rector illllerlcan

o=ents

Host 1nvest 1 standard zatlon for

C81 cer and st~d_es

opound lurg canoer saIe ill resldents

opound on

h 1 -

ttave been used as a base ob actual numJers of deaths 00 respect ve areas or lons cf areas while the

are the of the calculated the deat rates the resident ncluded and

on ncn urban rateS represerted ill the

1S that the sis 18 acc deceased person at the tlme of death

of cancer deaths take ln the older s or the years of ret1rement when the deceased

ntucber of nstances have moved from the the 11pounde It 18 1mp08S1ble ~o

01 belace more persons of m11dle 8r older an Jrba~l eDV ronment to a nOD ~rban thEL1 -11088 wh the Opposlte d re8tlon

-lc (1972) Et CEUlcer Cancer 30 No 5 1335 Duell F Dunn J E and Ereslow Cancer of tle

ar~d a1r liltlon c ~ve Cancer

Doll Nortal1ty from cancer amorg non-smokers Br 7J 7 ~

Auekl821G lJ---ban

urban area

ChI h

DU1ed urbsn

Rema 1Il(1

I~ orth Island

Rernalnder South I land

and Hutt urban areas have tleen combllled reason that contlgtOUs and there 1S a re1)lar mternal movement of

the I popJlatlons Other North Island cITban areas comprlse the Clt es of -lan~are Hamllton Rotorua G sborne Nel-l

Naplr Hast ngs and on North Other outh 13 urban areas comprlse three ( t es only Nelson Tlmaru and 1nvercarg 11 Femalnder North Island and Rema cd l

made up of the b tOimiddotm dcscr cts and c of the two Islands arid ~rcqy be COLS dered as compr

as dHellers In a nITal romnent

1JHBAl~ AND 1959

1959 ( 5 ye2rs)

Sex 3xpe t d

ncUllber number ted

TIlunber of

dea~r1S deacts deachs d of aths

of deaths

of deaths

tlales Perna1 s

460 84

405 564 558 92

024 181 164

ii]ales Femal 3

280 51 5

cot H

551 01

11a 1 3 19 2se 45 F~male8 27 45

8 11 1 1 1 1 7 0 Ferrlal s 1(1 1 21

1~

s 13 Q 34

r- t ~)o 1 7 65

42 4-G 1 1

I404 462 5 7 590 IHales 071

emales 65 5 11 81 183

IIaleB 221 34 Females 29 34 46

because extreme contrasts do not ex~st n Zealand the analysls do any clear cut urb~n b as tviO orrllLantl non urban lons Helllamplnder Hcrth Island and Rema nder antlclpated 101 r exper ~n the male sex In 8 x however the

nder North ISland dw ller ly lower lncldenc I-Ilth the reverse sltuat South Island dw ller

by far the w Zealcud urbax~ c ntre H til a lon et l sk (at r y a~8) 03 mJre th811 has

can er expel en e

-Iel t urban areas ShOd cantly h gher obBerv cl deaths (vel expected number As th wllldlest 10 al ty In New Zeciland pe slstent atmospher c on lS [m LillI kely factor A much more 1 explanatlon s the fact that ~t lS the government aEd

admlnlstrat ve centre of th olmtry Hth than average proport ons In clerlcal or nOll manual occapat (see ~art B Sectlon

14

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

LU1JG CANCER ilm TOTAL RAT2S

1 0 I ltCI J 45

J 2

j194 2 cshy~

10OJ 314 140 9 -+ 140 Q ltC - J

37 2 0 b 8 1E4_f

6 4 19t q 61+ 3 1 1 7

48 24 149 278

247

) VI~llch t Ue

flve years ago carcers afect the of the total cancer death total males and fe12lales

represented 1971 the cond tlon contributed twen y total r mer W02en lve In In cane rs s es there has beer 1 ng over the In many sltes there been some decllne In ty p01nts to an Emvlronmen tal ndluence cated In tte llmg cancer lncrease w1th the garette the dornlnant factor

The quest on aT1ses as t whether the lncrease 1S llkely the 81tua1lon to sTaJnllse For

lon ar exarn nat-on of The

death rates (ever the last in the 1955 itND

UBI ZEALAITD These the ad ed to the of and

5 the ee have been calculated In the same way

THE LGTG IEEE IF~31m LIT AGE ADcTUSED LUNG CANCE DEATH RAT2S 1929 71

AGE ADJCSKJ DEATH RATES PER 00 000 OF FOPljlATION

IlaleFenalePer10d 1ale8 Fe2ales ratlc

71 4gt 2 16

19 41 1 1 1 C(jJ ~ 9 1949 51 77 2 6 1

195 21 41 3 48 6 2

1901

3

AdJustmert to tte on stTucture of a year 80 far ln very low and unr for years close to tte that the dlfferences betreen the rates are a tr-cle measure

over thl per od of tlme

The perc the Eclropean age acJust d rates ~lt

lnterval

[middot1ales

w 192 and 1939 41 +

41 and 1949 51 +196 +53 ltS1 and 1959 0 + 68 +74

and 9-71 + 60 +87

the n neteen fort es saVI a e lncrease As yet that dowry to -he off races took

neteen tles and the has cant mued to rlse

For 8e lD female death rates t r malefemale rat 0 wh eh has

ad ch rat s or y

aland 2 an p te

lung e921cer occurs years ar neluded n the rates for ~le otal ages

Per od iales Females

56 4 64 7 3

70 5 9 7

73 2 ~7

IJ 9

74 7 10 4

81 3 6

7 75 8 13 3 Q~ J 4 14 4

1 93 16 7 I

1970 97 0

1971 95 3 to the mean Zealand

ages 0lt L )

7

tlrrnng ll18

three year m)v fluctua tlons ~Jh

In 11 rd

The rA I rCpnt 1 ~ 6~

there ons n ezp t

itould

Dea~h rat per 100 000 of ears and

1971 averages

100 090 80

MALES70 c 0 6015 l 50 0 0 0 40 0 0 0

S 30

L

bullQ) 0 20 OJ 0 bullL

c

bull bull bull 2

bull bull bull0 FEMALES

1960 61 62 63 64 65 66 67 68 69 70 71

10

5shy

2

The prevlous sub Se tlon has exam trends n rates cover at death sub sect on exam movement III the rat s a ages

x A corrpar s and bren hus d ath rat B ar to 1971 The s 20 rs nterval and In y ar

ava labl ) H re as folloHs

LONG TEPJmiddotj TREND IN

Death rates p r 1

3

35 - 3 2 3 c- + 15 6 + 4

40 - L4 3 15 7 + 14 +

45 49 29 2 35 + 1 1 9 21 c cSO 4 42 2 44 5 + j

Ce 5 85 94 7 + 11 C) -I- 7

c64 2 4 + 96 T

77 01 Cj5 7 C oc70 1+ j J 9 +

+ 215 4 1 1 158 7

C) 4 + 66 7 + 4 44 2 2 2 4 IT 1 + 190 45 - 4 0 6 8 4 161 5 50 54 6 6 9 4 13 + 42 4 + 94 7 55 - 59 13 0 14 0

7 j3 + 5

60 1 4 21 40 3 106 7 65 9 14 9 26 4 40 + 77 2

70 74 18 34 4 46 + 84 9 +

75+ 31 4 + 5

It ul under 60 ars that er tHenty y ars has b en

J

r Th s exp rlenc ommon to both Sexes

There lS a correlat on b tHeen th s flnd ng and tl I se In consumptlon toba co n trat It takes an average Qf tweny lve smok ng to e a Imlg C8Icer The anulal eorsumptlon tobace per of DOlmlatlon In NeH vroman ard from around three poUnds per heae ill th rtles pO~1nds per head In the early for es pOt~ncls per he early flft es wo~ld appear off at thls

The trend last twelve years In age death rates was as follows ill age groups

THE ilin AGE GBOUP

Year

4 S n C

Co C) 10 15

196 e -L ~ 0 21 242 35 9 9 25 25

1965 14 1 1 7 239 24 7 i 1 1 1 14 CO 24

7 c 4 q 33

PerS1s-ent lncreases ill hEva -Jeen recorded t all ages over h 8

twelve vear recent per ra d movem has been at 55-64 a~ong There are some 1cat1ons that t rates at ages may be to Scab1-L se

3

ill ttl ra tes of The me 18

of t1me ( n thlS case between 1921 and In th1S death exper1ence of

The table covers a total and s to the European

been xcluded

COHORT DEATH RATES IL4LES

~5 3 4 5 27 5 8 7 i 1 9 186 7

1579 83 251 4 1 3 1

~ tl 1 1 i 199

i)1894 98

242 1J

1899 1 5 2 282 1904-08 2 7 7 1 p

- 3 7 719~4 1 3 r 9

191 9-)- 1 4 10 1 1924 28 7 0 11 4

-7

ln accordaYlce lt[1 th the spread lons there been

lon a conCOYl tant rlse at all ages ill the I sk Those of the 1 1 23 gen8rat on who have d1ed

close to trose of the llnmed pre 14 18 who d ed at the same ages The

rat 1919 23 on who d at s over posslb Ilty that spread

()Us c auld have g ve up

f mELle d from now lncreased t a e becomes born from far back

1 4

The gures avalable seems lnc men lS 1 to r se most on the sloHsr a behaV10~lT 0 th d seovery or wlth se cane r caUSln~

tr nds ln the extent of shywhen generally C01)Jcry TJn t States f1guIes on s General

te p ro smoklng c garet es year of birtl substaJ1 tlally There lS reason

from small 11 er Zealarld bac observshyreduct on tude LYl the percen0ages of

also occurred 11

H th

rate of p for

The as belng not at all cancer and more

rea h the present betreen Illen s

r18e to produce

dOIllen lmder the vh of llmg eel-IT t reIllal~lS 08 seen Vlhether the clgal tte smok ng

d1l~ 87er reach hat of Illen It certa nly appears 1 kely to of lcnrer onOIll1C status erable lS that

reason ln hab1s ar at tor WOIllen shod a sl le ~g

factors lI1 Tease 1n cancer poss ev ntuat lil women d t n tl ars

Reasons be d for the l r E

~rOIllen s d th Illen naIl tlnngs ho=-d suburban so boredom s plus bel trat r sad S III n

hazard aUG VI lne content cOlmtr1es awareness

Doll and Hlll A B relat cn t observat ons 1n Dr cT 139

8

8shy

of the rlsks nvo1ved ill eX1sts ln

s Eoth these

nade have some arne

5

fr)m the lrJ10Wn e of lndustr a1

smoke as can have

a causatlve factor lnfluence on tlle

r

EOHever the effect lndustr al t es to be

measured d betw en app n many n lndustrlal sed overseas

Hhen th n non smokers s Pres ent and IIed D rector illllerlcan

o=ents

Host 1nvest 1 standard zatlon for

C81 cer and st~d_es

opound lurg canoer saIe ill resldents

opound on

h 1 -

ttave been used as a base ob actual numJers of deaths 00 respect ve areas or lons cf areas while the

are the of the calculated the deat rates the resident ncluded and

on ncn urban rateS represerted ill the

1S that the sis 18 acc deceased person at the tlme of death

of cancer deaths take ln the older s or the years of ret1rement when the deceased

ntucber of nstances have moved from the the 11pounde It 18 1mp08S1ble ~o

01 belace more persons of m11dle 8r older an Jrba~l eDV ronment to a nOD ~rban thEL1 -11088 wh the Opposlte d re8tlon

-lc (1972) Et CEUlcer Cancer 30 No 5 1335 Duell F Dunn J E and Ereslow Cancer of tle

ar~d a1r liltlon c ~ve Cancer

Doll Nortal1ty from cancer amorg non-smokers Br 7J 7 ~

Auekl821G lJ---ban

urban area

ChI h

DU1ed urbsn

Rema 1Il(1

I~ orth Island

Rernalnder South I land

and Hutt urban areas have tleen combllled reason that contlgtOUs and there 1S a re1)lar mternal movement of

the I popJlatlons Other North Island cITban areas comprlse the Clt es of -lan~are Hamllton Rotorua G sborne Nel-l

Naplr Hast ngs and on North Other outh 13 urban areas comprlse three ( t es only Nelson Tlmaru and 1nvercarg 11 Femalnder North Island and Rema cd l

made up of the b tOimiddotm dcscr cts and c of the two Islands arid ~rcqy be COLS dered as compr

as dHellers In a nITal romnent

1JHBAl~ AND 1959

1959 ( 5 ye2rs)

Sex 3xpe t d

ncUllber number ted

TIlunber of

dea~r1S deacts deachs d of aths

of deaths

of deaths

tlales Perna1 s

460 84

405 564 558 92

024 181 164

ii]ales Femal 3

280 51 5

cot H

551 01

11a 1 3 19 2se 45 F~male8 27 45

8 11 1 1 1 1 7 0 Ferrlal s 1(1 1 21

1~

s 13 Q 34

r- t ~)o 1 7 65

42 4-G 1 1

I404 462 5 7 590 IHales 071

emales 65 5 11 81 183

IIaleB 221 34 Females 29 34 46

because extreme contrasts do not ex~st n Zealand the analysls do any clear cut urb~n b as tviO orrllLantl non urban lons Helllamplnder Hcrth Island and Rema nder antlclpated 101 r exper ~n the male sex In 8 x however the

nder North ISland dw ller ly lower lncldenc I-Ilth the reverse sltuat South Island dw ller

by far the w Zealcud urbax~ c ntre H til a lon et l sk (at r y a~8) 03 mJre th811 has

can er expel en e

-Iel t urban areas ShOd cantly h gher obBerv cl deaths (vel expected number As th wllldlest 10 al ty In New Zeciland pe slstent atmospher c on lS [m LillI kely factor A much more 1 explanatlon s the fact that ~t lS the government aEd

admlnlstrat ve centre of th olmtry Hth than average proport ons In clerlcal or nOll manual occapat (see ~art B Sectlon

14

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

3

AdJustmert to tte on stTucture of a year 80 far ln very low and unr for years close to tte that the dlfferences betreen the rates are a tr-cle measure

over thl per od of tlme

The perc the Eclropean age acJust d rates ~lt

lnterval

[middot1ales

w 192 and 1939 41 +

41 and 1949 51 +196 +53 ltS1 and 1959 0 + 68 +74

and 9-71 + 60 +87

the n neteen fort es saVI a e lncrease As yet that dowry to -he off races took

neteen tles and the has cant mued to rlse

For 8e lD female death rates t r malefemale rat 0 wh eh has

ad ch rat s or y

aland 2 an p te

lung e921cer occurs years ar neluded n the rates for ~le otal ages

Per od iales Females

56 4 64 7 3

70 5 9 7

73 2 ~7

IJ 9

74 7 10 4

81 3 6

7 75 8 13 3 Q~ J 4 14 4

1 93 16 7 I

1970 97 0

1971 95 3 to the mean Zealand

ages 0lt L )

7

tlrrnng ll18

three year m)v fluctua tlons ~Jh

In 11 rd

The rA I rCpnt 1 ~ 6~

there ons n ezp t

itould

Dea~h rat per 100 000 of ears and

1971 averages

100 090 80

MALES70 c 0 6015 l 50 0 0 0 40 0 0 0

S 30

L

bullQ) 0 20 OJ 0 bullL

c

bull bull bull 2

bull bull bull0 FEMALES

1960 61 62 63 64 65 66 67 68 69 70 71

10

5shy

2

The prevlous sub Se tlon has exam trends n rates cover at death sub sect on exam movement III the rat s a ages

x A corrpar s and bren hus d ath rat B ar to 1971 The s 20 rs nterval and In y ar

ava labl ) H re as folloHs

LONG TEPJmiddotj TREND IN

Death rates p r 1

3

35 - 3 2 3 c- + 15 6 + 4

40 - L4 3 15 7 + 14 +

45 49 29 2 35 + 1 1 9 21 c cSO 4 42 2 44 5 + j

Ce 5 85 94 7 + 11 C) -I- 7

c64 2 4 + 96 T

77 01 Cj5 7 C oc70 1+ j J 9 +

+ 215 4 1 1 158 7

C) 4 + 66 7 + 4 44 2 2 2 4 IT 1 + 190 45 - 4 0 6 8 4 161 5 50 54 6 6 9 4 13 + 42 4 + 94 7 55 - 59 13 0 14 0

7 j3 + 5

60 1 4 21 40 3 106 7 65 9 14 9 26 4 40 + 77 2

70 74 18 34 4 46 + 84 9 +

75+ 31 4 + 5

It ul under 60 ars that er tHenty y ars has b en

J

r Th s exp rlenc ommon to both Sexes

There lS a correlat on b tHeen th s flnd ng and tl I se In consumptlon toba co n trat It takes an average Qf tweny lve smok ng to e a Imlg C8Icer The anulal eorsumptlon tobace per of DOlmlatlon In NeH vroman ard from around three poUnds per heae ill th rtles pO~1nds per head In the early for es pOt~ncls per he early flft es wo~ld appear off at thls

The trend last twelve years In age death rates was as follows ill age groups

THE ilin AGE GBOUP

Year

4 S n C

Co C) 10 15

196 e -L ~ 0 21 242 35 9 9 25 25

1965 14 1 1 7 239 24 7 i 1 1 1 14 CO 24

7 c 4 q 33

PerS1s-ent lncreases ill hEva -Jeen recorded t all ages over h 8

twelve vear recent per ra d movem has been at 55-64 a~ong There are some 1cat1ons that t rates at ages may be to Scab1-L se

3

ill ttl ra tes of The me 18

of t1me ( n thlS case between 1921 and In th1S death exper1ence of

The table covers a total and s to the European

been xcluded

COHORT DEATH RATES IL4LES

~5 3 4 5 27 5 8 7 i 1 9 186 7

1579 83 251 4 1 3 1

~ tl 1 1 i 199

i)1894 98

242 1J

1899 1 5 2 282 1904-08 2 7 7 1 p

- 3 7 719~4 1 3 r 9

191 9-)- 1 4 10 1 1924 28 7 0 11 4

-7

ln accordaYlce lt[1 th the spread lons there been

lon a conCOYl tant rlse at all ages ill the I sk Those of the 1 1 23 gen8rat on who have d1ed

close to trose of the llnmed pre 14 18 who d ed at the same ages The

rat 1919 23 on who d at s over posslb Ilty that spread

()Us c auld have g ve up

f mELle d from now lncreased t a e becomes born from far back

1 4

The gures avalable seems lnc men lS 1 to r se most on the sloHsr a behaV10~lT 0 th d seovery or wlth se cane r caUSln~

tr nds ln the extent of shywhen generally C01)Jcry TJn t States f1guIes on s General

te p ro smoklng c garet es year of birtl substaJ1 tlally There lS reason

from small 11 er Zealarld bac observshyreduct on tude LYl the percen0ages of

also occurred 11

H th

rate of p for

The as belng not at all cancer and more

rea h the present betreen Illen s

r18e to produce

dOIllen lmder the vh of llmg eel-IT t reIllal~lS 08 seen Vlhether the clgal tte smok ng

d1l~ 87er reach hat of Illen It certa nly appears 1 kely to of lcnrer onOIll1C status erable lS that

reason ln hab1s ar at tor WOIllen shod a sl le ~g

factors lI1 Tease 1n cancer poss ev ntuat lil women d t n tl ars

Reasons be d for the l r E

~rOIllen s d th Illen naIl tlnngs ho=-d suburban so boredom s plus bel trat r sad S III n

hazard aUG VI lne content cOlmtr1es awareness

Doll and Hlll A B relat cn t observat ons 1n Dr cT 139

8

8shy

of the rlsks nvo1ved ill eX1sts ln

s Eoth these

nade have some arne

5

fr)m the lrJ10Wn e of lndustr a1

smoke as can have

a causatlve factor lnfluence on tlle

r

EOHever the effect lndustr al t es to be

measured d betw en app n many n lndustrlal sed overseas

Hhen th n non smokers s Pres ent and IIed D rector illllerlcan

o=ents

Host 1nvest 1 standard zatlon for

C81 cer and st~d_es

opound lurg canoer saIe ill resldents

opound on

h 1 -

ttave been used as a base ob actual numJers of deaths 00 respect ve areas or lons cf areas while the

are the of the calculated the deat rates the resident ncluded and

on ncn urban rateS represerted ill the

1S that the sis 18 acc deceased person at the tlme of death

of cancer deaths take ln the older s or the years of ret1rement when the deceased

ntucber of nstances have moved from the the 11pounde It 18 1mp08S1ble ~o

01 belace more persons of m11dle 8r older an Jrba~l eDV ronment to a nOD ~rban thEL1 -11088 wh the Opposlte d re8tlon

-lc (1972) Et CEUlcer Cancer 30 No 5 1335 Duell F Dunn J E and Ereslow Cancer of tle

ar~d a1r liltlon c ~ve Cancer

Doll Nortal1ty from cancer amorg non-smokers Br 7J 7 ~

Auekl821G lJ---ban

urban area

ChI h

DU1ed urbsn

Rema 1Il(1

I~ orth Island

Rernalnder South I land

and Hutt urban areas have tleen combllled reason that contlgtOUs and there 1S a re1)lar mternal movement of

the I popJlatlons Other North Island cITban areas comprlse the Clt es of -lan~are Hamllton Rotorua G sborne Nel-l

Naplr Hast ngs and on North Other outh 13 urban areas comprlse three ( t es only Nelson Tlmaru and 1nvercarg 11 Femalnder North Island and Rema cd l

made up of the b tOimiddotm dcscr cts and c of the two Islands arid ~rcqy be COLS dered as compr

as dHellers In a nITal romnent

1JHBAl~ AND 1959

1959 ( 5 ye2rs)

Sex 3xpe t d

ncUllber number ted

TIlunber of

dea~r1S deacts deachs d of aths

of deaths

of deaths

tlales Perna1 s

460 84

405 564 558 92

024 181 164

ii]ales Femal 3

280 51 5

cot H

551 01

11a 1 3 19 2se 45 F~male8 27 45

8 11 1 1 1 1 7 0 Ferrlal s 1(1 1 21

1~

s 13 Q 34

r- t ~)o 1 7 65

42 4-G 1 1

I404 462 5 7 590 IHales 071

emales 65 5 11 81 183

IIaleB 221 34 Females 29 34 46

because extreme contrasts do not ex~st n Zealand the analysls do any clear cut urb~n b as tviO orrllLantl non urban lons Helllamplnder Hcrth Island and Rema nder antlclpated 101 r exper ~n the male sex In 8 x however the

nder North ISland dw ller ly lower lncldenc I-Ilth the reverse sltuat South Island dw ller

by far the w Zealcud urbax~ c ntre H til a lon et l sk (at r y a~8) 03 mJre th811 has

can er expel en e

-Iel t urban areas ShOd cantly h gher obBerv cl deaths (vel expected number As th wllldlest 10 al ty In New Zeciland pe slstent atmospher c on lS [m LillI kely factor A much more 1 explanatlon s the fact that ~t lS the government aEd

admlnlstrat ve centre of th olmtry Hth than average proport ons In clerlcal or nOll manual occapat (see ~art B Sectlon

14

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

7

tlrrnng ll18

three year m)v fluctua tlons ~Jh

In 11 rd

The rA I rCpnt 1 ~ 6~

there ons n ezp t

itould

Dea~h rat per 100 000 of ears and

1971 averages

100 090 80

MALES70 c 0 6015 l 50 0 0 0 40 0 0 0

S 30

L

bullQ) 0 20 OJ 0 bullL

c

bull bull bull 2

bull bull bull0 FEMALES

1960 61 62 63 64 65 66 67 68 69 70 71

10

5shy

2

The prevlous sub Se tlon has exam trends n rates cover at death sub sect on exam movement III the rat s a ages

x A corrpar s and bren hus d ath rat B ar to 1971 The s 20 rs nterval and In y ar

ava labl ) H re as folloHs

LONG TEPJmiddotj TREND IN

Death rates p r 1

3

35 - 3 2 3 c- + 15 6 + 4

40 - L4 3 15 7 + 14 +

45 49 29 2 35 + 1 1 9 21 c cSO 4 42 2 44 5 + j

Ce 5 85 94 7 + 11 C) -I- 7

c64 2 4 + 96 T

77 01 Cj5 7 C oc70 1+ j J 9 +

+ 215 4 1 1 158 7

C) 4 + 66 7 + 4 44 2 2 2 4 IT 1 + 190 45 - 4 0 6 8 4 161 5 50 54 6 6 9 4 13 + 42 4 + 94 7 55 - 59 13 0 14 0

7 j3 + 5

60 1 4 21 40 3 106 7 65 9 14 9 26 4 40 + 77 2

70 74 18 34 4 46 + 84 9 +

75+ 31 4 + 5

It ul under 60 ars that er tHenty y ars has b en

J

r Th s exp rlenc ommon to both Sexes

There lS a correlat on b tHeen th s flnd ng and tl I se In consumptlon toba co n trat It takes an average Qf tweny lve smok ng to e a Imlg C8Icer The anulal eorsumptlon tobace per of DOlmlatlon In NeH vroman ard from around three poUnds per heae ill th rtles pO~1nds per head In the early for es pOt~ncls per he early flft es wo~ld appear off at thls

The trend last twelve years In age death rates was as follows ill age groups

THE ilin AGE GBOUP

Year

4 S n C

Co C) 10 15

196 e -L ~ 0 21 242 35 9 9 25 25

1965 14 1 1 7 239 24 7 i 1 1 1 14 CO 24

7 c 4 q 33

PerS1s-ent lncreases ill hEva -Jeen recorded t all ages over h 8

twelve vear recent per ra d movem has been at 55-64 a~ong There are some 1cat1ons that t rates at ages may be to Scab1-L se

3

ill ttl ra tes of The me 18

of t1me ( n thlS case between 1921 and In th1S death exper1ence of

The table covers a total and s to the European

been xcluded

COHORT DEATH RATES IL4LES

~5 3 4 5 27 5 8 7 i 1 9 186 7

1579 83 251 4 1 3 1

~ tl 1 1 i 199

i)1894 98

242 1J

1899 1 5 2 282 1904-08 2 7 7 1 p

- 3 7 719~4 1 3 r 9

191 9-)- 1 4 10 1 1924 28 7 0 11 4

-7

ln accordaYlce lt[1 th the spread lons there been

lon a conCOYl tant rlse at all ages ill the I sk Those of the 1 1 23 gen8rat on who have d1ed

close to trose of the llnmed pre 14 18 who d ed at the same ages The

rat 1919 23 on who d at s over posslb Ilty that spread

()Us c auld have g ve up

f mELle d from now lncreased t a e becomes born from far back

1 4

The gures avalable seems lnc men lS 1 to r se most on the sloHsr a behaV10~lT 0 th d seovery or wlth se cane r caUSln~

tr nds ln the extent of shywhen generally C01)Jcry TJn t States f1guIes on s General

te p ro smoklng c garet es year of birtl substaJ1 tlally There lS reason

from small 11 er Zealarld bac observshyreduct on tude LYl the percen0ages of

also occurred 11

H th

rate of p for

The as belng not at all cancer and more

rea h the present betreen Illen s

r18e to produce

dOIllen lmder the vh of llmg eel-IT t reIllal~lS 08 seen Vlhether the clgal tte smok ng

d1l~ 87er reach hat of Illen It certa nly appears 1 kely to of lcnrer onOIll1C status erable lS that

reason ln hab1s ar at tor WOIllen shod a sl le ~g

factors lI1 Tease 1n cancer poss ev ntuat lil women d t n tl ars

Reasons be d for the l r E

~rOIllen s d th Illen naIl tlnngs ho=-d suburban so boredom s plus bel trat r sad S III n

hazard aUG VI lne content cOlmtr1es awareness

Doll and Hlll A B relat cn t observat ons 1n Dr cT 139

8

8shy

of the rlsks nvo1ved ill eX1sts ln

s Eoth these

nade have some arne

5

fr)m the lrJ10Wn e of lndustr a1

smoke as can have

a causatlve factor lnfluence on tlle

r

EOHever the effect lndustr al t es to be

measured d betw en app n many n lndustrlal sed overseas

Hhen th n non smokers s Pres ent and IIed D rector illllerlcan

o=ents

Host 1nvest 1 standard zatlon for

C81 cer and st~d_es

opound lurg canoer saIe ill resldents

opound on

h 1 -

ttave been used as a base ob actual numJers of deaths 00 respect ve areas or lons cf areas while the

are the of the calculated the deat rates the resident ncluded and

on ncn urban rateS represerted ill the

1S that the sis 18 acc deceased person at the tlme of death

of cancer deaths take ln the older s or the years of ret1rement when the deceased

ntucber of nstances have moved from the the 11pounde It 18 1mp08S1ble ~o

01 belace more persons of m11dle 8r older an Jrba~l eDV ronment to a nOD ~rban thEL1 -11088 wh the Opposlte d re8tlon

-lc (1972) Et CEUlcer Cancer 30 No 5 1335 Duell F Dunn J E and Ereslow Cancer of tle

ar~d a1r liltlon c ~ve Cancer

Doll Nortal1ty from cancer amorg non-smokers Br 7J 7 ~

Auekl821G lJ---ban

urban area

ChI h

DU1ed urbsn

Rema 1Il(1

I~ orth Island

Rernalnder South I land

and Hutt urban areas have tleen combllled reason that contlgtOUs and there 1S a re1)lar mternal movement of

the I popJlatlons Other North Island cITban areas comprlse the Clt es of -lan~are Hamllton Rotorua G sborne Nel-l

Naplr Hast ngs and on North Other outh 13 urban areas comprlse three ( t es only Nelson Tlmaru and 1nvercarg 11 Femalnder North Island and Rema cd l

made up of the b tOimiddotm dcscr cts and c of the two Islands arid ~rcqy be COLS dered as compr

as dHellers In a nITal romnent

1JHBAl~ AND 1959

1959 ( 5 ye2rs)

Sex 3xpe t d

ncUllber number ted

TIlunber of

dea~r1S deacts deachs d of aths

of deaths

of deaths

tlales Perna1 s

460 84

405 564 558 92

024 181 164

ii]ales Femal 3

280 51 5

cot H

551 01

11a 1 3 19 2se 45 F~male8 27 45

8 11 1 1 1 1 7 0 Ferrlal s 1(1 1 21

1~

s 13 Q 34

r- t ~)o 1 7 65

42 4-G 1 1

I404 462 5 7 590 IHales 071

emales 65 5 11 81 183

IIaleB 221 34 Females 29 34 46

because extreme contrasts do not ex~st n Zealand the analysls do any clear cut urb~n b as tviO orrllLantl non urban lons Helllamplnder Hcrth Island and Rema nder antlclpated 101 r exper ~n the male sex In 8 x however the

nder North ISland dw ller ly lower lncldenc I-Ilth the reverse sltuat South Island dw ller

by far the w Zealcud urbax~ c ntre H til a lon et l sk (at r y a~8) 03 mJre th811 has

can er expel en e

-Iel t urban areas ShOd cantly h gher obBerv cl deaths (vel expected number As th wllldlest 10 al ty In New Zeciland pe slstent atmospher c on lS [m LillI kely factor A much more 1 explanatlon s the fact that ~t lS the government aEd

admlnlstrat ve centre of th olmtry Hth than average proport ons In clerlcal or nOll manual occapat (see ~art B Sectlon

14

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

5shy

2

The prevlous sub Se tlon has exam trends n rates cover at death sub sect on exam movement III the rat s a ages

x A corrpar s and bren hus d ath rat B ar to 1971 The s 20 rs nterval and In y ar

ava labl ) H re as folloHs

LONG TEPJmiddotj TREND IN

Death rates p r 1

3

35 - 3 2 3 c- + 15 6 + 4

40 - L4 3 15 7 + 14 +

45 49 29 2 35 + 1 1 9 21 c cSO 4 42 2 44 5 + j

Ce 5 85 94 7 + 11 C) -I- 7

c64 2 4 + 96 T

77 01 Cj5 7 C oc70 1+ j J 9 +

+ 215 4 1 1 158 7

C) 4 + 66 7 + 4 44 2 2 2 4 IT 1 + 190 45 - 4 0 6 8 4 161 5 50 54 6 6 9 4 13 + 42 4 + 94 7 55 - 59 13 0 14 0

7 j3 + 5

60 1 4 21 40 3 106 7 65 9 14 9 26 4 40 + 77 2

70 74 18 34 4 46 + 84 9 +

75+ 31 4 + 5

It ul under 60 ars that er tHenty y ars has b en

J

r Th s exp rlenc ommon to both Sexes

There lS a correlat on b tHeen th s flnd ng and tl I se In consumptlon toba co n trat It takes an average Qf tweny lve smok ng to e a Imlg C8Icer The anulal eorsumptlon tobace per of DOlmlatlon In NeH vroman ard from around three poUnds per heae ill th rtles pO~1nds per head In the early for es pOt~ncls per he early flft es wo~ld appear off at thls

The trend last twelve years In age death rates was as follows ill age groups

THE ilin AGE GBOUP

Year

4 S n C

Co C) 10 15

196 e -L ~ 0 21 242 35 9 9 25 25

1965 14 1 1 7 239 24 7 i 1 1 1 14 CO 24

7 c 4 q 33

PerS1s-ent lncreases ill hEva -Jeen recorded t all ages over h 8

twelve vear recent per ra d movem has been at 55-64 a~ong There are some 1cat1ons that t rates at ages may be to Scab1-L se

3

ill ttl ra tes of The me 18

of t1me ( n thlS case between 1921 and In th1S death exper1ence of

The table covers a total and s to the European

been xcluded

COHORT DEATH RATES IL4LES

~5 3 4 5 27 5 8 7 i 1 9 186 7

1579 83 251 4 1 3 1

~ tl 1 1 i 199

i)1894 98

242 1J

1899 1 5 2 282 1904-08 2 7 7 1 p

- 3 7 719~4 1 3 r 9

191 9-)- 1 4 10 1 1924 28 7 0 11 4

-7

ln accordaYlce lt[1 th the spread lons there been

lon a conCOYl tant rlse at all ages ill the I sk Those of the 1 1 23 gen8rat on who have d1ed

close to trose of the llnmed pre 14 18 who d ed at the same ages The

rat 1919 23 on who d at s over posslb Ilty that spread

()Us c auld have g ve up

f mELle d from now lncreased t a e becomes born from far back

1 4

The gures avalable seems lnc men lS 1 to r se most on the sloHsr a behaV10~lT 0 th d seovery or wlth se cane r caUSln~

tr nds ln the extent of shywhen generally C01)Jcry TJn t States f1guIes on s General

te p ro smoklng c garet es year of birtl substaJ1 tlally There lS reason

from small 11 er Zealarld bac observshyreduct on tude LYl the percen0ages of

also occurred 11

H th

rate of p for

The as belng not at all cancer and more

rea h the present betreen Illen s

r18e to produce

dOIllen lmder the vh of llmg eel-IT t reIllal~lS 08 seen Vlhether the clgal tte smok ng

d1l~ 87er reach hat of Illen It certa nly appears 1 kely to of lcnrer onOIll1C status erable lS that

reason ln hab1s ar at tor WOIllen shod a sl le ~g

factors lI1 Tease 1n cancer poss ev ntuat lil women d t n tl ars

Reasons be d for the l r E

~rOIllen s d th Illen naIl tlnngs ho=-d suburban so boredom s plus bel trat r sad S III n

hazard aUG VI lne content cOlmtr1es awareness

Doll and Hlll A B relat cn t observat ons 1n Dr cT 139

8

8shy

of the rlsks nvo1ved ill eX1sts ln

s Eoth these

nade have some arne

5

fr)m the lrJ10Wn e of lndustr a1

smoke as can have

a causatlve factor lnfluence on tlle

r

EOHever the effect lndustr al t es to be

measured d betw en app n many n lndustrlal sed overseas

Hhen th n non smokers s Pres ent and IIed D rector illllerlcan

o=ents

Host 1nvest 1 standard zatlon for

C81 cer and st~d_es

opound lurg canoer saIe ill resldents

opound on

h 1 -

ttave been used as a base ob actual numJers of deaths 00 respect ve areas or lons cf areas while the

are the of the calculated the deat rates the resident ncluded and

on ncn urban rateS represerted ill the

1S that the sis 18 acc deceased person at the tlme of death

of cancer deaths take ln the older s or the years of ret1rement when the deceased

ntucber of nstances have moved from the the 11pounde It 18 1mp08S1ble ~o

01 belace more persons of m11dle 8r older an Jrba~l eDV ronment to a nOD ~rban thEL1 -11088 wh the Opposlte d re8tlon

-lc (1972) Et CEUlcer Cancer 30 No 5 1335 Duell F Dunn J E and Ereslow Cancer of tle

ar~d a1r liltlon c ~ve Cancer

Doll Nortal1ty from cancer amorg non-smokers Br 7J 7 ~

Auekl821G lJ---ban

urban area

ChI h

DU1ed urbsn

Rema 1Il(1

I~ orth Island

Rernalnder South I land

and Hutt urban areas have tleen combllled reason that contlgtOUs and there 1S a re1)lar mternal movement of

the I popJlatlons Other North Island cITban areas comprlse the Clt es of -lan~are Hamllton Rotorua G sborne Nel-l

Naplr Hast ngs and on North Other outh 13 urban areas comprlse three ( t es only Nelson Tlmaru and 1nvercarg 11 Femalnder North Island and Rema cd l

made up of the b tOimiddotm dcscr cts and c of the two Islands arid ~rcqy be COLS dered as compr

as dHellers In a nITal romnent

1JHBAl~ AND 1959

1959 ( 5 ye2rs)

Sex 3xpe t d

ncUllber number ted

TIlunber of

dea~r1S deacts deachs d of aths

of deaths

of deaths

tlales Perna1 s

460 84

405 564 558 92

024 181 164

ii]ales Femal 3

280 51 5

cot H

551 01

11a 1 3 19 2se 45 F~male8 27 45

8 11 1 1 1 1 7 0 Ferrlal s 1(1 1 21

1~

s 13 Q 34

r- t ~)o 1 7 65

42 4-G 1 1

I404 462 5 7 590 IHales 071

emales 65 5 11 81 183

IIaleB 221 34 Females 29 34 46

because extreme contrasts do not ex~st n Zealand the analysls do any clear cut urb~n b as tviO orrllLantl non urban lons Helllamplnder Hcrth Island and Rema nder antlclpated 101 r exper ~n the male sex In 8 x however the

nder North ISland dw ller ly lower lncldenc I-Ilth the reverse sltuat South Island dw ller

by far the w Zealcud urbax~ c ntre H til a lon et l sk (at r y a~8) 03 mJre th811 has

can er expel en e

-Iel t urban areas ShOd cantly h gher obBerv cl deaths (vel expected number As th wllldlest 10 al ty In New Zeciland pe slstent atmospher c on lS [m LillI kely factor A much more 1 explanatlon s the fact that ~t lS the government aEd

admlnlstrat ve centre of th olmtry Hth than average proport ons In clerlcal or nOll manual occapat (see ~art B Sectlon

14

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

THE ilin AGE GBOUP

Year

4 S n C

Co C) 10 15

196 e -L ~ 0 21 242 35 9 9 25 25

1965 14 1 1 7 239 24 7 i 1 1 1 14 CO 24

7 c 4 q 33

PerS1s-ent lncreases ill hEva -Jeen recorded t all ages over h 8

twelve vear recent per ra d movem has been at 55-64 a~ong There are some 1cat1ons that t rates at ages may be to Scab1-L se

3

ill ttl ra tes of The me 18

of t1me ( n thlS case between 1921 and In th1S death exper1ence of

The table covers a total and s to the European

been xcluded

COHORT DEATH RATES IL4LES

~5 3 4 5 27 5 8 7 i 1 9 186 7

1579 83 251 4 1 3 1

~ tl 1 1 i 199

i)1894 98

242 1J

1899 1 5 2 282 1904-08 2 7 7 1 p

- 3 7 719~4 1 3 r 9

191 9-)- 1 4 10 1 1924 28 7 0 11 4

-7

ln accordaYlce lt[1 th the spread lons there been

lon a conCOYl tant rlse at all ages ill the I sk Those of the 1 1 23 gen8rat on who have d1ed

close to trose of the llnmed pre 14 18 who d ed at the same ages The

rat 1919 23 on who d at s over posslb Ilty that spread

()Us c auld have g ve up

f mELle d from now lncreased t a e becomes born from far back

1 4

The gures avalable seems lnc men lS 1 to r se most on the sloHsr a behaV10~lT 0 th d seovery or wlth se cane r caUSln~

tr nds ln the extent of shywhen generally C01)Jcry TJn t States f1guIes on s General

te p ro smoklng c garet es year of birtl substaJ1 tlally There lS reason

from small 11 er Zealarld bac observshyreduct on tude LYl the percen0ages of

also occurred 11

H th

rate of p for

The as belng not at all cancer and more

rea h the present betreen Illen s

r18e to produce

dOIllen lmder the vh of llmg eel-IT t reIllal~lS 08 seen Vlhether the clgal tte smok ng

d1l~ 87er reach hat of Illen It certa nly appears 1 kely to of lcnrer onOIll1C status erable lS that

reason ln hab1s ar at tor WOIllen shod a sl le ~g

factors lI1 Tease 1n cancer poss ev ntuat lil women d t n tl ars

Reasons be d for the l r E

~rOIllen s d th Illen naIl tlnngs ho=-d suburban so boredom s plus bel trat r sad S III n

hazard aUG VI lne content cOlmtr1es awareness

Doll and Hlll A B relat cn t observat ons 1n Dr cT 139

8

8shy

of the rlsks nvo1ved ill eX1sts ln

s Eoth these

nade have some arne

5

fr)m the lrJ10Wn e of lndustr a1

smoke as can have

a causatlve factor lnfluence on tlle

r

EOHever the effect lndustr al t es to be

measured d betw en app n many n lndustrlal sed overseas

Hhen th n non smokers s Pres ent and IIed D rector illllerlcan

o=ents

Host 1nvest 1 standard zatlon for

C81 cer and st~d_es

opound lurg canoer saIe ill resldents

opound on

h 1 -

ttave been used as a base ob actual numJers of deaths 00 respect ve areas or lons cf areas while the

are the of the calculated the deat rates the resident ncluded and

on ncn urban rateS represerted ill the

1S that the sis 18 acc deceased person at the tlme of death

of cancer deaths take ln the older s or the years of ret1rement when the deceased

ntucber of nstances have moved from the the 11pounde It 18 1mp08S1ble ~o

01 belace more persons of m11dle 8r older an Jrba~l eDV ronment to a nOD ~rban thEL1 -11088 wh the Opposlte d re8tlon

