+----------+---------+------+----+-------------------+-------+------+---+
| **Number |         |      |    |                   |       |      |   |
| of Newly |         |      |    |                   |       |      |   |
| D        |         |      |    |                   |       |      |   |
| iagnosed |         |      |    |                   |       |      |   |
| Cancer   |         |      |    |                   |       |      |   |
| Patients |         |      |    |                   |       |      |   |
| By Site  |         |      |    |                   |       |      |   |
| Sample   |         |      |    |                   |       |      |   |
| Table    |         |      |    |                   |       |      |   |
| 5**      |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
|          |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **Direc  | > **    |      |    |                   |       |      |   |
| tions:** | Provide |      |    |                   |       |      |   |
|          | >       |      |    |                   |       |      |   |
|          | figures |      |    |                   |       |      |   |
|          | > for   |      |    |                   |       |      |   |
|          | > the   |      |    |                   |       |      |   |
|          | > table |      |    |                   |       |      |   |
|          | > below |      |    |                   |       |      |   |
|          | > to    |      |    |                   |       |      |   |
|          | > the   |      |    |                   |       |      |   |
|          | >       |      |    |                   |       |      |   |
|          |  extent |      |    |                   |       |      |   |
|          | > po    |      |    |                   |       |      |   |
|          | ssible. |      |    |                   |       |      |   |
|          | > Use   |      |    |                   |       |      |   |
|          | > new   |      |    |                   |       |      |   |
|          | > cases |      |    |                   |       |      |   |
|          | > di    |      |    |                   |       |      |   |
|          | agnosed |      |    |                   |       |      |   |
|          | > or    |      |    |                   |       |      |   |
|          | > re    |      |    |                   |       |      |   |
|          | ceiving |      |    |                   |       |      |   |
|          | > tr    |      |    |                   |       |      |   |
|          | eatment |      |    |                   |       |      |   |
|          | > at    |      |    |                   |       |      |   |
|          | > that  |      |    |                   |       |      |   |
|          | > ho    |      |    |                   |       |      |   |
|          | spital, |      |    |                   |       |      |   |
|          | >       |      |    |                   |       |      |   |
|          |  except |      |    |                   |       |      |   |
|          | > for   |      |    |                   |       |      |   |
|          | > basal |      |    |                   |       |      |   |
|          | > cell  |      |    |                   |       |      |   |
|          | > or    |      |    |                   |       |      |   |
|          | > s     |      |    |                   |       |      |   |
|          | quamous |      |    |                   |       |      |   |
|          | > cell  |      |    |                   |       |      |   |
|          | > ca    |      |    |                   |       |      |   |
|          | rcinoma |      |    |                   |       |      |   |
|          | > of    |      |    |                   |       |      |   |
|          | > the   |      |    |                   |       |      |   |
|          | > skin. |      |    |                   |       |      |   |
|          | >       |      |    |                   |       |      |   |
|          |  Submit |      |    |                   |       |      |   |
|          | > a     |      |    |                   |       |      |   |
|          | > s     |      |    |                   |       |      |   |
|          | eparate |      |    |                   |       |      |   |
|          | > sheet |      |    |                   |       |      |   |
|          | > for   |      |    |                   |       |      |   |
|          | > each  |      |    |                   |       |      |   |
|          | > h     |      |    |                   |       |      |   |
|          | ospital |      |    |                   |       |      |   |
|          | > compo |      |    |                   |       |      |   |
|          | nent.** |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **Name   | **[\_\_ |      |    |                   |       |      |   |
| of       | \_\_\_\ |      |    |                   |       |      |   |
| Comp     | _\_\_\_ |      |    |                   |       |      |   |
| onent:** | \_\_\_\ |      |    |                   |       |      |   |
|          | _\_\_\_ |      |    |                   |       |      |   |
|          | \_\_\_\ |      |    |                   |       |      |   |
|          | _\_\_\_ |      |    |                   |       |      |   |
|          | \_\_\_\ |      |    |                   |       |      |   |
|          | _\_\_\_ |      |    |                   |       |      |   |
|          | \_\_\_\ |      |    |                   |       |      |   |
|          | _\_\_\_ |      |    |                   |       |      |   |
|          | \_\_\_\ |      |    |                   |       |      |   |
|          | _\_\_\_ |      |    |                   |       |      |   |
|          | \_\_\_\ |      |    |                   |       |      |   |
|          | _\_\_\_ |      |    |                   |       |      |   |
|          | \_\_\_\ |      |    |                   |       |      |   |
|          | _\_\_\_ |      |    |                   |       |      |   |
|          | \_\_\_\ |      |    |                   |       |      |   |
|          | _\_\_\_ |      |    |                   |       |      |   |
|          | \_\_\_\ |      |    |                   |       |      |   |
|          | _\_\_\_ |      |    |                   |       |      |   |
|          | \_\_\_] |      |    |                   |       |      |   |
|          | {.under |      |    |                   |       |      |   |
|          | line}** |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **Inf    | >       |      |    |                   |       |      |   |
| ormation | > **H   |      |    |                   |       |      |   |
| S        | ospital |      |    |                   |       |      |   |
| ource:** | > Reg   |      |    |                   |       |      |   |
|          | istry** |      |    |                   |       |      |   |
