Background: Programs for effective cancer care include facilities for
cancer research, prevention and treatment as well as a regional or nat
ional cancer registry. The Computerized Tumor Registry Project at King
Faisal University is the first attempt to establish a population-base
d Tumor Registry at a regional level in the Kingdom of Saudi Arabia (K
SA). Objectives: This paper discusses the steps taken to set up the re
gistry and analyzes the achievements and obstacles. Methods: Developin
g the registry required project manpower, computer software and other
non-human resources including procedure and system manuals, data entry
and follow-up formats, as well as reportable lists, confidentiality c
ode, legislation, data collection procedures, a way to estimate the po
pulation of the Eastern Province and quality control measures. Results
: The project achievements and major obstacles were outlined. Recommen
dations: Measures to ensure completeness of the registration, updating
the census and improving quality control were recommended.