-lc (1972) Et CEUlcer Cancer 30 No 5 1335 Duell F Dunn J E and Ereslow Cancer of tle

ar~d a1r liltlon c ~ve Cancer

Doll Nortal1ty from cancer amorg non-smokers Br 7J 7 ~

Auekl821G lJ---ban

urban area

ChI h

DU1ed urbsn

Rema 1Il(1

I~ orth Island

Rernalnder South I land

and Hutt urban areas have tleen combllled reason that contlgtOUs and there 1S a re1)lar mternal movement of

the I popJlatlons Other North Island cITban areas comprlse the Clt es of -lan~are Hamllton Rotorua G sborne Nel-l

Naplr Hast ngs and on North Other outh 13 urban areas comprlse three ( t es only Nelson Tlmaru and 1nvercarg 11 Femalnder North Island and Rema cd l

made up of the b tOimiddotm dcscr cts and c of the two Islands arid ~rcqy be COLS dered as compr

as dHellers In a nITal romnent

1JHBAl~ AND 1959

1959 ( 5 ye2rs)

Sex 3xpe t d

ncUllber number ted

TIlunber of

dea~r1S deacts deachs d of aths

of deaths

of deaths

tlales Perna1 s

460 84

405 564 558 92

024 181 164

ii]ales Femal 3

280 51 5

cot H

551 01

11a 1 3 19 2se 45 F~male8 27 45

8 11 1 1 1 1 7 0 Ferrlal s 1(1 1 21

1~

s 13 Q 34

r- t ~)o 1 7 65

42 4-G 1 1

I404 462 5 7 590 IHales 071

emales 65 5 11 81 183

IIaleB 221 34 Females 29 34 46

because extreme contrasts do not ex~st n Zealand the analysls do any clear cut urb~n b as tviO orrllLantl non urban lons Helllamplnder Hcrth Island and Rema nder antlclpated 101 r exper ~n the male sex In 8 x however the

nder North ISland dw ller ly lower lncldenc I-Ilth the reverse sltuat South Island dw ller

by far the w Zealcud urbax~ c ntre H til a lon et l sk (at r y a~8) 03 mJre th811 has

can er expel en e

-Iel t urban areas ShOd cantly h gher obBerv cl deaths (vel expected number As th wllldlest 10 al ty In New Zeciland pe slstent atmospher c on lS [m LillI kely factor A much more 1 explanatlon s the fact that ~t lS the government aEd

admlnlstrat ve centre of th olmtry Hth than average proport ons In clerlcal or nOll manual occapat (see ~art B Sectlon

14

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

-7

ln accordaYlce lt[1 th the spread lons there been

lon a conCOYl tant rlse at all ages ill the I sk Those of the 1 1 23 gen8rat on who have d1ed

close to trose of the llnmed pre 14 18 who d ed at the same ages The

rat 1919 23 on who d at s over posslb Ilty that spread

()Us c auld have g ve up

f mELle d from now lncreased t a e becomes born from far back

1 4

The gures avalable seems lnc men lS 1 to r se most on the sloHsr a behaV10~lT 0 th d seovery or wlth se cane r caUSln~

tr nds ln the extent of shywhen generally C01)Jcry TJn t States f1guIes on s General

te p ro smoklng c garet es year of birtl substaJ1 tlally There lS reason

from small 11 er Zealarld bac observshyreduct on tude LYl the percen0ages of

also occurred 11

H th

rate of p for

The as belng not at all cancer and more

rea h the present betreen Illen s

r18e to produce

dOIllen lmder the vh of llmg eel-IT t reIllal~lS 08 seen Vlhether the clgal tte smok ng

d1l~ 87er reach hat of Illen It certa nly appears 1 kely to of lcnrer onOIll1C status erable lS that

reason ln hab1s ar at tor WOIllen shod a sl le ~g

factors lI1 Tease 1n cancer poss ev ntuat lil women d t n tl ars

Reasons be d for the l r E

~rOIllen s d th Illen naIl tlnngs ho=-d suburban so boredom s plus bel trat r sad S III n

hazard aUG VI lne content cOlmtr1es awareness

Doll and Hlll A B relat cn t observat ons 1n Dr cT 139

8

8shy

of the rlsks nvo1ved ill eX1sts ln

s Eoth these

nade have some arne

5

fr)m the lrJ10Wn e of lndustr a1

smoke as can have

a causatlve factor lnfluence on tlle

r

EOHever the effect lndustr al t es to be

measured d betw en app n many n lndustrlal sed overseas

Hhen th n non smokers s Pres ent and IIed D rector illllerlcan

o=ents

Host 1nvest 1 standard zatlon for

C81 cer and st~d_es

opound lurg canoer saIe ill resldents

opound on

h 1 -

ttave been used as a base ob actual numJers of deaths 00 respect ve areas or lons cf areas while the

are the of the calculated the deat rates the resident ncluded and

on ncn urban rateS represerted ill the

1S that the sis 18 acc deceased person at the tlme of death

of cancer deaths take ln the older s or the years of ret1rement when the deceased

ntucber of nstances have moved from the the 11pounde It 18 1mp08S1ble ~o

01 belace more persons of m11dle 8r older an Jrba~l eDV ronment to a nOD ~rban thEL1 -11088 wh the Opposlte d re8tlon

-lc (1972) Et CEUlcer Cancer 30 No 5 1335 Duell F Dunn J E and Ereslow Cancer of tle

ar~d a1r liltlon c ~ve Cancer

Doll Nortal1ty from cancer amorg non-smokers Br 7J 7 ~

Auekl821G lJ---ban

urban area

ChI h

DU1ed urbsn

Rema 1Il(1

I~ orth Island

Rernalnder South I land

and Hutt urban areas have tleen combllled reason that contlgtOUs and there 1S a re1)lar mternal movement of

the I popJlatlons Other North Island cITban areas comprlse the Clt es of -lan~are Hamllton Rotorua G sborne Nel-l

Naplr Hast ngs and on North Other outh 13 urban areas comprlse three ( t es only Nelson Tlmaru and 1nvercarg 11 Femalnder North Island and Rema cd l

made up of the b tOimiddotm dcscr cts and c of the two Islands arid ~rcqy be COLS dered as compr

as dHellers In a nITal romnent

1JHBAl~ AND 1959

1959 ( 5 ye2rs)

Sex 3xpe t d

ncUllber number ted

TIlunber of

dea~r1S deacts deachs d of aths

of deaths

of deaths

tlales Perna1 s

460 84

405 564 558 92

024 181 164

ii]ales Femal 3

280 51 5

cot H

551 01

11a 1 3 19 2se 45 F~male8 27 45

8 11 1 1 1 1 7 0 Ferrlal s 1(1 1 21

1~

s 13 Q 34

r- t ~)o 1 7 65

42 4-G 1 1

I404 462 5 7 590 IHales 071

emales 65 5 11 81 183

IIaleB 221 34 Females 29 34 46

because extreme contrasts do not ex~st n Zealand the analysls do any clear cut urb~n b as tviO orrllLantl non urban lons Helllamplnder Hcrth Island and Rema nder antlclpated 101 r exper ~n the male sex In 8 x however the

nder North ISland dw ller ly lower lncldenc I-Ilth the reverse sltuat South Island dw ller

by far the w Zealcud urbax~ c ntre H til a lon et l sk (at r y a~8) 03 mJre th811 has

can er expel en e

-Iel t urban areas ShOd cantly h gher obBerv cl deaths (vel expected number As th wllldlest 10 al ty In New Zeciland pe slstent atmospher c on lS [m LillI kely factor A much more 1 explanatlon s the fact that ~t lS the government aEd

admlnlstrat ve centre of th olmtry Hth than average proport ons In clerlcal or nOll manual occapat (see ~art B Sectlon

14

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

8shy

of the rlsks nvo1ved ill eX1sts ln

s Eoth these

nade have some arne

5

fr)m the lrJ10Wn e of lndustr a1

smoke as can have

a causatlve factor lnfluence on tlle

r

EOHever the effect lndustr al t es to be

measured d betw en app n many n lndustrlal sed overseas

Hhen th n non smokers s Pres ent and IIed D rector illllerlcan

o=ents

Host 1nvest 1 standard zatlon for

C81 cer and st~d_es

opound lurg canoer saIe ill resldents

opound on

h 1 -

ttave been used as a base ob actual numJers of deaths 00 respect ve areas or lons cf areas while the

are the of the calculated the deat rates the resident ncluded and

on ncn urban rateS represerted ill the

1S that the sis 18 acc deceased person at the tlme of death

of cancer deaths take ln the older s or the years of ret1rement when the deceased

ntucber of nstances have moved from the the 11pounde It 18 1mp08S1ble ~o

01 belace more persons of m11dle 8r older an Jrba~l eDV ronment to a nOD ~rban thEL1 -11088 wh the Opposlte d re8tlon

-lc (1972) Et CEUlcer Cancer 30 No 5 1335 Duell F Dunn J E and Ereslow Cancer of tle

ar~d a1r liltlon c ~ve Cancer

Doll Nortal1ty from cancer amorg non-smokers Br 7J 7 ~

Auekl821G lJ---ban

urban area

ChI h

DU1ed urbsn

Rema 1Il(1

I~ orth Island

Rernalnder South I land

and Hutt urban areas have tleen combllled reason that contlgtOUs and there 1S a re1)lar mternal movement of

the I popJlatlons Other North Island cITban areas comprlse the Clt es of -lan~are Hamllton Rotorua G sborne Nel-l

Naplr Hast ngs and on North Other outh 13 urban areas comprlse three ( t es only Nelson Tlmaru and 1nvercarg 11 Femalnder North Island and Rema cd l

made up of the b tOimiddotm dcscr cts and c of the two Islands arid ~rcqy be COLS dered as compr

as dHellers In a nITal romnent

1JHBAl~ AND 1959

1959 ( 5 ye2rs)

Sex 3xpe t d

ncUllber number ted

TIlunber of

dea~r1S deacts deachs d of aths

of deaths

of deaths

tlales Perna1 s

460 84

405 564 558 92

024 181 164

ii]ales Femal 3

280 51 5

cot H

551 01

11a 1 3 19 2se 45 F~male8 27 45

8 11 1 1 1 1 7 0 Ferrlal s 1(1 1 21

1~

s 13 Q 34

r- t ~)o 1 7 65

42 4-G 1 1

I404 462 5 7 590 IHales 071

emales 65 5 11 81 183

IIaleB 221 34 Females 29 34 46

because extreme contrasts do not ex~st n Zealand the analysls do any clear cut urb~n b as tviO orrllLantl non urban lons Helllamplnder Hcrth Island and Rema nder antlclpated 101 r exper ~n the male sex In 8 x however the

nder North ISland dw ller ly lower lncldenc I-Ilth the reverse sltuat South Island dw ller

by far the w Zealcud urbax~ c ntre H til a lon et l sk (at r y a~8) 03 mJre th811 has

can er expel en e

-Iel t urban areas ShOd cantly h gher obBerv cl deaths (vel expected number As th wllldlest 10 al ty In New Zeciland pe slstent atmospher c on lS [m LillI kely factor A much more 1 explanatlon s the fact that ~t lS the government aEd

admlnlstrat ve centre of th olmtry Hth than average proport ons In clerlcal or nOll manual occapat (see ~art B Sectlon

14

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

Auekl821G lJ---ban

urban area

ChI h

DU1ed urbsn

Rema 1Il(1

I~ orth Island

Rernalnder South I land

and Hutt urban areas have tleen combllled reason that contlgtOUs and there 1S a re1)lar mternal movement of

the I popJlatlons Other North Island cITban areas comprlse the Clt es of -lan~are Hamllton Rotorua G sborne Nel-l

Naplr Hast ngs and on North Other outh 13 urban areas comprlse three ( t es only Nelson Tlmaru and 1nvercarg 11 Femalnder North Island and Rema cd l

made up of the b tOimiddotm dcscr cts and c of the two Islands arid ~rcqy be COLS dered as compr

as dHellers In a nITal romnent

1JHBAl~ AND 1959

1959 ( 5 ye2rs)

Sex 3xpe t d

ncUllber number ted

TIlunber of

dea~r1S deacts deachs d of aths

of deaths

of deaths

tlales Perna1 s

460 84

405 564 558 92

024 181 164

ii]ales Femal 3

280 51 5

cot H

551 01

11a 1 3 19 2se 45 F~male8 27 45

8 11 1 1 1 1 7 0 Ferrlal s 1(1 1 21

1~

s 13 Q 34

r- t ~)o 1 7 65

42 4-G 1 1

I404 462 5 7 590 IHales 071

emales 65 5 11 81 183

IIaleB 221 34 Females 29 34 46

because extreme contrasts do not ex~st n Zealand the analysls do any clear cut urb~n b as tviO orrllLantl non urban lons Helllamplnder Hcrth Island and Rema nder antlclpated 101 r exper ~n the male sex In 8 x however the

nder North ISland dw ller ly lower lncldenc I-Ilth the reverse sltuat South Island dw ller

by far the w Zealcud urbax~ c ntre H til a lon et l sk (at r y a~8) 03 mJre th811 has

can er expel en e

-Iel t urban areas ShOd cantly h gher obBerv cl deaths (vel expected number As th wllldlest 10 al ty In New Zeciland pe slstent atmospher c on lS [m LillI kely factor A much more 1 explanatlon s the fact that ~t lS the government aEd

admlnlstrat ve centre of th olmtry Hth than average proport ons In clerlcal or nOll manual occapat (see ~art B Sectlon

14

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

2

Cbr 1 scChUrCl st South Island centre H -eh a onslder a20lmt of try alld a recJrrent EhJWS the

average l~el-l Zealand experlence ln expel In Lbmedln exces 0lt deaths lH sex but tt reverse ln the

of smaler I slald ell baIl areas shaHS the Nel lon of small Island

t~rban centres cancer ne n both

a person

those vTho be n

East as be 2Jlg

those who the r sk was

Eastcott s concluslon as that llllIlllgrants frolll Great Br1ta111 to NeH Zealand are Illore ble cancer be ng affected +he I forser 1n urban sed and lnd~l8trLal1Sed Erltaln and that t)1 s effect s related to the of exposure 1n -hat environment At a later date a sls11ar lon was fOUYld t eXlst n S t South ldrica

sim1lar carr ed out for the Illore recent per cd 195 Sl1ll1lar results

ad was t the Hew Zealand t on (non HaoTls

born 1mnllgrall ts L1 he age ed number of deaths so

group ere then The Unl ted gtlere dlvlded lito those arr1v1ng in New years anci those at ages over 30

years vTere

Lu-JG CANCER DEABS II NEW ZEALftlm OF lNITED KnJGDOH INfIGRAHTS

IftALES

Observed number i number rnunber

of of deaths deaths deaths deaths

at 1illIll Urn ted

under 30 years 575 82

on Olll

over 451 3i8 3d 47

All unlted K1ngdolll 114 893 166 1 1 1 iIWIllgrants

Eastcott D P (1 caEoer In New Zealand Lancet

64

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

1 1

1or those under 30 on arrlval tre dls was ten perc ent ill men and vlomen

For those over 30 f age arr val d was 51pershycent In ~ and percent In women

For all lillill dlspar ty was 20 In men and 50 III women

6

The followlng table lstr butlon of cancer deaths lI1 1971 the for whlch data are avallable tr1e age

extract fr Table

cancer deaths folloed In the at

become over more recent and over ages 55 59 and 60 64

=he table shos more Homen than men are d at very yOurlg ages

DISTR13Unmr OF DBldHS FROImiddot VJNG CANCER BY AGE AND SEX RATIO 1971

Number Percent 1lale ratloFemale Hale Female

AGES 0 100 0 3

Under 45 18 11 6 8 ~ 6

45 54 71 16 10 4 11 a 4 4J

55 - 46 29 1 4

74 265 39 39 9 6

75 and over 122 17 9 17 0 5 3

Ihe more C slde of lung cancer s the 11lvolvement of the comparat vely yocmg a11d the reduct on of the normal 1 fe In 971 291 men and 73 women d ed of hmg cancer before of 6 years As a proshy

lon of the total lung cancer deaths chese numbers comprlse 43 and 54 percent end for the future may be

seen ill ehe lower mal

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

ned es

lave be and bronchus t s

ag~os d rted

8es r st red ar onta n

cases become reg stered vel a of

8ath de to

ne lons do exc 8

expected t the reason d18 of lung er s ll1tercurrer-t c be most er8cns callcer s d cd smiddotrrVlve or several mmths tbere 8 s the reglstrat 011

case and even tal

Tle table llllCh fo108 br1ngs the totals of new cases tered and deaths lnto ltlon for year from 1 1 t 1

NS1 FEC[gtJ LUKG CANeR IHIImiddot13ERS 1-78

BOTE SEXES Year Hew

cases Deaths New cases Deaths New

cases Deaths

429 395 7 75 4 61 539 499

3 46 -i 79 555 543 476 80 89 55

48 486 77 625 555 608 5 11

521 5 71 102 729

tabl serves to llustrate the lethal effect of cancer 111 that t-e nurcbers nelof stered are rever very far ahead of the munters of deaths

pThere 31e qual catlms t s lSC~l hO~iev r the flrst of wh ch lS soce small proportlon cancers flve percent at

most a1 to -he excert the lent les of Borne c The second qual f lor lS ea C~1 year a

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

-3

few caEcer Vll1Jch occur do r~oc get reported 0 tte Natlonal Cancer heg and rernaln

the Natlonal Health an est rna t the rumber of of ltmg and

not becom These estlrnates of to the

estlrnat d e These f gures VI til

CONPARI2middot0N LUNG INC Al~D ACTUAL DRAIHS

NUNEEHS 70

FEHALES BOJH SEXES~__~_m _~I_E_~__~_-______~____ shy__ ____~____~____~______~____~__________~ (() rl (()

-j ill G tD -j illC cD ~ (1) gt() if1d + H U) ilJ

H cU (l) 0 rl I- (1j l-HGJ 0 H +- H D J Q)I t + p

1ear 0) H ~ H 3~ H ~ (Jj 0 () 0 ()

() 0QO 00 10 ill 0

1 - H + 01) + + H I m cD H cU (() 1D W U3

ilJ

- (() S ~ SS Q)

++0 tnI GJ + - rl +C ojj OJOJ + G + + 0 J(J) C] i]) w 0oj gt= ~ C) r=q r=q Q ~

11 1 3 721 QtJ 770

1967 676 44 72C)

710 50 9 729 1 670Ie 4 71

11970L

17I 43 115 5 829

On the average the total of aEd bronchus 8 t stlrnated around 100 beloH the otal cases III that

same ar In other Hords death f gures are an understaterne--t of around cen p rcent of t tal IJng e1 plctme

14

rEne liaor l of 2 illlll on years t iard of 45 Years

at For

up-se

r the Maor sral~ at

t s lear p reenGages of three cancer deaths Ole ln every

x ca~1C3r deatr19

The contr but on of th t~o the etal cancer deaths 13 as follows the be ng an lon of those occurr ln the ttre years 1 9

11~ LmJG CAliCEE DEAmS KUTmiddotlBEES

THREE YEARS)

Iaor European

I tal lon

4

4

3 8

46

54

7 7 44

thlS ompar son s aIlsge s Uc

lon and 1 the ages 13 as follows

the plOportlon rat10 of

ca1lcer deatl

of

can e1 ratlo

75

35 45 55 6e

and over

to t

t

16

to to

6 1 1 1

36

to 35 53

11 1

0

to to t to

7 6 6

1 5

-15shy

n the cancer d1 ~on 18 a e yOilllger and clddle ages er 60 years

the d1S on s all ages

able 3 ~n spec1f c deatr_ the total on ) Table sets same for

Placlng these rate 1n t on He obtal1_ the omparlson

rlAORITOTAL TOPUlAI AlITWAL LUlJG Rates per 100 000

group Haor on

Under 25 years

29 years

30 34 years 2 2

35 q~ Y ars gt

_ 9 4 0

40 44 years 42 9 7 21 4

45 49 jrears 1n ~

~ 35 4

54 years 1 3 65 8 18 3

- 59 years 31 9 9 6 gt

64 years 237 1 1 7 J 40 3

9 years 559 377 2Cc 4 9

70 ars 398

years and over 381 12 4 44 5

S nc of total between the fmiddotlacrl lon r2 S S an erue c fferences the JViaorl and the reillalnder lOr (illa nly However because the Maorl lon illakes up such

relat srcall proport 0n of the total lon at these s exclUS10n -rhe Naor f gures roill those total lIe Z

lon would not have any very effect

Over all ages COGb ned che Haorl illale has around about a flfty h clance (if dYlng from lllL1g cancer tlan tr~ average rlsk z male

Over all ages COill(llned the has a seven hundred h chance of ng frOill thar the average r New 3 fenale

The I C C t on CMWEE IN FIVE COHImENTS Volum II ed Doll and Vat sets out a world rarJc ng 118t for raclal

car_cer In wh the New Zealand Naor holds the ( Ecuopear1 1 9tr) and the NeH Zealand Naor female s 1st

pos t on ( 26th)

-vias f r8t dralm tc the extremely female rates ln the MaorI s caJses as far as 1 n a New Zealand

Cancer ill Five Contillerts InternatlCmal Unlon Agaillst Cancer Vol 1 i Eose R J (1 0) 1]1or1 EJIopean Standards of Health He Zea18Jld

of Health Spec1al Series 1

-15shy

n the cancer d1 ~on 18 a e yOilllger and clddle ages er 60 years

the d1S on s all ages

able 3 ~n spec1f c deatr_ the total on ) Table sets same for

Placlng these rate 1n t on He obtal1_ the omparlson

rlAORITOTAL TOPUlAI AlITWAL LUlJG Rates per 100 000

group Haor on

Under 25 years

29 years

30 34 years 2 2

35 q~ Y ars gt

_ 9 4 0

40 44 years 42 9 7 21 4

45 49 jrears 1n ~

~ 35 4

54 years 1 3 65 8 18 3

- 59 years 31 9 9 6 gt

64 years 237 1 1 7 J 40 3

9 years 559 377 2Cc 4 9

70 ars 398

years and over 381 12 4 44 5

S nc of total between the fmiddotlacrl lon r2 S S an erue c fferences the JViaorl and the reillalnder lOr (illa nly However because the Maorl lon illakes up such

relat srcall proport 0n of the total lon at these s exclUS10n -rhe Naor f gures roill those total lIe Z

lon would not have any very effect

Over all ages COGb ned che Haorl illale has around about a flfty h clance (if dYlng from lllL1g cancer tlan tr~ average rlsk z male

Over all ages COill(llned the has a seven hundred h chance of ng frOill thar the average r New 3 fenale

The I C C t on CMWEE IN FIVE COHImENTS Volum II ed Doll and Vat sets out a world rarJc ng 118t for raclal

car_cer In wh the New Zealand Naor holds the ( Ecuopear1 1 9tr) and the NeH Zealand Naor female s 1st

pos t on ( 26th)

-vias f r8t dralm tc the extremely female rates ln the MaorI s caJses as far as 1 n a New Zealand

Cancer ill Five Contillerts InternatlCmal Unlon Agaillst Cancer Vol 1 i Eose R J (1 0) 1]1or1 EJIopean Standards of Health He Zea18Jld

of Health Spec1al Series 1

-16

survIval rates for cancers s2-ted In the (

a tTue meESUle lne cancer rat IS than EuropeaYJ 1n imiddotlampcJr 10en the J11Cldence J

rOlU lIiles h gher than

a true lndex the stImated the

In t s sex for the Lied cal

confLY[l a ton few of

ty of a a sec ondary

m staken for 8

Iere the number where -he deve

n a standIng tuberculous infect lung

t 18 probable -hat some of thls excess ill brmlCho 18 In accordance w th the Br

of the [-1aori to all s Q[ lung ILLo-dn for chrOlIC

uberctlosis amp2d bronchIectaSIS caYJ nt cancer How ver and thIS a from

at on MaorI women of t heav ly and hat twas -Ie OIllIlon ill the llaor female at an earl er

od than in the European so that thIS or must also be onsidered

pee al eporc Serles lS8ued In 7 contalns the ons on page 35 concernIng malIgt1ant neoplasm the

FL extreIiely hlgh HlCldence of caClcer ex 8t in the Naorl of both sexes tr_e r0380n cht chs number of cases nvolved IS small tIns has not draWYl the attention it deserves and there is unquestlon

a need for study of t~e habits partIcular and

cancer cases

3 2

A the age d str1but on of new Maor cases o es ar estllTat on of the number of cases

ThIS est1mat of true lnc1dence 18 arrIved at WhICh were nct those tered oases t all cases

The tables 8UlllLar 8 as f

17shy

IN THE HAORI

0~

cL 3 18

11 7

9I

In actual numbers flgure of flaorl ard th ~r smallness ra ses some quer ln xtraord nary In dence

les from year d spar ty w aSlng rather decreas

Imiddotiaer suscept b t as mort data

s c ience that te sIlloker

o-~mterrlarts arCi tte-male tyl

I Ihor women F pe 111

after th ll0e

-0 4

pOlnts w~ c cIaI f ed cal nvest on

To what ex~ent are the recorded statls~lCS of deaths and cldence an accurate III asure of the 8 tuat on that 8 what proport on of Ia or cases are conf rIlled cases pI unary

carClnoma

2 Are there spec al h st al features n tile Naor cases callcer

I th I 11 ll1C delCe pre- x st1ng I Bplra d

os of cancer

Prlor A middot1 (Unpublished papers)

Pr10r I A 1 (Perso-al cOIllIllul1icat on)

5 What causal ~acors ~)ut are suspected)

19arett

wlmt 1

ar th lff r fror

IvIaorl and hoy

How the

the ~aor lYle denee of

n d

19shy

PART B CLUnCAL AND EPIJRmOLOGICAL SURVEY

In 1957 the anal [horac Un1GS Zealand at sGchuYch and Dlmed n

arid HI J oim Barr to ent trea~ed 1n

er lstc Centre of the the entral collect as well as carrying out llstor 8 forwarded w records of the same nersor~s in t(le Cancer R flr Wood of the Centre carr ed cut th se funct ems

he transfer of the data ont cards 1ho four tund dre up a ot 01 the Health fo~u anal c cal

was followed and ll1format on copy of the pro for~a publ shed

The carr ed out were 8sor

erma at the De of General Hos Boston n 1970

as of New Zealand at 1ts Rotorua ~eet ng of the same yoar

Gnded fEld ngs d bave been carried out surVlV8rs at the survey closod (1 5) were folloWEd of 1 ho follow up thus from f ve years to 15 years ng cn ohether the ents f rst proserGed lY 1 or further back as far as

Tle WI telS n of the the lJlstll1ted glven them the d cto1s who bave tra ned 1n onal Thorac es during n ne years ov r lihC~l the sucvey was cond1Jct

A total of pat ec~s was covered

group 7he

of the s a+ date of d 848 pat1ents

and the percentages of the total ill the survey 1sre as follows

lL each age

Under 20

20 years 29

1 8

0 04 3

1 1

0 3 3 9

) 1 0 3

30 39 39 6 16 4 8 55 1 9 40 49 209 8 3 44 13 2 25 Ru 9

0 - 700 27 8 78 27 3 964 38 3 1 Ca6 38

+ 594 23 6 71 2 23 4

ITotal all ages 100 0 333 100 1CO 0

5 What causal ~acors ~)ut are suspected)

19arett

wlmt 1

ar th lff r fror

IvIaorl and hoy

How the

the ~aor lYle denee of

n d

19shy

PART B CLUnCAL AND EPIJRmOLOGICAL SURVEY

In 1957 the anal [horac Un1GS Zealand at sGchuYch and Dlmed n

arid HI J oim Barr to ent trea~ed 1n

er lstc Centre of the the entral collect as well as carrying out llstor 8 forwarded w records of the same nersor~s in t(le Cancer R flr Wood of the Centre carr ed cut th se funct ems

he transfer of the data ont cards 1ho four tund dre up a ot 01 the Health fo~u anal c cal

was followed and ll1format on copy of the pro for~a publ shed

The carr ed out were 8sor

erma at the De of General Hos Boston n 1970

as of New Zealand at 1ts Rotorua ~eet ng of the same yoar

Gnded fEld ngs d bave been carried out surVlV8rs at the survey closod (1 5) were folloWEd of 1 ho follow up thus from f ve years to 15 years ng cn ohether the ents f rst proserGed lY 1 or further back as far as

Tle WI telS n of the the lJlstll1ted glven them the d cto1s who bave tra ned 1n onal Thorac es during n ne years ov r lihC~l the sucvey was cond1Jct

A total of pat ec~s was covered

group 7he

of the s a+ date of d 848 pat1ents

and the percentages of the total ill the survey 1sre as follows

lL each age

Under 20

20 years 29

1 8

0 04 3

1 1

0 3 3 9

) 1 0 3

30 39 39 6 16 4 8 55 1 9 40 49 209 8 3 44 13 2 25 Ru 9

0 - 700 27 8 78 27 3 964 38 3 1 Ca6 38

+ 594 23 6 71 2 23 4

ITotal all ages 100 0 333 100 1CO 0

19shy

PART B CLUnCAL AND EPIJRmOLOGICAL SURVEY

In 1957 the anal [horac Un1GS Zealand at sGchuYch and Dlmed n

arid HI J oim Barr to ent trea~ed 1n

er lstc Centre of the the entral collect as well as carrying out llstor 8 forwarded w records of the same nersor~s in t(le Cancer R flr Wood of the Centre carr ed cut th se funct ems

he transfer of the data ont cards 1ho four tund dre up a ot 01 the Health fo~u anal c cal

was followed and ll1format on copy of the pro for~a publ shed

The carr ed out were 8sor

erma at the De of General Hos Boston n 1970

as of New Zealand at 1ts Rotorua ~eet ng of the same yoar

Gnded fEld ngs d bave been carried out surVlV8rs at the survey closod (1 5) were folloWEd of 1 ho follow up thus from f ve years to 15 years ng cn ohether the ents f rst proserGed lY 1 or further back as far as

Tle WI telS n of the the lJlstll1ted glven them the d cto1s who bave tra ned 1n onal Thorac es during n ne years ov r lihC~l the sucvey was cond1Jct

A total of pat ec~s was covered

group 7he

of the s a+ date of d 848 pat1ents

and the percentages of the total ill the survey 1sre as follows

lL each age

Under 20

20 years 29

1 8

0 04 3

1 1

0 3 3 9

) 1 0 3

30 39 39 6 16 4 8 55 1 9 40 49 209 8 3 44 13 2 25 Ru 9

0 - 700 27 8 78 27 3 964 38 3 1 Ca6 38

+ 594 23 6 71 2 23 4

ITotal all ages 100 0 333 100 1CO 0

-2

he ~3ge ~T -)lJp

two cases under years chldren 2

ye3rs ar1d oy )f ~Thc l8d featGrfgts

Two h~rd8 of the s w re IT Z aland born on n f CHL[ had r org n lL t remamder e per ent n all been born~ lE other overseas cOlmtr e8

rtr~ ~middotla1es 8 Persons

Netl Zealand 680 909 t d 629 [1

~j 4 24

18 18

1CO l 6

15 2

of of tr~e aoave s ace rtb

lTew wea1and years

48 Un teli K 37

eh 35

d

on -=plusmn pe~3cE8

f percent ml110rlty rae

grcmps

Th s of patlents In th~ two recogn s 121 subd s cns as fol1018

Non Naor1

or

Total cases

N recorded were Non-Maor1 comparat1ve proport ons

In actlal nurrbers th h the Jon Maor

tr~ere S

the rela

111 tl_e SJrvey for

ons at rlsk 82-ld

449 304 2 753

2 51 842

race the

[lacr totals for each S8X when t Eo~ever sed n Part 2 qu te G1S UTrence ancer ve 81 of t at ages wh n expos a

s OWlt Th S 18

S are the average The numbels of case n

ODS have b set aga

ed ill each Zealand

the Nat that the

the remalnd r etw en the raCes lS

f tr atm Ilt

group a

groJp ill each sex on at all adult ages of part culex for ~ a1d th

on However t s cl1n surv y

lnd ngs

NON-HAORI

Number Inc

of 10 Llsk cases (5 years)

Q20 1 52 664 - 5 30 39 7

1 204 49 - ) 7 1i

59 1 12 671 59 60 9 75 259 948 0

70 + 2

20 29 144

30 39 140 724 15 40 49 136 1 39 a

J

50 59 ~ 1 1 393 73 6 60 - 69 84 8

75 8 9

OCClrrrence rat 8-1 small nJmb er s of Ilia or S ill

ally

HAOR

NIJIaber

of

cases years)

2

9 028

243 15 24 0

)

0

880

10J

5 3 422 5 14

) 7 Q --1ij 14

899 4 44 J

of 1 1 and 1 cenS1)S s

for the 1 1 Hed Zealand

Clerlcal holesale and retaLL 6 Farmers 19

0 v

5 Craftsmen 37

coPersonal 8erv~ce 4 u

i Ar2ej Forces 0 4

percent of those the surv 111 a s~on as aga nst a Ul tle and over

on n representfit

C02prlS ng 11 to the slCTvey total

pre lSl natIonal CelSU8

Int Ity of c gars ol1VlrOnment

f0110y18

8 IS of 2ale cas

9

4shy

1 1

2

35

5

5

w re classlf ed as Trork ng 45 years

less than In In viell as In

23

Ite or res lYl the 2 caSES vlherE thlS was as folloltls

No prE eXlstillg resp rat d=- 970 72 d seas 61

07 ~

457 23Brnei1 ectas S 1 1

4 ratory dlsease

Total cases

the there was no recorded h1story of of cases resp1ratOry

pr10r of tle mal turn01U In of deDce of Wlg cancer tllere 18

ltl8 tsoever of of over 1 il 4 aff eo w th a Ile ons persons whe have a hlstory of

hron c broncll tlS are at relat c rsk caDcer b1_lt th asence (f a cODtrol group caiees t

ord ng cO 1(tlther El~ropean lnterest ng f chron c t s

Imiddotlaor Total

No pre e v st resp ory dlsease 62 1 ) 970 (71 7 Chroync upper resp ratory d sease 59 2 2 ) 2 ) 61 ( 2 2)

0 brone-11 t 447 ( 8) 10 ( 1 1 45 7 ( 1

tubereulos=-s 85 2) ( 1 3 97 3 Bronclueetas s a 2 1 1 C 4 ) -

Fneuocon 0818 0 5 0 0) 14 0 5) tel lesplrat ease 1 1 ) 7 139 1 )gt 3 JJ 5

Total (L1own) 012658 - 2749

Tll n brackets are ages C the total for the race

ThE two prollilnent d1fferenoeS are

w1tll the lOll but not s 16 o )

on very s s exact probab

be rash to lnterpret trns as ild1cat al1Y assoe1atlon 111 the Imiddot]aor of tuberculos1S 8cld cancer as seems probable that t slillply reflects 8 ll1cldence of Tb 1n the JiIaor

24

T-e s of the rscord of prevlous hlst cancer 1n (a) the pat ent and (b) relatves 1n the 2 cases the nformat1on was recorded was as follows

H1story

H1story

of cancer

cancer

lL

liltJlood re~a t

3

6

H story of cancer 1n both pa~lent and blood relatrve

No of cancer ill e lent or relat1ve 2 38( 91

8 100

In 91 percent the cases there was no recorded h1story of a cancer ill ether the pat1ent or h1S or her blood relat1ves

Three of the pat snts from whom the nformat on as obtanable hlstory ln another t )r orgar

SlX percent of thos case ~ 1ch the nformatlon das obtalnable knew of a cancer d agnosed In a olood relatlve

l11e COIlJDOnest cases where were as follows

Chest pal1l

Blood tlng

Shortness of breath

Rad c

cases

sentat ons vlere noted

oms In those cancer

lotal

Cases

390

325 294

501

745

F

9

~ 95 19

62

155

21

13

16

Cases

535 5 413

2 V7 C

P rcentage

15

8

8

29

10e

i

7

25

rhe common Dresentatlons 1n over one th Id of the tot were and chest comrnoner H Sl ted tumours than n

1ng was a sent ng penn was the reverse the tumours at these val ous s tes a

central tlon of blocd actlllg I ke a fOrelgll b and part ocolud ng a maHl bronchus 1al tlffiour mar 1 kely

auses n were se most on Ll1cers I ThlS table

s t s)

the fud accord ng to

Nods rresentat on Cases Perc

Blocked bronchus sy - 045

Chan e X ray 8

J r) ra Ii th lass tude and loss 217

s 1 3

eheck

P I

Ot11e1s 147

O~ Qs ------1

of pres OL rae S ill lar tern and Haor s

tv P I b1 d brcnchus or some V21r1at on cas s Yle~e char~ce rad

c flndlngs General su h as mala se loss al 0 ae ounted reent SIX r veal d

by the f s riled check un l veal 111 n Hene 11e rarer entatlons 11 cd

clc1bb whe e neUIl tis he

fi tastases led to the d s overy of t d ease n ~63 or cases The exact sltlng the metastases Wh1Ch In t nade were

a stanc metastases 7 b HoaSeneS8 or a nd cat L h lEir tas 45 e ied astlnal obstra on (caval

other 42

n cancer aut (see

one 8 V ew lS rS1nforced abov all t lS (a) grea and ( ) a very d sease best avo ded

0

ms-l the r 1 thal nattAre 1[11e rap

nvade and cilS

ch

lse shows the d sease the lnformatlon re oms as

obt2 ned

J1Jra Cases P 18 age rJlOWll

~J 0 oms 175 c

3 months 454

4 6 months

7 12 months 13

13 24 months 117 4

24 months 2nd over 3 Not kCQD

lotal s 100

ever SlX percent

ent he th~s survey had observed no symptoms what soshy

t 3 months and 22 ent from 4 up to 6 of the total of 1n survey who

rtedical atent1on It would be seek ng a lledi al Opll1l0n [ould

oms Here sev re nattLre Ir the r

abOVE normal

and treated the the per od of survlval oms and detect ease and referr1ng the

smgeon s nost ences susce as most of those survey

pat1ents for Patlents

iere in therr own lnterest bave been alert to any of resplratory annual check ohest fllms

The tabu~at on of 2-lg subJ ts W2 th n es t

fran oms accord e ata a1

to race Y1 01

and

o 3 months 20nths

13 24 ronths Over 24 1orths

408

596

3

113

68

46

12

4

1 454 616

378 117

76

2 c 1 go 6L1

n terms of of race totals ae to lng somewhat

-

Drropean Ilaorl c JJ 2 51 ~7

LJ 4 L 2

14 3 3 4 4 4 4

2 7 8

There 13 a h proportlon of Maorls ln th but El v ew of the numb rs tIns s of no statlst

The appearances after the ill tlal X ray lnvest ons are llst as fol10Hs

PerInlaal A ray f1d DgS Cases of kI10Hn

25 590 22

509 19 Pn DmonlC consol1dat 472 17 Other 184 7 Cav tat on 98 4

1 ty EL1d 3 Multlple opacity 68 2

Normal chest f 1m 38 Kot known 124

Total CBses 848 100

most common fUld ng percent of cases followed perl opac ty percent of cases percentand pneumonlc consolldat on 17 percent

a new category was added Iv normal ches~ fllm ill s vras proven by sputum cyt orbronchoscop c b psy category b en d as be ng necessary when the 1lectlon form was drawl lt lS ertaln on percent for normal chest f lIT would have en ncr as d

Tl~e of 3 ord c~ of the rs are presented HJ the three f 011 ml

1 44

Seft lung

i Both 4

The les10ns were lstr buted the normal 81atomlcal s

46 percent percent lnvolv

Ille lcular ocatlon ti1e cancers fomd whether ce1tral or perl group rere follows

d strlbutlon c81tral and per (1

Q ~-

FIGURE

The Prlmary LLLl1g Cancers

lE hlS survey dlvlded ln~o those ill entral bronchl ( cO

and lDcludncg the or g TIS of the s condary bronclu) and In=~~~~~

LOBAR SITE I

centrol and peripheral

~14~

o ~~CD-- 3 I-- 9 1

91~ 1

~ t ~ reg f~ ~~ reg

52

The dlstr butlon In present ~lon IS as follows

upper lobe upper lobe c d lobe 3 R fficd lobe

10der lob 10e1 10e

nalL bronchus

r --obe 14 L npper lobe

n

f gures ~ndlca Ions of the CCclCBL tra t 1 or maln -~)ronchi arlG

S C are those more the s te of cancer formatIon

The conclusIve d made the bJses for dlagroses dere as

BaSIS for dlagLosls

( flUld ( SF~ltUm 402

1(bronch al I i 4

brOHchoscOPlC Ie or asplrat on 82Biopsy

nod 1 oIll

367

(non prc)ven hlst

2

exposed to tobacco of the

ffiutatlol aLd

lC cell The

14 4

3 56

I118 1n le- ealand percent of and lndeed

13 h

It

In q 1

perc nt p rcent

for 111 27 of krlOwn

the d1agnos s W1supported

111

CELL TYPES

1 ~c

table compares the f 121 males and

Iilales

jdenocarc

Brorch

Aienoma

Adenoma

und fferent

W1d n

olar

p ov n

ated

at d

ell)

17

49 24

18

o

4

51 100

sexes

was c wer

a wde dlspar wlth 333

statls~lcally gn f

tuxours Here sen the total

ant

male and female es as between the

total of mal

Und ffer ated cell tumours common n mal and

middotrhether Or large cell wer

noma was very much females as aga nat 8

alveolar cell car noma E -hs st n mal s

rar 4

m th

was v total

ontr but

ry much mol

12

ars I-Ih thsre rae al dlIfe s n 1 c s cilstrl nt

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

Non Naor1

or

Total cases

N recorded were Non-Maor1 comparat1ve proport ons

In actlal nurrbers th h the Jon Maor

tr~ere S

the rela

111 tl_e SJrvey for

ons at rlsk 82-ld

449 304 2 753

2 51 842

race the

[lacr totals for each S8X when t Eo~ever sed n Part 2 qu te G1S UTrence ancer ve 81 of t at ages wh n expos a

s OWlt Th S 18

S are the average The numbels of case n

ODS have b set aga

ed ill each Zealand

the Nat that the

the remalnd r etw en the raCes lS

f tr atm Ilt

group a

groJp ill each sex on at all adult ages of part culex for ~ a1d th

on However t s cl1n surv y

lnd ngs

NON-HAORI

Number Inc

of 10 Llsk cases (5 years)