|          | > **R   |      |    |                   |       |      |   |
|          | egional |      |    |                   |       |      |   |
|          | > Reg   |      |    |                   |       |      |   |
|          | istry** |      |    |                   |       |      |   |
|          | > **Pop |      |    |                   |       |      |   |
|          | ulation |      |    |                   |       |      |   |
|          | > Based |      |    |                   |       |      |   |
|          | > Reg   |      |    |                   |       |      |   |
|          | istry** |      |    |                   |       |      |   |
|          | >       |      |    |                   |       |      |   |
|          | > **H   |      |    |                   |       |      |   |
|          | ospital |      |    |                   |       |      |   |
|          | > Di    |      |    |                   |       |      |   |
|          | scharge |      |    |                   |       |      |   |
|          | >       |      |    |                   |       |      |   |
|          |  Data** |      |    |                   |       |      |   |
|          | > **    |      |    |                   |       |      |   |
|          | Other** |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
|          |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
|          |         | **   |    |                   | **Cal |      |   |
|          |         | Cale |    |                   | endar |      |   |
|          |         | ndar |    |                   | Y     |      |   |
|          |         | Ye   |    |                   | ear** |      |   |
|          |         | ar** |    |                   |       |      |   |
|          |         |      |    |                   | *     |      |   |
|          |         | **   |    |                   | *2002 |      |   |
|          |         | 2002 |    |                   | 2     |      |   |
|          |         | 20   |    |                   | 003** |      |   |
|          |         | 03** |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **Breast |         |      |    | **Non-Small Cell  |       |      |   |
| Tumor**  |         |      |    | Lung**            |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **Eso    |         |      |    | **Hodgkin=s       |       |      |   |
| phagus** |         |      |    | Disease**         |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **S      |         |      |    | **Non-Hodgkin=s   |       |      |   |
| tomach** |         |      |    | Disease**         |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **Pa     |         |      |    | **Kaposi=s        |       |      |   |
| ncreas** |         |      |    | Sarcoma**         |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| *        |         |      |    | **Melanoma**      |       |      |   |
| *Hepatob |         |      |    |                   |       |      |   |
| iliary** |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| *        |         |      |    | **Head/Neck       |       |      |   |
| *Colon** |         |      |    | Tumors**          |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **       |         |      |    | **Brain/Other CNS |       |      |   |
| Rectum** |         |      |    | Tumors**          |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **GI     |         |      |    | **Endocrine**     |       |      |   |
| (        |         |      |    |                   |       |      |   |
| other)** |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **B      |         |      |    | **Osteogenic      |       |      |   |
| ladder** |         |      |    | Sarcoma**         |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **       |         |      |    | **Soft Tissue     |       |      |   |
| Kidney** |         |      |    | Sarcoma**         |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **Pr     |         |      |    | **Rh              |       |      |   |
| ostate** |         |      |    | abdomyosaracoma** |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **       |         |      |    | **Ewing=s         |       |      |   |
| Testis** |         |      |    | Sarcoma**         |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **GU     |         |      |    | **Sarcoma         |       |      |   |
| (        |         |      |    | (other)**         |       |      |   |
| other)** |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **       |         |      |    | **Wilms Tumor**   |       |      |   |
| Cervix** |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| *        |         |      |    | **Neuroblastoma** |       |      |   |
| *Ovary** |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| *        |         |      |    | **Pediatric ALL** |       |      |   |
| *Uterus, |         |      |    |                   |       |      |   |
| Endom    |         |      |    |                   |       |      |   |
| etrial** |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **GYN    |         |      |    | **Pediatric AML** |       |      |   |
| (        |         |      |    |                   |       |      |   |
| other)** |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **M      |         |      |    | **Pediatric Acute |       |      |   |
| yeloma** |         |      |    | Leukemia          |       |      |   |
|          |         |      |    | (other)**         |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **Adult  |         |      |    | **Pediatric       |       |      |   |
| Acute    |         |      |    | Lymphomas incl.   |       |      |   |
| Lym      |         |      |    | Hodgkin=s         |       |      |   |
| phocytic |         |      |    | Disease**         |       |      |   |
| Le       |         |      |    |                   |       |      |   |
| ukemia** |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **Adult  |         |      |    | **Pediatric Solid |       |      |   |
| Acute    |         |      |    | Tumors/Others**   |       |      |   |
| Non-Lym  |         |      |    |                   |       |      |   |
| phocytic |         |      |    |                   |       |      |   |
| Le       |         |      |    |                   |       |      |   |
| ukemia** |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| *        |         |      |    | **Other**         |       |      |   |
| *Chronic |         |      |    |                   |       |      |   |
| Le       |         |      |    |                   |       |      |   |
| ukemia** |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+
| **Small  |         |      |    |                   |       |      |   |
| Cell     |         |      |    |                   |       |      |   |
| Lung**   |         |      |    |                   |       |      |   |
+----------+---------+------+----+-------------------+-------+------+---+

**Total:**