Q20 1 52 664 - 5 30 39 7

1 204 49 - ) 7 1i

59 1 12 671 59 60 9 75 259 948 0

70 + 2

20 29 144

30 39 140 724 15 40 49 136 1 39 a

J

50 59 ~ 1 1 393 73 6 60 - 69 84 8

75 8 9

OCClrrrence rat 8-1 small nJmb er s of Ilia or S ill

ally

HAOR

NIJIaber

of

cases years)

2

9 028

243 15 24 0

)

0

880

10J

5 3 422 5 14

) 7 Q --1ij 14

899 4 44 J

of 1 1 and 1 cenS1)S s

for the 1 1 Hed Zealand

Clerlcal holesale and retaLL 6 Farmers 19

0 v

5 Craftsmen 37

coPersonal 8erv~ce 4 u

i Ar2ej Forces 0 4

percent of those the surv 111 a s~on as aga nst a Ul tle and over

on n representfit

C02prlS ng 11 to the slCTvey total

pre lSl natIonal CelSU8

Int Ity of c gars ol1VlrOnment

f0110y18

8 IS of 2ale cas

9

4shy

1 1

2

35

5

5

w re classlf ed as Trork ng 45 years

less than In In viell as In

23

Ite or res lYl the 2 caSES vlherE thlS was as folloltls

No prE eXlstillg resp rat d=- 970 72 d seas 61

07 ~

457 23Brnei1 ectas S 1 1

4 ratory dlsease

Total cases

the there was no recorded h1story of of cases resp1ratOry

pr10r of tle mal turn01U In of deDce of Wlg cancer tllere 18

ltl8 tsoever of of over 1 il 4 aff eo w th a Ile ons persons whe have a hlstory of

hron c broncll tlS are at relat c rsk caDcer b1_lt th asence (f a cODtrol group caiees t

ord ng cO 1(tlther El~ropean lnterest ng f chron c t s

Imiddotlaor Total

No pre e v st resp ory dlsease 62 1 ) 970 (71 7 Chroync upper resp ratory d sease 59 2 2 ) 2 ) 61 ( 2 2)

0 brone-11 t 447 ( 8) 10 ( 1 1 45 7 ( 1

tubereulos=-s 85 2) ( 1 3 97 3 Bronclueetas s a 2 1 1 C 4 ) -

Fneuocon 0818 0 5 0 0) 14 0 5) tel lesplrat ease 1 1 ) 7 139 1 )gt 3 JJ 5

Total (L1own) 012658 - 2749

Tll n brackets are ages C the total for the race

ThE two prollilnent d1fferenoeS are

w1tll the lOll but not s 16 o )

on very s s exact probab

be rash to lnterpret trns as ild1cat al1Y assoe1atlon 111 the Imiddot]aor of tuberculos1S 8cld cancer as seems probable that t slillply reflects 8 ll1cldence of Tb 1n the JiIaor

24

T-e s of the rscord of prevlous hlst cancer 1n (a) the pat ent and (b) relatves 1n the 2 cases the nformat1on was recorded was as follows

H1story

H1story

of cancer

cancer

lL

liltJlood re~a t

3

6

H story of cancer 1n both pa~lent and blood relatrve

No of cancer ill e lent or relat1ve 2 38( 91

8 100

In 91 percent the cases there was no recorded h1story of a cancer ill ether the pat1ent or h1S or her blood relat1ves

Three of the pat snts from whom the nformat on as obtanable hlstory ln another t )r orgar

SlX percent of thos case ~ 1ch the nformatlon das obtalnable knew of a cancer d agnosed In a olood relatlve

l11e COIlJDOnest cases where were as follows

Chest pal1l

Blood tlng

Shortness of breath

Rad c

cases

sentat ons vlere noted

oms In those cancer

lotal

Cases

390

325 294

501

745

F

9

~ 95 19

62

155

21

13

16

Cases

535 5 413

2 V7 C

P rcentage

15

8

8

29

10e

i

7

25

rhe common Dresentatlons 1n over one th Id of the tot were and chest comrnoner H Sl ted tumours than n

1ng was a sent ng penn was the reverse the tumours at these val ous s tes a

central tlon of blocd actlllg I ke a fOrelgll b and part ocolud ng a maHl bronchus 1al tlffiour mar 1 kely

auses n were se most on Ll1cers I ThlS table

s t s)

the fud accord ng to

Nods rresentat on Cases Perc

Blocked bronchus sy - 045

Chan e X ray 8

J r) ra Ii th lass tude and loss 217

s 1 3

eheck

P I

Ot11e1s 147

O~ Qs ------1

of pres OL rae S ill lar tern and Haor s

tv P I b1 d brcnchus or some V21r1at on cas s Yle~e char~ce rad

c flndlngs General su h as mala se loss al 0 ae ounted reent SIX r veal d

by the f s riled check un l veal 111 n Hene 11e rarer entatlons 11 cd

clc1bb whe e neUIl tis he

fi tastases led to the d s overy of t d ease n ~63 or cases The exact sltlng the metastases Wh1Ch In t nade were

a stanc metastases 7 b HoaSeneS8 or a nd cat L h lEir tas 45 e ied astlnal obstra on (caval

other 42

n cancer aut (see

one 8 V ew lS rS1nforced abov all t lS (a) grea and ( ) a very d sease best avo ded

0

ms-l the r 1 thal nattAre 1[11e rap

nvade and cilS

ch

lse shows the d sease the lnformatlon re oms as

obt2 ned

J1Jra Cases P 18 age rJlOWll

~J 0 oms 175 c

3 months 454

4 6 months

7 12 months 13

13 24 months 117 4

24 months 2nd over 3 Not kCQD

lotal s 100

ever SlX percent

ent he th~s survey had observed no symptoms what soshy

t 3 months and 22 ent from 4 up to 6 of the total of 1n survey who

rtedical atent1on It would be seek ng a lledi al Opll1l0n [ould

oms Here sev re nattLre Ir the r

abOVE normal

and treated the the per od of survlval oms and detect ease and referr1ng the

smgeon s nost ences susce as most of those survey

pat1ents for Patlents

iere in therr own lnterest bave been alert to any of resplratory annual check ohest fllms

The tabu~at on of 2-lg subJ ts W2 th n es t

fran oms accord e ata a1

to race Y1 01

and

o 3 months 20nths

13 24 ronths Over 24 1orths

408

596

3

113

68

46

12

4

1 454 616

378 117

76

2 c 1 go 6L1

n terms of of race totals ae to lng somewhat

-

Drropean Ilaorl c JJ 2 51 ~7

LJ 4 L 2

14 3 3 4 4 4 4

2 7 8

There 13 a h proportlon of Maorls ln th but El v ew of the numb rs tIns s of no statlst

The appearances after the ill tlal X ray lnvest ons are llst as fol10Hs

PerInlaal A ray f1d DgS Cases of kI10Hn

25 590 22

509 19 Pn DmonlC consol1dat 472 17 Other 184 7 Cav tat on 98 4

1 ty EL1d 3 Multlple opacity 68 2

Normal chest f 1m 38 Kot known 124

Total CBses 848 100

most common fUld ng percent of cases followed perl opac ty percent of cases percentand pneumonlc consolldat on 17 percent

a new category was added Iv normal ches~ fllm ill s vras proven by sputum cyt orbronchoscop c b psy category b en d as be ng necessary when the 1lectlon form was drawl lt lS ertaln on percent for normal chest f lIT would have en ncr as d

Tl~e of 3 ord c~ of the rs are presented HJ the three f 011 ml

1 44

Seft lung

i Both 4

The les10ns were lstr buted the normal 81atomlcal s

46 percent percent lnvolv

Ille lcular ocatlon ti1e cancers fomd whether ce1tral or perl group rere follows

d strlbutlon c81tral and per (1

Q ~-

FIGURE

The Prlmary LLLl1g Cancers

lE hlS survey dlvlded ln~o those ill entral bronchl ( cO

and lDcludncg the or g TIS of the s condary bronclu) and In=~~~~~

LOBAR SITE I

centrol and peripheral

~14~

o ~~CD-- 3 I-- 9 1

91~ 1

~ t ~ reg f~ ~~ reg

52

The dlstr butlon In present ~lon IS as follows

upper lobe upper lobe c d lobe 3 R fficd lobe

10der lob 10e1 10e

nalL bronchus

r --obe 14 L npper lobe

n

f gures ~ndlca Ions of the CCclCBL tra t 1 or maln -~)ronchi arlG

S C are those more the s te of cancer formatIon

The conclusIve d made the bJses for dlagroses dere as

BaSIS for dlagLosls

( flUld ( SF~ltUm 402

1(bronch al I i 4

brOHchoscOPlC Ie or asplrat on 82Biopsy

nod 1 oIll

367

(non prc)ven hlst

2

exposed to tobacco of the

ffiutatlol aLd

lC cell The

14 4

3 56

I118 1n le- ealand percent of and lndeed

13 h

It

In q 1

perc nt p rcent

for 111 27 of krlOwn

the d1agnos s W1supported

111

CELL TYPES

1 ~c

table compares the f 121 males and

Iilales

jdenocarc

Brorch

Aienoma

Adenoma

und fferent

W1d n

olar

p ov n

ated

at d

ell)

17

49 24

18

o

4

51 100

sexes

was c wer

a wde dlspar wlth 333

statls~lcally gn f

tuxours Here sen the total

ant

male and female es as between the

total of mal

Und ffer ated cell tumours common n mal and

middotrhether Or large cell wer

noma was very much females as aga nat 8

alveolar cell car noma E -hs st n mal s

rar 4

m th

was v total

ontr but

ry much mol

12

ars I-Ih thsre rae al dlIfe s n 1 c s cilstrl nt

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

for the 1 1 Hed Zealand

Clerlcal holesale and retaLL 6 Farmers 19

0 v

5 Craftsmen 37

coPersonal 8erv~ce 4 u

i Ar2ej Forces 0 4

percent of those the surv 111 a s~on as aga nst a Ul tle and over

on n representfit

C02prlS ng 11 to the slCTvey total

pre lSl natIonal CelSU8

Int Ity of c gars ol1VlrOnment

f0110y18

8 IS of 2ale cas

9

4shy

1 1

2

35

5

5

w re classlf ed as Trork ng 45 years

less than In In viell as In

23

Ite or res lYl the 2 caSES vlherE thlS was as folloltls

No prE eXlstillg resp rat d=- 970 72 d seas 61

07 ~

457 23Brnei1 ectas S 1 1

4 ratory dlsease

Total cases

the there was no recorded h1story of of cases resp1ratOry

pr10r of tle mal turn01U In of deDce of Wlg cancer tllere 18

ltl8 tsoever of of over 1 il 4 aff eo w th a Ile ons persons whe have a hlstory of

hron c broncll tlS are at relat c rsk caDcer b1_lt th asence (f a cODtrol group caiees t

ord ng cO 1(tlther El~ropean lnterest ng f chron c t s

Imiddotlaor Total

No pre e v st resp ory dlsease 62 1 ) 970 (71 7 Chroync upper resp ratory d sease 59 2 2 ) 2 ) 61 ( 2 2)

0 brone-11 t 447 ( 8) 10 ( 1 1 45 7 ( 1

tubereulos=-s 85 2) ( 1 3 97 3 Bronclueetas s a 2 1 1 C 4 ) -

Fneuocon 0818 0 5 0 0) 14 0 5) tel lesplrat ease 1 1 ) 7 139 1 )gt 3 JJ 5

Total (L1own) 012658 - 2749

Tll n brackets are ages C the total for the race

ThE two prollilnent d1fferenoeS are

w1tll the lOll but not s 16 o )

on very s s exact probab

be rash to lnterpret trns as ild1cat al1Y assoe1atlon 111 the Imiddot]aor of tuberculos1S 8cld cancer as seems probable that t slillply reflects 8 ll1cldence of Tb 1n the JiIaor

24

T-e s of the rscord of prevlous hlst cancer 1n (a) the pat ent and (b) relatves 1n the 2 cases the nformat1on was recorded was as follows

H1story

H1story

of cancer

cancer

lL

liltJlood re~a t

3

6

H story of cancer 1n both pa~lent and blood relatrve

No of cancer ill e lent or relat1ve 2 38( 91

8 100

In 91 percent the cases there was no recorded h1story of a cancer ill ether the pat1ent or h1S or her blood relat1ves

Three of the pat snts from whom the nformat on as obtanable hlstory ln another t )r orgar

SlX percent of thos case ~ 1ch the nformatlon das obtalnable knew of a cancer d agnosed In a olood relatlve

l11e COIlJDOnest cases where were as follows

Chest pal1l

Blood tlng

Shortness of breath

Rad c

cases

sentat ons vlere noted

oms In those cancer

lotal

Cases

390

325 294

501

745

F

9

~ 95 19

62

155

21

13

16

Cases

535 5 413

2 V7 C

P rcentage

15

8

8

29

10e

i

7

25

rhe common Dresentatlons 1n over one th Id of the tot were and chest comrnoner H Sl ted tumours than n

1ng was a sent ng penn was the reverse the tumours at these val ous s tes a

central tlon of blocd actlllg I ke a fOrelgll b and part ocolud ng a maHl bronchus 1al tlffiour mar 1 kely

auses n were se most on Ll1cers I ThlS table

s t s)

the fud accord ng to

Nods rresentat on Cases Perc

Blocked bronchus sy - 045

Chan e X ray 8

J r) ra Ii th lass tude and loss 217

s 1 3

eheck

P I

Ot11e1s 147

O~ Qs ------1

of pres OL rae S ill lar tern and Haor s

tv P I b1 d brcnchus or some V21r1at on cas s Yle~e char~ce rad

c flndlngs General su h as mala se loss al 0 ae ounted reent SIX r veal d

by the f s riled check un l veal 111 n Hene 11e rarer entatlons 11 cd

clc1bb whe e neUIl tis he

fi tastases led to the d s overy of t d ease n ~63 or cases The exact sltlng the metastases Wh1Ch In t nade were

a stanc metastases 7 b HoaSeneS8 or a nd cat L h lEir tas 45 e ied astlnal obstra on (caval

other 42

n cancer aut (see

one 8 V ew lS rS1nforced abov all t lS (a) grea and ( ) a very d sease best avo ded

0

ms-l the r 1 thal nattAre 1[11e rap

nvade and cilS

ch

lse shows the d sease the lnformatlon re oms as

obt2 ned

J1Jra Cases P 18 age rJlOWll

~J 0 oms 175 c

3 months 454

4 6 months

7 12 months 13

13 24 months 117 4

24 months 2nd over 3 Not kCQD

lotal s 100

ever SlX percent

ent he th~s survey had observed no symptoms what soshy

t 3 months and 22 ent from 4 up to 6 of the total of 1n survey who

rtedical atent1on It would be seek ng a lledi al Opll1l0n [ould

oms Here sev re nattLre Ir the r

abOVE normal

and treated the the per od of survlval oms and detect ease and referr1ng the

smgeon s nost ences susce as most of those survey

pat1ents for Patlents

iere in therr own lnterest bave been alert to any of resplratory annual check ohest fllms

The tabu~at on of 2-lg subJ ts W2 th n es t

fran oms accord e ata a1

to race Y1 01

and

o 3 months 20nths

13 24 ronths Over 24 1orths

408

596

3

113

68

46

12

4

1 454 616

378 117

76

2 c 1 go 6L1

n terms of of race totals ae to lng somewhat

-

Drropean Ilaorl c JJ 2 51 ~7

LJ 4 L 2

14 3 3 4 4 4 4

2 7 8

There 13 a h proportlon of Maorls ln th but El v ew of the numb rs tIns s of no statlst

The appearances after the ill tlal X ray lnvest ons are llst as fol10Hs

PerInlaal A ray f1d DgS Cases of kI10Hn

25 590 22

509 19 Pn DmonlC consol1dat 472 17 Other 184 7 Cav tat on 98 4

1 ty EL1d 3 Multlple opacity 68 2

Normal chest f 1m 38 Kot known 124

Total CBses 848 100

most common fUld ng percent of cases followed perl opac ty percent of cases percentand pneumonlc consolldat on 17 percent

a new category was added Iv normal ches~ fllm ill s vras proven by sputum cyt orbronchoscop c b psy category b en d as be ng necessary when the 1lectlon form was drawl lt lS ertaln on percent for normal chest f lIT would have en ncr as d

Tl~e of 3 ord c~ of the rs are presented HJ the three f 011 ml

1 44

Seft lung

i Both 4

The les10ns were lstr buted the normal 81atomlcal s

46 percent percent lnvolv

Ille lcular ocatlon ti1e cancers fomd whether ce1tral or perl group rere follows

d strlbutlon c81tral and per (1

Q ~-

FIGURE

The Prlmary LLLl1g Cancers

lE hlS survey dlvlded ln~o those ill entral bronchl ( cO

and lDcludncg the or g TIS of the s condary bronclu) and In=~~~~~

LOBAR SITE I

centrol and peripheral

~14~

o ~~CD-- 3 I-- 9 1

91~ 1

~ t ~ reg f~ ~~ reg

52

The dlstr butlon In present ~lon IS as follows

upper lobe upper lobe c d lobe 3 R fficd lobe

10der lob 10e1 10e

nalL bronchus

r --obe 14 L npper lobe

n

f gures ~ndlca Ions of the CCclCBL tra t 1 or maln -~)ronchi arlG

S C are those more the s te of cancer formatIon

The conclusIve d made the bJses for dlagroses dere as

BaSIS for dlagLosls

( flUld ( SF~ltUm 402

1(bronch al I i 4

brOHchoscOPlC Ie or asplrat on 82Biopsy

nod 1 oIll

367

(non prc)ven hlst

2

exposed to tobacco of the

ffiutatlol aLd

lC cell The

14 4

3 56

I118 1n le- ealand percent of and lndeed

13 h

It

In q 1

perc nt p rcent

for 111 27 of krlOwn

the d1agnos s W1supported

111

CELL TYPES

1 ~c

table compares the f 121 males and

Iilales

jdenocarc

Brorch

Aienoma

Adenoma

und fferent

W1d n

olar

p ov n

ated

at d

ell)

17

49 24

18

o

4

51 100

sexes

was c wer

a wde dlspar wlth 333

statls~lcally gn f

tuxours Here sen the total

ant

male and female es as between the

total of mal

Und ffer ated cell tumours common n mal and

middotrhether Or large cell wer

noma was very much females as aga nat 8

alveolar cell car noma E -hs st n mal s

rar 4

m th

was v total

ontr but

ry much mol

12

ars I-Ih thsre rae al dlIfe s n 1 c s cilstrl nt

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

23

Ite or res lYl the 2 caSES vlherE thlS was as folloltls

No prE eXlstillg resp rat d=- 970 72 d seas 61

07 ~

457 23Brnei1 ectas S 1 1

4 ratory dlsease

Total cases

the there was no recorded h1story of of cases resp1ratOry

pr10r of tle mal turn01U In of deDce of Wlg cancer tllere 18

ltl8 tsoever of of over 1 il 4 aff eo w th a Ile ons persons whe have a hlstory of

hron c broncll tlS are at relat c rsk caDcer b1_lt th asence (f a cODtrol group caiees t

ord ng cO 1(tlther El~ropean lnterest ng f chron c t s

Imiddotlaor Total

No pre e v st resp ory dlsease 62 1 ) 970 (71 7 Chroync upper resp ratory d sease 59 2 2 ) 2 ) 61 ( 2 2)

0 brone-11 t 447 ( 8) 10 ( 1 1 45 7 ( 1

tubereulos=-s 85 2) ( 1 3 97 3 Bronclueetas s a 2 1 1 C 4 ) -

Fneuocon 0818 0 5 0 0) 14 0 5) tel lesplrat ease 1 1 ) 7 139 1 )gt 3 JJ 5

Total (L1own) 012658 - 2749

Tll n brackets are ages C the total for the race

ThE two prollilnent d1fferenoeS are

w1tll the lOll but not s 16 o )

on very s s exact probab

be rash to lnterpret trns as ild1cat al1Y assoe1atlon 111 the Imiddot]aor of tuberculos1S 8cld cancer as seems probable that t slillply reflects 8 ll1cldence of Tb 1n the JiIaor

24

T-e s of the rscord of prevlous hlst cancer 1n (a) the pat ent and (b) relatves 1n the 2 cases the nformat1on was recorded was as follows

H1story

H1story

of cancer

cancer

lL

liltJlood re~a t

3

6

H story of cancer 1n both pa~lent and blood relatrve

No of cancer ill e lent or relat1ve 2 38( 91

8 100

In 91 percent the cases there was no recorded h1story of a cancer ill ether the pat1ent or h1S or her blood relat1ves

Three of the pat snts from whom the nformat on as obtanable hlstory ln another t )r orgar

SlX percent of thos case ~ 1ch the nformatlon das obtalnable knew of a cancer d agnosed In a olood relatlve

l11e COIlJDOnest cases where were as follows

Chest pal1l

Blood tlng

Shortness of breath

Rad c

cases

sentat ons vlere noted

oms In those cancer

lotal

Cases

390

325 294

501

745

F

9

~ 95 19

62

155

21

13

16

Cases

535 5 413

2 V7 C

P rcentage

15

8

8

29

10e

i

7

25

rhe common Dresentatlons 1n over one th Id of the tot were and chest comrnoner H Sl ted tumours than n

1ng was a sent ng penn was the reverse the tumours at these val ous s tes a

central tlon of blocd actlllg I ke a fOrelgll b and part ocolud ng a maHl bronchus 1al tlffiour mar 1 kely

auses n were se most on Ll1cers I ThlS table

s t s)

the fud accord ng to

Nods rresentat on Cases Perc

Blocked bronchus sy - 045

Chan e X ray 8

J r) ra Ii th lass tude and loss 217

s 1 3

eheck

P I

Ot11e1s 147

O~ Qs ------1

of pres OL rae S ill lar tern and Haor s

tv P I b1 d brcnchus or some V21r1at on cas s Yle~e char~ce rad

c flndlngs General su h as mala se loss al 0 ae ounted reent SIX r veal d

by the f s riled check un l veal 111 n Hene 11e rarer entatlons 11 cd

clc1bb whe e neUIl tis he

fi tastases led to the d s overy of t d ease n ~63 or cases The exact sltlng the metastases Wh1Ch In t nade were

a stanc metastases 7 b HoaSeneS8 or a nd cat L h lEir tas 45 e ied astlnal obstra on (caval

other 42

n cancer aut (see

one 8 V ew lS rS1nforced abov all t lS (a) grea and ( ) a very d sease best avo ded

0

ms-l the r 1 thal nattAre 1[11e rap

nvade and cilS

ch

lse shows the d sease the lnformatlon re oms as

obt2 ned

J1Jra Cases P 18 age rJlOWll

~J 0 oms 175 c

3 months 454

4 6 months

7 12 months 13

13 24 months 117 4

24 months 2nd over 3 Not kCQD

lotal s 100

ever SlX percent

ent he th~s survey had observed no symptoms what soshy

t 3 months and 22 ent from 4 up to 6 of the total of 1n survey who

rtedical atent1on It would be seek ng a lledi al Opll1l0n [ould

oms Here sev re nattLre Ir the r

abOVE normal

and treated the the per od of survlval oms and detect ease and referr1ng the

smgeon s nost ences susce as most of those survey

pat1ents for Patlents

iere in therr own lnterest bave been alert to any of resplratory annual check ohest fllms

The tabu~at on of 2-lg subJ ts W2 th n es t

fran oms accord e ata a1

to race Y1 01

and

o 3 months 20nths

13 24 ronths Over 24 1orths

408

596

3

113

68

46

12

4

1 454 616

378 117

76

2 c 1 go 6L1

n terms of of race totals ae to lng somewhat

-

Drropean Ilaorl c JJ 2 51 ~7

LJ 4 L 2

14 3 3 4 4 4 4

2 7 8

There 13 a h proportlon of Maorls ln th but El v ew of the numb rs tIns s of no statlst

The appearances after the ill tlal X ray lnvest ons are llst as fol10Hs

PerInlaal A ray f1d DgS Cases of kI10Hn

25 590 22

509 19 Pn DmonlC consol1dat 472 17 Other 184 7 Cav tat on 98 4

1 ty EL1d 3 Multlple opacity 68 2

Normal chest f 1m 38 Kot known 124

Total CBses 848 100

most common fUld ng percent of cases followed perl opac ty percent of cases percentand pneumonlc consolldat on 17 percent

a new category was added Iv normal ches~ fllm ill s vras proven by sputum cyt orbronchoscop c b psy category b en d as be ng necessary when the 1lectlon form was drawl lt lS ertaln on percent for normal chest f lIT would have en ncr as d

Tl~e of 3 ord c~ of the rs are presented HJ the three f 011 ml

1 44

Seft lung

i Both 4

The les10ns were lstr buted the normal 81atomlcal s

46 percent percent lnvolv

Ille lcular ocatlon ti1e cancers fomd whether ce1tral or perl group rere follows

d strlbutlon c81tral and per (1

Q ~-

FIGURE

The Prlmary LLLl1g Cancers

lE hlS survey dlvlded ln~o those ill entral bronchl ( cO

and lDcludncg the or g TIS of the s condary bronclu) and In=~~~~~

LOBAR SITE I

centrol and peripheral

~14~

o ~~CD-- 3 I-- 9 1

91~ 1

~ t ~ reg f~ ~~ reg

52

The dlstr butlon In present ~lon IS as follows

upper lobe upper lobe c d lobe 3 R fficd lobe

10der lob 10e1 10e

nalL bronchus

r --obe 14 L npper lobe

n

f gures ~ndlca Ions of the CCclCBL tra t 1 or maln -~)ronchi arlG

S C are those more the s te of cancer formatIon

The conclusIve d made the bJses for dlagroses dere as

BaSIS for dlagLosls

( flUld ( SF~ltUm 402

1(bronch al I i 4

brOHchoscOPlC Ie or asplrat on 82Biopsy

nod 1 oIll

367

(non prc)ven hlst

2

exposed to tobacco of the

ffiutatlol aLd

lC cell The

14 4

3 56

I118 1n le- ealand percent of and lndeed

13 h

It

In q 1

perc nt p rcent

for 111 27 of krlOwn

the d1agnos s W1supported

111

CELL TYPES

1 ~c

table compares the f 121 males and

Iilales

jdenocarc

Brorch

Aienoma

Adenoma

und fferent

W1d n

olar

p ov n

ated

at d

ell)

17

49 24

18

o

4

51 100

sexes

was c wer

a wde dlspar wlth 333

statls~lcally gn f

tuxours Here sen the total

ant

male and female es as between the

total of mal

Und ffer ated cell tumours common n mal and

middotrhether Or large cell wer

noma was very much females as aga nat 8

alveolar cell car noma E -hs st n mal s

rar 4

m th

was v total

ontr but

ry much mol

12

ars I-Ih thsre rae al dlIfe s n 1 c s cilstrl nt

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

24

T-e s of the rscord of prevlous hlst cancer 1n (a) the pat ent and (b) relatves 1n the 2 cases the nformat1on was recorded was as follows

H1story

H1story

of cancer

cancer

lL

liltJlood re~a t

3

6

H story of cancer 1n both pa~lent and blood relatrve

No of cancer ill e lent or relat1ve 2 38( 91

8 100

In 91 percent the cases there was no recorded h1story of a cancer ill ether the pat1ent or h1S or her blood relat1ves

Three of the pat snts from whom the nformat on as obtanable hlstory ln another t )r orgar

SlX percent of thos case ~ 1ch the nformatlon das obtalnable knew of a cancer d agnosed In a olood relatlve

l11e COIlJDOnest cases where were as follows

Chest pal1l

Blood tlng

Shortness of breath

Rad c

cases

sentat ons vlere noted

oms In those cancer

lotal

Cases

390

325 294

501

745

F

9

~ 95 19

62

155

21

13

16

Cases

535 5 413

2 V7 C

P rcentage

15

8

8

29

10e

i

7

25

rhe common Dresentatlons 1n over one th Id of the tot were and chest comrnoner H Sl ted tumours than n

1ng was a sent ng penn was the reverse the tumours at these val ous s tes a

central tlon of blocd actlllg I ke a fOrelgll b and part ocolud ng a maHl bronchus 1al tlffiour mar 1 kely

auses n were se most on Ll1cers I ThlS table

s t s)

the fud accord ng to

Nods rresentat on Cases Perc

Blocked bronchus sy - 045

Chan e X ray 8

J r) ra Ii th lass tude and loss 217

s 1 3

eheck

P I

Ot11e1s 147

O~ Qs ------1

of pres OL rae S ill lar tern and Haor s

tv P I b1 d brcnchus or some V21r1at on cas s Yle~e char~ce rad

c flndlngs General su h as mala se loss al 0 ae ounted reent SIX r veal d

by the f s riled check un l veal 111 n Hene 11e rarer entatlons 11 cd

clc1bb whe e neUIl tis he

fi tastases led to the d s overy of t d ease n ~63 or cases The exact sltlng the metastases Wh1Ch In t nade were

a stanc metastases 7 b HoaSeneS8 or a nd cat L h lEir tas 45 e ied astlnal obstra on (caval

other 42

n cancer aut (see

one 8 V ew lS rS1nforced abov all t lS (a) grea and ( ) a very d sease best avo ded

0

ms-l the r 1 thal nattAre 1[11e rap

nvade and cilS

ch

lse shows the d sease the lnformatlon re oms as

obt2 ned

J1Jra Cases P 18 age rJlOWll

~J 0 oms 175 c

3 months 454

4 6 months

7 12 months 13

13 24 months 117 4

24 months 2nd over 3 Not kCQD

lotal s 100

ever SlX percent

ent he th~s survey had observed no symptoms what soshy

t 3 months and 22 ent from 4 up to 6 of the total of 1n survey who

rtedical atent1on It would be seek ng a lledi al Opll1l0n [ould

oms Here sev re nattLre Ir the r

abOVE normal

and treated the the per od of survlval oms and detect ease and referr1ng the

smgeon s nost ences susce as most of those survey

pat1ents for Patlents

iere in therr own lnterest bave been alert to any of resplratory annual check ohest fllms

The tabu~at on of 2-lg subJ ts W2 th n es t

fran oms accord e ata a1

to race Y1 01

and

o 3 months 20nths

13 24 ronths Over 24 1orths

408

596

3

113

68

46

12

4

1 454 616

378 117

76

2 c 1 go 6L1

n terms of of race totals ae to lng somewhat

-

Drropean Ilaorl c JJ 2 51 ~7

LJ 4 L 2

14 3 3 4 4 4 4

2 7 8

There 13 a h proportlon of Maorls ln th but El v ew of the numb rs tIns s of no statlst

The appearances after the ill tlal X ray lnvest ons are llst as fol10Hs

PerInlaal A ray f1d DgS Cases of kI10Hn

25 590 22

509 19 Pn DmonlC consol1dat 472 17 Other 184 7 Cav tat on 98 4

1 ty EL1d 3 Multlple opacity 68 2

Normal chest f 1m 38 Kot known 124

Total CBses 848 100

most common fUld ng percent of cases followed perl opac ty percent of cases percentand pneumonlc consolldat on 17 percent

a new category was added Iv normal ches~ fllm ill s vras proven by sputum cyt orbronchoscop c b psy category b en d as be ng necessary when the 1lectlon form was drawl lt lS ertaln on percent for normal chest f lIT would have en ncr as d

Tl~e of 3 ord c~ of the rs are presented HJ the three f 011 ml

1 44

Seft lung

i Both 4

The les10ns were lstr buted the normal 81atomlcal s

46 percent percent lnvolv

Ille lcular ocatlon ti1e cancers fomd whether ce1tral or perl group rere follows

d strlbutlon c81tral and per (1

Q ~-

FIGURE

The Prlmary LLLl1g Cancers

lE hlS survey dlvlded ln~o those ill entral bronchl ( cO

and lDcludncg the or g TIS of the s condary bronclu) and In=~~~~~

LOBAR SITE I

centrol and peripheral

~14~

o ~~CD-- 3 I-- 9 1

91~ 1

~ t ~ reg f~ ~~ reg

52

The dlstr butlon In present ~lon IS as follows

upper lobe upper lobe c d lobe 3 R fficd lobe

10der lob 10e1 10e

nalL bronchus

r --obe 14 L npper lobe

n

f gures ~ndlca Ions of the CCclCBL tra t 1 or maln -~)ronchi arlG

S C are those more the s te of cancer formatIon

The conclusIve d made the bJses for dlagroses dere as

BaSIS for dlagLosls

( flUld ( SF~ltUm 402

1(bronch al I i 4

brOHchoscOPlC Ie or asplrat on 82Biopsy

nod 1 oIll

367

(non prc)ven hlst

2

exposed to tobacco of the

ffiutatlol aLd

lC cell The

14 4

3 56

I118 1n le- ealand percent of and lndeed

13 h

It

In q 1

perc nt p rcent

for 111 27 of krlOwn

the d1agnos s W1supported

111

CELL TYPES

1 ~c

table compares the f 121 males and

Iilales

jdenocarc

Brorch

Aienoma

Adenoma

und fferent

W1d n

olar

p ov n

ated

at d

ell)

17

49 24

18

o

4

51 100

sexes

was c wer

a wde dlspar wlth 333

statls~lcally gn f

tuxours Here sen the total

ant

male and female es as between the

total of mal

Und ffer ated cell tumours common n mal and

middotrhether Or large cell wer

noma was very much females as aga nat 8

alveolar cell car noma E -hs st n mal s

rar 4

m th

was v total

ontr but

ry much mol

12

ars I-Ih thsre rae al dlIfe s n 1 c s cilstrl nt

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

7

25

rhe common Dresentatlons 1n over one th Id of the tot were and chest comrnoner H Sl ted tumours than n

1ng was a sent ng penn was the reverse the tumours at these val ous s tes a

central tlon of blocd actlllg I ke a fOrelgll b and part ocolud ng a maHl bronchus 1al tlffiour mar 1 kely

auses n were se most on Ll1cers I ThlS table

s t s)

the fud accord ng to

Nods rresentat on Cases Perc

Blocked bronchus sy - 045

Chan e X ray 8

J r) ra Ii th lass tude and loss 217

s 1 3

eheck

P I

Ot11e1s 147

O~ Qs ------1

of pres OL rae S ill lar tern and Haor s

tv P I b1 d brcnchus or some V21r1at on cas s Yle~e char~ce rad

c flndlngs General su h as mala se loss al 0 ae ounted reent SIX r veal d

by the f s riled check un l veal 111 n Hene 11e rarer entatlons 11 cd

clc1bb whe e neUIl tis he

fi tastases led to the d s overy of t d ease n ~63 or cases The exact sltlng the metastases Wh1Ch In t nade were

a stanc metastases 7 b HoaSeneS8 or a nd cat L h lEir tas 45 e ied astlnal obstra on (caval

other 42

n cancer aut (see

one 8 V ew lS rS1nforced abov all t lS (a) grea and ( ) a very d sease best avo ded

0

ms-l the r 1 thal nattAre 1[11e rap

nvade and cilS

ch

lse shows the d sease the lnformatlon re oms as

obt2 ned

J1Jra Cases P 18 age rJlOWll

~J 0 oms 175 c

3 months 454

4 6 months

7 12 months 13

13 24 months 117 4

24 months 2nd over 3 Not kCQD

lotal s 100

ever SlX percent

ent he th~s survey had observed no symptoms what soshy

t 3 months and 22 ent from 4 up to 6 of the total of 1n survey who

rtedical atent1on It would be seek ng a lledi al Opll1l0n [ould

oms Here sev re nattLre Ir the r

abOVE normal

and treated the the per od of survlval oms and detect ease and referr1ng the

smgeon s nost ences susce as most of those survey

pat1ents for Patlents

iere in therr own lnterest bave been alert to any of resplratory annual check ohest fllms

The tabu~at on of 2-lg subJ ts W2 th n es t

fran oms accord e ata a1

to race Y1 01

and

o 3 months 20nths

13 24 ronths Over 24 1orths

408

596

3

113

68

46

12

4

1 454 616

378 117

76

2 c 1 go 6L1

n terms of of race totals ae to lng somewhat

-

Drropean Ilaorl c JJ 2 51 ~7

LJ 4 L 2

14 3 3 4 4 4 4

2 7 8

There 13 a h proportlon of Maorls ln th but El v ew of the numb rs tIns s of no statlst

The appearances after the ill tlal X ray lnvest ons are llst as fol10Hs

PerInlaal A ray f1d DgS Cases of kI10Hn

25 590 22

509 19 Pn DmonlC consol1dat 472 17 Other 184 7 Cav tat on 98 4

1 ty EL1d 3 Multlple opacity 68 2

Normal chest f 1m 38 Kot known 124

Total CBses 848 100

most common fUld ng percent of cases followed perl opac ty percent of cases percentand pneumonlc consolldat on 17 percent

a new category was added Iv normal ches~ fllm ill s vras proven by sputum cyt orbronchoscop c b psy category b en d as be ng necessary when the 1lectlon form was drawl lt lS ertaln on percent for normal chest f lIT would have en ncr as d

Tl~e of 3 ord c~ of the rs are presented HJ the three f 011 ml

1 44

Seft lung

i Both 4

The les10ns were lstr buted the normal 81atomlcal s

46 percent percent lnvolv

Ille lcular ocatlon ti1e cancers fomd whether ce1tral or perl group rere follows

d strlbutlon c81tral and per (1

Q ~-

FIGURE

The Prlmary LLLl1g Cancers

lE hlS survey dlvlded ln~o those ill entral bronchl ( cO

and lDcludncg the or g TIS of the s condary bronclu) and In=~~~~~

LOBAR SITE I

centrol and peripheral

~14~

o ~~CD-- 3 I-- 9 1

91~ 1

~ t ~ reg f~ ~~ reg

52

The dlstr butlon In present ~lon IS as follows

upper lobe upper lobe c d lobe 3 R fficd lobe

10der lob 10e1 10e

nalL bronchus

r --obe 14 L npper lobe

n

f gures ~ndlca Ions of the CCclCBL tra t 1 or maln -~)ronchi arlG

S C are those more the s te of cancer formatIon

The conclusIve d made the bJses for dlagroses dere as

BaSIS for dlagLosls

( flUld ( SF~ltUm 402

1(bronch al I i 4

brOHchoscOPlC Ie or asplrat on 82Biopsy

nod 1 oIll

367

(non prc)ven hlst

2

exposed to tobacco of the

ffiutatlol aLd

lC cell The

14 4

3 56

I118 1n le- ealand percent of and lndeed

13 h

It

In q 1

perc nt p rcent

for 111 27 of krlOwn

the d1agnos s W1supported

111

CELL TYPES

1 ~c

table compares the f 121 males and

Iilales

jdenocarc

Brorch

Aienoma

Adenoma

und fferent

W1d n

olar

p ov n

ated

at d

ell)

17

49 24

18

o

4

51 100

sexes

was c wer

a wde dlspar wlth 333

statls~lcally gn f

tuxours Here sen the total

ant

male and female es as between the

total of mal

Und ffer ated cell tumours common n mal and

middotrhether Or large cell wer

noma was very much females as aga nat 8

alveolar cell car noma E -hs st n mal s

rar 4

m th

was v total

ontr but

ry much mol

12

ars I-Ih thsre rae al dlIfe s n 1 c s cilstrl nt

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

ms-l the r 1 thal nattAre 1[11e rap

nvade and cilS

ch

lse shows the d sease the lnformatlon re oms as

obt2 ned

J1Jra Cases P 18 age rJlOWll

~J 0 oms 175 c

3 months 454

4 6 months

7 12 months 13

13 24 months 117 4

24 months 2nd over 3 Not kCQD

lotal s 100

ever SlX percent

ent he th~s survey had observed no symptoms what soshy

t 3 months and 22 ent from 4 up to 6 of the total of 1n survey who

rtedical atent1on It would be seek ng a lledi al Opll1l0n [ould

oms Here sev re nattLre Ir the r

abOVE normal

and treated the the per od of survlval oms and detect ease and referr1ng the

smgeon s nost ences susce as most of those survey

pat1ents for Patlents

iere in therr own lnterest bave been alert to any of resplratory annual check ohest fllms

The tabu~at on of 2-lg subJ ts W2 th n es t

fran oms accord e ata a1

to race Y1 01

and

o 3 months 20nths

13 24 ronths Over 24 1orths

408

596

3

113

68

46

12

4

1 454 616

378 117

76

2 c 1 go 6L1

n terms of of race totals ae to lng somewhat

-

Drropean Ilaorl c JJ 2 51 ~7

LJ 4 L 2

14 3 3 4 4 4 4

2 7 8

There 13 a h proportlon of Maorls ln th but El v ew of the numb rs tIns s of no statlst

The appearances after the ill tlal X ray lnvest ons are llst as fol10Hs

PerInlaal A ray f1d DgS Cases of kI10Hn

25 590 22

509 19 Pn DmonlC consol1dat 472 17 Other 184 7 Cav tat on 98 4

1 ty EL1d 3 Multlple opacity 68 2

Normal chest f 1m 38 Kot known 124

Total CBses 848 100

most common fUld ng percent of cases followed perl opac ty percent of cases percentand pneumonlc consolldat on 17 percent

a new category was added Iv normal ches~ fllm ill s vras proven by sputum cyt orbronchoscop c b psy category b en d as be ng necessary when the 1lectlon form was drawl lt lS ertaln on percent for normal chest f lIT would have en ncr as d

Tl~e of 3 ord c~ of the rs are presented HJ the three f 011 ml

1 44

Seft lung

i Both 4

The les10ns were lstr buted the normal 81atomlcal s

46 percent percent lnvolv

Ille lcular ocatlon ti1e cancers fomd whether ce1tral or perl group rere follows

d strlbutlon c81tral and per (1

Q ~-

FIGURE

The Prlmary LLLl1g Cancers

lE hlS survey dlvlded ln~o those ill entral bronchl ( cO

and lDcludncg the or g TIS of the s condary bronclu) and In=~~~~~

LOBAR SITE I

centrol and peripheral

~14~

o ~~CD-- 3 I-- 9 1

91~ 1

~ t ~ reg f~ ~~ reg

52

The dlstr butlon In present ~lon IS as follows

upper lobe upper lobe c d lobe 3 R fficd lobe

10der lob 10e1 10e

nalL bronchus

r --obe 14 L npper lobe

n

f gures ~ndlca Ions of the CCclCBL tra t 1 or maln -~)ronchi arlG

S C are those more the s te of cancer formatIon

The conclusIve d made the bJses for dlagroses dere as

BaSIS for dlagLosls

( flUld ( SF~ltUm 402

1(bronch al I i 4

brOHchoscOPlC Ie or asplrat on 82Biopsy

nod 1 oIll

367

(non prc)ven hlst

2

exposed to tobacco of the

ffiutatlol aLd

lC cell The

14 4

3 56

I118 1n le- ealand percent of and lndeed

13 h

It

In q 1

perc nt p rcent

for 111 27 of krlOwn

the d1agnos s W1supported

111

CELL TYPES

1 ~c

table compares the f 121 males and

Iilales

jdenocarc

Brorch

Aienoma

Adenoma

und fferent

W1d n

olar

p ov n

ated

at d

ell)

17

49 24

18

o

4

51 100

sexes

was c wer

a wde dlspar wlth 333

statls~lcally gn f

tuxours Here sen the total

ant

male and female es as between the

total of mal

Und ffer ated cell tumours common n mal and

middotrhether Or large cell wer

noma was very much females as aga nat 8

alveolar cell car noma E -hs st n mal s

rar 4

m th

was v total

ontr but

ry much mol

12

ars I-Ih thsre rae al dlIfe s n 1 c s cilstrl nt

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

-

Drropean Ilaorl c JJ 2 51 ~7

LJ 4 L 2

14 3 3 4 4 4 4

2 7 8

There 13 a h proportlon of Maorls ln th but El v ew of the numb rs tIns s of no statlst

The appearances after the ill tlal X ray lnvest ons are llst as fol10Hs

PerInlaal A ray f1d DgS Cases of kI10Hn

25 590 22

509 19 Pn DmonlC consol1dat 472 17 Other 184 7 Cav tat on 98 4

1 ty EL1d 3 Multlple opacity 68 2

Normal chest f 1m 38 Kot known 124

Total CBses 848 100

most common fUld ng percent of cases followed perl opac ty percent of cases percentand pneumonlc consolldat on 17 percent

a new category was added Iv normal ches~ fllm ill s vras proven by sputum cyt orbronchoscop c b psy category b en d as be ng necessary when the 1lectlon form was drawl lt lS ertaln on percent for normal chest f lIT would have en ncr as d

Tl~e of 3 ord c~ of the rs are presented HJ the three f 011 ml

1 44

Seft lung

i Both 4

The les10ns were lstr buted the normal 81atomlcal s

46 percent percent lnvolv

Ille lcular ocatlon ti1e cancers fomd whether ce1tral or perl group rere follows

d strlbutlon c81tral and per (1

Q ~-

FIGURE

The Prlmary LLLl1g Cancers

lE hlS survey dlvlded ln~o those ill entral bronchl ( cO

and lDcludncg the or g TIS of the s condary bronclu) and In=~~~~~

LOBAR SITE I

centrol and peripheral

~14~

o ~~CD-- 3 I-- 9 1

91~ 1

~ t ~ reg f~ ~~ reg

52

The dlstr butlon In present ~lon IS as follows

upper lobe upper lobe c d lobe 3 R fficd lobe

10der lob 10e1 10e

nalL bronchus

r --obe 14 L npper lobe

n

f gures ~ndlca Ions of the CCclCBL tra t 1 or maln -~)ronchi arlG

S C are those more the s te of cancer formatIon

The conclusIve d made the bJses for dlagroses dere as

BaSIS for dlagLosls

( flUld ( SF~ltUm 402

1(bronch al I i 4

brOHchoscOPlC Ie or asplrat on 82Biopsy

nod 1 oIll

367

(non prc)ven hlst

2

exposed to tobacco of the

ffiutatlol aLd

lC cell The

14 4

3 56

I118 1n le- ealand percent of and lndeed

13 h

It

In q 1

perc nt p rcent

for 111 27 of krlOwn

the d1agnos s W1supported

111

CELL TYPES

1 ~c

table compares the f 121 males and

Iilales

jdenocarc

Brorch

Aienoma

Adenoma

und fferent

W1d n

olar

p ov n

ated

at d

ell)

17

49 24

18

o

4

51 100

sexes

was c wer

a wde dlspar wlth 333

statls~lcally gn f

tuxours Here sen the total

ant

male and female es as between the

total of mal

Und ffer ated cell tumours common n mal and

middotrhether Or large cell wer

noma was very much females as aga nat 8

alveolar cell car noma E -hs st n mal s

rar 4

m th

was v total

ontr but

ry much mol

12

ars I-Ih thsre rae al dlIfe s n 1 c s cilstrl nt

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

Tl~e of 3 ord c~ of the rs are presented HJ the three f 011 ml

1 44

Seft lung

i Both 4

The les10ns were lstr buted the normal 81atomlcal s

46 percent percent lnvolv

Ille lcular ocatlon ti1e cancers fomd whether ce1tral or perl group rere follows

d strlbutlon c81tral and per (1

Q ~-

FIGURE

The Prlmary LLLl1g Cancers

lE hlS survey dlvlded ln~o those ill entral bronchl ( cO

and lDcludncg the or g TIS of the s condary bronclu) and In=~~~~~

LOBAR SITE I

centrol and peripheral

~14~

o ~~CD-- 3 I-- 9 1

91~ 1

~ t ~ reg f~ ~~ reg

52

The dlstr butlon In present ~lon IS as follows

upper lobe upper lobe c d lobe 3 R fficd lobe

10der lob 10e1 10e

nalL bronchus

r --obe 14 L npper lobe

n

f gures ~ndlca Ions of the CCclCBL tra t 1 or maln -~)ronchi arlG

S C are those more the s te of cancer formatIon

The conclusIve d made the bJses for dlagroses dere as

BaSIS for dlagLosls

( flUld ( SF~ltUm 402

1(bronch al I i 4

brOHchoscOPlC Ie or asplrat on 82Biopsy

nod 1 oIll

367

(non prc)ven hlst

2

exposed to tobacco of the

ffiutatlol aLd

lC cell The

14 4

3 56

I118 1n le- ealand percent of and lndeed

13 h

It

In q 1

perc nt p rcent

for 111 27 of krlOwn

the d1agnos s W1supported

111

CELL TYPES

1 ~c

table compares the f 121 males and

Iilales

jdenocarc

Brorch

Aienoma

Adenoma

und fferent

W1d n

olar

p ov n

ated

at d

ell)

17

49 24

18

o

4

51 100

sexes

was c wer

a wde dlspar wlth 333

statls~lcally gn f

tuxours Here sen the total

ant

male and female es as between the

total of mal

Und ffer ated cell tumours common n mal and

middotrhether Or large cell wer

noma was very much females as aga nat 8

alveolar cell car noma E -hs st n mal s

rar 4

m th

was v total

ontr but

ry much mol

12

ars I-Ih thsre rae al dlIfe s n 1 c s cilstrl nt

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

Q ~-

FIGURE

The Prlmary LLLl1g Cancers

lE hlS survey dlvlded ln~o those ill entral bronchl ( cO

and lDcludncg the or g TIS of the s condary bronclu) and In=~~~~~

LOBAR SITE I

centrol and peripheral

~14~

o ~~CD-- 3 I-- 9 1

91~ 1

~ t ~ reg f~ ~~ reg

52

The dlstr butlon In present ~lon IS as follows

upper lobe upper lobe c d lobe 3 R fficd lobe

10der lob 10e1 10e

nalL bronchus

r --obe 14 L npper lobe

n

f gures ~ndlca Ions of the CCclCBL tra t 1 or maln -~)ronchi arlG

S C are those more the s te of cancer formatIon

The conclusIve d made the bJses for dlagroses dere as

BaSIS for dlagLosls

( flUld ( SF~ltUm 402

1(bronch al I i 4

brOHchoscOPlC Ie or asplrat on 82Biopsy

nod 1 oIll

367

(non prc)ven hlst

2

exposed to tobacco of the

ffiutatlol aLd

lC cell The

14 4

3 56

I118 1n le- ealand percent of and lndeed

13 h

It

In q 1

perc nt p rcent

for 111 27 of krlOwn

the d1agnos s W1supported

111

CELL TYPES

1 ~c

table compares the f 121 males and

Iilales

jdenocarc

Brorch

Aienoma

Adenoma

und fferent

W1d n

olar

p ov n

ated

at d

ell)

17

49 24

18

o

4

51 100

sexes

was c wer

a wde dlspar wlth 333

statls~lcally gn f

tuxours Here sen the total

ant

male and female es as between the

total of mal

Und ffer ated cell tumours common n mal and

middotrhether Or large cell wer

noma was very much females as aga nat 8

alveolar cell car noma E -hs st n mal s

rar 4

m th

was v total

ontr but

ry much mol

12

ars I-Ih thsre rae al dlIfe s n 1 c s cilstrl nt

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

The dlstr butlon In present ~lon IS as follows

upper lobe upper lobe c d lobe 3 R fficd lobe

10der lob 10e1 10e

nalL bronchus

r --obe 14 L npper lobe

n

f gures ~ndlca Ions of the CCclCBL tra t 1 or maln -~)ronchi arlG

S C are those more the s te of cancer formatIon

The conclusIve d made the bJses for dlagroses dere as

BaSIS for dlagLosls

( flUld ( SF~ltUm 402

1(bronch al I i 4

brOHchoscOPlC Ie or asplrat on 82Biopsy

nod 1 oIll

367

(non prc)ven hlst

2

exposed to tobacco of the

ffiutatlol aLd

lC cell The

14 4

3 56

I118 1n le- ealand percent of and lndeed

13 h

It

In q 1

perc nt p rcent

for 111 27 of krlOwn

the d1agnos s W1supported

111

CELL TYPES

1 ~c

table compares the f 121 males and

Iilales

jdenocarc

Brorch

Aienoma

Adenoma

und fferent

W1d n

olar

p ov n

ated

at d

ell)

17

49 24

18

o

4

51 100

sexes

was c wer

a wde dlspar wlth 333

statls~lcally gn f

tuxours Here sen the total

ant

male and female es as between the

total of mal

Und ffer ated cell tumours common n mal and

middotrhether Or large cell wer

noma was very much females as aga nat 8

alveolar cell car noma E -hs st n mal s

rar 4

m th

was v total

ontr but

ry much mol

12

ars I-Ih thsre rae al dlIfe s n 1 c s cilstrl nt

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

I118 1n le- ealand percent of and lndeed

13 h

It

In q 1

perc nt p rcent

for 111 27 of krlOwn

the d1agnos s W1supported

111

CELL TYPES

1 ~c

table compares the f 121 males and

Iilales

jdenocarc

Brorch

Aienoma

Adenoma

und fferent

W1d n

olar

p ov n

ated

at d

ell)

17

49 24

18

o

4

51 100

sexes

was c wer

a wde dlspar wlth 333

statls~lcally gn f

tuxours Here sen the total

ant

male and female es as between the

total of mal

Und ffer ated cell tumours common n mal and

middotrhether Or large cell wer

noma was very much females as aga nat 8

alveolar cell car noma E -hs st n mal s

rar 4

m th

was v total

ontr but

ry much mol

12

ars I-Ih thsre rae al dlIfe s n 1 c s cilstrl nt

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

FEHALES

P rcentageNUioers NumbersCell type of kr~ wn

Non llaor

Non I 11aorl Hon ~middotlaorl

Ulaorl

34 8 30

SoaLl cell und1ffereLtlaced~ 10 3~ 37

cell I 1fferent1atedmiddot 431 8 19 13 0

-t~ G ~0 22

Adenocarc1noma 201 9 67 3 24 1 1

BloncIHolar (alveolar cell) 13 r

J

Too small to b

SqUaDOUS cell care noma of the 1S more common sexes tban 1n tre non flaorl ThlS S 1n IHe W1 tt of the flaorl In both sexes

On the other tand the lncldenoe 0 adenccarclnoma the tumour most cOJJLIon ln non smokers lS low In Maorl In both sexes

12 pound911 tVDe bv radlographlc presentat on

A cross tabulation of cell sexes cornbilled by presentatlon s most data

Cell typeRadlographlc

All typespresentation AdeLo- NOe proven carcnoma i and other

I Pneumonla 227 101 75 42 27 47~

C8Vltat on 59 10 8 3 Collapse 291 142 95 37 31 596

235 225 1 1 1 51 5 678 23 91 1 1 Be 62 590

19 9 8 4 68 ~770 38 c

Totals 210 494 272

There lS eVldence of an ass 1atlon between the of cell and the radl form of lon as scuumarlsed below

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

33

presentlrg as cavltat on 88

present ng as c 291

present ng as hllar

lng as h lar 15

11 PI sent ng as per ty 91 1

enocarClll0ma present ng as per opac ty 5

cay tat n or lobar ng h la1 opac ty t 8 h ow

(b) Small cell ca noma ty 0ve expeotatlon Present opa ty s

lon

01 11 cal nt non s 8mall cell carCll-lcm2 have so

tastas18ed cen~rally wh d

pI

pre xlstlng reS

11 type

Small c 11 cell Ad nmd ffer ffer ~Potal carc nomaen- eet ated

None 344 194 970

Cbron upper re-plratory cltsease 22 E 3

hI tls 213 78 79 47 5 457

15 97

109 47 63

210 494

x st ase a gn I on (p = ~ b com s cart ~p ( COl) when the group small rentlated negat assoclaed wlth chron c d 78

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

34

smoke are well documented The as e8tabl~8hed where by

as g vee to hl= the was

Cases Percentage of knowc Smok ng hlstory

Eales Imiddotlales Females

Never smoked 6~ 3 39 less than 10 per day 141 -

( 6 10

10 t 19 per day 692 67 31 24

20 a per 101 71 50

40 or more per 149 5 7 I 2

smoker 2 3

of tr~e males as to 39 percent of the fel121es ere nen L of sex accollited for 6 t 1 of tctal cases age rose stee In ~oderate smokers (10 19 per percent respect

on of the cases by far were the heavy smokers wlth 5 and 26 percent of ~ respec Noderate a1d accomted for 8~ percent of and 50 of

New Zealand smokers male or to how serlOus health hazard lS the of 20 a

C~aln smokers made up of the male cases and 2 of the female cases These wlth smokers accouned for 57 per cent of all male cancers

Three percent of the male cases smoked only plpes or clgars

An s of hlstory by race showed that the Maar Datlents In the survey had very much th same pa ttern as the non-~laor cases

13 2

A cross s of hab ts l11 both sexes comb ned In both numbers Bfld roeltage dlstrlbut on ill aoh ceil l3 as folloHs

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

35shy

NvT1IB EE S

Never smok Ii 40 25 52 173 amok r 68 35 13 168

334 184 140 60 41 759 smoker 524 300 200 80 68 172

Ctunn smoker 29 1 1 154 Plpe or clgar smoker 24 J7 5 3 l~ at n o T r1 141 71 44 49

Iotals 210 666 494 27 206 2 848

liever soaked 23 i 9 15 30 3 t smoker 4 12 7

44 24 8 5 Beaker +J 7 5 ~

ella r 19 7 5 andor c gar smoker 39 21 8 5

YnOHn

043 24 17 shy

A summary of ete hlghly s cant statistlcal ass at on lB

cell Yilth never suoked 40 74 Adenocarc noma yll th never 52 16 Adenocarc noma Wl tIl heavy smoker 80 1 1 1

t r cell s nth never seok d 24 12

A~ the level of P 1 we f nd

a llon smokers ng squauous (ell cane rs ated

(b) Non smokers d ad noear noma pas t assoc at d

(c) Non smokers dey ng lung er of other cell bronchlolar cell carClnoma adenJmas ard other posltlvely ass lated

(d) neavy smokers developlng adenocarc nona - negatlvely assoe ated

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

dhether 2se Has 10 dlagYlOS as follows

Lo ell me a

nodes shy

n ode s extra thorae

igtllas 1 ~al njes

Chest wall 7 J

Bra n 2

24 74 2

The ser oJs nature of lWlg Cdncer ( 1 that

2 oms p eeeded ssues o~her

of tJJllE Th1S probabll mU8~ advers afer any form of curatlve trea~ment

In 8 there

ognlse of curst

ttle long held from a treatment Vlewoo conditlon

prevent It than c~ratlvely t~eat It

s of the lntent ons of treatm nt - that lye ampnd f e var and omblllat ons of

11troduced

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

37

None 30

Palllatlve

Curat ve 31

of treatment

Pneumonectomy cnly Lob ctomy onlynEllIlOnectomy or lobectomy and radlat10n

only H1J only super

)-h r and not knowTl

Totals

Cases

857

23

214 220

215 71

139 20

848

30

37 1 1

8 8

8 2 5

100

of cases had no treatment 39 percent -reat had some form of curatlve treatment as (

SECTION 16

TalS has been determ ned Dec mber 1970 as the end that lS 5 years af-er the ntike of cas S lnto the survey closed

ern rev aled whatever th form of treatment shows how rap S cancer

total of 848 cases covered wlthln the short span of 2 y ars a mere 400 were al ve 5 years only 155 of the total patlente were stlll alrle a v rtual mass ext1nctlon cr sll1ce 1 t 18 largely le a eu e

Surv val calculated from the date of d agnosis or treatment whlchever was the earlier See 3 en follow ng page

ord ng to the lntentlon or nature of the treatment glven

Cases Average survlval ill monthsntention or nature cf treatment 1-1ales Females fiales FemalesI

Palliative and none 1 720 249 6 3 6 6 II

Curatlve 788 84 28 0 32 5

bull bull bull

7 J

S SlITVeY

n S -In r 843 11 VB f ve

8 rema ned ai ve

3000 r 2800middot

SURVIVAL PATTERN 2600

2400 bullbull 2200 bull 2000

1800 bull

ntJllDer 1600 bull of bullpatlents 1400

1200 shy

1000 bullbull 155800 ALIVE

600

bullbull 400 bull bull200 bullbull

2 3 4 5

years 01 survlvol

-39

ed is havlng cura t Ie trea the average In th tile average surv val 1n those ven

ve treatmeLt or w)uch ar synmymous

1he female HI surv val s not cancer (f s tea and not

months f-las p urn 1 r w (1 Elales

years

~gThe average val t d sease was located 1n or III beth as follo~i8

443 12

~eft Ci 3

Both 46 6 7 6)

who d d w sease n ~h r than that f r tne

both

ent 1E of

of t~l

of on her me L1 months presents

RICH-IT EING LEFT LUNG

r Ha n lO~er LMeT broncl1us lobe lobe

11 24

d sgnos s 5 o 13 6 14 17j

otal 26 54 145 5 33 130

717 J 15

bull bull bull bull

mb oj

p t

IGURE 4

OIDparl~g the In 2 en ts who

of the curve ever a f v year

Wl those who had

2000

SURVIVAL PATTERN 1800

bull pallIatIve v curatIve treatment

1600 bull 1400

1200

bull 1000

0 csoof bull poll t

600

400 I 0

200 [ 0

I

0 2 3 4 5

ofY s

4

41

ons had rlod than central leslcls the 8lle for the lobe wlth

average of months upper lobe ~middotJS c ngula filth al average surv val months

Ih flnd r([s the f ud UB (30rr the upp r tr at d SlITg have nor prognosls than t I tumours n the

Th av rage surv val n sonths ~mt 1 death lut ned or up a th Gd th s)~rv n 1 was exam ned ell pe when such was

knOmiddotn and wher number of cases ava lable for an lS was f 3 e result s 121

Br ncheolar care coma

I

Total eases

~ I 22 I

16 8 11

In th hhereas JJ1 f at

tl s en tle have sLomiddotn

st favourabJE prctSYOSl enocarc c

1n both males and f mal til8l1 do the squamous cell

luomas was 8 months

rage however

poss ble dlfferences Other stud es

11

nomas t on

01( the tUlllom In

s d s m ed cular s r es

d -l~en fl st d

fatal ses

S SH ft EL1d Aev t reen t of tWQours were

BOlTle J ( 1 and St~rvlva_ Hel York tol ~ 66 1

Perlod of Numb r of cases rcentage of cases Isurvlval after Sq am Small La g Ad Oth d Sq aIn Sm 11 La g AdBr h 1 ~lB eh 1 rOpTatlon C 11 C 11 I c 11 i om Not Kn 1m C 11 C 11 C 11 i om kno TlI

Total 439 145 122 79 15 22 iOO 0 1)0 J() 0 1 )0 0 100 a 100 0cases I

Al v at erQ of I

) C7~1 year 275 44 60 47 1 1 17 1 I

2T~56 - 3 49 59 5 5 ( J

) 72 years 177 23 38 33 5 15 3 15 31 1 41 8 33 J 68 2

3 years 141 15 30 27 4 13 128 8 10 3 24 6 34 2 7 59 1 ~4 years LL 10 26 25 3 13 24 9 6 9 21 3 31 6 20 0 59 1

5 years 88 9 16 10 13 0 2 16 4 20 2 1 45 4

6 years 58 8 15 11 9 11 9 5 5 12 3 13 9 1 40 9

7 years 43 8 7 5 - 7 3 u Q 5 5 5 7 i ~)1 8

8 years 31 5 5 5 - 3 6 3 3 4 4 1 ( 3 - 13 6

9 years 20 4 4 4 - 4 1 - 3 3 5 1 - q 1

10 years 13 - - - 1 2 6 - 1 - - 4 56 I I

43

The foregolng able sets dOl0l Hi and perc the SUTV VOlS at the end of each nterval In fferent cell 6 The covers the 872 cases where treatment a1med at cure of the dlsease was

Ihe average of surv val of the cases up urtll the survey closed was only 28 5 months HO~1ever there were a lucky few In each cell pe who remaliled al at least flve and some even ten years after the of the treatment

A summary of table shows

Small Aden care noma Bronch olar

Humbers surv v1ng 9 20 16

Pe c surv vlng o 2 1 4 2

Hwubers surv 13 N l 11

H 1 Iill

age SItes of the s al

Small no cell carCInoma

ticl belS surv

) years 4 N 13

years ~Jll 1

PerlDheral turnOUTS

NtuJlbers SUrllvlng

5 years 5 8

years 3 n 1

EXaIDlrlatlon survlval pre eX16 ondit the follow1ng gures

l re8p~ra-ory dlS8aS8

Ocher

The pre

dlfferenc -ex stlng re

s shown splrat

lndlcat ng hat persons or sseI peTl

wlth a

val

O-ltrer 24

Humber of cases

have one rec -ould appear

O-i ~ tIle and 8

not glve full was taken as flve

-45

AL examlllation of the cases acc to the cause of death produced the

~roTE 155 lents were hown to b stIll allve more than 5 years after end of survey

Cases

dIsease 2 512 94 Interccrrent dIsease Ii til malIgnant d sease present 4 Interccrrent d cause wlthout present

sease or external dIsease

49 2

Unascertalned cause of death

Iotal cases 2 100

Hi NeVi Zealand ant ratebull t here no Hld catlon that tllt case n a

es

the pr New ealand tr nd to year 1975 s t aT goo male ths eme He every

ma~ed total male C8Ilcer of aIls ce

races n New Zealand have 1nereasedst a faster pa over rece1tbull years III s cr lq world w1d

A PI Ject cates that f gure of around deaths to recorded on

t-le esturated t female deat1s froQ cancer of all Sltee

maebull to rat 1975 t 5

lhe 1ncrease cancer over the la8+ en years has at allbull age s r b otr1 tt ates age urlder years bave I sen more at old I ages

A relat betw c t er asbull wel as several other seasee 18 f ard scat st establ1shed Ihe aJ1ost of lnformatlon abcut the and Homer In these

t8 all concerned

(a) lts

current flve on thls medllJLl lS Vlould

tabulat1 W1 Hnd t

rie s tr-e 9Iebull n part eular the

are ca1118d out s thae In fin

22ld IDpress ons are true then

cancer men can be ant1c the d1seas8 and from lt

bull

observat10n that Maorl SHi)kers Heavy clgaret the lower SOOlO econom 0 In New Zealand that 21d the 1S lT1 our soc

enee w h te s=tok ngbull causal factor has wlder

Se of nev r a1d 1

bull ~ake valuable contr1but on to the world S but as yet no researcher has taken -1P the r ommended thamp1 st

research llto bc should embrace the

Zealanders s the tobacc used s

bull of urb811 charlces of lCUrr

s~okers n dw 1101S be er smekers -chan rural dyrell r8 l l vart sillok ng data are lable for ndustr1al a I - not ex 8t

n rates d

a ed over ontr ed Trlc)uld s se

n CEll1 er

bull The U New Zealand In and omen f d fference s n t

f nd ngs were flr8 -h s analys s for lat I years there has been s r~dnc on n the exe S8 I sk elf the U K liIJl]

bull of deaths from true illcldence occurrence of the cond The reason 8 that

small of cases ed llllst n others dlS ase S arrest d for rlod t allow of

ioath from soce h l

OCCUlT III tl1 commUll and never treated

v c tnous8rd

of the ~entsn thlS survey werebull flnd ng of tlC cells

bull Pew persons dev 1 carcer 1mder age of if calLe In the 8211 27 percent ill the

I th therefore ontract ng cancer age t very asy t lmdesteIld

superCnnuat schemes ar e such vlab =-e f narl ~lal pr~)pos tons v19wed In relat on to the average S1iIV val t lme cancer

mal patlents th the l racebull percent [middotlaor but In wer 91 perc l~t non laor and 9

those of art A - Deaths that carlC er ill Maar

viere all hlSt

bull perc s or over

greater rlsk

Wlth over 1 1n 4 of the pat entsbull C chrornc broncllltlS

h gh r18k of con-

In 91 percent of cases there wasbull in the pat lent or h18 or her blood

relatlves

bull a1d blood Lng were the most common at lts most olIllIlon site that 18

at S8 wrere 1nhaled and left maln bronchl

or at the orlgln o the flve lUllg lobes

a om of eural Hlvolvement - Has most olIllIlon n ung cancer

bull two percent of the cases a some val ant of It As n

proven cases cancer was found t be the cha-l1ce chest f lIDs such as mass x ray Sul~eys

the value sIDokng 45 or over age groupobvlous

81X percent of cases were dlscovered

In 13 percent the exact diagnosls middot8S establlshed only at autopsv the earlCer was already there ether symptomless or xasqueradlTg as some other d sease

49

one percent of those Wlttbull and 2 perc nt betwe n 4 6

nts r 45bull own lnter sts annual chest

ng as central map rlpheral a Vlrus pneuIIlon or lung

abscess check are essent al In

h these

But even a nor3al chest fllm s not to~a1 secur ln a smoking pat lent Wlth ~es ory symptoms H too needs bronchoscopy to e11mn8 te tumours that may be preseet bUe not enough to alt r bronch al lCS and x ray

bull co=on the a1

bull AdenocarC1foma 1 ss smok ng llnked percent feIT8es as aga net 8 per ent In males

In cell th smckers sq1amous cell 11a Df thal or

car 101gt ln 1S 88eS

111 ss or were xp ctae on In other

ng ll~ the 45shyage must and

bron hoscopy ill ord I to as cause

Small Hh1Ch notcr ous show shadows more ofcen Tins very fact lS 1 nked w th er progros s wh ser~ ts arly

s tuVlval fr of small and 3

AdenocarCllCma rould tumours tmgtiards the dge of the are s~atl8 expectation

All caecer cell pes were s glllf assoCla w th pre-ex st ng resp rat Dry seas

I~ours knov1 to be ated H th sm klng oc urred In 91 of the New alalld amp1 s as opposed 0 71 of the

ed rn the group males contr1buted 49 p rc ers The cmhffer ated cell

were almost common Dl male and female cases

bull In t lus males as females were

Moderate smokers (10-1 per day) and heavy smokers (20 39 t accotJted for 81 percent of and 50 percent

The chances of a non smoker d squamous cell carCDlOma are sll1ll however can develop enocarClnoma t at not Ilke the rate moderate and heavy smokers d lung cancer

-39

ed is havlng cura t Ie trea the average In th tile average surv val 1n those ven

ve treatmeLt or w)uch ar synmymous

1he female HI surv val s not cancer (f s tea and not

months f-las p urn 1 r w (1 Elales

years

~gThe average val t d sease was located 1n or III beth as follo~i8

443 12

~eft Ci 3

Both 46 6 7 6)

who d d w sease n ~h r than that f r tne

both

ent 1E of

of t~l

of on her me L1 months presents

RICH-IT EING LEFT LUNG

r Ha n lO~er LMeT broncl1us lobe lobe

11 24

d sgnos s 5 o 13 6 14 17j

otal 26 54 145 5 33 130

717 J 15

bull bull bull bull

mb oj

p t

IGURE 4

OIDparl~g the In 2 en ts who

of the curve ever a f v year

Wl those who had

2000

SURVIVAL PATTERN 1800

bull pallIatIve v curatIve treatment

1600 bull 1400

1200

bull 1000

0 csoof bull poll t

600

400 I 0

200 [ 0

I

0 2 3 4 5

ofY s

4

41

ons had rlod than central leslcls the 8lle for the lobe wlth

average of months upper lobe ~middotJS c ngula filth al average surv val months

Ih flnd r([s the f ud UB (30rr the upp r tr at d SlITg have nor prognosls than t I tumours n the

Th av rage surv val n sonths ~mt 1 death lut ned or up a th Gd th s)~rv n 1 was exam ned ell pe when such was

knOmiddotn and wher number of cases ava lable for an lS was f 3 e result s 121

Br ncheolar care coma

I

Total eases

~ I 22 I

16 8 11

In th hhereas JJ1 f at

tl s en tle have sLomiddotn

st favourabJE prctSYOSl enocarc c

1n both males and f mal til8l1 do the squamous cell

luomas was 8 months

rage however

poss ble dlfferences Other stud es

11

nomas t on

01( the tUlllom In

s d s m ed cular s r es

d -l~en fl st d

fatal ses

S SH ft EL1d Aev t reen t of tWQours were

BOlTle J ( 1 and St~rvlva_ Hel York tol ~ 66 1

Perlod of Numb r of cases rcentage of cases Isurvlval after Sq am Small La g Ad Oth d Sq aIn Sm 11 La g AdBr h 1 ~lB eh 1 rOpTatlon C 11 C 11 I c 11 i om Not Kn 1m C 11 C 11 C 11 i om kno TlI

Total 439 145 122 79 15 22 iOO 0 1)0 J() 0 1 )0 0 100 a 100 0cases I

Al v at erQ of I

) C7~1 year 275 44 60 47 1 1 17 1 I

2T~56 - 3 49 59 5 5 ( J

) 72 years 177 23 38 33 5 15 3 15 31 1 41 8 33 J 68 2

3 years 141 15 30 27 4 13 128 8 10 3 24 6 34 2 7 59 1 ~4 years LL 10 26 25 3 13 24 9 6 9 21 3 31 6 20 0 59 1

5 years 88 9 16 10 13 0 2 16 4 20 2 1 45 4

6 years 58 8 15 11 9 11 9 5 5 12 3 13 9 1 40 9

7 years 43 8 7 5 - 7 3 u Q 5 5 5 7 i ~)1 8

8 years 31 5 5 5 - 3 6 3 3 4 4 1 ( 3 - 13 6

9 years 20 4 4 4 - 4 1 - 3 3 5 1 - q 1

10 years 13 - - - 1 2 6 - 1 - - 4 56 I I

43

The foregolng able sets dOl0l Hi and perc the SUTV VOlS at the end of each nterval In fferent cell 6 The covers the 872 cases where treatment a1med at cure of the dlsease was

Ihe average of surv val of the cases up urtll the survey closed was only 28 5 months HO~1ever there were a lucky few In each cell pe who remaliled al at least flve and some even ten years after the of the treatment

A summary of table shows

Small Aden care noma Bronch olar

Humbers surv v1ng 9 20 16

Pe c surv vlng o 2 1 4 2

Hwubers surv 13 N l 11

H 1 Iill

age SItes of the s al

Small no cell carCInoma

ticl belS surv

) years 4 N 13

years ~Jll 1

PerlDheral turnOUTS

NtuJlbers SUrllvlng

5 years 5 8

years 3 n 1

EXaIDlrlatlon survlval pre eX16 ondit the follow1ng gures

l re8p~ra-ory dlS8aS8

Ocher

The pre

dlfferenc -ex stlng re

s shown splrat

lndlcat ng hat persons or sseI peTl

wlth a

val

O-ltrer 24

Humber of cases

have one rec -ould appear

O-i ~ tIle and 8

not glve full was taken as flve

-45

AL examlllation of the cases acc to the cause of death produced the

~roTE 155 lents were hown to b stIll allve more than 5 years after end of survey

Cases

dIsease 2 512 94 Interccrrent dIsease Ii til malIgnant d sease present 4 Interccrrent d cause wlthout present

sease or external dIsease

49 2

Unascertalned cause of death

Iotal cases 2 100

Hi NeVi Zealand ant ratebull t here no Hld catlon that tllt case n a

es

the pr New ealand tr nd to year 1975 s t aT goo male ths eme He every

ma~ed total male C8Ilcer of aIls ce

races n New Zealand have 1nereasedst a faster pa over rece1tbull years III s cr lq world w1d

A PI Ject cates that f gure of around deaths to recorded on

t-le esturated t female deat1s froQ cancer of all Sltee

maebull to rat 1975 t 5

lhe 1ncrease cancer over the la8+ en years has at allbull age s r b otr1 tt ates age urlder years bave I sen more at old I ages

A relat betw c t er asbull wel as several other seasee 18 f ard scat st establ1shed Ihe aJ1ost of lnformatlon abcut the and Homer In these

t8 all concerned

(a) lts

current flve on thls medllJLl lS Vlould

tabulat1 W1 Hnd t

rie s tr-e 9Iebull n part eular the

are ca1118d out s thae In fin

22ld IDpress ons are true then

cancer men can be ant1c the d1seas8 and from lt

bull

observat10n that Maorl SHi)kers Heavy clgaret the lower SOOlO econom 0 In New Zealand that 21d the 1S lT1 our soc

enee w h te s=tok ngbull causal factor has wlder

Se of nev r a1d 1

bull ~ake valuable contr1but on to the world S but as yet no researcher has taken -1P the r ommended thamp1 st

research llto bc should embrace the

Zealanders s the tobacc used s

bull of urb811 charlces of lCUrr

s~okers n dw 1101S be er smekers -chan rural dyrell r8 l l vart sillok ng data are lable for ndustr1al a I - not ex 8t

n rates d

a ed over ontr ed Trlc)uld s se

n CEll1 er

bull The U New Zealand In and omen f d fference s n t

f nd ngs were flr8 -h s analys s for lat I years there has been s r~dnc on n the exe S8 I sk elf the U K liIJl]

bull of deaths from true illcldence occurrence of the cond The reason 8 that

small of cases ed llllst n others dlS ase S arrest d for rlod t allow of

ioath from soce h l

OCCUlT III tl1 commUll and never treated

v c tnous8rd

of the ~entsn thlS survey werebull flnd ng of tlC cells

bull Pew persons dev 1 carcer 1mder age of if calLe In the 8211 27 percent ill the

I th therefore ontract ng cancer age t very asy t lmdesteIld

superCnnuat schemes ar e such vlab =-e f narl ~lal pr~)pos tons v19wed In relat on to the average S1iIV val t lme cancer

mal patlents th the l racebull percent [middotlaor but In wer 91 perc l~t non laor and 9

those of art A - Deaths that carlC er ill Maar

viere all hlSt

bull perc s or over

greater rlsk

Wlth over 1 1n 4 of the pat entsbull C chrornc broncllltlS

h gh r18k of con-

In 91 percent of cases there wasbull in the pat lent or h18 or her blood

relatlves

bull a1d blood Lng were the most common at lts most olIllIlon site that 18

at S8 wrere 1nhaled and left maln bronchl

or at the orlgln o the flve lUllg lobes

a om of eural Hlvolvement - Has most olIllIlon n ung cancer

bull two percent of the cases a some val ant of It As n

proven cases cancer was found t be the cha-l1ce chest f lIDs such as mass x ray Sul~eys

the value sIDokng 45 or over age groupobvlous

81X percent of cases were dlscovered

In 13 percent the exact diagnosls middot8S establlshed only at autopsv the earlCer was already there ether symptomless or xasqueradlTg as some other d sease

49

one percent of those Wlttbull and 2 perc nt betwe n 4 6

nts r 45bull own lnter sts annual chest

ng as central map rlpheral a Vlrus pneuIIlon or lung

abscess check are essent al In

h these

But even a nor3al chest fllm s not to~a1 secur ln a smoking pat lent Wlth ~es ory symptoms H too needs bronchoscopy to e11mn8 te tumours that may be preseet bUe not enough to alt r bronch al lCS and x ray

bull co=on the a1

bull AdenocarC1foma 1 ss smok ng llnked percent feIT8es as aga net 8 per ent In males

In cell th smckers sq1amous cell 11a Df thal or

car 101gt ln 1S 88eS

111 ss or were xp ctae on In other

ng ll~ the 45shyage must and

bron hoscopy ill ord I to as cause

Small Hh1Ch notcr ous show shadows more ofcen Tins very fact lS 1 nked w th er progros s wh ser~ ts arly

s tuVlval fr of small and 3

AdenocarCllCma rould tumours tmgtiards the dge of the are s~atl8 expectation

All caecer cell pes were s glllf assoCla w th pre-ex st ng resp rat Dry seas

I~ours knov1 to be ated H th sm klng oc urred In 91 of the New alalld amp1 s as opposed 0 71 of the

ed rn the group males contr1buted 49 p rc ers The cmhffer ated cell

were almost common Dl male and female cases

bull In t lus males as females were

Moderate smokers (10-1 per day) and heavy smokers (20 39 t accotJted for 81 percent of and 50 percent

The chances of a non smoker d squamous cell carCDlOma are sll1ll however can develop enocarClnoma t at not Ilke the rate moderate and heavy smokers d lung cancer

bull bull bull bull

mb oj

p t

IGURE 4

OIDparl~g the In 2 en ts who

of the curve ever a f v year

Wl those who had

2000

SURVIVAL PATTERN 1800

bull pallIatIve v curatIve treatment

1600 bull 1400

1200

bull 1000

0 csoof bull poll t

600

400 I 0

200 [ 0

I

0 2 3 4 5

ofY s

4

41

ons had rlod than central leslcls the 8lle for the lobe wlth

average of months upper lobe ~middotJS c ngula filth al average surv val months

Ih flnd r([s the f ud UB (30rr the upp r tr at d SlITg have nor prognosls than t I tumours n the

Th av rage surv val n sonths ~mt 1 death lut ned or up a th Gd th s)~rv n 1 was exam ned ell pe when such was

knOmiddotn and wher number of cases ava lable for an lS was f 3 e result s 121

Br ncheolar care coma

I

Total eases

~ I 22 I

16 8 11

In th hhereas JJ1 f at

tl s en tle have sLomiddotn

st favourabJE prctSYOSl enocarc c

1n both males and f mal til8l1 do the squamous cell

luomas was 8 months

rage however

poss ble dlfferences Other stud es

11

nomas t on

01( the tUlllom In

s d s m ed cular s r es

d -l~en fl st d

fatal ses

S SH ft EL1d Aev t reen t of tWQours were

BOlTle J ( 1 and St~rvlva_ Hel York tol ~ 66 1

Perlod of Numb r of cases rcentage of cases Isurvlval after Sq am Small La g Ad Oth d Sq aIn Sm 11 La g AdBr h 1 ~lB eh 1 rOpTatlon C 11 C 11 I c 11 i om Not Kn 1m C 11 C 11 C 11 i om kno TlI

Total 439 145 122 79 15 22 iOO 0 1)0 J() 0 1 )0 0 100 a 100 0cases I

Al v at erQ of I

) C7~1 year 275 44 60 47 1 1 17 1 I

2T~56 - 3 49 59 5 5 ( J

) 72 years 177 23 38 33 5 15 3 15 31 1 41 8 33 J 68 2

3 years 141 15 30 27 4 13 128 8 10 3 24 6 34 2 7 59 1 ~4 years LL 10 26 25 3 13 24 9 6 9 21 3 31 6 20 0 59 1

5 years 88 9 16 10 13 0 2 16 4 20 2 1 45 4

6 years 58 8 15 11 9 11 9 5 5 12 3 13 9 1 40 9

7 years 43 8 7 5 - 7 3 u Q 5 5 5 7 i ~)1 8

8 years 31 5 5 5 - 3 6 3 3 4 4 1 ( 3 - 13 6

9 years 20 4 4 4 - 4 1 - 3 3 5 1 - q 1

10 years 13 - - - 1 2 6 - 1 - - 4 56 I I

43

The foregolng able sets dOl0l Hi and perc the SUTV VOlS at the end of each nterval In fferent cell 6 The covers the 872 cases where treatment a1med at cure of the dlsease was

Ihe average of surv val of the cases up urtll the survey closed was only 28 5 months HO~1ever there were a lucky few In each cell pe who remaliled al at least flve and some even ten years after the of the treatment

A summary of table shows

Small Aden care noma Bronch olar

Humbers surv v1ng 9 20 16

Pe c surv vlng o 2 1 4 2

Hwubers surv 13 N l 11

H 1 Iill

age SItes of the s al

Small no cell carCInoma

ticl belS surv

) years 4 N 13

years ~Jll 1

PerlDheral turnOUTS

NtuJlbers SUrllvlng

5 years 5 8

years 3 n 1

EXaIDlrlatlon survlval pre eX16 ondit the follow1ng gures

l re8p~ra-ory dlS8aS8

Ocher

The pre

dlfferenc -ex stlng re

s shown splrat

lndlcat ng hat persons or sseI peTl

wlth a

val

O-ltrer 24

Humber of cases

have one rec -ould appear

O-i ~ tIle and 8

not glve full was taken as flve

-45

AL examlllation of the cases acc to the cause of death produced the

~roTE 155 lents were hown to b stIll allve more than 5 years after end of survey

Cases

dIsease 2 512 94 Interccrrent dIsease Ii til malIgnant d sease present 4 Interccrrent d cause wlthout present

sease or external dIsease

49 2

Unascertalned cause of death

Iotal cases 2 100

Hi NeVi Zealand ant ratebull t here no Hld catlon that tllt case n a

es

the pr New ealand tr nd to year 1975 s t aT goo male ths eme He every

ma~ed total male C8Ilcer of aIls ce

races n New Zealand have 1nereasedst a faster pa over rece1tbull years III s cr lq world w1d

A PI Ject cates that f gure of around deaths to recorded on

t-le esturated t female deat1s froQ cancer of all Sltee

maebull to rat 1975 t 5

lhe 1ncrease cancer over the la8+ en years has at allbull age s r b otr1 tt ates age urlder years bave I sen more at old I ages

A relat betw c t er asbull wel as several other seasee 18 f ard scat st establ1shed Ihe aJ1ost of lnformatlon abcut the and Homer In these

t8 all concerned

(a) lts

current flve on thls medllJLl lS Vlould

tabulat1 W1 Hnd t

rie s tr-e 9Iebull n part eular the

are ca1118d out s thae In fin

22ld IDpress ons are true then

cancer men can be ant1c the d1seas8 and from lt

bull

observat10n that Maorl SHi)kers Heavy clgaret the lower SOOlO econom 0 In New Zealand that 21d the 1S lT1 our soc

enee w h te s=tok ngbull causal factor has wlder

Se of nev r a1d 1

bull ~ake valuable contr1but on to the world S but as yet no researcher has taken -1P the r ommended thamp1 st

research llto bc should embrace the

Zealanders s the tobacc used s

bull of urb811 charlces of lCUrr

s~okers n dw 1101S be er smekers -chan rural dyrell r8 l l vart sillok ng data are lable for ndustr1al a I - not ex 8t

n rates d

a ed over ontr ed Trlc)uld s se

n CEll1 er

bull The U New Zealand In and omen f d fference s n t

f nd ngs were flr8 -h s analys s for lat I years there has been s r~dnc on n the exe S8 I sk elf the U K liIJl]

bull of deaths from true illcldence occurrence of the cond The reason 8 that

small of cases ed llllst n others dlS ase S arrest d for rlod t allow of

ioath from soce h l

OCCUlT III tl1 commUll and never treated

v c tnous8rd

of the ~entsn thlS survey werebull flnd ng of tlC cells

bull Pew persons dev 1 carcer 1mder age of if calLe In the 8211 27 percent ill the

I th therefore ontract ng cancer age t very asy t lmdesteIld

superCnnuat schemes ar e such vlab =-e f narl ~lal pr~)pos tons v19wed In relat on to the average S1iIV val t lme cancer

mal patlents th the l racebull percent [middotlaor but In wer 91 perc l~t non laor and 9

those of art A - Deaths that carlC er ill Maar

viere all hlSt

bull perc s or over

greater rlsk

Wlth over 1 1n 4 of the pat entsbull C chrornc broncllltlS

h gh r18k of con-

In 91 percent of cases there wasbull in the pat lent or h18 or her blood

relatlves

bull a1d blood Lng were the most common at lts most olIllIlon site that 18

at S8 wrere 1nhaled and left maln bronchl

or at the orlgln o the flve lUllg lobes

a om of eural Hlvolvement - Has most olIllIlon n ung cancer

bull two percent of the cases a some val ant of It As n

proven cases cancer was found t be the cha-l1ce chest f lIDs such as mass x ray Sul~eys

the value sIDokng 45 or over age groupobvlous

81X percent of cases were dlscovered

In 13 percent the exact diagnosls middot8S establlshed only at autopsv the earlCer was already there ether symptomless or xasqueradlTg as some other d sease

49

one percent of those Wlttbull and 2 perc nt betwe n 4 6

nts r 45bull own lnter sts annual chest

ng as central map rlpheral a Vlrus pneuIIlon or lung

abscess check are essent al In

h these

But even a nor3al chest fllm s not to~a1 secur ln a smoking pat lent Wlth ~es ory symptoms H too needs bronchoscopy to e11mn8 te tumours that may be preseet bUe not enough to alt r bronch al lCS and x ray

bull co=on the a1

bull AdenocarC1foma 1 ss smok ng llnked percent feIT8es as aga net 8 per ent In males

In cell th smckers sq1amous cell 11a Df thal or

car 101gt ln 1S 88eS

111 ss or were xp ctae on In other

ng ll~ the 45shyage must and

bron hoscopy ill ord I to as cause

Small Hh1Ch notcr ous show shadows more ofcen Tins very fact lS 1 nked w th er progros s wh ser~ ts arly

s tuVlval fr of small and 3

AdenocarCllCma rould tumours tmgtiards the dge of the are s~atl8 expectation

All caecer cell pes were s glllf assoCla w th pre-ex st ng resp rat Dry seas

I~ours knov1 to be ated H th sm klng oc urred In 91 of the New alalld amp1 s as opposed 0 71 of the

ed rn the group males contr1buted 49 p rc ers The cmhffer ated cell

were almost common Dl male and female cases

bull In t lus males as females were

Moderate smokers (10-1 per day) and heavy smokers (20 39 t accotJted for 81 percent of and 50 percent

The chances of a non smoker d squamous cell carCDlOma are sll1ll however can develop enocarClnoma t at not Ilke the rate moderate and heavy smokers d lung cancer

4

41

ons had rlod than central leslcls the 8lle for the lobe wlth

average of months upper lobe ~middotJS c ngula filth al average surv val months

Ih flnd r([s the f ud UB (30rr the upp r tr at d SlITg have nor prognosls than t I tumours n the

Th av rage surv val n sonths ~mt 1 death lut ned or up a th Gd th s)~rv n 1 was exam ned ell pe when such was

knOmiddotn and wher number of cases ava lable for an lS was f 3 e result s 121

Br ncheolar care coma

I

Total eases

~ I 22 I

16 8 11

In th hhereas JJ1 f at

tl s en tle have sLomiddotn

st favourabJE prctSYOSl enocarc c

1n both males and f mal til8l1 do the squamous cell

luomas was 8 months

rage however

poss ble dlfferences Other stud es

11

nomas t on

01( the tUlllom In

s d s m ed cular s r es

d -l~en fl st d

fatal ses

S SH ft EL1d Aev t reen t of tWQours were

BOlTle J ( 1 and St~rvlva_ Hel York tol ~ 66 1

Perlod of Numb r of cases rcentage of cases Isurvlval after Sq am Small La g Ad Oth d Sq aIn Sm 11 La g AdBr h 1 ~lB eh 1 rOpTatlon C 11 C 11 I c 11 i om Not Kn 1m C 11 C 11 C 11 i om kno TlI

Total 439 145 122 79 15 22 iOO 0 1)0 J() 0 1 )0 0 100 a 100 0cases I

Al v at erQ of I

) C7~1 year 275 44 60 47 1 1 17 1 I

2T~56 - 3 49 59 5 5 ( J

) 72 years 177 23 38 33 5 15 3 15 31 1 41 8 33 J 68 2

3 years 141 15 30 27 4 13 128 8 10 3 24 6 34 2 7 59 1 ~4 years LL 10 26 25 3 13 24 9 6 9 21 3 31 6 20 0 59 1

5 years 88 9 16 10 13 0 2 16 4 20 2 1 45 4

6 years 58 8 15 11 9 11 9 5 5 12 3 13 9 1 40 9

7 years 43 8 7 5 - 7 3 u Q 5 5 5 7 i ~)1 8

8 years 31 5 5 5 - 3 6 3 3 4 4 1 ( 3 - 13 6

9 years 20 4 4 4 - 4 1 - 3 3 5 1 - q 1

10 years 13 - - - 1 2 6 - 1 - - 4 56 I I

43

The foregolng able sets dOl0l Hi and perc the SUTV VOlS at the end of each nterval In fferent cell 6 The covers the 872 cases where treatment a1med at cure of the dlsease was

Ihe average of surv val of the cases up urtll the survey closed was only 28 5 months HO~1ever there were a lucky few In each cell pe who remaliled al at least flve and some even ten years after the of the treatment

A summary of table shows

Small Aden care noma Bronch olar

Humbers surv v1ng 9 20 16

Pe c surv vlng o 2 1 4 2

Hwubers surv 13 N l 11

H 1 Iill

age SItes of the s al

Small no cell carCInoma

ticl belS surv

) years 4 N 13

years ~Jll 1

PerlDheral turnOUTS

NtuJlbers SUrllvlng

5 years 5 8

years 3 n 1

EXaIDlrlatlon survlval pre eX16 ondit the follow1ng gures

l re8p~ra-ory dlS8aS8

Ocher

The pre

dlfferenc -ex stlng re

s shown splrat

lndlcat ng hat persons or sseI peTl

wlth a

val

O-ltrer 24

Humber of cases

have one rec -ould appear

O-i ~ tIle and 8

not glve full was taken as flve

-45

AL examlllation of the cases acc to the cause of death produced the

~roTE 155 lents were hown to b stIll allve more than 5 years after end of survey

Cases

dIsease 2 512 94 Interccrrent dIsease Ii til malIgnant d sease present 4 Interccrrent d cause wlthout present

sease or external dIsease

49 2

Unascertalned cause of death

Iotal cases 2 100

Hi NeVi Zealand ant ratebull t here no Hld catlon that tllt case n a

es

the pr New ealand tr nd to year 1975 s t aT goo male ths eme He every

ma~ed total male C8Ilcer of aIls ce

races n New Zealand have 1nereasedst a faster pa over rece1tbull years III s cr lq world w1d

A PI Ject cates that f gure of around deaths to recorded on

t-le esturated t female deat1s froQ cancer of all Sltee

maebull to rat 1975 t 5

lhe 1ncrease cancer over the la8+ en years has at allbull age s r b otr1 tt ates age urlder years bave I sen more at old I ages

A relat betw c t er asbull wel as several other seasee 18 f ard scat st establ1shed Ihe aJ1ost of lnformatlon abcut the and Homer In these

t8 all concerned

(a) lts

current flve on thls medllJLl lS Vlould

tabulat1 W1 Hnd t

rie s tr-e 9Iebull n part eular the

are ca1118d out s thae In fin

22ld IDpress ons are true then

cancer men can be ant1c the d1seas8 and from lt

bull

observat10n that Maorl SHi)kers Heavy clgaret the lower SOOlO econom 0 In New Zealand that 21d the 1S lT1 our soc

enee w h te s=tok ngbull causal factor has wlder

Se of nev r a1d 1

bull ~ake valuable contr1but on to the world S but as yet no researcher has taken -1P the r ommended thamp1 st

research llto bc should embrace the

Zealanders s the tobacc used s

bull of urb811 charlces of lCUrr

s~okers n dw 1101S be er smekers -chan rural dyrell r8 l l vart sillok ng data are lable for ndustr1al a I - not ex 8t

n rates d

a ed over ontr ed Trlc)uld s se

n CEll1 er

bull The U New Zealand In and omen f d fference s n t

f nd ngs were flr8 -h s analys s for lat I years there has been s r~dnc on n the exe S8 I sk elf the U K liIJl]

bull of deaths from true illcldence occurrence of the cond The reason 8 that

small of cases ed llllst n others dlS ase S arrest d for rlod t allow of

ioath from soce h l

OCCUlT III tl1 commUll and never treated

v c tnous8rd

of the ~entsn thlS survey werebull flnd ng of tlC cells

bull Pew persons dev 1 carcer 1mder age of if calLe In the 8211 27 percent ill the

I th therefore ontract ng cancer age t very asy t lmdesteIld

superCnnuat schemes ar e such vlab =-e f narl ~lal pr~)pos tons v19wed In relat on to the average S1iIV val t lme cancer

mal patlents th the l racebull percent [middotlaor but In wer 91 perc l~t non laor and 9

those of art A - Deaths that carlC er ill Maar

viere all hlSt

bull perc s or over

greater rlsk

Wlth over 1 1n 4 of the pat entsbull C chrornc broncllltlS

h gh r18k of con-

In 91 percent of cases there wasbull in the pat lent or h18 or her blood

relatlves

bull a1d blood Lng were the most common at lts most olIllIlon site that 18

at S8 wrere 1nhaled and left maln bronchl

or at the orlgln o the flve lUllg lobes

a om of eural Hlvolvement - Has most olIllIlon n ung cancer

bull two percent of the cases a some val ant of It As n

proven cases cancer was found t be the cha-l1ce chest f lIDs such as mass x ray Sul~eys

the value sIDokng 45 or over age groupobvlous

81X percent of cases were dlscovered

In 13 percent the exact diagnosls middot8S establlshed only at autopsv the earlCer was already there ether symptomless or xasqueradlTg as some other d sease

49

one percent of those Wlttbull and 2 perc nt betwe n 4 6

nts r 45bull own lnter sts annual chest

ng as central map rlpheral a Vlrus pneuIIlon or lung

abscess check are essent al In

h these

But even a nor3al chest fllm s not to~a1 secur ln a smoking pat lent Wlth ~es ory symptoms H too needs bronchoscopy to e11mn8 te tumours that may be preseet bUe not enough to alt r bronch al lCS and x ray

bull co=on the a1

bull AdenocarC1foma 1 ss smok ng llnked percent feIT8es as aga net 8 per ent In males

In cell th smckers sq1amous cell 11a Df thal or

car 101gt ln 1S 88eS

111 ss or were xp ctae on In other

ng ll~ the 45shyage must and

bron hoscopy ill ord I to as cause

Small Hh1Ch notcr ous show shadows more ofcen Tins very fact lS 1 nked w th er progros s wh ser~ ts arly

s tuVlval fr of small and 3

AdenocarCllCma rould tumours tmgtiards the dge of the are s~atl8 expectation

All caecer cell pes were s glllf assoCla w th pre-ex st ng resp rat Dry seas

I~ours knov1 to be ated H th sm klng oc urred In 91 of the New alalld amp1 s as opposed 0 71 of the

ed rn the group males contr1buted 49 p rc ers The cmhffer ated cell

were almost common Dl male and female cases

bull In t lus males as females were

Moderate smokers (10-1 per day) and heavy smokers (20 39 t accotJted for 81 percent of and 50 percent

The chances of a non smoker d squamous cell carCDlOma are sll1ll however can develop enocarClnoma t at not Ilke the rate moderate and heavy smokers d lung cancer

Perlod of Numb r of cases rcentage of cases Isurvlval after Sq am Small La g Ad Oth d Sq aIn Sm 11 La g AdBr h 1 ~lB eh 1 rOpTatlon C 11 C 11 I c 11 i om Not Kn 1m C 11 C 11 C 11 i om kno TlI

Total 439 145 122 79 15 22 iOO 0 1)0 J() 0 1 )0 0 100 a 100 0cases I

Al v at erQ of I

) C7~1 year 275 44 60 47 1 1 17 1 I

2T~56 - 3 49 59 5 5 ( J

) 72 years 177 23 38 33 5 15 3 15 31 1 41 8 33 J 68 2

3 years 141 15 30 27 4 13 128 8 10 3 24 6 34 2 7 59 1 ~4 years LL 10 26 25 3 13 24 9 6 9 21 3 31 6 20 0 59 1

5 years 88 9 16 10 13 0 2 16 4 20 2 1 45 4

6 years 58 8 15 11 9 11 9 5 5 12 3 13 9 1 40 9

7 years 43 8 7 5 - 7 3 u Q 5 5 5 7 i ~)1 8

8 years 31 5 5 5 - 3 6 3 3 4 4 1 ( 3 - 13 6

9 years 20 4 4 4 - 4 1 - 3 3 5 1 - q 1

10 years 13 - - - 1 2 6 - 1 - - 4 56 I I

43

The foregolng able sets dOl0l Hi and perc the SUTV VOlS at the end of each nterval In fferent cell 6 The covers the 872 cases where treatment a1med at cure of the dlsease was

Ihe average of surv val of the cases up urtll the survey closed was only 28 5 months HO~1ever there were a lucky few In each cell pe who remaliled al at least flve and some even ten years after the of the treatment

A summary of table shows

Small Aden care noma Bronch olar

Humbers surv v1ng 9 20 16

Pe c surv vlng o 2 1 4 2

Hwubers surv 13 N l 11

H 1 Iill

age SItes of the s al

Small no cell carCInoma

ticl belS surv

) years 4 N 13

years ~Jll 1

PerlDheral turnOUTS

NtuJlbers SUrllvlng

5 years 5 8

years 3 n 1

EXaIDlrlatlon survlval pre eX16 ondit the follow1ng gures

l re8p~ra-ory dlS8aS8

Ocher

The pre

dlfferenc -ex stlng re

s shown splrat

lndlcat ng hat persons or sseI peTl

wlth a

val

O-ltrer 24

Humber of cases

have one rec -ould appear

O-i ~ tIle and 8

not glve full was taken as flve

-45

AL examlllation of the cases acc to the cause of death produced the

~roTE 155 lents were hown to b stIll allve more than 5 years after end of survey

Cases

dIsease 2 512 94 Interccrrent dIsease Ii til malIgnant d sease present 4 Interccrrent d cause wlthout present

sease or external dIsease

49 2

Unascertalned cause of death

Iotal cases 2 100

Hi NeVi Zealand ant ratebull t here no Hld catlon that tllt case n a

es

the pr New ealand tr nd to year 1975 s t aT goo male ths eme He every

ma~ed total male C8Ilcer of aIls ce

races n New Zealand have 1nereasedst a faster pa over rece1tbull years III s cr lq world w1d

A PI Ject cates that f gure of around deaths to recorded on

t-le esturated t female deat1s froQ cancer of all Sltee

maebull to rat 1975 t 5

lhe 1ncrease cancer over the la8+ en years has at allbull age s r b otr1 tt ates age urlder years bave I sen more at old I ages

A relat betw c t er asbull wel as several other seasee 18 f ard scat st establ1shed Ihe aJ1ost of lnformatlon abcut the and Homer In these

t8 all concerned

(a) lts

current flve on thls medllJLl lS Vlould

tabulat1 W1 Hnd t

rie s tr-e 9Iebull n part eular the

are ca1118d out s thae In fin

22ld IDpress ons are true then

cancer men can be ant1c the d1seas8 and from lt

bull

observat10n that Maorl SHi)kers Heavy clgaret the lower SOOlO econom 0 In New Zealand that 21d the 1S lT1 our soc

enee w h te s=tok ngbull causal factor has wlder

Se of nev r a1d 1

bull ~ake valuable contr1but on to the world S but as yet no researcher has taken -1P the r ommended thamp1 st

research llto bc should embrace the

Zealanders s the tobacc used s

bull of urb811 charlces of lCUrr

s~okers n dw 1101S be er smekers -chan rural dyrell r8 l l vart sillok ng data are lable for ndustr1al a I - not ex 8t

n rates d

a ed over ontr ed Trlc)uld s se

n CEll1 er

bull The U New Zealand In and omen f d fference s n t

f nd ngs were flr8 -h s analys s for lat I years there has been s r~dnc on n the exe S8 I sk elf the U K liIJl]

bull of deaths from true illcldence occurrence of the cond The reason 8 that

small of cases ed llllst n others dlS ase S arrest d for rlod t allow of

ioath from soce h l

OCCUlT III tl1 commUll and never treated

v c tnous8rd

of the ~entsn thlS survey werebull flnd ng of tlC cells

bull Pew persons dev 1 carcer 1mder age of if calLe In the 8211 27 percent ill the

I th therefore ontract ng cancer age t very asy t lmdesteIld

superCnnuat schemes ar e such vlab =-e f narl ~lal pr~)pos tons v19wed In relat on to the average S1iIV val t lme cancer

mal patlents th the l racebull percent [middotlaor but In wer 91 perc l~t non laor and 9

those of art A - Deaths that carlC er ill Maar

viere all hlSt

bull perc s or over

greater rlsk

Wlth over 1 1n 4 of the pat entsbull C chrornc broncllltlS

h gh r18k of con-

In 91 percent of cases there wasbull in the pat lent or h18 or her blood

relatlves

bull a1d blood Lng were the most common at lts most olIllIlon site that 18

at S8 wrere 1nhaled and left maln bronchl

or at the orlgln o the flve lUllg lobes

a om of eural Hlvolvement - Has most olIllIlon n ung cancer

bull two percent of the cases a some val ant of It As n

proven cases cancer was found t be the cha-l1ce chest f lIDs such as mass x ray Sul~eys

the value sIDokng 45 or over age groupobvlous

81X percent of cases were dlscovered

In 13 percent the exact diagnosls middot8S establlshed only at autopsv the earlCer was already there ether symptomless or xasqueradlTg as some other d sease

49

one percent of those Wlttbull and 2 perc nt betwe n 4 6

nts r 45bull own lnter sts annual chest

ng as central map rlpheral a Vlrus pneuIIlon or lung

abscess check are essent al In

h these

But even a nor3al chest fllm s not to~a1 secur ln a smoking pat lent Wlth ~es ory symptoms H too needs bronchoscopy to e11mn8 te tumours that may be preseet bUe not enough to alt r bronch al lCS and x ray

bull co=on the a1

bull AdenocarC1foma 1 ss smok ng llnked percent feIT8es as aga net 8 per ent In males

In cell th smckers sq1amous cell 11a Df thal or

car 101gt ln 1S 88eS

111 ss or were xp ctae on In other

ng ll~ the 45shyage must and

bron hoscopy ill ord I to as cause

Small Hh1Ch notcr ous show shadows more ofcen Tins very fact lS 1 nked w th er progros s wh ser~ ts arly

s tuVlval fr of small and 3

AdenocarCllCma rould tumours tmgtiards the dge of the are s~atl8 expectation

All caecer cell pes were s glllf assoCla w th pre-ex st ng resp rat Dry seas

I~ours knov1 to be ated H th sm klng oc urred In 91 of the New alalld amp1 s as opposed 0 71 of the

ed rn the group males contr1buted 49 p rc ers The cmhffer ated cell

were almost common Dl male and female cases

bull In t lus males as females were

Moderate smokers (10-1 per day) and heavy smokers (20 39 t accotJted for 81 percent of and 50 percent

The chances of a non smoker d squamous cell carCDlOma are sll1ll however can develop enocarClnoma t at not Ilke the rate moderate and heavy smokers d lung cancer

43

The foregolng able sets dOl0l Hi and perc the SUTV VOlS at the end of each nterval In fferent cell 6 The covers the 872 cases where treatment a1med at cure of the dlsease was

Ihe average of surv val of the cases up urtll the survey closed was only 28 5 months HO~1ever there were a lucky few In each cell pe who remaliled al at least flve and some even ten years after the of the treatment

A summary of table shows

Small Aden care noma Bronch olar

Humbers surv v1ng 9 20 16

Pe c surv vlng o 2 1 4 2

Hwubers surv 13 N l 11

H 1 Iill

age SItes of the s al

Small no cell carCInoma

ticl belS surv

) years 4 N 13

years ~Jll 1

PerlDheral turnOUTS

NtuJlbers SUrllvlng

5 years 5 8

years 3 n 1

EXaIDlrlatlon survlval pre eX16 ondit the follow1ng gures

l re8p~ra-ory dlS8aS8

Ocher

The pre

dlfferenc -ex stlng re

s shown splrat

lndlcat ng hat persons or sseI peTl

wlth a

val

O-ltrer 24

Humber of cases

have one rec -ould appear

O-i ~ tIle and 8

not glve full was taken as flve

-45

AL examlllation of the cases acc to the cause of death produced the

~roTE 155 lents were hown to b stIll allve more than 5 years after end of survey

Cases

dIsease 2 512 94 Interccrrent dIsease Ii til malIgnant d sease present 4 Interccrrent d cause wlthout present

sease or external dIsease

49 2

Unascertalned cause of death

Iotal cases 2 100

Hi NeVi Zealand ant ratebull t here no Hld catlon that tllt case n a

es

the pr New ealand tr nd to year 1975 s t aT goo male ths eme He every

ma~ed total male C8Ilcer of aIls ce

races n New Zealand have 1nereasedst a faster pa over rece1tbull years III s cr lq world w1d

A PI Ject cates that f gure of around deaths to recorded on

t-le esturated t female deat1s froQ cancer of all Sltee

maebull to rat 1975 t 5

lhe 1ncrease cancer over the la8+ en years has at allbull age s r b otr1 tt ates age urlder years bave I sen more at old I ages

A relat betw c t er asbull wel as several other seasee 18 f ard scat st establ1shed Ihe aJ1ost of lnformatlon abcut the and Homer In these

t8 all concerned

(a) lts

current flve on thls medllJLl lS Vlould

tabulat1 W1 Hnd t

rie s tr-e 9Iebull n part eular the

are ca1118d out s thae In fin

22ld IDpress ons are true then

cancer men can be ant1c the d1seas8 and from lt

bull

observat10n that Maorl SHi)kers Heavy clgaret the lower SOOlO econom 0 In New Zealand that 21d the 1S lT1 our soc

enee w h te s=tok ngbull causal factor has wlder

Se of nev r a1d 1

bull ~ake valuable contr1but on to the world S but as yet no researcher has taken -1P the r ommended thamp1 st

research llto bc should embrace the

Zealanders s the tobacc used s

bull of urb811 charlces of lCUrr

s~okers n dw 1101S be er smekers -chan rural dyrell r8 l l vart sillok ng data are lable for ndustr1al a I - not ex 8t

n rates d

a ed over ontr ed Trlc)uld s se

n CEll1 er

bull The U New Zealand In and omen f d fference s n t

f nd ngs were flr8 -h s analys s for lat I years there has been s r~dnc on n the exe S8 I sk elf the U K liIJl]

bull of deaths from true illcldence occurrence of the cond The reason 8 that

small of cases ed llllst n others dlS ase S arrest d for rlod t allow of

ioath from soce h l

OCCUlT III tl1 commUll and never treated

v c tnous8rd

of the ~entsn thlS survey werebull flnd ng of tlC cells

bull Pew persons dev 1 carcer 1mder age of if calLe In the 8211 27 percent ill the

I th therefore ontract ng cancer age t very asy t lmdesteIld

superCnnuat schemes ar e such vlab =-e f narl ~lal pr~)pos tons v19wed In relat on to the average S1iIV val t lme cancer

mal patlents th the l racebull percent [middotlaor but In wer 91 perc l~t non laor and 9

those of art A - Deaths that carlC er ill Maar

viere all hlSt

bull perc s or over

greater rlsk

Wlth over 1 1n 4 of the pat entsbull C chrornc broncllltlS

h gh r18k of con-

In 91 percent of cases there wasbull in the pat lent or h18 or her blood

relatlves

bull a1d blood Lng were the most common at lts most olIllIlon site that 18

at S8 wrere 1nhaled and left maln bronchl

or at the orlgln o the flve lUllg lobes

a om of eural Hlvolvement - Has most olIllIlon n ung cancer

bull two percent of the cases a some val ant of It As n

proven cases cancer was found t be the cha-l1ce chest f lIDs such as mass x ray Sul~eys

the value sIDokng 45 or over age groupobvlous

81X percent of cases were dlscovered

In 13 percent the exact diagnosls middot8S establlshed only at autopsv the earlCer was already there ether symptomless or xasqueradlTg as some other d sease

49

one percent of those Wlttbull and 2 perc nt betwe n 4 6

nts r 45bull own lnter sts annual chest

ng as central map rlpheral a Vlrus pneuIIlon or lung

abscess check are essent al In

h these

But even a nor3al chest fllm s not to~a1 secur ln a smoking pat lent Wlth ~es ory symptoms H too needs bronchoscopy to e11mn8 te tumours that may be preseet bUe not enough to alt r bronch al lCS and x ray

bull co=on the a1

bull AdenocarC1foma 1 ss smok ng llnked percent feIT8es as aga net 8 per ent In males

In cell th smckers sq1amous cell 11a Df thal or

car 101gt ln 1S 88eS

111 ss or were xp ctae on In other

ng ll~ the 45shyage must and

bron hoscopy ill ord I to as cause

Small Hh1Ch notcr ous show shadows more ofcen Tins very fact lS 1 nked w th er progros s wh ser~ ts arly

s tuVlval fr of small and 3

AdenocarCllCma rould tumours tmgtiards the dge of the are s~atl8 expectation

All caecer cell pes were s glllf assoCla w th pre-ex st ng resp rat Dry seas

I~ours knov1 to be ated H th sm klng oc urred In 91 of the New alalld amp1 s as opposed 0 71 of the

ed rn the group males contr1buted 49 p rc ers The cmhffer ated cell

were almost common Dl male and female cases

bull In t lus males as females were

Moderate smokers (10-1 per day) and heavy smokers (20 39 t accotJted for 81 percent of and 50 percent

The chances of a non smoker d squamous cell carCDlOma are sll1ll however can develop enocarClnoma t at not Ilke the rate moderate and heavy smokers d lung cancer

l re8p~ra-ory dlS8aS8

Ocher

The pre

dlfferenc -ex stlng re

s shown splrat

lndlcat ng hat persons or sseI peTl

wlth a

val

O-ltrer 24

Humber of cases

have one rec -ould appear

O-i ~ tIle and 8

not glve full was taken as flve

-45

AL examlllation of the cases acc to the cause of death produced the

~roTE 155 lents were hown to b stIll allve more than 5 years after end of survey

Cases

dIsease 2 512 94 Interccrrent dIsease Ii til malIgnant d sease present 4 Interccrrent d cause wlthout present

sease or external dIsease

49 2

Unascertalned cause of death

Iotal cases 2 100

Hi NeVi Zealand ant ratebull t here no Hld catlon that tllt case n a

es

the pr New ealand tr nd to year 1975 s t aT goo male ths eme He every

ma~ed total male C8Ilcer of aIls ce

races n New Zealand have 1nereasedst a faster pa over rece1tbull years III s cr lq world w1d

A PI Ject cates that f gure of around deaths to recorded on

t-le esturated t female deat1s froQ cancer of all Sltee

maebull to rat 1975 t 5

lhe 1ncrease cancer over the la8+ en years has at allbull age s r b otr1 tt ates age urlder years bave I sen more at old I ages

A relat betw c t er asbull wel as several other seasee 18 f ard scat st establ1shed Ihe aJ1ost of lnformatlon abcut the and Homer In these

t8 all concerned

(a) lts

current flve on thls medllJLl lS Vlould

tabulat1 W1 Hnd t

rie s tr-e 9Iebull n part eular the

are ca1118d out s thae In fin

22ld IDpress ons are true then

cancer men can be ant1c the d1seas8 and from lt

bull

observat10n that Maorl SHi)kers Heavy clgaret the lower SOOlO econom 0 In New Zealand that 21d the 1S lT1 our soc

enee w h te s=tok ngbull causal factor has wlder

Se of nev r a1d 1

bull ~ake valuable contr1but on to the world S but as yet no researcher has taken -1P the r ommended thamp1 st

research llto bc should embrace the

Zealanders s the tobacc used s

bull of urb811 charlces of lCUrr

s~okers n dw 1101S be er smekers -chan rural dyrell r8 l l vart sillok ng data are lable for ndustr1al a I - not ex 8t

n rates d

a ed over ontr ed Trlc)uld s se

n CEll1 er

bull The U New Zealand In and omen f d fference s n t

f nd ngs were flr8 -h s analys s for lat I years there has been s r~dnc on n the exe S8 I sk elf the U K liIJl]

bull of deaths from true illcldence occurrence of the cond The reason 8 that

small of cases ed llllst n others dlS ase S arrest d for rlod t allow of

ioath from soce h l

OCCUlT III tl1 commUll and never treated

v c tnous8rd

of the ~entsn thlS survey werebull flnd ng of tlC cells

bull Pew persons dev 1 carcer 1mder age of if calLe In the 8211 27 percent ill the

I th therefore ontract ng cancer age t very asy t lmdesteIld

superCnnuat schemes ar e such vlab =-e f narl ~lal pr~)pos tons v19wed In relat on to the average S1iIV val t lme cancer

mal patlents th the l racebull percent [middotlaor but In wer 91 perc l~t non laor and 9

those of art A - Deaths that carlC er ill Maar

viere all hlSt

bull perc s or over

greater rlsk

Wlth over 1 1n 4 of the pat entsbull C chrornc broncllltlS

h gh r18k of con-

In 91 percent of cases there wasbull in the pat lent or h18 or her blood

relatlves

bull a1d blood Lng were the most common at lts most olIllIlon site that 18

at S8 wrere 1nhaled and left maln bronchl

or at the orlgln o the flve lUllg lobes

a om of eural Hlvolvement - Has most olIllIlon n ung cancer

bull two percent of the cases a some val ant of It As n

proven cases cancer was found t be the cha-l1ce chest f lIDs such as mass x ray Sul~eys

the value sIDokng 45 or over age groupobvlous

81X percent of cases were dlscovered

In 13 percent the exact diagnosls middot8S establlshed only at autopsv the earlCer was already there ether symptomless or xasqueradlTg as some other d sease

49

one percent of those Wlttbull and 2 perc nt betwe n 4 6

nts r 45bull own lnter sts annual chest

ng as central map rlpheral a Vlrus pneuIIlon or lung

abscess check are essent al In

h these

But even a nor3al chest fllm s not to~a1 secur ln a smoking pat lent Wlth ~es ory symptoms H too needs bronchoscopy to e11mn8 te tumours that may be preseet bUe not enough to alt r bronch al lCS and x ray

bull co=on the a1

bull AdenocarC1foma 1 ss smok ng llnked percent feIT8es as aga net 8 per ent In males

In cell th smckers sq1amous cell 11a Df thal or

car 101gt ln 1S 88eS

111 ss or were xp ctae on In other

ng ll~ the 45shyage must and

bron hoscopy ill ord I to as cause

Small Hh1Ch notcr ous show shadows more ofcen Tins very fact lS 1 nked w th er progros s wh ser~ ts arly

s tuVlval fr of small and 3

AdenocarCllCma rould tumours tmgtiards the dge of the are s~atl8 expectation

All caecer cell pes were s glllf assoCla w th pre-ex st ng resp rat Dry seas

I~ours knov1 to be ated H th sm klng oc urred In 91 of the New alalld amp1 s as opposed 0 71 of the

ed rn the group males contr1buted 49 p rc ers The cmhffer ated cell

were almost common Dl male and female cases

bull In t lus males as females were

Moderate smokers (10-1 per day) and heavy smokers (20 39 t accotJted for 81 percent of and 50 percent

The chances of a non smoker d squamous cell carCDlOma are sll1ll however can develop enocarClnoma t at not Ilke the rate moderate and heavy smokers d lung cancer

-45

AL examlllation of the cases acc to the cause of death produced the

~roTE 155 lents were hown to b stIll allve more than 5 years after end of survey

Cases

dIsease 2 512 94 Interccrrent dIsease Ii til malIgnant d sease present 4 Interccrrent d cause wlthout present

sease or external dIsease

49 2

Unascertalned cause of death

Iotal cases 2 100

Hi NeVi Zealand ant ratebull t here no Hld catlon that tllt case n a

es

the pr New ealand tr nd to year 1975 s t aT goo male ths eme He every

ma~ed total male C8Ilcer of aIls ce

races n New Zealand have 1nereasedst a faster pa over rece1tbull years III s cr lq world w1d

A PI Ject cates that f gure of around deaths to recorded on

t-le esturated t female deat1s froQ cancer of all Sltee

maebull to rat 1975 t 5

lhe 1ncrease cancer over the la8+ en years has at allbull age s r b otr1 tt ates age urlder years bave I sen more at old I ages

A relat betw c t er asbull wel as several other seasee 18 f ard scat st establ1shed Ihe aJ1ost of lnformatlon abcut the and Homer In these

t8 all concerned

(a) lts

current flve on thls medllJLl lS Vlould

tabulat1 W1 Hnd t

rie s tr-e 9Iebull n part eular the

are ca1118d out s thae In fin

22ld IDpress ons are true then

cancer men can be ant1c the d1seas8 and from lt

bull

observat10n that Maorl SHi)kers Heavy clgaret the lower SOOlO econom 0 In New Zealand that 21d the 1S lT1 our soc

enee w h te s=tok ngbull causal factor has wlder

Se of nev r a1d 1

bull ~ake valuable contr1but on to the world S but as yet no researcher has taken -1P the r ommended thamp1 st

research llto bc should embrace the

Zealanders s the tobacc used s

bull of urb811 charlces of lCUrr

s~okers n dw 1101S be er smekers -chan rural dyrell r8 l l vart sillok ng data are lable for ndustr1al a I - not ex 8t

n rates d

a ed over ontr ed Trlc)uld s se

n CEll1 er

bull The U New Zealand In and omen f d fference s n t

f nd ngs were flr8 -h s analys s for lat I years there has been s r~dnc on n the exe S8 I sk elf the U K liIJl]

bull of deaths from true illcldence occurrence of the cond The reason 8 that

small of cases ed llllst n others dlS ase S arrest d for rlod t allow of

ioath from soce h l

OCCUlT III tl1 commUll and never treated

v c tnous8rd

of the ~entsn thlS survey werebull flnd ng of tlC cells

bull Pew persons dev 1 carcer 1mder age of if calLe In the 8211 27 percent ill the

I th therefore ontract ng cancer age t very asy t lmdesteIld

superCnnuat schemes ar e such vlab =-e f narl ~lal pr~)pos tons v19wed In relat on to the average S1iIV val t lme cancer

mal patlents th the l racebull percent [middotlaor but In wer 91 perc l~t non laor and 9

those of art A - Deaths that carlC er ill Maar

viere all hlSt

bull perc s or over

greater rlsk

Wlth over 1 1n 4 of the pat entsbull C chrornc broncllltlS

h gh r18k of con-

In 91 percent of cases there wasbull in the pat lent or h18 or her blood

relatlves

bull a1d blood Lng were the most common at lts most olIllIlon site that 18

at S8 wrere 1nhaled and left maln bronchl

or at the orlgln o the flve lUllg lobes

a om of eural Hlvolvement - Has most olIllIlon n ung cancer

bull two percent of the cases a some val ant of It As n

proven cases cancer was found t be the cha-l1ce chest f lIDs such as mass x ray Sul~eys

the value sIDokng 45 or over age groupobvlous

81X percent of cases were dlscovered

In 13 percent the exact diagnosls middot8S establlshed only at autopsv the earlCer was already there ether symptomless or xasqueradlTg as some other d sease

49

one percent of those Wlttbull and 2 perc nt betwe n 4 6

nts r 45bull own lnter sts annual chest

ng as central map rlpheral a Vlrus pneuIIlon or lung

abscess check are essent al In

h these

But even a nor3al chest fllm s not to~a1 secur ln a smoking pat lent Wlth ~es ory symptoms H too needs bronchoscopy to e11mn8 te tumours that may be preseet bUe not enough to alt r bronch al lCS and x ray

bull co=on the a1

bull AdenocarC1foma 1 ss smok ng llnked percent feIT8es as aga net 8 per ent In males

In cell th smckers sq1amous cell 11a Df thal or

car 101gt ln 1S 88eS

111 ss or were xp ctae on In other

ng ll~ the 45shyage must and

bron hoscopy ill ord I to as cause

Small Hh1Ch notcr ous show shadows more ofcen Tins very fact lS 1 nked w th er progros s wh ser~ ts arly

s tuVlval fr of small and 3

AdenocarCllCma rould tumours tmgtiards the dge of the are s~atl8 expectation

All caecer cell pes were s glllf assoCla w th pre-ex st ng resp rat Dry seas

I~ours knov1 to be ated H th sm klng oc urred In 91 of the New alalld amp1 s as opposed 0 71 of the

ed rn the group males contr1buted 49 p rc ers The cmhffer ated cell

were almost common Dl male and female cases

bull In t lus males as females were

Moderate smokers (10-1 per day) and heavy smokers (20 39 t accotJted for 81 percent of and 50 percent

The chances of a non smoker d squamous cell carCDlOma are sll1ll however can develop enocarClnoma t at not Ilke the rate moderate and heavy smokers d lung cancer

Hi NeVi Zealand ant ratebull t here no Hld catlon that tllt case n a

es

the pr New ealand tr nd to year 1975 s t aT goo male ths eme He every

ma~ed total male C8Ilcer of aIls ce

races n New Zealand have 1nereasedst a faster pa over rece1tbull years III s cr lq world w1d

A PI Ject cates that f gure of around deaths to recorded on

t-le esturated t female deat1s froQ cancer of all Sltee

maebull to rat 1975 t 5

lhe 1ncrease cancer over the la8+ en years has at allbull age s r b otr1 tt ates age urlder years bave I sen more at old I ages

A relat betw c t er asbull wel as several other seasee 18 f ard scat st establ1shed Ihe aJ1ost of lnformatlon abcut the and Homer In these

t8 all concerned

(a) lts

current flve on thls medllJLl lS Vlould

tabulat1 W1 Hnd t

rie s tr-e 9Iebull n part eular the

are ca1118d out s thae In fin

22ld IDpress ons are true then

cancer men can be ant1c the d1seas8 and from lt

bull

observat10n that Maorl SHi)kers Heavy clgaret the lower SOOlO econom 0 In New Zealand that 21d the 1S lT1 our soc

enee w h te s=tok ngbull causal factor has wlder

Se of nev r a1d 1

bull ~ake valuable contr1but on to the world S but as yet no researcher has taken -1P the r ommended thamp1 st

research llto bc should embrace the

Zealanders s the tobacc used s

bull of urb811 charlces of lCUrr

s~okers n dw 1101S be er smekers -chan rural dyrell r8 l l vart sillok ng data are lable for ndustr1al a I - not ex 8t

n rates d

a ed over ontr ed Trlc)uld s se

n CEll1 er

bull The U New Zealand In and omen f d fference s n t

f nd ngs were flr8 -h s analys s for lat I years there has been s r~dnc on n the exe S8 I sk elf the U K liIJl]

bull of deaths from true illcldence occurrence of the cond The reason 8 that

small of cases ed llllst n others dlS ase S arrest d for rlod t allow of

ioath from soce h l

OCCUlT III tl1 commUll and never treated

v c tnous8rd

of the ~entsn thlS survey werebull flnd ng of tlC cells

bull Pew persons dev 1 carcer 1mder age of if calLe In the 8211 27 percent ill the

I th therefore ontract ng cancer age t very asy t lmdesteIld

superCnnuat schemes ar e such vlab =-e f narl ~lal pr~)pos tons v19wed In relat on to the average S1iIV val t lme cancer

mal patlents th the l racebull percent [middotlaor but In wer 91 perc l~t non laor and 9

those of art A - Deaths that carlC er ill Maar

viere all hlSt

bull perc s or over

greater rlsk

Wlth over 1 1n 4 of the pat entsbull C chrornc broncllltlS

h gh r18k of con-

In 91 percent of cases there wasbull in the pat lent or h18 or her blood

relatlves

bull a1d blood Lng were the most common at lts most olIllIlon site that 18

at S8 wrere 1nhaled and left maln bronchl

or at the orlgln o the flve lUllg lobes

a om of eural Hlvolvement - Has most olIllIlon n ung cancer

bull two percent of the cases a some val ant of It As n

proven cases cancer was found t be the cha-l1ce chest f lIDs such as mass x ray Sul~eys

the value sIDokng 45 or over age groupobvlous

81X percent of cases were dlscovered

In 13 percent the exact diagnosls middot8S establlshed only at autopsv the earlCer was already there ether symptomless or xasqueradlTg as some other d sease

49

one percent of those Wlttbull and 2 perc nt betwe n 4 6

nts r 45bull own lnter sts annual chest

ng as central map rlpheral a Vlrus pneuIIlon or lung

abscess check are essent al In

h these

But even a nor3al chest fllm s not to~a1 secur ln a smoking pat lent Wlth ~es ory symptoms H too needs bronchoscopy to e11mn8 te tumours that may be preseet bUe not enough to alt r bronch al lCS and x ray

bull co=on the a1

bull AdenocarC1foma 1 ss smok ng llnked percent feIT8es as aga net 8 per ent In males

In cell th smckers sq1amous cell 11a Df thal or

car 101gt ln 1S 88eS

111 ss or were xp ctae on In other

ng ll~ the 45shyage must and

bron hoscopy ill ord I to as cause

Small Hh1Ch notcr ous show shadows more ofcen Tins very fact lS 1 nked w th er progros s wh ser~ ts arly

s tuVlval fr of small and 3

AdenocarCllCma rould tumours tmgtiards the dge of the are s~atl8 expectation

All caecer cell pes were s glllf assoCla w th pre-ex st ng resp rat Dry seas

I~ours knov1 to be ated H th sm klng oc urred In 91 of the New alalld amp1 s as opposed 0 71 of the

ed rn the group males contr1buted 49 p rc ers The cmhffer ated cell

were almost common Dl male and female cases

bull In t lus males as females were

Moderate smokers (10-1 per day) and heavy smokers (20 39 t accotJted for 81 percent of and 50 percent

The chances of a non smoker d squamous cell carCDlOma are sll1ll however can develop enocarClnoma t at not Ilke the rate moderate and heavy smokers d lung cancer

observat10n that Maorl SHi)kers Heavy clgaret the lower SOOlO econom 0 In New Zealand that 21d the 1S lT1 our soc

enee w h te s=tok ngbull causal factor has wlder

Se of nev r a1d 1

bull ~ake valuable contr1but on to the world S but as yet no researcher has taken -1P the r ommended thamp1 st

research llto bc should embrace the

Zealanders s the tobacc used s

bull of urb811 charlces of lCUrr

s~okers n dw 1101S be er smekers -chan rural dyrell r8 l l vart sillok ng data are lable for ndustr1al a I - not ex 8t

n rates d

a ed over ontr ed Trlc)uld s se

n CEll1 er

bull The U New Zealand In and omen f d fference s n t

f nd ngs were flr8 -h s analys s for lat I years there has been s r~dnc on n the exe S8 I sk elf the U K liIJl]

bull of deaths from true illcldence occurrence of the cond The reason 8 that

small of cases ed llllst n others dlS ase S arrest d for rlod t allow of

ioath from soce h l

OCCUlT III tl1 commUll and never treated

v c tnous8rd

of the ~entsn thlS survey werebull flnd ng of tlC cells

bull Pew persons dev 1 carcer 1mder age of if calLe In the 8211 27 percent ill the

I th therefore ontract ng cancer age t very asy t lmdesteIld

superCnnuat schemes ar e such vlab =-e f narl ~lal pr~)pos tons v19wed In relat on to the average S1iIV val t lme cancer

mal patlents th the l racebull percent [middotlaor but In wer 91 perc l~t non laor and 9

those of art A - Deaths that carlC er ill Maar

viere all hlSt

bull perc s or over

greater rlsk

Wlth over 1 1n 4 of the pat entsbull C chrornc broncllltlS

h gh r18k of con-

In 91 percent of cases there wasbull in the pat lent or h18 or her blood

relatlves

bull a1d blood Lng were the most common at lts most olIllIlon site that 18

at S8 wrere 1nhaled and left maln bronchl

or at the orlgln o the flve lUllg lobes

a om of eural Hlvolvement - Has most olIllIlon n ung cancer

bull two percent of the cases a some val ant of It As n

proven cases cancer was found t be the cha-l1ce chest f lIDs such as mass x ray Sul~eys

the value sIDokng 45 or over age groupobvlous

81X percent of cases were dlscovered

In 13 percent the exact diagnosls middot8S establlshed only at autopsv the earlCer was already there ether symptomless or xasqueradlTg as some other d sease

49

one percent of those Wlttbull and 2 perc nt betwe n 4 6

nts r 45bull own lnter sts annual chest

ng as central map rlpheral a Vlrus pneuIIlon or lung

abscess check are essent al In

h these

But even a nor3al chest fllm s not to~a1 secur ln a smoking pat lent Wlth ~es ory symptoms H too needs bronchoscopy to e11mn8 te tumours that may be preseet bUe not enough to alt r bronch al lCS and x ray

bull co=on the a1

bull AdenocarC1foma 1 ss smok ng llnked percent feIT8es as aga net 8 per ent In males

In cell th smckers sq1amous cell 11a Df thal or

car 101gt ln 1S 88eS

111 ss or were xp ctae on In other

ng ll~ the 45shyage must and

bron hoscopy ill ord I to as cause

Small Hh1Ch notcr ous show shadows more ofcen Tins very fact lS 1 nked w th er progros s wh ser~ ts arly

s tuVlval fr of small and 3

AdenocarCllCma rould tumours tmgtiards the dge of the are s~atl8 expectation

All caecer cell pes were s glllf assoCla w th pre-ex st ng resp rat Dry seas

I~ours knov1 to be ated H th sm klng oc urred In 91 of the New alalld amp1 s as opposed 0 71 of the

ed rn the group males contr1buted 49 p rc ers The cmhffer ated cell

were almost common Dl male and female cases

bull In t lus males as females were

Moderate smokers (10-1 per day) and heavy smokers (20 39 t accotJted for 81 percent of and 50 percent

The chances of a non smoker d squamous cell carCDlOma are sll1ll however can develop enocarClnoma t at not Ilke the rate moderate and heavy smokers d lung cancer

of the ~entsn thlS survey werebull flnd ng of tlC cells

bull Pew persons dev 1 carcer 1mder age of if calLe In the 8211 27 percent ill the

I th therefore ontract ng cancer age t very asy t lmdesteIld

superCnnuat schemes ar e such vlab =-e f narl ~lal pr~)pos tons v19wed In relat on to the average S1iIV val t lme cancer

mal patlents th the l racebull percent [middotlaor but In wer 91 perc l~t non laor and 9

those of art A - Deaths that carlC er ill Maar

viere all hlSt

bull perc s or over

greater rlsk

Wlth over 1 1n 4 of the pat entsbull C chrornc broncllltlS

h gh r18k of con-

In 91 percent of cases there wasbull in the pat lent or h18 or her blood

relatlves

bull a1d blood Lng were the most common at lts most olIllIlon site that 18

at S8 wrere 1nhaled and left maln bronchl

or at the orlgln o the flve lUllg lobes

a om of eural Hlvolvement - Has most olIllIlon n ung cancer

bull two percent of the cases a some val ant of It As n

proven cases cancer was found t be the cha-l1ce chest f lIDs such as mass x ray Sul~eys

the value sIDokng 45 or over age groupobvlous

81X percent of cases were dlscovered

In 13 percent the exact diagnosls middot8S establlshed only at autopsv the earlCer was already there ether symptomless or xasqueradlTg as some other d sease

49

one percent of those Wlttbull and 2 perc nt betwe n 4 6

nts r 45bull own lnter sts annual chest

ng as central map rlpheral a Vlrus pneuIIlon or lung

abscess check are essent al In

h these

But even a nor3al chest fllm s not to~a1 secur ln a smoking pat lent Wlth ~es ory symptoms H too needs bronchoscopy to e11mn8 te tumours that may be preseet bUe not enough to alt r bronch al lCS and x ray

bull co=on the a1

bull AdenocarC1foma 1 ss smok ng llnked percent feIT8es as aga net 8 per ent In males

In cell th smckers sq1amous cell 11a Df thal or

car 101gt ln 1S 88eS

111 ss or were xp ctae on In other

ng ll~ the 45shyage must and

bron hoscopy ill ord I to as cause

Small Hh1Ch notcr ous show shadows more ofcen Tins very fact lS 1 nked w th er progros s wh ser~ ts arly

s tuVlval fr of small and 3

AdenocarCllCma rould tumours tmgtiards the dge of the are s~atl8 expectation

All caecer cell pes were s glllf assoCla w th pre-ex st ng resp rat Dry seas

I~ours knov1 to be ated H th sm klng oc urred In 91 of the New alalld amp1 s as opposed 0 71 of the

ed rn the group males contr1buted 49 p rc ers The cmhffer ated cell

were almost common Dl male and female cases

bull In t lus males as females were

Moderate smokers (10-1 per day) and heavy smokers (20 39 t accotJted for 81 percent of and 50 percent

The chances of a non smoker d squamous cell carCDlOma are sll1ll however can develop enocarClnoma t at not Ilke the rate moderate and heavy smokers d lung cancer

49

one percent of those Wlttbull and 2 perc nt betwe n 4 6

nts r 45bull own lnter sts annual chest

ng as central map rlpheral a Vlrus pneuIIlon or lung

abscess check are essent al In

h these

But even a nor3al chest fllm s not to~a1 secur ln a smoking pat lent Wlth ~es ory symptoms H too needs bronchoscopy to e11mn8 te tumours that may be preseet bUe not enough to alt r bronch al lCS and x ray

bull co=on the a1

bull AdenocarC1foma 1 ss smok ng llnked percent feIT8es as aga net 8 per ent In males

In cell th smckers sq1amous cell 11a Df thal or

car 101gt ln 1S 88eS

111 ss or were xp ctae on In other

ng ll~ the 45shyage must and

bron hoscopy ill ord I to as cause

Small Hh1Ch notcr ous show shadows more ofcen Tins very fact lS 1 nked w th er progros s wh ser~ ts arly

s tuVlval fr of small and 3

AdenocarCllCma rould tumours tmgtiards the dge of the are s~atl8 expectation

All caecer cell pes were s glllf assoCla w th pre-ex st ng resp rat Dry seas

I~ours knov1 to be ated H th sm klng oc urred In 91 of the New alalld amp1 s as opposed 0 71 of the

ed rn the group males contr1buted 49 p rc ers The cmhffer ated cell

were almost common Dl male and female cases

bull In t lus males as females were

Moderate smokers (10-1 per day) and heavy smokers (20 39 t accotJted for 81 percent of and 50 percent

The chances of a non smoker d squamous cell carCDlOma are sll1ll however can develop enocarClnoma t at not Ilke the rate moderate and heavy smokers d lung cancer

50

bull had no trea~ment 39 percent 31 some ferm

Thos as hav ng curatlve IV th average

8UY1 val lve treatment or none There 1S n havlrJ6 the dlsease 1n left rather than the present ln both the average SUTvlval das 6 7

The ser ous nature of cancer 1 wmiddotlderlJned n thlS New Zealand (957 6 ) wh n r a1 ses that ent of the

pat ents show d metastases at the t s Th SSpI of sease when f rst rec sed ts prognosls Indeed 25 percent had spr tlssue arolmd the l1eart when lrst seen ard 23 psrc nt had rnl~lt Qetasc8ses througrl out the t ent al cases Once the turnOLU lS dis the lS sWlft and 1n8V table

on vi th almost 70 percent of cases e beyondbull ve treatrne~lt I-Then flrst ed cancer lS than treated

Of the total o~ 848 cases wlthln 2 years a mere 400 persons were allve by 5 years 155 remalnei allve - aVlrtual mass extlnct10n or s nee the dlsease ~ able a mass sUlclde

No one w1shes per1sh by Auto-de Fe pro duces for the rna J 011 ty a Ilke result 11 th as this on men and ~Ioen who could stlll contr1bJte

had they their flres heQ

Though re s a servant It 8 a bad master and at 1tS habollcal forst from a health and SJTV val v ewpo nt when llnked wlth clgarete

-51

of a var ety of sSlons and Skllls Hi dlfferent lnstltutlons scattered New Zealand have contrlbut to thlS

It 1S to name them all spe but the authors the ~lOrk of

S r Robb anal rhorac Unl t Green Lane Hasp tal Auckland

Nr James BEurd anal ~horac 0 Un t Hospltal

Welllngton Welllrgton

Hr Heath ThoraC1C Unlt Prlnoea Hasp tal Chrlstchurch

Ilr John Barr e ThoraolC Unlt Dunedm U11edln

These were four partlc ~ n he olln cal survey twas 311 obb who br t then d SCUSSlon WhlCh resulted n

duxlng after the Conference of 1957 held lD on

~r Davld Cole Cardio-thorao c Gre n Lane Hospltal Auckland who co-ord nated the 011 ctlon of the --ane Hasp tal materlal

Ilr H L Wood cs Centre who 111

efflcl cards returns

Ifrr John Flndlay Ch ef Health 3tatlst c an and h s aSSoclatea en the ITa tlonal Cancer Reg sry part Hiss E Henderson and

Sect ons of the Na anal Health lstlCS Centre whc have so C lD supplYl11g taslc data

HIS II Schusser sen or typ at of the Natlonal Health Statlstlca Centre who ln the capaclty of edltorlal off cer to thlS has so capably carr ed the ed ting of the and tables tted to her for

Nr W T Goble cler cal offlcer of the Waikat HOSPl tal Board who lus own tlIDe undertook the alculat ons 121 Part A

hss YvorLYle Joel and also Brook Brlan COrLYlor and 1Il Iv n LlttleJohr of the Phot Medlcal School for preparlng and copy ng the

The Dunedlll for

of Olveson Theomln on to use thelr

4 of

Royal The

Terrace t~e Smoker

the 2ate

r r

7 10 1 p 5 14 1 1 1

1 (j)0 ~~- 9 4 930

1931 -+

24 ~ shyCC

(

1 3 1 932 T 23 14 1933 4 7

-~

1 934 3

~ 7 1 c 19 J

4

1 936 23 10 -

1937 ~() 42 938 34 -r

100_1 _

lt 940 94 3

3f)

9

r- 1 -- 1

- j

43

942 74 41 1 b 1 943 E 8 19H 1 104 - 94 1947

1 28 14 5 6 ~

0 31

1 942 (j 3 1949 1950951

1 1

51 86

1 (10

0

0

30 J

72 82

1 52 24 1 1 11shy 41 1 1 1 CjC 7 -jJ

i 954 1 955 1 956 1 0 ~J

958 357

~

II= cj

27 28 71

29

B 6

4

1 1 121 135 140 15t 1 ~ r Tv

37 71 77 I 3 5

4 1

95 14() 1 1 1

1 0

1 1961

1 ~ JT

1 1

1)7L I

1 1

363

1 964 + 76

1 0r _

187 ~ 39

79 1

1965 1966

7 I

1 9~e 1 -1970 1 971 47 4

90

S12 7 -

36 48 40

r~

t 1 r-r7 1

93 1C2 1 17 140 135

r-r I

221

247

TABLE DEArHS FROil LUlIG CANCER Nlfj1BERS AT AGES 71 A IltIALE8 TIl Arp0oW iRliOF8 Ag groups

Year All age 25-29 30-34 59 60-64 9 70-74 75+

192 3 9 1927 2 10 1928 1 2 14 1929 1 L 4 1 1930 1 2 -

c 7 4 L1 31 1931 2 5 5 L1 4 1932 4 2 5 6 ~ -) 7 1933 1 2 5 5 4 - 2 1934 1

4 1--

7

3 6 5

2 4 4 L

1 3

1 1 1 11 3 1 36 1937 4 4 7 7 3 31 1 r)

L 1 c J 19 8 6 56

1 3 2 5 6 10 r=shyJ 4 50

1940 2 4 c J 10 c

J -L 47

1941 7 J 1 1 9 7

J 3 51 1942 194

4-L 3 11 13

12 17

1 8 8

4 6

74

1944 3 4 7 11 5 6 5 1 194

1 1

3 5 1

7 10

19 20

29 2

0 j

17 7 8

104 I

Jl 19middot1-7 1948

31 4 4

4 12 13

27 17

24 15 21

8 13

A I

1949 3 17 ~2 27 27 23 11 1950 3 4 11 22 25 21 1951 1 S- 1 33 30 21 1 4 r

~

7qJ~ 13 47 31 242

1953 2 6 47 52 32 27 1954 1 5 36 46 30 1 1 5 45 42 42 1 1 1

2 1 1 1

4 3 c J 32

40 52 36

65 65 46

50 1

314 357

1 1 1 1 1 1 1 1 1

2 1 1

2 7 5 9 6 2 2

7 4 4 6 8 c j

17 8 4 19

30 )~ ~

30 7 I

y

43 30 43 40

44 41 50 60 53 56 58 81 63

84 71

97 89 97

77 79

102 103

55 57 56 ~ -l t

63 71 72 82 86

66 77 85

1 03 37 94 gr I

11

595 438 4 4 476

5 509

1 1

5 3

13 11

17 57 52

78 67

111 120 106

130 1 1

627

1 1971 2

3 3

1 12 27

40 44

81 86

1 3 149

- 07 116

127 122 678

TABLE 2 DEATHS FROfol LillJG CAl~CER NUT-mERS AT AGES 1926-71 B FEImiddotIALES BY AGE GROUPS Age groups

Year All ages Und r 25 25 29 30-34 35-39 40-44 45 49 50-54 55-59 60-64 65-69 70 74 75+

1926 - - - - 1 2 2 2 - 1 2 10 1927 - 1 - 1 1 1 - 1 - 5 1928 - - 2 1 - - - 2 1 1 - 9 1929 1 - 1 - - -

~

1 1 4 1930 1 1 - - - 1 2 - 1 - 6

~ L-1931 - 2 - 1 1 L 3 2 13-1932 - - 1 - 2 4 1 3 - 1 14

1 933 - - 1 1 1 2 1 1 1 2 2 12 1 934 - - - 1 2 1 2 3 1 1 - 11 1 935 - 1 - 1 4 2 1 9 1 936 - - - 2 1 4 2 4 4 1 - 18 1 937 - - 1 - 2 - 1 2 2 3 - 11 1938 1 - - 1 1 1 4 2 1 3 2 16 1939 - 1 1 1 - 1 - 5 3 3 2 - 17 1940 1 - 1 1 1 1 1 2 2 2 12

) -)1941 1 - 1 - 1 3 1 4 L 17 1942 - - 1 1 2 5 1 4 16 1943 1 - - 2 3 1 1 3 3 1 1 2 18

-)1944 - 1 - - 1 2 2 2 5 4 2 21 1945 1 2 - 2 6 4 3 4 4 26 1946 - 1 1 2 1 23 3 3 4 20 1947 - - 1 2 3 4 6 6 4 5 31 1948 - - 1 1 7

~ 1 2 1 9 1 2 23L

-)1949 - - - 1 1 3 L 5 6 6 2 26 -)1950 - - 1 2 L 4 5 6 2 7 29

1951 1 1 1 2 - 2 5 4 7 1 14 38 1952 - - - 4 7 8 6 413 9 4

-)1953 - - - 1 2 2 - 9 4 2 8 7 37 1 954 - - - 3 1 4 5 4 5 319 1 955 - 1 2 4 1 3 2 8 5 11 37 1 956 - - 1 1 4 7 7 6 6 1 0 17 59 1957 - - - - 3 2 3 10 5 5 18 46 1958 - - - 1 1 2 5 5 3 11 10 12 56 1959 1 - 1 - - 4 2 7 5 8 11 17 56 1960 - - 1 5 1 7 5 9 13 10 1 2 63 1961 - - - 3 2 5 6 1 0 11 11 11 16 75 1 962 - - 1 - - 7 7 5 1 0 9 619 13 1963 - - 1 2 1 7 7 9 13 11 1 5 13 79 1964 - - - shy 2 5 8 10 1 2 1 9 1 2 12 80 1 965 1 1 1 1 7 9 9 9 12 6 13 69 1 966 - - 1 2 2 6 9 4 12 15 10 12 731 967 - 1 - 1 5 7 12 1 6 7 14 13 17 931968 shy - 5 3 1 3 21 6 1 5 20 19 1 02

) )1969 - - 1 3 5 3 1 5 21 15 14 18 117Lshy

1970 - 1 2L -)

3 5 15 21 29 19 21 31 1491971 - - 3 8- 7 9 29 17 24 15 23 135

a~1llual ra 1 s )n c ntr of 1945 1 95 ~I 1 and e 1

All

1934-38 0 1 1 1 1 JhLJ 4 18 7 4 3

1943-47 3 3 0 C)

L 72 12 5

1949-53 7

- ~

L 4~ 2 124 5 1 954-58 () 1 r

) 1 4 ~ i 7

0 u 2 7

I r L 4 5 7

I i~ (I

vi 1964 68 0 5 0 5 7 27 1 61 vl

9-71 0 7 I 2 9

n 6 47 3

-__-----shy

0 4 0 4 0 4 ~ 7 4 7 9 1 8 11 5 7 1 7 1 ~4 3 47 rshy)

7 j 0 0 0 8 4

r L 13 15 2 7

1949-53 0 0 3 0 9 2 0 13 0 10 4 14 9 6 7 5

1954 58 0 8 3 17 2 35 6 4 0 8 L b 9 4 14 0 21 5 ~

+ 34 4 1 4 5 1964 0 0 0 3 7 14 7 19 IS 4 34 i c

) c c L 8 6 7

j

0 g 6 8 6 4 4 35 7 7 ) 8 41 5 45 44 9 5

less than [I

~ A ftulLES i3Y AGE GpoundWUPS

N w es r st red w th th Natlonal r R

Year

194

1950

1951

1952

1953

1954

5

1956

1957

1

195

196

1964

1965

1

1970

gr ups All

o 4 5-9 10shy 15 20shy 5shy 30 35shy 40shy 45shy 50 70 75 85+

7 13 17 1 1 7

13 18 6

5 15 10 155 4 16 22 9 5

1 40 11

2 6 1 30 19

5 19 39 56 3 6 1 1 56 57 8

20 24 53 58 7 31 7 30 38 57 348

3 39 49 68 70

7 24 57 57 2 5 34 52 64 71 5 375

EJ 48 64 77 77 15 1 r) 429

9 92 27 4 3 9 3E3 107 77 1 1

8 45 100 86

4 1 1 48 113

3 9 69 11q 100 608 4 15 1q 3 99 114 5 1 6 10 31 6 bull 15 1 1 ) 17 71 6 39 58 144 21 6

2 14 54 87 15 112 5 7 1 1 717

N w red w the N8~t onal Cane r

rroupsYear All ages

0-4 I 45- i 50 5 70- 75 +i

1948 2 9 1949 6 3 1950 b 4 2 20

4 3 9 5 9 1952 74 j 3 3

3 7 j 7 31

6 4 1955 9 4 7 10 2 46

4 7 4 49

r 71957 I 5 7 4

1 95B f4 4 b 8 3 49 c9 4 7 4 5 nJ

1960 (4 4 4 4 13 57 1 961 1 7 710 8 J

r

7 ~

r 12 14 j 70

6 7 10 14 10 6 4 77I

1 1 8 15 17 2 87 1 1 10 16 12 1 4- 77

1966 7 16 20 21 9 4 113 4 1 1 04 18 lt 95

~)4 17 16 12 1 1 0 I J 8 19 17 20 14 1 1 6 126

- 2 25 21 17 19 4 1 i+5I

0j~

1 42 3 30 8 64 1 2 7 8 8 14 7 1949 1 50

6 7

64 C 3

75 1 J 42 2

14 ~ 6

5 1

1 351 0 7 C] 34 32 a

1 1 4 6 129 1 1 104 I) 132 r

J 30 ) 1 19 7 1 58 2 0 117 f 85 4 0

~ 3 ~ 2 ~ 139 - 2 1957 958

5 13 17 -~J 1 8

137 149

5 1 4

31 0 30 7

1 0 1 9 23 0 c J 67 1 29

3 1 2 21 0 18 5 31 4 f 147 0 241 209 35

2 5

40 45 50

8 I)

4

147 9 177

0

3

102 22 245

5 3 P- e

37J fQJU

41

5 4

5 2

2 4 1 7 I

50 r)Lf

c J

7 0 186

317 0

1 4 0

1

7 4 3 )

159 213 296 108

9 J

9

45 42 51 43

2 5 5 3

6 5 202 7 389 7 8 200 50

0 0 0

J

J I

3 c L

12

6 4 0

iO

14 4

7 7

4 7

31

L

1 7 1

~T

0 0 0 (J

0 0 0 1

0 0

5 1 r J

4 4 6 4

7

4 4 3 4 5

5 5 3 9

10

7 4

13 11

9 16 1 1 1 17

6 5 6

3 4 1 6 b 1

11

2

8 3 1 1 9

8 10 4

0 14 7 17 7 12 C 11 7

6

J

3C 6 13 1

1

13 p-

14

20

t

8 2 5 9 1 6 3 7 J

c J

7 9 3

15 18 10 0 --shy21 --L _

31 7 J

0 3 1 3 - J

6 9 7

0

23

34

1 25 47 10 21

7 J

1

3 2 0 9 7 I

1

3

4 4 - J

4 4 I

0 c U

0 4 3

9

0 7 1 7 I

H70 1 4

-

13 18 16

0 Cl J

37 30 40

4

5

4 7gtJ

45 7

44 9

52

10 49 8

5 10 3

Year Under 30-34 35-39 -59 60-64 70-74 75+

All ages

1949

1950 7 1951 2 5 1952 2 8

1953 7 1954 c 2 gt 9 1955 3 4 1956 ) 3 11 I

Jl

1957 3 4 12 -D I

1958 1 c)

shy e 1959 2 4 2 13 1960 3 3 3 14

7 j j 4 18

2 3 shy j 2 17

1963 7

c j 4 3 1

1 c-) L 4 4

4 4 6 2 5 2 5

7 3 7 j 6 17

1 3 7 7 L 4 1969 4 5 3 4 2 5 1970 4 2 5 5 2

1971 5 2 10 4 9 3

TABLE 6 DEATHS FRCJM LU11G CANCER JlIAORIS ONLY NUHBERS AT AGES 1949-71 B FETmiddotLG~LE3 BY AGE GROUPS

Age groups y ar All Jg

Under ~5 25 29 30-34 35-39 40-44 45 49 50 54 55 59 60-64 65 69 70-74 75+

1 49 - - 1 1 - - 2

1950 - - - 1 - 1

1951 - - - 1 - 1

1952 - - - 1 1 J

19C3 - - 1 1 2 19ci4 - - - 1 - 1 1 - 3 1955 - - 1 - 1 1956 - - 1 - 1 1 2 - 1 l

71957 - 1 1 - j 2 7 1958 - 2 2 4

71959 - - - - 1 1 1 j

1960 - - - 1 2 1 2 3 1 1 1 1

19fJ 1 - - 1 1 1) 5 19l2 - shy - - 1 1 ~ 1 5 1l)63 - shy 1 1 2 3 3 2 12

19b4 - - - 2 - - 3 4 - 9 ec 1905 - 1 - 1 - 1 4 1 1 1 1 13L

c1966 1 L 1 1 1 6 1967 2 2 3 3 2 2 1 C 1ClG8 shy

~ - - 1 1 - 2 2 3 1 1

1969 2 - 2 5 2 1 1 13 1970 - - shy - 4 2 4 3 1 3 17 1971 - - - 1 - 2 3 3 1 1 3 14

Average annual rates n 1951 1 1 1

AU Jnder agesper cd 75+

2~-

1949-53 4 1 I 6 4 0 104 23 q 95 0 4

1954-58 10 4 0 14 0 6 1)9 1 265 6 3cO 4 24 1 1 13 4 14 8

711959-63 0 4 4 0 4 75 1 1 26 7 jemiddot f 6 242 4 412 RJ

1964-68 0 () 160 4 304 1 441 8 6

7 7 I6 236 560 8 ~1969-71

~1949-53 30 7 63 c

50 6 c 8

1954-58 5 j 7 J j 49 8 150 6 1t)5 3 4 6 3a

7 ~I9-63 6 14 6 31 j 29 4 1 17 - 421 1 5 8

j 9 39 3 66 3 32 2 149 0 - 1 0 4 4 1 1

4-1~21 8 6 164 9 10 1 i 1 0 6 13

TABLE 8 NEII CASES OF LUNG CANCER REGISTERED MAORIS ONLY NlJIImERS AT AGES 1953-70

N W cases reglstered wlth the Natlonal Cancer Reg stry A llALES BY AGE GROUPS

Ag gr ups Year All ages

0 4 5-9 10- 15- 20- 25- 30- 35- 40- 45- 50- 55 60- 65- 70- 7)- 80- 85+

1953 - - - - - - - - 1 - - 4 1 - - - 6

1954 - - - - - - - 2 - 1 1 - - - - 4

1955 - - - - - 1 - 1 1 2 3 - 1 - 9

1956 - - - - - - - - - - 2 1 3 1 - - 7

1957 - - - - - - - - - - 3 3 2 - - 8

1958 - - - - - - 1 - - 1 1 3 2 3 - - - - 11

1959 - - - - - - - 1 - 1 3 1 3 - 3 - 12

1960 - - - - - - 1 - 4 - 1 2 1 1 1 - 1 12

1961 - - - 1 - - - - - 1 5 4 2 2 3 - - 18

1962 - - - - - - 2 1 2 3 4 8 2 - 1 25

1963 - - - - - - - 1 - 4 1 4 1 1 1 - 13

1964 - - - - - - 1 1 - 4 4 3 3 1 1 - - 18

1965 - - - - - - - 1 - 2 7 7 3 - 1 - 1 22

1966 - 1 - - - - - 1 3 7 2 7 5 4 1 2 1 34

1967 - - - - - - 1 - 1 4 3 3 2 - 1 3 18

1968 - - - - 1 - - 1 6 5 4 2 - 2 - 1 22

1969 - - - - 1 - - 2 - 8 8 6 1 2 13 4 36

1970 - - - - - - - 7 2 2 4 6 5 - 2 1 - 25

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

r r

7 10 1 p 5 14 1 1 1

1 (j)0 ~~- 9 4 930

1931 -+

24 ~ shyCC

(

1 3 1 932 T 23 14 1933 4 7

-~

1 934 3

~ 7 1 c 19 J

4

1 936 23 10 -

1937 ~() 42 938 34 -r

100_1 _

lt 940 94 3

3f)

9

r- 1 -- 1

- j

43

942 74 41 1 b 1 943 E 8 19H 1 104 - 94 1947

1 28 14 5 6 ~

0 31

1 942 (j 3 1949 1950951

1 1

51 86

1 (10

0

0

30 J

72 82

1 52 24 1 1 11shy 41 1 1 1 CjC 7 -jJ

i 954 1 955 1 956 1 0 ~J

958 357

~

II= cj

27 28 71

29

B 6

4

1 1 121 135 140 15t 1 ~ r Tv

37 71 77 I 3 5

4 1

95 14() 1 1 1

1 0

1 1961

1 ~ JT

1 1

1)7L I

1 1

363

1 964 + 76

1 0r _

187 ~ 39

79 1

1965 1966

7 I

1 9~e 1 -1970 1 971 47 4

90

S12 7 -

36 48 40

r~

t 1 r-r7 1

93 1C2 1 17 140 135

r-r I

221

247

TABLE DEArHS FROil LUlIG CANCER Nlfj1BERS AT AGES 71 A IltIALE8 TIl Arp0oW iRliOF8 Ag groups

Year All age 25-29 30-34 59 60-64 9 70-74 75+

192 3 9 1927 2 10 1928 1 2 14 1929 1 L 4 1 1930 1 2 -

c 7 4 L1 31 1931 2 5 5 L1 4 1932 4 2 5 6 ~ -) 7 1933 1 2 5 5 4 - 2 1934 1

4 1--

7

3 6 5

2 4 4 L

1 3

1 1 1 11 3 1 36 1937 4 4 7 7 3 31 1 r)

L 1 c J 19 8 6 56

1 3 2 5 6 10 r=shyJ 4 50

1940 2 4 c J 10 c

J -L 47

1941 7 J 1 1 9 7

J 3 51 1942 194

4-L 3 11 13

12 17

1 8 8

4 6

74

1944 3 4 7 11 5 6 5 1 194

1 1

3 5 1

7 10

19 20

29 2

0 j

17 7 8

104 I

Jl 19middot1-7 1948

31 4 4

4 12 13

27 17

24 15 21

8 13

A I

1949 3 17 ~2 27 27 23 11 1950 3 4 11 22 25 21 1951 1 S- 1 33 30 21 1 4 r

~

7qJ~ 13 47 31 242

1953 2 6 47 52 32 27 1954 1 5 36 46 30 1 1 5 45 42 42 1 1 1

2 1 1 1

4 3 c J 32

40 52 36

65 65 46

50 1

314 357

1 1 1 1 1 1 1 1 1

2 1 1

2 7 5 9 6 2 2

7 4 4 6 8 c j

17 8 4 19

30 )~ ~

30 7 I

y

43 30 43 40

44 41 50 60 53 56 58 81 63

84 71

97 89 97

77 79

102 103

55 57 56 ~ -l t

63 71 72 82 86

66 77 85

1 03 37 94 gr I

11

595 438 4 4 476

5 509

1 1

5 3

13 11

17 57 52

78 67

111 120 106

130 1 1

627

1 1971 2

3 3

1 12 27

40 44

81 86

1 3 149

- 07 116

127 122 678

TABLE 2 DEATHS FROfol LillJG CAl~CER NUT-mERS AT AGES 1926-71 B FEImiddotIALES BY AGE GROUPS Age groups

Year All ages Und r 25 25 29 30-34 35-39 40-44 45 49 50-54 55-59 60-64 65-69 70 74 75+

1926 - - - - 1 2 2 2 - 1 2 10 1927 - 1 - 1 1 1 - 1 - 5 1928 - - 2 1 - - - 2 1 1 - 9 1929 1 - 1 - - -

~

1 1 4 1930 1 1 - - - 1 2 - 1 - 6

~ L-1931 - 2 - 1 1 L 3 2 13-1932 - - 1 - 2 4 1 3 - 1 14

1 933 - - 1 1 1 2 1 1 1 2 2 12 1 934 - - - 1 2 1 2 3 1 1 - 11 1 935 - 1 - 1 4 2 1 9 1 936 - - - 2 1 4 2 4 4 1 - 18 1 937 - - 1 - 2 - 1 2 2 3 - 11 1938 1 - - 1 1 1 4 2 1 3 2 16 1939 - 1 1 1 - 1 - 5 3 3 2 - 17 1940 1 - 1 1 1 1 1 2 2 2 12

) -)1941 1 - 1 - 1 3 1 4 L 17 1942 - - 1 1 2 5 1 4 16 1943 1 - - 2 3 1 1 3 3 1 1 2 18

-)1944 - 1 - - 1 2 2 2 5 4 2 21 1945 1 2 - 2 6 4 3 4 4 26 1946 - 1 1 2 1 23 3 3 4 20 1947 - - 1 2 3 4 6 6 4 5 31 1948 - - 1 1 7

~ 1 2 1 9 1 2 23L

-)1949 - - - 1 1 3 L 5 6 6 2 26 -)1950 - - 1 2 L 4 5 6 2 7 29

1951 1 1 1 2 - 2 5 4 7 1 14 38 1952 - - - 4 7 8 6 413 9 4

-)1953 - - - 1 2 2 - 9 4 2 8 7 37 1 954 - - - 3 1 4 5 4 5 319 1 955 - 1 2 4 1 3 2 8 5 11 37 1 956 - - 1 1 4 7 7 6 6 1 0 17 59 1957 - - - - 3 2 3 10 5 5 18 46 1958 - - - 1 1 2 5 5 3 11 10 12 56 1959 1 - 1 - - 4 2 7 5 8 11 17 56 1960 - - 1 5 1 7 5 9 13 10 1 2 63 1961 - - - 3 2 5 6 1 0 11 11 11 16 75 1 962 - - 1 - - 7 7 5 1 0 9 619 13 1963 - - 1 2 1 7 7 9 13 11 1 5 13 79 1964 - - - shy 2 5 8 10 1 2 1 9 1 2 12 80 1 965 1 1 1 1 7 9 9 9 12 6 13 69 1 966 - - 1 2 2 6 9 4 12 15 10 12 731 967 - 1 - 1 5 7 12 1 6 7 14 13 17 931968 shy - 5 3 1 3 21 6 1 5 20 19 1 02

) )1969 - - 1 3 5 3 1 5 21 15 14 18 117Lshy

1970 - 1 2L -)

3 5 15 21 29 19 21 31 1491971 - - 3 8- 7 9 29 17 24 15 23 135

a~1llual ra 1 s )n c ntr of 1945 1 95 ~I 1 and e 1

All

1934-38 0 1 1 1 1 JhLJ 4 18 7 4 3

1943-47 3 3 0 C)

L 72 12 5

1949-53 7

- ~

L 4~ 2 124 5 1 954-58 () 1 r

) 1 4 ~ i 7

0 u 2 7

I r L 4 5 7

I i~ (I

vi 1964 68 0 5 0 5 7 27 1 61 vl

9-71 0 7 I 2 9

n 6 47 3

-__-----shy

0 4 0 4 0 4 ~ 7 4 7 9 1 8 11 5 7 1 7 1 ~4 3 47 rshy)

7 j 0 0 0 8 4

r L 13 15 2 7

1949-53 0 0 3 0 9 2 0 13 0 10 4 14 9 6 7 5

1954 58 0 8 3 17 2 35 6 4 0 8 L b 9 4 14 0 21 5 ~

+ 34 4 1 4 5 1964 0 0 0 3 7 14 7 19 IS 4 34 i c

) c c L 8 6 7

j

0 g 6 8 6 4 4 35 7 7 ) 8 41 5 45 44 9 5

less than [I

~ A ftulLES i3Y AGE GpoundWUPS

N w es r st red w th th Natlonal r R

Year

194

1950

1951

1952

1953

1954

5

1956

1957

1

195

196

1964

1965

1

1970

gr ups All

o 4 5-9 10shy 15 20shy 5shy 30 35shy 40shy 45shy 50 70 75 85+

7 13 17 1 1 7

13 18 6

5 15 10 155 4 16 22 9 5

1 40 11

2 6 1 30 19

5 19 39 56 3 6 1 1 56 57 8

20 24 53 58 7 31 7 30 38 57 348

3 39 49 68 70

7 24 57 57 2 5 34 52 64 71 5 375

EJ 48 64 77 77 15 1 r) 429

9 92 27 4 3 9 3E3 107 77 1 1

8 45 100 86

4 1 1 48 113

3 9 69 11q 100 608 4 15 1q 3 99 114 5 1 6 10 31 6 bull 15 1 1 ) 17 71 6 39 58 144 21 6

2 14 54 87 15 112 5 7 1 1 717

N w red w the N8~t onal Cane r

rroupsYear All ages

0-4 I 45- i 50 5 70- 75 +i

1948 2 9 1949 6 3 1950 b 4 2 20

4 3 9 5 9 1952 74 j 3 3

3 7 j 7 31

6 4 1955 9 4 7 10 2 46

4 7 4 49

r 71957 I 5 7 4

1 95B f4 4 b 8 3 49 c9 4 7 4 5 nJ

1960 (4 4 4 4 13 57 1 961 1 7 710 8 J

r

7 ~

r 12 14 j 70

6 7 10 14 10 6 4 77I

1 1 8 15 17 2 87 1 1 10 16 12 1 4- 77

1966 7 16 20 21 9 4 113 4 1 1 04 18 lt 95

~)4 17 16 12 1 1 0 I J 8 19 17 20 14 1 1 6 126

- 2 25 21 17 19 4 1 i+5I

0j~

1 42 3 30 8 64 1 2 7 8 8 14 7 1949 1 50

6 7

64 C 3

75 1 J 42 2

14 ~ 6

5 1

1 351 0 7 C] 34 32 a

1 1 4 6 129 1 1 104 I) 132 r

J 30 ) 1 19 7 1 58 2 0 117 f 85 4 0

~ 3 ~ 2 ~ 139 - 2 1957 958

5 13 17 -~J 1 8

137 149

5 1 4

31 0 30 7

1 0 1 9 23 0 c J 67 1 29

3 1 2 21 0 18 5 31 4 f 147 0 241 209 35

2 5

40 45 50

8 I)

4

147 9 177

0

3

102 22 245

5 3 P- e

37J fQJU

41

5 4

5 2

2 4 1 7 I

50 r)Lf

c J

7 0 186

317 0

1 4 0

1

7 4 3 )

159 213 296 108

9 J

9

45 42 51 43

2 5 5 3

6 5 202 7 389 7 8 200 50

0 0 0

J

J I

3 c L

12

6 4 0

iO

14 4

7 7

4 7

31

L

1 7 1

~T

0 0 0 (J

0 0 0 1

0 0

5 1 r J

4 4 6 4

7

4 4 3 4 5

5 5 3 9

10

7 4

13 11

9 16 1 1 1 17

6 5 6

3 4 1 6 b 1

11

2

8 3 1 1 9

8 10 4

0 14 7 17 7 12 C 11 7

6

J

3C 6 13 1

1

13 p-

14

20

t

8 2 5 9 1 6 3 7 J

c J

7 9 3

15 18 10 0 --shy21 --L _

31 7 J

0 3 1 3 - J

6 9 7

0

23

34

1 25 47 10 21

7 J

1

3 2 0 9 7 I

1

3

4 4 - J

4 4 I

0 c U

0 4 3

9

0 7 1 7 I

H70 1 4

-

13 18 16

0 Cl J

37 30 40

4

5

4 7gtJ

45 7

44 9

52

10 49 8

5 10 3

Year Under 30-34 35-39 -59 60-64 70-74 75+

All ages

1949

1950 7 1951 2 5 1952 2 8

1953 7 1954 c 2 gt 9 1955 3 4 1956 ) 3 11 I

Jl

1957 3 4 12 -D I

1958 1 c)

shy e 1959 2 4 2 13 1960 3 3 3 14

7 j j 4 18

2 3 shy j 2 17

1963 7

c j 4 3 1

1 c-) L 4 4

4 4 6 2 5 2 5

7 3 7 j 6 17

1 3 7 7 L 4 1969 4 5 3 4 2 5 1970 4 2 5 5 2

1971 5 2 10 4 9 3

TABLE 6 DEATHS FRCJM LU11G CANCER JlIAORIS ONLY NUHBERS AT AGES 1949-71 B FETmiddotLG~LE3 BY AGE GROUPS

Age groups y ar All Jg

Under ~5 25 29 30-34 35-39 40-44 45 49 50 54 55 59 60-64 65 69 70-74 75+

1 49 - - 1 1 - - 2

1950 - - - 1 - 1

1951 - - - 1 - 1

1952 - - - 1 1 J

19C3 - - 1 1 2 19ci4 - - - 1 - 1 1 - 3 1955 - - 1 - 1 1956 - - 1 - 1 1 2 - 1 l

71957 - 1 1 - j 2 7 1958 - 2 2 4

71959 - - - - 1 1 1 j

1960 - - - 1 2 1 2 3 1 1 1 1

19fJ 1 - - 1 1 1) 5 19l2 - shy - - 1 1 ~ 1 5 1l)63 - shy 1 1 2 3 3 2 12

19b4 - - - 2 - - 3 4 - 9 ec 1905 - 1 - 1 - 1 4 1 1 1 1 13L

c1966 1 L 1 1 1 6 1967 2 2 3 3 2 2 1 C 1ClG8 shy

~ - - 1 1 - 2 2 3 1 1

1969 2 - 2 5 2 1 1 13 1970 - - shy - 4 2 4 3 1 3 17 1971 - - - 1 - 2 3 3 1 1 3 14

Average annual rates n 1951 1 1 1

AU Jnder agesper cd 75+

2~-

1949-53 4 1 I 6 4 0 104 23 q 95 0 4

1954-58 10 4 0 14 0 6 1)9 1 265 6 3cO 4 24 1 1 13 4 14 8

711959-63 0 4 4 0 4 75 1 1 26 7 jemiddot f 6 242 4 412 RJ

1964-68 0 () 160 4 304 1 441 8 6

7 7 I6 236 560 8 ~1969-71

~1949-53 30 7 63 c

50 6 c 8

1954-58 5 j 7 J j 49 8 150 6 1t)5 3 4 6 3a

7 ~I9-63 6 14 6 31 j 29 4 1 17 - 421 1 5 8

j 9 39 3 66 3 32 2 149 0 - 1 0 4 4 1 1

4-1~21 8 6 164 9 10 1 i 1 0 6 13

TABLE 8 NEII CASES OF LUNG CANCER REGISTERED MAORIS ONLY NlJIImERS AT AGES 1953-70

N W cases reglstered wlth the Natlonal Cancer Reg stry A llALES BY AGE GROUPS

Ag gr ups Year All ages

0 4 5-9 10- 15- 20- 25- 30- 35- 40- 45- 50- 55 60- 65- 70- 7)- 80- 85+

1953 - - - - - - - - 1 - - 4 1 - - - 6

1954 - - - - - - - 2 - 1 1 - - - - 4

1955 - - - - - 1 - 1 1 2 3 - 1 - 9

1956 - - - - - - - - - - 2 1 3 1 - - 7

1957 - - - - - - - - - - 3 3 2 - - 8

1958 - - - - - - 1 - - 1 1 3 2 3 - - - - 11

1959 - - - - - - - 1 - 1 3 1 3 - 3 - 12

1960 - - - - - - 1 - 4 - 1 2 1 1 1 - 1 12

1961 - - - 1 - - - - - 1 5 4 2 2 3 - - 18

1962 - - - - - - 2 1 2 3 4 8 2 - 1 25

1963 - - - - - - - 1 - 4 1 4 1 1 1 - 13

1964 - - - - - - 1 1 - 4 4 3 3 1 1 - - 18

1965 - - - - - - - 1 - 2 7 7 3 - 1 - 1 22

1966 - 1 - - - - - 1 3 7 2 7 5 4 1 2 1 34

1967 - - - - - - 1 - 1 4 3 3 2 - 1 3 18

1968 - - - - 1 - - 1 6 5 4 2 - 2 - 1 22

1969 - - - - 1 - - 2 - 8 8 6 1 2 13 4 36

1970 - - - - - - - 7 2 2 4 6 5 - 2 1 - 25

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

TABLE DEArHS FROil LUlIG CANCER Nlfj1BERS AT AGES 71 A IltIALE8 TIl Arp0oW iRliOF8 Ag groups

Year All age 25-29 30-34 59 60-64 9 70-74 75+

192 3 9 1927 2 10 1928 1 2 14 1929 1 L 4 1 1930 1 2 -

c 7 4 L1 31 1931 2 5 5 L1 4 1932 4 2 5 6 ~ -) 7 1933 1 2 5 5 4 - 2 1934 1

4 1--

7

3 6 5

2 4 4 L

1 3

1 1 1 11 3 1 36 1937 4 4 7 7 3 31 1 r)

L 1 c J 19 8 6 56

1 3 2 5 6 10 r=shyJ 4 50

1940 2 4 c J 10 c

J -L 47

1941 7 J 1 1 9 7

J 3 51 1942 194

4-L 3 11 13

12 17

1 8 8

4 6

74

1944 3 4 7 11 5 6 5 1 194

1 1

3 5 1

7 10

19 20

29 2

0 j

17 7 8

104 I

Jl 19middot1-7 1948

31 4 4

4 12 13

27 17

24 15 21

8 13

A I

1949 3 17 ~2 27 27 23 11 1950 3 4 11 22 25 21 1951 1 S- 1 33 30 21 1 4 r

~

7qJ~ 13 47 31 242

1953 2 6 47 52 32 27 1954 1 5 36 46 30 1 1 5 45 42 42 1 1 1

2 1 1 1

4 3 c J 32

40 52 36

65 65 46

50 1

314 357

1 1 1 1 1 1 1 1 1

2 1 1

2 7 5 9 6 2 2

7 4 4 6 8 c j

17 8 4 19

30 )~ ~

30 7 I

y

43 30 43 40

44 41 50 60 53 56 58 81 63

84 71

97 89 97

77 79

102 103

55 57 56 ~ -l t

63 71 72 82 86

66 77 85

1 03 37 94 gr I

11

595 438 4 4 476

5 509

1 1

5 3

13 11

17 57 52

78 67

111 120 106

130 1 1

627

1 1971 2

3 3

1 12 27

40 44

81 86

1 3 149

- 07 116

127 122 678

TABLE 2 DEATHS FROfol LillJG CAl~CER NUT-mERS AT AGES 1926-71 B FEImiddotIALES BY AGE GROUPS Age groups

Year All ages Und r 25 25 29 30-34 35-39 40-44 45 49 50-54 55-59 60-64 65-69 70 74 75+

1926 - - - - 1 2 2 2 - 1 2 10 1927 - 1 - 1 1 1 - 1 - 5 1928 - - 2 1 - - - 2 1 1 - 9 1929 1 - 1 - - -

~

1 1 4 1930 1 1 - - - 1 2 - 1 - 6

~ L-1931 - 2 - 1 1 L 3 2 13-1932 - - 1 - 2 4 1 3 - 1 14

1 933 - - 1 1 1 2 1 1 1 2 2 12 1 934 - - - 1 2 1 2 3 1 1 - 11 1 935 - 1 - 1 4 2 1 9 1 936 - - - 2 1 4 2 4 4 1 - 18 1 937 - - 1 - 2 - 1 2 2 3 - 11 1938 1 - - 1 1 1 4 2 1 3 2 16 1939 - 1 1 1 - 1 - 5 3 3 2 - 17 1940 1 - 1 1 1 1 1 2 2 2 12

) -)1941 1 - 1 - 1 3 1 4 L 17 1942 - - 1 1 2 5 1 4 16 1943 1 - - 2 3 1 1 3 3 1 1 2 18

-)1944 - 1 - - 1 2 2 2 5 4 2 21 1945 1 2 - 2 6 4 3 4 4 26 1946 - 1 1 2 1 23 3 3 4 20 1947 - - 1 2 3 4 6 6 4 5 31 1948 - - 1 1 7

~ 1 2 1 9 1 2 23L

-)1949 - - - 1 1 3 L 5 6 6 2 26 -)1950 - - 1 2 L 4 5 6 2 7 29

1951 1 1 1 2 - 2 5 4 7 1 14 38 1952 - - - 4 7 8 6 413 9 4

-)1953 - - - 1 2 2 - 9 4 2 8 7 37 1 954 - - - 3 1 4 5 4 5 319 1 955 - 1 2 4 1 3 2 8 5 11 37 1 956 - - 1 1 4 7 7 6 6 1 0 17 59 1957 - - - - 3 2 3 10 5 5 18 46 1958 - - - 1 1 2 5 5 3 11 10 12 56 1959 1 - 1 - - 4 2 7 5 8 11 17 56 1960 - - 1 5 1 7 5 9 13 10 1 2 63 1961 - - - 3 2 5 6 1 0 11 11 11 16 75 1 962 - - 1 - - 7 7 5 1 0 9 619 13 1963 - - 1 2 1 7 7 9 13 11 1 5 13 79 1964 - - - shy 2 5 8 10 1 2 1 9 1 2 12 80 1 965 1 1 1 1 7 9 9 9 12 6 13 69 1 966 - - 1 2 2 6 9 4 12 15 10 12 731 967 - 1 - 1 5 7 12 1 6 7 14 13 17 931968 shy - 5 3 1 3 21 6 1 5 20 19 1 02

) )1969 - - 1 3 5 3 1 5 21 15 14 18 117Lshy

1970 - 1 2L -)

3 5 15 21 29 19 21 31 1491971 - - 3 8- 7 9 29 17 24 15 23 135

a~1llual ra 1 s )n c ntr of 1945 1 95 ~I 1 and e 1

All

1934-38 0 1 1 1 1 JhLJ 4 18 7 4 3

1943-47 3 3 0 C)

L 72 12 5

1949-53 7

- ~

L 4~ 2 124 5 1 954-58 () 1 r

) 1 4 ~ i 7

0 u 2 7

I r L 4 5 7

I i~ (I

vi 1964 68 0 5 0 5 7 27 1 61 vl

9-71 0 7 I 2 9

n 6 47 3

-__-----shy

0 4 0 4 0 4 ~ 7 4 7 9 1 8 11 5 7 1 7 1 ~4 3 47 rshy)

7 j 0 0 0 8 4

r L 13 15 2 7

1949-53 0 0 3 0 9 2 0 13 0 10 4 14 9 6 7 5

1954 58 0 8 3 17 2 35 6 4 0 8 L b 9 4 14 0 21 5 ~

+ 34 4 1 4 5 1964 0 0 0 3 7 14 7 19 IS 4 34 i c

) c c L 8 6 7

j

0 g 6 8 6 4 4 35 7 7 ) 8 41 5 45 44 9 5

less than [I

~ A ftulLES i3Y AGE GpoundWUPS

N w es r st red w th th Natlonal r R

Year

194

1950

1951

1952

1953

1954

5

1956

1957

1

195

196

1964

1965

1

1970

gr ups All

o 4 5-9 10shy 15 20shy 5shy 30 35shy 40shy 45shy 50 70 75 85+

7 13 17 1 1 7

13 18 6

5 15 10 155 4 16 22 9 5

1 40 11

2 6 1 30 19

5 19 39 56 3 6 1 1 56 57 8

20 24 53 58 7 31 7 30 38 57 348

3 39 49 68 70

7 24 57 57 2 5 34 52 64 71 5 375

EJ 48 64 77 77 15 1 r) 429

9 92 27 4 3 9 3E3 107 77 1 1

8 45 100 86

4 1 1 48 113

3 9 69 11q 100 608 4 15 1q 3 99 114 5 1 6 10 31 6 bull 15 1 1 ) 17 71 6 39 58 144 21 6

2 14 54 87 15 112 5 7 1 1 717

N w red w the N8~t onal Cane r

rroupsYear All ages

0-4 I 45- i 50 5 70- 75 +i

1948 2 9 1949 6 3 1950 b 4 2 20

4 3 9 5 9 1952 74 j 3 3

3 7 j 7 31

6 4 1955 9 4 7 10 2 46

4 7 4 49

r 71957 I 5 7 4

1 95B f4 4 b 8 3 49 c9 4 7 4 5 nJ

1960 (4 4 4 4 13 57 1 961 1 7 710 8 J

r

7 ~

r 12 14 j 70

6 7 10 14 10 6 4 77I

1 1 8 15 17 2 87 1 1 10 16 12 1 4- 77

1966 7 16 20 21 9 4 113 4 1 1 04 18 lt 95

~)4 17 16 12 1 1 0 I J 8 19 17 20 14 1 1 6 126

- 2 25 21 17 19 4 1 i+5I

0j~

1 42 3 30 8 64 1 2 7 8 8 14 7 1949 1 50

6 7

64 C 3

75 1 J 42 2

14 ~ 6

5 1

1 351 0 7 C] 34 32 a

1 1 4 6 129 1 1 104 I) 132 r

J 30 ) 1 19 7 1 58 2 0 117 f 85 4 0

~ 3 ~ 2 ~ 139 - 2 1957 958

5 13 17 -~J 1 8

137 149

5 1 4

31 0 30 7

1 0 1 9 23 0 c J 67 1 29

3 1 2 21 0 18 5 31 4 f 147 0 241 209 35

2 5

40 45 50

8 I)

4

147 9 177

0

3

102 22 245

5 3 P- e

37J fQJU

41

5 4

5 2

2 4 1 7 I

50 r)Lf

c J

7 0 186

317 0

1 4 0

1

7 4 3 )

159 213 296 108

9 J

9

45 42 51 43

2 5 5 3

6 5 202 7 389 7 8 200 50

0 0 0

J

J I

3 c L

12

6 4 0

iO

14 4

7 7

4 7

31

L

1 7 1

~T

0 0 0 (J

0 0 0 1

0 0

5 1 r J

4 4 6 4

7

4 4 3 4 5

5 5 3 9

10

7 4

13 11

9 16 1 1 1 17

6 5 6

3 4 1 6 b 1

11

2

8 3 1 1 9

8 10 4

0 14 7 17 7 12 C 11 7

6

J

3C 6 13 1

1

13 p-

14

20

t

8 2 5 9 1 6 3 7 J

c J

7 9 3

15 18 10 0 --shy21 --L _

31 7 J

0 3 1 3 - J

6 9 7

0

23

34

1 25 47 10 21

7 J

1

3 2 0 9 7 I

1

3

4 4 - J

4 4 I

0 c U

0 4 3

9

0 7 1 7 I

H70 1 4

-

13 18 16

0 Cl J

37 30 40

4

5

4 7gtJ

45 7

44 9

52

10 49 8

5 10 3

Year Under 30-34 35-39 -59 60-64 70-74 75+

All ages

1949

1950 7 1951 2 5 1952 2 8

1953 7 1954 c 2 gt 9 1955 3 4 1956 ) 3 11 I

Jl

1957 3 4 12 -D I

1958 1 c)

shy e 1959 2 4 2 13 1960 3 3 3 14

7 j j 4 18

2 3 shy j 2 17

1963 7

c j 4 3 1

1 c-) L 4 4

4 4 6 2 5 2 5

7 3 7 j 6 17

1 3 7 7 L 4 1969 4 5 3 4 2 5 1970 4 2 5 5 2

1971 5 2 10 4 9 3

TABLE 6 DEATHS FRCJM LU11G CANCER JlIAORIS ONLY NUHBERS AT AGES 1949-71 B FETmiddotLG~LE3 BY AGE GROUPS

Age groups y ar All Jg

Under ~5 25 29 30-34 35-39 40-44 45 49 50 54 55 59 60-64 65 69 70-74 75+

1 49 - - 1 1 - - 2

1950 - - - 1 - 1

1951 - - - 1 - 1

1952 - - - 1 1 J

19C3 - - 1 1 2 19ci4 - - - 1 - 1 1 - 3 1955 - - 1 - 1 1956 - - 1 - 1 1 2 - 1 l

71957 - 1 1 - j 2 7 1958 - 2 2 4

71959 - - - - 1 1 1 j

1960 - - - 1 2 1 2 3 1 1 1 1

19fJ 1 - - 1 1 1) 5 19l2 - shy - - 1 1 ~ 1 5 1l)63 - shy 1 1 2 3 3 2 12

19b4 - - - 2 - - 3 4 - 9 ec 1905 - 1 - 1 - 1 4 1 1 1 1 13L

c1966 1 L 1 1 1 6 1967 2 2 3 3 2 2 1 C 1ClG8 shy

~ - - 1 1 - 2 2 3 1 1

1969 2 - 2 5 2 1 1 13 1970 - - shy - 4 2 4 3 1 3 17 1971 - - - 1 - 2 3 3 1 1 3 14

Average annual rates n 1951 1 1 1

AU Jnder agesper cd 75+

2~-

1949-53 4 1 I 6 4 0 104 23 q 95 0 4

1954-58 10 4 0 14 0 6 1)9 1 265 6 3cO 4 24 1 1 13 4 14 8

711959-63 0 4 4 0 4 75 1 1 26 7 jemiddot f 6 242 4 412 RJ

1964-68 0 () 160 4 304 1 441 8 6

7 7 I6 236 560 8 ~1969-71

~1949-53 30 7 63 c

50 6 c 8

1954-58 5 j 7 J j 49 8 150 6 1t)5 3 4 6 3a

7 ~I9-63 6 14 6 31 j 29 4 1 17 - 421 1 5 8

j 9 39 3 66 3 32 2 149 0 - 1 0 4 4 1 1

4-1~21 8 6 164 9 10 1 i 1 0 6 13

TABLE 8 NEII CASES OF LUNG CANCER REGISTERED MAORIS ONLY NlJIImERS AT AGES 1953-70

N W cases reglstered wlth the Natlonal Cancer Reg stry A llALES BY AGE GROUPS

Ag gr ups Year All ages

0 4 5-9 10- 15- 20- 25- 30- 35- 40- 45- 50- 55 60- 65- 70- 7)- 80- 85+

1953 - - - - - - - - 1 - - 4 1 - - - 6

1954 - - - - - - - 2 - 1 1 - - - - 4

1955 - - - - - 1 - 1 1 2 3 - 1 - 9

1956 - - - - - - - - - - 2 1 3 1 - - 7

1957 - - - - - - - - - - 3 3 2 - - 8

1958 - - - - - - 1 - - 1 1 3 2 3 - - - - 11

1959 - - - - - - - 1 - 1 3 1 3 - 3 - 12

1960 - - - - - - 1 - 4 - 1 2 1 1 1 - 1 12

1961 - - - 1 - - - - - 1 5 4 2 2 3 - - 18

1962 - - - - - - 2 1 2 3 4 8 2 - 1 25

1963 - - - - - - - 1 - 4 1 4 1 1 1 - 13

1964 - - - - - - 1 1 - 4 4 3 3 1 1 - - 18

1965 - - - - - - - 1 - 2 7 7 3 - 1 - 1 22

1966 - 1 - - - - - 1 3 7 2 7 5 4 1 2 1 34

1967 - - - - - - 1 - 1 4 3 3 2 - 1 3 18

1968 - - - - 1 - - 1 6 5 4 2 - 2 - 1 22

1969 - - - - 1 - - 2 - 8 8 6 1 2 13 4 36

1970 - - - - - - - 7 2 2 4 6 5 - 2 1 - 25

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

TABLE 2 DEATHS FROfol LillJG CAl~CER NUT-mERS AT AGES 1926-71 B FEImiddotIALES BY AGE GROUPS Age groups

Year All ages Und r 25 25 29 30-34 35-39 40-44 45 49 50-54 55-59 60-64 65-69 70 74 75+

1926 - - - - 1 2 2 2 - 1 2 10 1927 - 1 - 1 1 1 - 1 - 5 1928 - - 2 1 - - - 2 1 1 - 9 1929 1 - 1 - - -

~

1 1 4 1930 1 1 - - - 1 2 - 1 - 6

~ L-1931 - 2 - 1 1 L 3 2 13-1932 - - 1 - 2 4 1 3 - 1 14

1 933 - - 1 1 1 2 1 1 1 2 2 12 1 934 - - - 1 2 1 2 3 1 1 - 11 1 935 - 1 - 1 4 2 1 9 1 936 - - - 2 1 4 2 4 4 1 - 18 1 937 - - 1 - 2 - 1 2 2 3 - 11 1938 1 - - 1 1 1 4 2 1 3 2 16 1939 - 1 1 1 - 1 - 5 3 3 2 - 17 1940 1 - 1 1 1 1 1 2 2 2 12

) -)1941 1 - 1 - 1 3 1 4 L 17 1942 - - 1 1 2 5 1 4 16 1943 1 - - 2 3 1 1 3 3 1 1 2 18

-)1944 - 1 - - 1 2 2 2 5 4 2 21 1945 1 2 - 2 6 4 3 4 4 26 1946 - 1 1 2 1 23 3 3 4 20 1947 - - 1 2 3 4 6 6 4 5 31 1948 - - 1 1 7

~ 1 2 1 9 1 2 23L

-)1949 - - - 1 1 3 L 5 6 6 2 26 -)1950 - - 1 2 L 4 5 6 2 7 29

1951 1 1 1 2 - 2 5 4 7 1 14 38 1952 - - - 4 7 8 6 413 9 4

-)1953 - - - 1 2 2 - 9 4 2 8 7 37 1 954 - - - 3 1 4 5 4 5 319 1 955 - 1 2 4 1 3 2 8 5 11 37 1 956 - - 1 1 4 7 7 6 6 1 0 17 59 1957 - - - - 3 2 3 10 5 5 18 46 1958 - - - 1 1 2 5 5 3 11 10 12 56 1959 1 - 1 - - 4 2 7 5 8 11 17 56 1960 - - 1 5 1 7 5 9 13 10 1 2 63 1961 - - - 3 2 5 6 1 0 11 11 11 16 75 1 962 - - 1 - - 7 7 5 1 0 9 619 13 1963 - - 1 2 1 7 7 9 13 11 1 5 13 79 1964 - - - shy 2 5 8 10 1 2 1 9 1 2 12 80 1 965 1 1 1 1 7 9 9 9 12 6 13 69 1 966 - - 1 2 2 6 9 4 12 15 10 12 731 967 - 1 - 1 5 7 12 1 6 7 14 13 17 931968 shy - 5 3 1 3 21 6 1 5 20 19 1 02

) )1969 - - 1 3 5 3 1 5 21 15 14 18 117Lshy

1970 - 1 2L -)

3 5 15 21 29 19 21 31 1491971 - - 3 8- 7 9 29 17 24 15 23 135

a~1llual ra 1 s )n c ntr of 1945 1 95 ~I 1 and e 1

All

1934-38 0 1 1 1 1 JhLJ 4 18 7 4 3

1943-47 3 3 0 C)

L 72 12 5

1949-53 7

- ~

L 4~ 2 124 5 1 954-58 () 1 r

) 1 4 ~ i 7

0 u 2 7

I r L 4 5 7

I i~ (I

vi 1964 68 0 5 0 5 7 27 1 61 vl

9-71 0 7 I 2 9

n 6 47 3

-__-----shy

0 4 0 4 0 4 ~ 7 4 7 9 1 8 11 5 7 1 7 1 ~4 3 47 rshy)

7 j 0 0 0 8 4

r L 13 15 2 7

1949-53 0 0 3 0 9 2 0 13 0 10 4 14 9 6 7 5

1954 58 0 8 3 17 2 35 6 4 0 8 L b 9 4 14 0 21 5 ~

+ 34 4 1 4 5 1964 0 0 0 3 7 14 7 19 IS 4 34 i c

) c c L 8 6 7

j

0 g 6 8 6 4 4 35 7 7 ) 8 41 5 45 44 9 5

less than [I

~ A ftulLES i3Y AGE GpoundWUPS

N w es r st red w th th Natlonal r R

Year

194

1950

1951

1952

1953

1954

5

1956

1957

1

195

196

1964

1965

1

1970

gr ups All

o 4 5-9 10shy 15 20shy 5shy 30 35shy 40shy 45shy 50 70 75 85+

7 13 17 1 1 7

13 18 6

5 15 10 155 4 16 22 9 5

1 40 11

2 6 1 30 19

5 19 39 56 3 6 1 1 56 57 8

20 24 53 58 7 31 7 30 38 57 348

3 39 49 68 70

7 24 57 57 2 5 34 52 64 71 5 375

EJ 48 64 77 77 15 1 r) 429

9 92 27 4 3 9 3E3 107 77 1 1

8 45 100 86

4 1 1 48 113

3 9 69 11q 100 608 4 15 1q 3 99 114 5 1 6 10 31 6 bull 15 1 1 ) 17 71 6 39 58 144 21 6

2 14 54 87 15 112 5 7 1 1 717

N w red w the N8~t onal Cane r

rroupsYear All ages

0-4 I 45- i 50 5 70- 75 +i

1948 2 9 1949 6 3 1950 b 4 2 20

4 3 9 5 9 1952 74 j 3 3

3 7 j 7 31

6 4 1955 9 4 7 10 2 46

4 7 4 49

r 71957 I 5 7 4

1 95B f4 4 b 8 3 49 c9 4 7 4 5 nJ

1960 (4 4 4 4 13 57 1 961 1 7 710 8 J

r

7 ~

r 12 14 j 70

6 7 10 14 10 6 4 77I

1 1 8 15 17 2 87 1 1 10 16 12 1 4- 77

1966 7 16 20 21 9 4 113 4 1 1 04 18 lt 95

~)4 17 16 12 1 1 0 I J 8 19 17 20 14 1 1 6 126

- 2 25 21 17 19 4 1 i+5I

0j~

1 42 3 30 8 64 1 2 7 8 8 14 7 1949 1 50

6 7

64 C 3

75 1 J 42 2

14 ~ 6

5 1

1 351 0 7 C] 34 32 a

1 1 4 6 129 1 1 104 I) 132 r

J 30 ) 1 19 7 1 58 2 0 117 f 85 4 0

~ 3 ~ 2 ~ 139 - 2 1957 958

5 13 17 -~J 1 8

137 149

5 1 4

31 0 30 7

1 0 1 9 23 0 c J 67 1 29

3 1 2 21 0 18 5 31 4 f 147 0 241 209 35

2 5

40 45 50

8 I)

4

147 9 177

0

3

102 22 245

5 3 P- e

37J fQJU

41

5 4

5 2

2 4 1 7 I

50 r)Lf

c J

7 0 186

317 0

1 4 0

1

7 4 3 )

159 213 296 108

9 J

9

45 42 51 43

2 5 5 3

6 5 202 7 389 7 8 200 50

0 0 0

J

J I

3 c L

12

6 4 0

iO

14 4

7 7

4 7

31

L

1 7 1

~T

0 0 0 (J

0 0 0 1

0 0

5 1 r J

4 4 6 4

7

4 4 3 4 5

5 5 3 9

10

7 4

13 11

9 16 1 1 1 17

6 5 6

3 4 1 6 b 1

11

2

8 3 1 1 9

8 10 4

0 14 7 17 7 12 C 11 7

6

J

3C 6 13 1

1

13 p-

14

20

t

8 2 5 9 1 6 3 7 J

c J

7 9 3

15 18 10 0 --shy21 --L _

31 7 J

0 3 1 3 - J

6 9 7

0

23

34

1 25 47 10 21

7 J

1

3 2 0 9 7 I

1

3

4 4 - J

4 4 I

0 c U

0 4 3

9

0 7 1 7 I

H70 1 4

-

13 18 16

0 Cl J

37 30 40

4

5

4 7gtJ

45 7

44 9

52

10 49 8

5 10 3

Year Under 30-34 35-39 -59 60-64 70-74 75+

All ages

1949

1950 7 1951 2 5 1952 2 8

1953 7 1954 c 2 gt 9 1955 3 4 1956 ) 3 11 I

Jl

1957 3 4 12 -D I

1958 1 c)

shy e 1959 2 4 2 13 1960 3 3 3 14

7 j j 4 18

2 3 shy j 2 17

1963 7

c j 4 3 1

1 c-) L 4 4

4 4 6 2 5 2 5

7 3 7 j 6 17

1 3 7 7 L 4 1969 4 5 3 4 2 5 1970 4 2 5 5 2

1971 5 2 10 4 9 3

TABLE 6 DEATHS FRCJM LU11G CANCER JlIAORIS ONLY NUHBERS AT AGES 1949-71 B FETmiddotLG~LE3 BY AGE GROUPS

Age groups y ar All Jg

Under ~5 25 29 30-34 35-39 40-44 45 49 50 54 55 59 60-64 65 69 70-74 75+

1 49 - - 1 1 - - 2

1950 - - - 1 - 1

1951 - - - 1 - 1

1952 - - - 1 1 J

19C3 - - 1 1 2 19ci4 - - - 1 - 1 1 - 3 1955 - - 1 - 1 1956 - - 1 - 1 1 2 - 1 l

71957 - 1 1 - j 2 7 1958 - 2 2 4

71959 - - - - 1 1 1 j

1960 - - - 1 2 1 2 3 1 1 1 1

19fJ 1 - - 1 1 1) 5 19l2 - shy - - 1 1 ~ 1 5 1l)63 - shy 1 1 2 3 3 2 12

19b4 - - - 2 - - 3 4 - 9 ec 1905 - 1 - 1 - 1 4 1 1 1 1 13L

c1966 1 L 1 1 1 6 1967 2 2 3 3 2 2 1 C 1ClG8 shy

~ - - 1 1 - 2 2 3 1 1

1969 2 - 2 5 2 1 1 13 1970 - - shy - 4 2 4 3 1 3 17 1971 - - - 1 - 2 3 3 1 1 3 14

Average annual rates n 1951 1 1 1

AU Jnder agesper cd 75+

2~-

1949-53 4 1 I 6 4 0 104 23 q 95 0 4

1954-58 10 4 0 14 0 6 1)9 1 265 6 3cO 4 24 1 1 13 4 14 8

711959-63 0 4 4 0 4 75 1 1 26 7 jemiddot f 6 242 4 412 RJ

1964-68 0 () 160 4 304 1 441 8 6

7 7 I6 236 560 8 ~1969-71

~1949-53 30 7 63 c

50 6 c 8

1954-58 5 j 7 J j 49 8 150 6 1t)5 3 4 6 3a

7 ~I9-63 6 14 6 31 j 29 4 1 17 - 421 1 5 8

j 9 39 3 66 3 32 2 149 0 - 1 0 4 4 1 1

4-1~21 8 6 164 9 10 1 i 1 0 6 13

TABLE 8 NEII CASES OF LUNG CANCER REGISTERED MAORIS ONLY NlJIImERS AT AGES 1953-70

N W cases reglstered wlth the Natlonal Cancer Reg stry A llALES BY AGE GROUPS

Ag gr ups Year All ages

0 4 5-9 10- 15- 20- 25- 30- 35- 40- 45- 50- 55 60- 65- 70- 7)- 80- 85+

1953 - - - - - - - - 1 - - 4 1 - - - 6

1954 - - - - - - - 2 - 1 1 - - - - 4

1955 - - - - - 1 - 1 1 2 3 - 1 - 9

1956 - - - - - - - - - - 2 1 3 1 - - 7

1957 - - - - - - - - - - 3 3 2 - - 8

1958 - - - - - - 1 - - 1 1 3 2 3 - - - - 11

1959 - - - - - - - 1 - 1 3 1 3 - 3 - 12

1960 - - - - - - 1 - 4 - 1 2 1 1 1 - 1 12

1961 - - - 1 - - - - - 1 5 4 2 2 3 - - 18

1962 - - - - - - 2 1 2 3 4 8 2 - 1 25

1963 - - - - - - - 1 - 4 1 4 1 1 1 - 13

1964 - - - - - - 1 1 - 4 4 3 3 1 1 - - 18

1965 - - - - - - - 1 - 2 7 7 3 - 1 - 1 22

1966 - 1 - - - - - 1 3 7 2 7 5 4 1 2 1 34

1967 - - - - - - 1 - 1 4 3 3 2 - 1 3 18

1968 - - - - 1 - - 1 6 5 4 2 - 2 - 1 22

1969 - - - - 1 - - 2 - 8 8 6 1 2 13 4 36

1970 - - - - - - - 7 2 2 4 6 5 - 2 1 - 25

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

a~1llual ra 1 s )n c ntr of 1945 1 95 ~I 1 and e 1

All

1934-38 0 1 1 1 1 JhLJ 4 18 7 4 3

1943-47 3 3 0 C)

L 72 12 5

1949-53 7

- ~

L 4~ 2 124 5 1 954-58 () 1 r

) 1 4 ~ i 7

0 u 2 7

I r L 4 5 7

I i~ (I

vi 1964 68 0 5 0 5 7 27 1 61 vl

9-71 0 7 I 2 9

n 6 47 3

-__-----shy

0 4 0 4 0 4 ~ 7 4 7 9 1 8 11 5 7 1 7 1 ~4 3 47 rshy)

7 j 0 0 0 8 4

r L 13 15 2 7

1949-53 0 0 3 0 9 2 0 13 0 10 4 14 9 6 7 5

1954 58 0 8 3 17 2 35 6 4 0 8 L b 9 4 14 0 21 5 ~

+ 34 4 1 4 5 1964 0 0 0 3 7 14 7 19 IS 4 34 i c

) c c L 8 6 7

j

0 g 6 8 6 4 4 35 7 7 ) 8 41 5 45 44 9 5

less than [I

~ A ftulLES i3Y AGE GpoundWUPS

N w es r st red w th th Natlonal r R

Year

194

1950

1951

1952

1953

1954

5

1956

1957

1

195

196

1964

1965

1

1970

gr ups All

o 4 5-9 10shy 15 20shy 5shy 30 35shy 40shy 45shy 50 70 75 85+

7 13 17 1 1 7

13 18 6

5 15 10 155 4 16 22 9 5

1 40 11

2 6 1 30 19

5 19 39 56 3 6 1 1 56 57 8

20 24 53 58 7 31 7 30 38 57 348

3 39 49 68 70

7 24 57 57 2 5 34 52 64 71 5 375

EJ 48 64 77 77 15 1 r) 429

9 92 27 4 3 9 3E3 107 77 1 1

8 45 100 86

4 1 1 48 113

3 9 69 11q 100 608 4 15 1q 3 99 114 5 1 6 10 31 6 bull 15 1 1 ) 17 71 6 39 58 144 21 6

2 14 54 87 15 112 5 7 1 1 717

N w red w the N8~t onal Cane r

rroupsYear All ages

0-4 I 45- i 50 5 70- 75 +i

1948 2 9 1949 6 3 1950 b 4 2 20

4 3 9 5 9 1952 74 j 3 3

3 7 j 7 31

6 4 1955 9 4 7 10 2 46

4 7 4 49

r 71957 I 5 7 4

1 95B f4 4 b 8 3 49 c9 4 7 4 5 nJ

1960 (4 4 4 4 13 57 1 961 1 7 710 8 J

r

7 ~

r 12 14 j 70

6 7 10 14 10 6 4 77I

1 1 8 15 17 2 87 1 1 10 16 12 1 4- 77

1966 7 16 20 21 9 4 113 4 1 1 04 18 lt 95

~)4 17 16 12 1 1 0 I J 8 19 17 20 14 1 1 6 126

- 2 25 21 17 19 4 1 i+5I

0j~

1 42 3 30 8 64 1 2 7 8 8 14 7 1949 1 50

6 7

64 C 3

75 1 J 42 2

14 ~ 6

5 1

1 351 0 7 C] 34 32 a

1 1 4 6 129 1 1 104 I) 132 r

J 30 ) 1 19 7 1 58 2 0 117 f 85 4 0

~ 3 ~ 2 ~ 139 - 2 1957 958

5 13 17 -~J 1 8

137 149

5 1 4

31 0 30 7

1 0 1 9 23 0 c J 67 1 29

3 1 2 21 0 18 5 31 4 f 147 0 241 209 35

2 5

40 45 50

8 I)

4

147 9 177

0

3

102 22 245

5 3 P- e

37J fQJU

41

5 4

5 2

2 4 1 7 I

50 r)Lf

c J

7 0 186

317 0

1 4 0

1

7 4 3 )

159 213 296 108

9 J

9

45 42 51 43

2 5 5 3

6 5 202 7 389 7 8 200 50

0 0 0

J

J I

3 c L

12

6 4 0

iO

14 4

7 7

4 7

31

L

1 7 1

~T

0 0 0 (J

0 0 0 1

0 0

5 1 r J

4 4 6 4

7

4 4 3 4 5

5 5 3 9

10

7 4

13 11

9 16 1 1 1 17

6 5 6

3 4 1 6 b 1

11

2

8 3 1 1 9

8 10 4

0 14 7 17 7 12 C 11 7

6

J

3C 6 13 1

1

13 p-

14

20

t

8 2 5 9 1 6 3 7 J

c J

7 9 3

15 18 10 0 --shy21 --L _

31 7 J

0 3 1 3 - J

6 9 7

0

23

34

1 25 47 10 21

7 J

1

3 2 0 9 7 I

1

3

4 4 - J

4 4 I

0 c U

0 4 3

9

0 7 1 7 I

H70 1 4

-

13 18 16

0 Cl J

37 30 40

4

5

4 7gtJ

45 7

44 9

52

10 49 8

5 10 3

Year Under 30-34 35-39 -59 60-64 70-74 75+

All ages

1949

1950 7 1951 2 5 1952 2 8

1953 7 1954 c 2 gt 9 1955 3 4 1956 ) 3 11 I

Jl

1957 3 4 12 -D I

1958 1 c)

shy e 1959 2 4 2 13 1960 3 3 3 14

7 j j 4 18

2 3 shy j 2 17

1963 7

c j 4 3 1

1 c-) L 4 4

4 4 6 2 5 2 5

7 3 7 j 6 17

1 3 7 7 L 4 1969 4 5 3 4 2 5 1970 4 2 5 5 2

1971 5 2 10 4 9 3

TABLE 6 DEATHS FRCJM LU11G CANCER JlIAORIS ONLY NUHBERS AT AGES 1949-71 B FETmiddotLG~LE3 BY AGE GROUPS

Age groups y ar All Jg

Under ~5 25 29 30-34 35-39 40-44 45 49 50 54 55 59 60-64 65 69 70-74 75+

1 49 - - 1 1 - - 2

1950 - - - 1 - 1

1951 - - - 1 - 1

1952 - - - 1 1 J

19C3 - - 1 1 2 19ci4 - - - 1 - 1 1 - 3 1955 - - 1 - 1 1956 - - 1 - 1 1 2 - 1 l

71957 - 1 1 - j 2 7 1958 - 2 2 4

71959 - - - - 1 1 1 j

1960 - - - 1 2 1 2 3 1 1 1 1

19fJ 1 - - 1 1 1) 5 19l2 - shy - - 1 1 ~ 1 5 1l)63 - shy 1 1 2 3 3 2 12

19b4 - - - 2 - - 3 4 - 9 ec 1905 - 1 - 1 - 1 4 1 1 1 1 13L

c1966 1 L 1 1 1 6 1967 2 2 3 3 2 2 1 C 1ClG8 shy

~ - - 1 1 - 2 2 3 1 1

1969 2 - 2 5 2 1 1 13 1970 - - shy - 4 2 4 3 1 3 17 1971 - - - 1 - 2 3 3 1 1 3 14

Average annual rates n 1951 1 1 1

AU Jnder agesper cd 75+

2~-

1949-53 4 1 I 6 4 0 104 23 q 95 0 4

1954-58 10 4 0 14 0 6 1)9 1 265 6 3cO 4 24 1 1 13 4 14 8

711959-63 0 4 4 0 4 75 1 1 26 7 jemiddot f 6 242 4 412 RJ

1964-68 0 () 160 4 304 1 441 8 6

7 7 I6 236 560 8 ~1969-71

~1949-53 30 7 63 c

50 6 c 8

1954-58 5 j 7 J j 49 8 150 6 1t)5 3 4 6 3a

7 ~I9-63 6 14 6 31 j 29 4 1 17 - 421 1 5 8

j 9 39 3 66 3 32 2 149 0 - 1 0 4 4 1 1

4-1~21 8 6 164 9 10 1 i 1 0 6 13

TABLE 8 NEII CASES OF LUNG CANCER REGISTERED MAORIS ONLY NlJIImERS AT AGES 1953-70

N W cases reglstered wlth the Natlonal Cancer Reg stry A llALES BY AGE GROUPS

Ag gr ups Year All ages

0 4 5-9 10- 15- 20- 25- 30- 35- 40- 45- 50- 55 60- 65- 70- 7)- 80- 85+

1953 - - - - - - - - 1 - - 4 1 - - - 6

1954 - - - - - - - 2 - 1 1 - - - - 4

1955 - - - - - 1 - 1 1 2 3 - 1 - 9

1956 - - - - - - - - - - 2 1 3 1 - - 7

1957 - - - - - - - - - - 3 3 2 - - 8

1958 - - - - - - 1 - - 1 1 3 2 3 - - - - 11

1959 - - - - - - - 1 - 1 3 1 3 - 3 - 12

1960 - - - - - - 1 - 4 - 1 2 1 1 1 - 1 12

1961 - - - 1 - - - - - 1 5 4 2 2 3 - - 18

1962 - - - - - - 2 1 2 3 4 8 2 - 1 25

1963 - - - - - - - 1 - 4 1 4 1 1 1 - 13

1964 - - - - - - 1 1 - 4 4 3 3 1 1 - - 18

1965 - - - - - - - 1 - 2 7 7 3 - 1 - 1 22

1966 - 1 - - - - - 1 3 7 2 7 5 4 1 2 1 34

1967 - - - - - - 1 - 1 4 3 3 2 - 1 3 18

1968 - - - - 1 - - 1 6 5 4 2 - 2 - 1 22

1969 - - - - 1 - - 2 - 8 8 6 1 2 13 4 36

1970 - - - - - - - 7 2 2 4 6 5 - 2 1 - 25

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

~ A ftulLES i3Y AGE GpoundWUPS

N w es r st red w th th Natlonal r R

Year

194

1950

1951

1952

1953

1954

5

1956

1957

1

195

196

1964

1965

1

1970

gr ups All

o 4 5-9 10shy 15 20shy 5shy 30 35shy 40shy 45shy 50 70 75 85+

7 13 17 1 1 7

13 18 6

5 15 10 155 4 16 22 9 5

1 40 11

2 6 1 30 19

5 19 39 56 3 6 1 1 56 57 8

20 24 53 58 7 31 7 30 38 57 348

3 39 49 68 70

7 24 57 57 2 5 34 52 64 71 5 375

EJ 48 64 77 77 15 1 r) 429

9 92 27 4 3 9 3E3 107 77 1 1

8 45 100 86

4 1 1 48 113

3 9 69 11q 100 608 4 15 1q 3 99 114 5 1 6 10 31 6 bull 15 1 1 ) 17 71 6 39 58 144 21 6

2 14 54 87 15 112 5 7 1 1 717

N w red w the N8~t onal Cane r

rroupsYear All ages

0-4 I 45- i 50 5 70- 75 +i

1948 2 9 1949 6 3 1950 b 4 2 20

4 3 9 5 9 1952 74 j 3 3

3 7 j 7 31

6 4 1955 9 4 7 10 2 46

4 7 4 49

r 71957 I 5 7 4

1 95B f4 4 b 8 3 49 c9 4 7 4 5 nJ

1960 (4 4 4 4 13 57 1 961 1 7 710 8 J

r

7 ~

r 12 14 j 70

6 7 10 14 10 6 4 77I

1 1 8 15 17 2 87 1 1 10 16 12 1 4- 77

1966 7 16 20 21 9 4 113 4 1 1 04 18 lt 95

~)4 17 16 12 1 1 0 I J 8 19 17 20 14 1 1 6 126

- 2 25 21 17 19 4 1 i+5I

0j~

1 42 3 30 8 64 1 2 7 8 8 14 7 1949 1 50

6 7

64 C 3

75 1 J 42 2

14 ~ 6

5 1

1 351 0 7 C] 34 32 a

1 1 4 6 129 1 1 104 I) 132 r

J 30 ) 1 19 7 1 58 2 0 117 f 85 4 0

~ 3 ~ 2 ~ 139 - 2 1957 958

5 13 17 -~J 1 8

137 149

5 1 4

31 0 30 7

1 0 1 9 23 0 c J 67 1 29

3 1 2 21 0 18 5 31 4 f 147 0 241 209 35

2 5

40 45 50

8 I)

4

147 9 177

0

3

102 22 245

5 3 P- e

37J fQJU

41

5 4

5 2

2 4 1 7 I

50 r)Lf

c J

7 0 186

317 0

1 4 0

1

7 4 3 )

159 213 296 108

9 J

9

45 42 51 43

2 5 5 3

6 5 202 7 389 7 8 200 50

0 0 0

J

J I

3 c L

12

6 4 0

iO

14 4

7 7

4 7

31

L

1 7 1

~T

0 0 0 (J

0 0 0 1

0 0

5 1 r J

4 4 6 4

7

4 4 3 4 5

5 5 3 9

10

7 4

13 11

9 16 1 1 1 17

6 5 6

3 4 1 6 b 1

11

2

8 3 1 1 9

8 10 4

0 14 7 17 7 12 C 11 7

6

J

3C 6 13 1

1

13 p-

14

20

t

8 2 5 9 1 6 3 7 J

c J

7 9 3

15 18 10 0 --shy21 --L _

31 7 J

0 3 1 3 - J

6 9 7

0

23

34

1 25 47 10 21

7 J

1

3 2 0 9 7 I

1

3

4 4 - J

4 4 I

0 c U

0 4 3

9

0 7 1 7 I

H70 1 4

-

13 18 16

0 Cl J

37 30 40

4

5

4 7gtJ

45 7

44 9

52

10 49 8

5 10 3

Year Under 30-34 35-39 -59 60-64 70-74 75+

All ages

1949

1950 7 1951 2 5 1952 2 8

1953 7 1954 c 2 gt 9 1955 3 4 1956 ) 3 11 I

Jl

1957 3 4 12 -D I

1958 1 c)

shy e 1959 2 4 2 13 1960 3 3 3 14

7 j j 4 18

2 3 shy j 2 17

1963 7

c j 4 3 1

1 c-) L 4 4

4 4 6 2 5 2 5

7 3 7 j 6 17

1 3 7 7 L 4 1969 4 5 3 4 2 5 1970 4 2 5 5 2

1971 5 2 10 4 9 3

TABLE 6 DEATHS FRCJM LU11G CANCER JlIAORIS ONLY NUHBERS AT AGES 1949-71 B FETmiddotLG~LE3 BY AGE GROUPS

Age groups y ar All Jg

Under ~5 25 29 30-34 35-39 40-44 45 49 50 54 55 59 60-64 65 69 70-74 75+

1 49 - - 1 1 - - 2

1950 - - - 1 - 1

1951 - - - 1 - 1

1952 - - - 1 1 J

19C3 - - 1 1 2 19ci4 - - - 1 - 1 1 - 3 1955 - - 1 - 1 1956 - - 1 - 1 1 2 - 1 l

71957 - 1 1 - j 2 7 1958 - 2 2 4

71959 - - - - 1 1 1 j

1960 - - - 1 2 1 2 3 1 1 1 1

19fJ 1 - - 1 1 1) 5 19l2 - shy - - 1 1 ~ 1 5 1l)63 - shy 1 1 2 3 3 2 12

19b4 - - - 2 - - 3 4 - 9 ec 1905 - 1 - 1 - 1 4 1 1 1 1 13L

c1966 1 L 1 1 1 6 1967 2 2 3 3 2 2 1 C 1ClG8 shy

~ - - 1 1 - 2 2 3 1 1

1969 2 - 2 5 2 1 1 13 1970 - - shy - 4 2 4 3 1 3 17 1971 - - - 1 - 2 3 3 1 1 3 14

Average annual rates n 1951 1 1 1

AU Jnder agesper cd 75+

2~-

1949-53 4 1 I 6 4 0 104 23 q 95 0 4

1954-58 10 4 0 14 0 6 1)9 1 265 6 3cO 4 24 1 1 13 4 14 8

711959-63 0 4 4 0 4 75 1 1 26 7 jemiddot f 6 242 4 412 RJ

1964-68 0 () 160 4 304 1 441 8 6

7 7 I6 236 560 8 ~1969-71

~1949-53 30 7 63 c

50 6 c 8

1954-58 5 j 7 J j 49 8 150 6 1t)5 3 4 6 3a

7 ~I9-63 6 14 6 31 j 29 4 1 17 - 421 1 5 8

j 9 39 3 66 3 32 2 149 0 - 1 0 4 4 1 1

4-1~21 8 6 164 9 10 1 i 1 0 6 13

TABLE 8 NEII CASES OF LUNG CANCER REGISTERED MAORIS ONLY NlJIImERS AT AGES 1953-70

N W cases reglstered wlth the Natlonal Cancer Reg stry A llALES BY AGE GROUPS

Ag gr ups Year All ages

0 4 5-9 10- 15- 20- 25- 30- 35- 40- 45- 50- 55 60- 65- 70- 7)- 80- 85+

1953 - - - - - - - - 1 - - 4 1 - - - 6

1954 - - - - - - - 2 - 1 1 - - - - 4

1955 - - - - - 1 - 1 1 2 3 - 1 - 9

1956 - - - - - - - - - - 2 1 3 1 - - 7

1957 - - - - - - - - - - 3 3 2 - - 8

1958 - - - - - - 1 - - 1 1 3 2 3 - - - - 11

1959 - - - - - - - 1 - 1 3 1 3 - 3 - 12

1960 - - - - - - 1 - 4 - 1 2 1 1 1 - 1 12

1961 - - - 1 - - - - - 1 5 4 2 2 3 - - 18

1962 - - - - - - 2 1 2 3 4 8 2 - 1 25

1963 - - - - - - - 1 - 4 1 4 1 1 1 - 13

1964 - - - - - - 1 1 - 4 4 3 3 1 1 - - 18

1965 - - - - - - - 1 - 2 7 7 3 - 1 - 1 22

1966 - 1 - - - - - 1 3 7 2 7 5 4 1 2 1 34

1967 - - - - - - 1 - 1 4 3 3 2 - 1 3 18

1968 - - - - 1 - - 1 6 5 4 2 - 2 - 1 22

1969 - - - - 1 - - 2 - 8 8 6 1 2 13 4 36

1970 - - - - - - - 7 2 2 4 6 5 - 2 1 - 25

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

N w red w the N8~t onal Cane r

rroupsYear All ages

0-4 I 45- i 50 5 70- 75 +i

1948 2 9 1949 6 3 1950 b 4 2 20

4 3 9 5 9 1952 74 j 3 3

3 7 j 7 31

6 4 1955 9 4 7 10 2 46

4 7 4 49

r 71957 I 5 7 4

1 95B f4 4 b 8 3 49 c9 4 7 4 5 nJ

1960 (4 4 4 4 13 57 1 961 1 7 710 8 J

r

7 ~

r 12 14 j 70

6 7 10 14 10 6 4 77I

1 1 8 15 17 2 87 1 1 10 16 12 1 4- 77

1966 7 16 20 21 9 4 113 4 1 1 04 18 lt 95

~)4 17 16 12 1 1 0 I J 8 19 17 20 14 1 1 6 126

- 2 25 21 17 19 4 1 i+5I

0j~

1 42 3 30 8 64 1 2 7 8 8 14 7 1949 1 50

6 7

64 C 3

75 1 J 42 2

14 ~ 6

5 1

1 351 0 7 C] 34 32 a

1 1 4 6 129 1 1 104 I) 132 r

J 30 ) 1 19 7 1 58 2 0 117 f 85 4 0

~ 3 ~ 2 ~ 139 - 2 1957 958

5 13 17 -~J 1 8

137 149

5 1 4

31 0 30 7

1 0 1 9 23 0 c J 67 1 29

3 1 2 21 0 18 5 31 4 f 147 0 241 209 35

2 5

40 45 50

8 I)

4

147 9 177

0

3

102 22 245

5 3 P- e

37J fQJU

41

5 4

5 2

2 4 1 7 I

50 r)Lf

c J

7 0 186

317 0

1 4 0

1

7 4 3 )

159 213 296 108

9 J

9

45 42 51 43

2 5 5 3

6 5 202 7 389 7 8 200 50

0 0 0

J

J I

3 c L

12

6 4 0

iO

14 4

7 7

4 7

31

L

1 7 1

~T

0 0 0 (J

0 0 0 1

0 0

5 1 r J

4 4 6 4

7

4 4 3 4 5

5 5 3 9

10

7 4

13 11

9 16 1 1 1 17

6 5 6

3 4 1 6 b 1

11

2

8 3 1 1 9

8 10 4

0 14 7 17 7 12 C 11 7

6

J

3C 6 13 1

1

13 p-

14

20

t

8 2 5 9 1 6 3 7 J

c J

7 9 3

15 18 10 0 --shy21 --L _

31 7 J

0 3 1 3 - J

6 9 7

0

23

34

1 25 47 10 21

7 J

1

3 2 0 9 7 I

1

3

4 4 - J

4 4 I

0 c U

0 4 3

9

0 7 1 7 I

H70 1 4

-

13 18 16

0 Cl J

37 30 40

4

5

4 7gtJ

45 7

44 9

52

10 49 8

5 10 3

Year Under 30-34 35-39 -59 60-64 70-74 75+

All ages

1949

1950 7 1951 2 5 1952 2 8

1953 7 1954 c 2 gt 9 1955 3 4 1956 ) 3 11 I

Jl

1957 3 4 12 -D I

1958 1 c)

shy e 1959 2 4 2 13 1960 3 3 3 14

7 j j 4 18

2 3 shy j 2 17

1963 7

c j 4 3 1

1 c-) L 4 4

4 4 6 2 5 2 5

7 3 7 j 6 17

1 3 7 7 L 4 1969 4 5 3 4 2 5 1970 4 2 5 5 2

1971 5 2 10 4 9 3

TABLE 6 DEATHS FRCJM LU11G CANCER JlIAORIS ONLY NUHBERS AT AGES 1949-71 B FETmiddotLG~LE3 BY AGE GROUPS

Age groups y ar All Jg

Under ~5 25 29 30-34 35-39 40-44 45 49 50 54 55 59 60-64 65 69 70-74 75+

1 49 - - 1 1 - - 2

1950 - - - 1 - 1

1951 - - - 1 - 1

1952 - - - 1 1 J

19C3 - - 1 1 2 19ci4 - - - 1 - 1 1 - 3 1955 - - 1 - 1 1956 - - 1 - 1 1 2 - 1 l

71957 - 1 1 - j 2 7 1958 - 2 2 4

71959 - - - - 1 1 1 j

1960 - - - 1 2 1 2 3 1 1 1 1

19fJ 1 - - 1 1 1) 5 19l2 - shy - - 1 1 ~ 1 5 1l)63 - shy 1 1 2 3 3 2 12

19b4 - - - 2 - - 3 4 - 9 ec 1905 - 1 - 1 - 1 4 1 1 1 1 13L

c1966 1 L 1 1 1 6 1967 2 2 3 3 2 2 1 C 1ClG8 shy

~ - - 1 1 - 2 2 3 1 1

1969 2 - 2 5 2 1 1 13 1970 - - shy - 4 2 4 3 1 3 17 1971 - - - 1 - 2 3 3 1 1 3 14

Average annual rates n 1951 1 1 1

AU Jnder agesper cd 75+

2~-

1949-53 4 1 I 6 4 0 104 23 q 95 0 4

1954-58 10 4 0 14 0 6 1)9 1 265 6 3cO 4 24 1 1 13 4 14 8

711959-63 0 4 4 0 4 75 1 1 26 7 jemiddot f 6 242 4 412 RJ

1964-68 0 () 160 4 304 1 441 8 6

7 7 I6 236 560 8 ~1969-71

~1949-53 30 7 63 c

50 6 c 8

1954-58 5 j 7 J j 49 8 150 6 1t)5 3 4 6 3a

7 ~I9-63 6 14 6 31 j 29 4 1 17 - 421 1 5 8

j 9 39 3 66 3 32 2 149 0 - 1 0 4 4 1 1

4-1~21 8 6 164 9 10 1 i 1 0 6 13

TABLE 8 NEII CASES OF LUNG CANCER REGISTERED MAORIS ONLY NlJIImERS AT AGES 1953-70

N W cases reglstered wlth the Natlonal Cancer Reg stry A llALES BY AGE GROUPS

Ag gr ups Year All ages

0 4 5-9 10- 15- 20- 25- 30- 35- 40- 45- 50- 55 60- 65- 70- 7)- 80- 85+

1953 - - - - - - - - 1 - - 4 1 - - - 6

1954 - - - - - - - 2 - 1 1 - - - - 4

1955 - - - - - 1 - 1 1 2 3 - 1 - 9

1956 - - - - - - - - - - 2 1 3 1 - - 7

1957 - - - - - - - - - - 3 3 2 - - 8

1958 - - - - - - 1 - - 1 1 3 2 3 - - - - 11

1959 - - - - - - - 1 - 1 3 1 3 - 3 - 12

1960 - - - - - - 1 - 4 - 1 2 1 1 1 - 1 12

1961 - - - 1 - - - - - 1 5 4 2 2 3 - - 18

1962 - - - - - - 2 1 2 3 4 8 2 - 1 25

1963 - - - - - - - 1 - 4 1 4 1 1 1 - 13

1964 - - - - - - 1 1 - 4 4 3 3 1 1 - - 18

1965 - - - - - - - 1 - 2 7 7 3 - 1 - 1 22

1966 - 1 - - - - - 1 3 7 2 7 5 4 1 2 1 34

1967 - - - - - - 1 - 1 4 3 3 2 - 1 3 18

1968 - - - - 1 - - 1 6 5 4 2 - 2 - 1 22

1969 - - - - 1 - - 2 - 8 8 6 1 2 13 4 36

1970 - - - - - - - 7 2 2 4 6 5 - 2 1 - 25

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

0j~

1 42 3 30 8 64 1 2 7 8 8 14 7 1949 1 50

6 7

64 C 3

75 1 J 42 2

14 ~ 6

5 1

1 351 0 7 C] 34 32 a

1 1 4 6 129 1 1 104 I) 132 r

J 30 ) 1 19 7 1 58 2 0 117 f 85 4 0

~ 3 ~ 2 ~ 139 - 2 1957 958

5 13 17 -~J 1 8

137 149

5 1 4

31 0 30 7

1 0 1 9 23 0 c J 67 1 29

3 1 2 21 0 18 5 31 4 f 147 0 241 209 35

2 5

40 45 50

8 I)

4

147 9 177

0

3

102 22 245

5 3 P- e

37J fQJU

41

5 4

5 2

2 4 1 7 I

50 r)Lf

c J

7 0 186

317 0

1 4 0

1

7 4 3 )

159 213 296 108

9 J

9

45 42 51 43

2 5 5 3

6 5 202 7 389 7 8 200 50

0 0 0

J

J I

3 c L

12

6 4 0

iO

14 4

7 7

4 7

31

L

1 7 1

~T

0 0 0 (J

0 0 0 1

0 0

5 1 r J

4 4 6 4

7

4 4 3 4 5

5 5 3 9

10

7 4

13 11

9 16 1 1 1 17

6 5 6

3 4 1 6 b 1

11

2

8 3 1 1 9

8 10 4

0 14 7 17 7 12 C 11 7

6

J

3C 6 13 1

1

13 p-

14

20

t

8 2 5 9 1 6 3 7 J

c J

7 9 3

15 18 10 0 --shy21 --L _

31 7 J

0 3 1 3 - J

6 9 7

0

23

34

1 25 47 10 21

7 J

1

3 2 0 9 7 I

1

3

4 4 - J

4 4 I

0 c U

0 4 3

9

0 7 1 7 I

H70 1 4

-

13 18 16

0 Cl J

37 30 40

4

5

4 7gtJ

45 7

44 9

52

10 49 8

5 10 3

Year Under 30-34 35-39 -59 60-64 70-74 75+

All ages

1949

1950 7 1951 2 5 1952 2 8

1953 7 1954 c 2 gt 9 1955 3 4 1956 ) 3 11 I

Jl

1957 3 4 12 -D I

1958 1 c)

shy e 1959 2 4 2 13 1960 3 3 3 14

7 j j 4 18

2 3 shy j 2 17

1963 7

c j 4 3 1

1 c-) L 4 4

4 4 6 2 5 2 5

7 3 7 j 6 17

1 3 7 7 L 4 1969 4 5 3 4 2 5 1970 4 2 5 5 2

1971 5 2 10 4 9 3

TABLE 6 DEATHS FRCJM LU11G CANCER JlIAORIS ONLY NUHBERS AT AGES 1949-71 B FETmiddotLG~LE3 BY AGE GROUPS

Age groups y ar All Jg

Under ~5 25 29 30-34 35-39 40-44 45 49 50 54 55 59 60-64 65 69 70-74 75+

1 49 - - 1 1 - - 2

1950 - - - 1 - 1

1951 - - - 1 - 1

1952 - - - 1 1 J

19C3 - - 1 1 2 19ci4 - - - 1 - 1 1 - 3 1955 - - 1 - 1 1956 - - 1 - 1 1 2 - 1 l

71957 - 1 1 - j 2 7 1958 - 2 2 4

71959 - - - - 1 1 1 j

1960 - - - 1 2 1 2 3 1 1 1 1

19fJ 1 - - 1 1 1) 5 19l2 - shy - - 1 1 ~ 1 5 1l)63 - shy 1 1 2 3 3 2 12

19b4 - - - 2 - - 3 4 - 9 ec 1905 - 1 - 1 - 1 4 1 1 1 1 13L

c1966 1 L 1 1 1 6 1967 2 2 3 3 2 2 1 C 1ClG8 shy

~ - - 1 1 - 2 2 3 1 1

1969 2 - 2 5 2 1 1 13 1970 - - shy - 4 2 4 3 1 3 17 1971 - - - 1 - 2 3 3 1 1 3 14

Average annual rates n 1951 1 1 1

AU Jnder agesper cd 75+

2~-

1949-53 4 1 I 6 4 0 104 23 q 95 0 4

1954-58 10 4 0 14 0 6 1)9 1 265 6 3cO 4 24 1 1 13 4 14 8

711959-63 0 4 4 0 4 75 1 1 26 7 jemiddot f 6 242 4 412 RJ

1964-68 0 () 160 4 304 1 441 8 6

7 7 I6 236 560 8 ~1969-71

~1949-53 30 7 63 c

50 6 c 8

1954-58 5 j 7 J j 49 8 150 6 1t)5 3 4 6 3a

7 ~I9-63 6 14 6 31 j 29 4 1 17 - 421 1 5 8

j 9 39 3 66 3 32 2 149 0 - 1 0 4 4 1 1

4-1~21 8 6 164 9 10 1 i 1 0 6 13

TABLE 8 NEII CASES OF LUNG CANCER REGISTERED MAORIS ONLY NlJIImERS AT AGES 1953-70

N W cases reglstered wlth the Natlonal Cancer Reg stry A llALES BY AGE GROUPS

Ag gr ups Year All ages

0 4 5-9 10- 15- 20- 25- 30- 35- 40- 45- 50- 55 60- 65- 70- 7)- 80- 85+

1953 - - - - - - - - 1 - - 4 1 - - - 6

1954 - - - - - - - 2 - 1 1 - - - - 4

1955 - - - - - 1 - 1 1 2 3 - 1 - 9

1956 - - - - - - - - - - 2 1 3 1 - - 7

1957 - - - - - - - - - - 3 3 2 - - 8

1958 - - - - - - 1 - - 1 1 3 2 3 - - - - 11

1959 - - - - - - - 1 - 1 3 1 3 - 3 - 12

1960 - - - - - - 1 - 4 - 1 2 1 1 1 - 1 12

1961 - - - 1 - - - - - 1 5 4 2 2 3 - - 18

1962 - - - - - - 2 1 2 3 4 8 2 - 1 25

1963 - - - - - - - 1 - 4 1 4 1 1 1 - 13

1964 - - - - - - 1 1 - 4 4 3 3 1 1 - - 18

1965 - - - - - - - 1 - 2 7 7 3 - 1 - 1 22

1966 - 1 - - - - - 1 3 7 2 7 5 4 1 2 1 34

1967 - - - - - - 1 - 1 4 3 3 2 - 1 3 18

1968 - - - - 1 - - 1 6 5 4 2 - 2 - 1 22

1969 - - - - 1 - - 2 - 8 8 6 1 2 13 4 36

1970 - - - - - - - 7 2 2 4 6 5 - 2 1 - 25

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

Year Under 30-34 35-39 -59 60-64 70-74 75+

All ages

1949

1950 7 1951 2 5 1952 2 8

1953 7 1954 c 2 gt 9 1955 3 4 1956 ) 3 11 I

Jl

1957 3 4 12 -D I

1958 1 c)

shy e 1959 2 4 2 13 1960 3 3 3 14

7 j j 4 18

2 3 shy j 2 17

1963 7

c j 4 3 1

1 c-) L 4 4

4 4 6 2 5 2 5

7 3 7 j 6 17

1 3 7 7 L 4 1969 4 5 3 4 2 5 1970 4 2 5 5 2

1971 5 2 10 4 9 3

TABLE 6 DEATHS FRCJM LU11G CANCER JlIAORIS ONLY NUHBERS AT AGES 1949-71 B FETmiddotLG~LE3 BY AGE GROUPS

Age groups y ar All Jg

Under ~5 25 29 30-34 35-39 40-44 45 49 50 54 55 59 60-64 65 69 70-74 75+

1 49 - - 1 1 - - 2

1950 - - - 1 - 1

1951 - - - 1 - 1

1952 - - - 1 1 J

19C3 - - 1 1 2 19ci4 - - - 1 - 1 1 - 3 1955 - - 1 - 1 1956 - - 1 - 1 1 2 - 1 l

71957 - 1 1 - j 2 7 1958 - 2 2 4

71959 - - - - 1 1 1 j

1960 - - - 1 2 1 2 3 1 1 1 1

19fJ 1 - - 1 1 1) 5 19l2 - shy - - 1 1 ~ 1 5 1l)63 - shy 1 1 2 3 3 2 12

19b4 - - - 2 - - 3 4 - 9 ec 1905 - 1 - 1 - 1 4 1 1 1 1 13L

c1966 1 L 1 1 1 6 1967 2 2 3 3 2 2 1 C 1ClG8 shy

~ - - 1 1 - 2 2 3 1 1

1969 2 - 2 5 2 1 1 13 1970 - - shy - 4 2 4 3 1 3 17 1971 - - - 1 - 2 3 3 1 1 3 14

Average annual rates n 1951 1 1 1

AU Jnder agesper cd 75+

2~-

1949-53 4 1 I 6 4 0 104 23 q 95 0 4

1954-58 10 4 0 14 0 6 1)9 1 265 6 3cO 4 24 1 1 13 4 14 8

711959-63 0 4 4 0 4 75 1 1 26 7 jemiddot f 6 242 4 412 RJ

1964-68 0 () 160 4 304 1 441 8 6

7 7 I6 236 560 8 ~1969-71

~1949-53 30 7 63 c

50 6 c 8

1954-58 5 j 7 J j 49 8 150 6 1t)5 3 4 6 3a

7 ~I9-63 6 14 6 31 j 29 4 1 17 - 421 1 5 8

j 9 39 3 66 3 32 2 149 0 - 1 0 4 4 1 1

4-1~21 8 6 164 9 10 1 i 1 0 6 13

TABLE 8 NEII CASES OF LUNG CANCER REGISTERED MAORIS ONLY NlJIImERS AT AGES 1953-70

N W cases reglstered wlth the Natlonal Cancer Reg stry A llALES BY AGE GROUPS

Ag gr ups Year All ages

0 4 5-9 10- 15- 20- 25- 30- 35- 40- 45- 50- 55 60- 65- 70- 7)- 80- 85+

1953 - - - - - - - - 1 - - 4 1 - - - 6

1954 - - - - - - - 2 - 1 1 - - - - 4

1955 - - - - - 1 - 1 1 2 3 - 1 - 9

1956 - - - - - - - - - - 2 1 3 1 - - 7

1957 - - - - - - - - - - 3 3 2 - - 8

1958 - - - - - - 1 - - 1 1 3 2 3 - - - - 11

1959 - - - - - - - 1 - 1 3 1 3 - 3 - 12

1960 - - - - - - 1 - 4 - 1 2 1 1 1 - 1 12

1961 - - - 1 - - - - - 1 5 4 2 2 3 - - 18

1962 - - - - - - 2 1 2 3 4 8 2 - 1 25

1963 - - - - - - - 1 - 4 1 4 1 1 1 - 13

1964 - - - - - - 1 1 - 4 4 3 3 1 1 - - 18

1965 - - - - - - - 1 - 2 7 7 3 - 1 - 1 22

1966 - 1 - - - - - 1 3 7 2 7 5 4 1 2 1 34

1967 - - - - - - 1 - 1 4 3 3 2 - 1 3 18

1968 - - - - 1 - - 1 6 5 4 2 - 2 - 1 22

1969 - - - - 1 - - 2 - 8 8 6 1 2 13 4 36

1970 - - - - - - - 7 2 2 4 6 5 - 2 1 - 25

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

TABLE 6 DEATHS FRCJM LU11G CANCER JlIAORIS ONLY NUHBERS AT AGES 1949-71 B FETmiddotLG~LE3 BY AGE GROUPS

Age groups y ar All Jg

Under ~5 25 29 30-34 35-39 40-44 45 49 50 54 55 59 60-64 65 69 70-74 75+

1 49 - - 1 1 - - 2

1950 - - - 1 - 1

1951 - - - 1 - 1

1952 - - - 1 1 J

19C3 - - 1 1 2 19ci4 - - - 1 - 1 1 - 3 1955 - - 1 - 1 1956 - - 1 - 1 1 2 - 1 l

71957 - 1 1 - j 2 7 1958 - 2 2 4

71959 - - - - 1 1 1 j

1960 - - - 1 2 1 2 3 1 1 1 1

19fJ 1 - - 1 1 1) 5 19l2 - shy - - 1 1 ~ 1 5 1l)63 - shy 1 1 2 3 3 2 12

19b4 - - - 2 - - 3 4 - 9 ec 1905 - 1 - 1 - 1 4 1 1 1 1 13L

c1966 1 L 1 1 1 6 1967 2 2 3 3 2 2 1 C 1ClG8 shy

~ - - 1 1 - 2 2 3 1 1

1969 2 - 2 5 2 1 1 13 1970 - - shy - 4 2 4 3 1 3 17 1971 - - - 1 - 2 3 3 1 1 3 14

Average annual rates n 1951 1 1 1

AU Jnder agesper cd 75+

2~-

1949-53 4 1 I 6 4 0 104 23 q 95 0 4

1954-58 10 4 0 14 0 6 1)9 1 265 6 3cO 4 24 1 1 13 4 14 8

711959-63 0 4 4 0 4 75 1 1 26 7 jemiddot f 6 242 4 412 RJ

1964-68 0 () 160 4 304 1 441 8 6

7 7 I6 236 560 8 ~1969-71

~1949-53 30 7 63 c

50 6 c 8

1954-58 5 j 7 J j 49 8 150 6 1t)5 3 4 6 3a

7 ~I9-63 6 14 6 31 j 29 4 1 17 - 421 1 5 8

j 9 39 3 66 3 32 2 149 0 - 1 0 4 4 1 1

4-1~21 8 6 164 9 10 1 i 1 0 6 13

TABLE 8 NEII CASES OF LUNG CANCER REGISTERED MAORIS ONLY NlJIImERS AT AGES 1953-70

N W cases reglstered wlth the Natlonal Cancer Reg stry A llALES BY AGE GROUPS

Ag gr ups Year All ages

0 4 5-9 10- 15- 20- 25- 30- 35- 40- 45- 50- 55 60- 65- 70- 7)- 80- 85+

1953 - - - - - - - - 1 - - 4 1 - - - 6

1954 - - - - - - - 2 - 1 1 - - - - 4

1955 - - - - - 1 - 1 1 2 3 - 1 - 9

1956 - - - - - - - - - - 2 1 3 1 - - 7

1957 - - - - - - - - - - 3 3 2 - - 8

1958 - - - - - - 1 - - 1 1 3 2 3 - - - - 11

1959 - - - - - - - 1 - 1 3 1 3 - 3 - 12

1960 - - - - - - 1 - 4 - 1 2 1 1 1 - 1 12

1961 - - - 1 - - - - - 1 5 4 2 2 3 - - 18

1962 - - - - - - 2 1 2 3 4 8 2 - 1 25

1963 - - - - - - - 1 - 4 1 4 1 1 1 - 13

1964 - - - - - - 1 1 - 4 4 3 3 1 1 - - 18

1965 - - - - - - - 1 - 2 7 7 3 - 1 - 1 22

1966 - 1 - - - - - 1 3 7 2 7 5 4 1 2 1 34

1967 - - - - - - 1 - 1 4 3 3 2 - 1 3 18

1968 - - - - 1 - - 1 6 5 4 2 - 2 - 1 22

1969 - - - - 1 - - 2 - 8 8 6 1 2 13 4 36

1970 - - - - - - - 7 2 2 4 6 5 - 2 1 - 25

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

Average annual rates n 1951 1 1 1

AU Jnder agesper cd 75+

2~-

1949-53 4 1 I 6 4 0 104 23 q 95 0 4

1954-58 10 4 0 14 0 6 1)9 1 265 6 3cO 4 24 1 1 13 4 14 8

711959-63 0 4 4 0 4 75 1 1 26 7 jemiddot f 6 242 4 412 RJ

1964-68 0 () 160 4 304 1 441 8 6

7 7 I6 236 560 8 ~1969-71

~1949-53 30 7 63 c

50 6 c 8

1954-58 5 j 7 J j 49 8 150 6 1t)5 3 4 6 3a

7 ~I9-63 6 14 6 31 j 29 4 1 17 - 421 1 5 8

j 9 39 3 66 3 32 2 149 0 - 1 0 4 4 1 1

4-1~21 8 6 164 9 10 1 i 1 0 6 13

TABLE 8 NEII CASES OF LUNG CANCER REGISTERED MAORIS ONLY NlJIImERS AT AGES 1953-70

N W cases reglstered wlth the Natlonal Cancer Reg stry A llALES BY AGE GROUPS

Ag gr ups Year All ages

0 4 5-9 10- 15- 20- 25- 30- 35- 40- 45- 50- 55 60- 65- 70- 7)- 80- 85+

1953 - - - - - - - - 1 - - 4 1 - - - 6

1954 - - - - - - - 2 - 1 1 - - - - 4

1955 - - - - - 1 - 1 1 2 3 - 1 - 9

1956 - - - - - - - - - - 2 1 3 1 - - 7

1957 - - - - - - - - - - 3 3 2 - - 8

1958 - - - - - - 1 - - 1 1 3 2 3 - - - - 11

1959 - - - - - - - 1 - 1 3 1 3 - 3 - 12

1960 - - - - - - 1 - 4 - 1 2 1 1 1 - 1 12

1961 - - - 1 - - - - - 1 5 4 2 2 3 - - 18

1962 - - - - - - 2 1 2 3 4 8 2 - 1 25

1963 - - - - - - - 1 - 4 1 4 1 1 1 - 13

1964 - - - - - - 1 1 - 4 4 3 3 1 1 - - 18

1965 - - - - - - - 1 - 2 7 7 3 - 1 - 1 22

1966 - 1 - - - - - 1 3 7 2 7 5 4 1 2 1 34

1967 - - - - - - 1 - 1 4 3 3 2 - 1 3 18

1968 - - - - 1 - - 1 6 5 4 2 - 2 - 1 22

1969 - - - - 1 - - 2 - 8 8 6 1 2 13 4 36

1970 - - - - - - - 7 2 2 4 6 5 - 2 1 - 25

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

TABLE 8 NEII CASES OF LUNG CANCER REGISTERED MAORIS ONLY NlJIImERS AT AGES 1953-70

N W cases reglstered wlth the Natlonal Cancer Reg stry A llALES BY AGE GROUPS

Ag gr ups Year All ages

0 4 5-9 10- 15- 20- 25- 30- 35- 40- 45- 50- 55 60- 65- 70- 7)- 80- 85+

1953 - - - - - - - - 1 - - 4 1 - - - 6

1954 - - - - - - - 2 - 1 1 - - - - 4

1955 - - - - - 1 - 1 1 2 3 - 1 - 9

1956 - - - - - - - - - - 2 1 3 1 - - 7

1957 - - - - - - - - - - 3 3 2 - - 8

1958 - - - - - - 1 - - 1 1 3 2 3 - - - - 11

1959 - - - - - - - 1 - 1 3 1 3 - 3 - 12

1960 - - - - - - 1 - 4 - 1 2 1 1 1 - 1 12

1961 - - - 1 - - - - - 1 5 4 2 2 3 - - 18

1962 - - - - - - 2 1 2 3 4 8 2 - 1 25

1963 - - - - - - - 1 - 4 1 4 1 1 1 - 13

1964 - - - - - - 1 1 - 4 4 3 3 1 1 - - 18

1965 - - - - - - - 1 - 2 7 7 3 - 1 - 1 22

1966 - 1 - - - - - 1 3 7 2 7 5 4 1 2 1 34

1967 - - - - - - 1 - 1 4 3 3 2 - 1 3 18

1968 - - - - 1 - - 1 6 5 4 2 - 2 - 1 22

1969 - - - - 1 - - 2 - 8 8 6 1 2 13 4 36

1970 - - - - - - - 7 2 2 4 6 5 - 2 1 - 25

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

Nelv cases reg at red w th the Nat onal Cancer Reglstry B FFiIALES BY AGE GROUPS

Ag group Year All ages

0-4 -9 10- 15- 20- 25- 30- 35- 40- 45- 50- 1 55- 60- - 70- 75 80- 85+

1953 - - - - - - - 1 - 1

1954 - - - - - - - 1 - - - - 1

195 - - - - 3 - - - - - - - 3 r1956 - - - 1 - i - - - L 1- 5

1957 - - - - 1 - - 3

1 - - - - - - 1 1 - - 2

1959 - - - - - 1 1 - 2 1- 5

71960 - - - 1 1 J 5 1 - - 1 1

1961 - - - - - - 1 1 1 3

1 - - 1 1 2 - 3 - - - 7

19 - - - - - 1 1 2 1 1 - 1

1964 - - - 1 - 3 2 - - - 1 1

1965 - - - 1 I 1 4 c - 1 - 1 1

1 6 shy - - - 5 2 3 1 15

1 - - - - - - 1 - 4 1 3 - 1 1

1968 - I - - - - 1 4 2 1 1 - 15

1 - - - - - 1 1 1 2 3 - 1 1 - 1 1 1

I1970 - - - - - - 2 1 2 1 1 - 7 Ii I i I I

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

tercel -[ th the ry

54 55 8 243 (

6 1 3 3 c ~~ --

7 J

1 57 414 ~

58 41 247 4 149 8 244 9 4 11~e 3 160 3333 3

1 384 c

2 4 155 3 209 c 220

1 405 8 2 9 8 SeD e

191 8 3370 8 8 3

411 3 7 4

~j53 l 1 j 954 56 2 1 1 1 1

49 5 144 9

5 740 7 4 7 4

4

1 ~aQ G --

194 ~

7 4 172 4 574

42 0 193 2 80 7

J 272 7 1 4 9 267 9 1 123 6 1 9 177 6

2 - r 1 1

~

7 7~ Ij 1

0 154 0 u 10 5 ~ j

~ 1 0 149 3 6 4 1 111 1

87 7 4

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

HP LES

4 7 7 5 4I

1 967 4 3 4 c 2

- 7 4 4 25 I2 3 4 10 ) 40~

1(J70 (

2 15

4 13

3

9

co1966 4 u 5 51

4 8 5 3 34

12 7 shy7

19 4 5

1970 shy 7middot73 4 JiI

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

-66

iJlPElmrx B -M

DEPARTMENT OF HEALTH-MEDICAL STATISTICS BRANCH

CANCER STAnSnCs

Sp I I Form 10 Bro hi I d Bro hi Carel m d Ad om (T be filled II cases f CICCI m f I n~ Cod N

bro chll3 In uJd tlo to Card M S 33-4) Reg N

Chr Wln NIl1TICS [ani)

II 13

4 Occup tlOns (ecor up lLO lDdwlr nn

18 19 I dustnal h=rcis ( f un) ___ _

20 22 Name (

f hosp tal makmg In U d~OSlB nJ-e-l am oc ref nng ClUe )

23 25 Nun f hosp tcd tre3tlflg Cille

26 27 D te of birth Age In tJrS

28 Se~ (wn M or F)

29 30 Bmhpl ec

32 Length f fCSldence ill Now zbnd can Y ar urn ed In N Z

33 Rilec (vmte Mao or N M

34 36 DATE OF FIRST TREATMENT M

(If tIT tmen then d te of dClgn=s) __ M

37 39 DATE OF FIRST SYMPTOMS

40 DURATION OF SYMPTOMS (I 101 betwee onset and fin N 5)1TIptOJTlS o treatme dl gn S13) Gshy 3 months 1

4-- 6 m th 2 7 2 months _ 3

13--24 mo tru 4 Over 24 mo th 5

41 SMOKING HABITS Nf smoked 11 OCCJS II _ 0

( g-trc rn re do f car cons tute-s sm cr) tnr ABe topre amo

Sm k ex In h L gh amok ( d oP 1

Mod ra (1G-20 pc d ) 2_ Heavy I er 20 per da ) 3 Cham 5ID k 4 Pipe and Clg= nl 5

42 PREVIOUS HISTORY OF CANCER N prc I tory Ul en or blood rel (j 0 IJXlen 1 I blood rela 2 I both pa and blood reb vel 3

43 PRE EXISTING RESPIRATORY DISEASE N ne o Chrome pper resp ratory 1 Chrom bronUl1lli 2 Pulmonary tubercul 3 Bro chnxtas 4 Pn wnoconlOS13 5 Othor __ _ ~__ 6

41 5 1040DE OF PRESENTATION (Mos gTll Ii ca

d tal fi d gg fMed cal eU1Tl1l Symptoms Radl ~pru

nl to b recorded)

o 1

Co gh 2

Rcsp ry ( ~I~ topta tlng or dl ~ ora 3

4 S)Tllptoms hc-eze _ 5

Ch pun 6 HOJrSt n~ or ph nla 7 Sh rtncCI f breth 8

Gc rcLi Symptol1lS L15~ wss

d f we gh

9 10

umon andor emp lIla 11 --fed lSllnu b fll on 12

S ns Lymph od D In

m 3t15( 13 14

C rv c11 5ym vol 15 P h ra us 16

lOth ( 17

Norr-I rcllng pp cod be I In 4 Cham Sm ker 0

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

middot16 PATHOLOGICAL DATA Squunom __ 1 (Cluslhed by m mailS SrmH CtiI undlffeJtJlUdlffi 2

(dl tJP~) cel 11 ndlff rentJIteJ 3 rm 4

BronchKLiT (ahmiddot~ltT ceHtd) 5 dtr ITll-----cyllndrorn1 6

orCf)) d 7 Oth i I~ ~ 8

SITE Gutrdl 1 B dl brshyPtn(-hcrll 2 Smglt 3

~1 I 4 rlde-~t 5

~ WNG 1 2

ISm) 3 ANATOMICAL SITE Cmiddotnlf bull 1 gro p-shy

L-un bm chu __ 1 L- Lf br-) chus--- 6

Upper 2 _ 7 Lcrcr 3 B M ddle _ LtnguLt _ 9 LlnltUL __ _ 5

INITIAL RADIOGRAPHIC APPEARANCES UJTi0n (()J)(gtJldl 1 6

C L 2 7 e 3 8 nplUty 4 9 ~ p~ ty 5

DIAGNOSIS

D

PI I A d o S urn 1 Bu) _11 tSfll ~s 2 n dfX--Opl 3 N cdl (If Yplrt 4

d 5 6

Oth kp~y 7 ChntCl] O-J pru 8

55 TREATMENT OF PRIMARY SITE ONLY Nne o Rtl I S r_~fmiddotrv 2 Oh _ __ ____ __ ___ 3

lJJ[l LC m y 4 f ~h In 5

Cur U[n CCtUl11 T(brct0Jn 11 Rjmiddotiu 6 nl J-I[ 7

triLl -S per a Other 9

56 DIED OF ~ 11

rc rndltnUl dl(-l~ 2 rurr lh ll~~d fh~Ch 3

bll

IJ th

SURVIVAL

dagr~o-J15

METASTASES TO None Omiddot Lol1ph odes intrapulmonary __ l

Lymph ode tttmthoraru 2 _bullbull Moo ltsum lymph codes 3 Ches 11 ~ 4 Othct tned=tmum-spcofy Ii BrnlI1 Igt Booe 7 Livcr 8 Other oWn or twue 9 M I p mottcw5ts ~ ___ 10

PUU040NAtlY METASTASES

63 SPREAD I 3 2

6+ PRIMARY SITE Brc 1 - Kidney 4 St(lrnlro 2 Other 5 BltJwcl l JltrDm lung 6

6 66 HISTOLOGICAL TY~ (utJtc)_-__--____

67 TREATMET None D PallkllC only - Loxgtromy 2 Pneu=nettomy 11 Other 4 ________- __ _ ______________

OTHER THOltActc lfMOUR$ Cr all I MeWastllllllIl 2 Dlaphrugrn 1 1 yco TREATMENT OF OTHER METASTASES t N

cme numba g Item 47 S tc tr o

[ RP T 1 85758 85758 1973

(~l 1 r ~ C) I fi Lr J L-HLr I ~ IJ i

WELLINGTON