Cancer By Site · Non-Hodgkin Lymphoma. Brain and Other Nervous System. Bladder. Ovary. Kidney and...

Cancer By Site

Percent Distribution of Cancer

Page 1 Washington State Cancer Registry

N/C: not calculated because the number of cases less than 10

17.8%11.3%

10.2%9.5%

7.3%6.9%

4.2%3.9%

3.1%2.9%2.9%

2.7%2.5%2.4%

1.9%1.4%1.3%

1.2%1.1%1.0%

0.7%0.7%0.7%0.7%0.6%0.6%

0.5%

0 1000 2000 3000 4000 5000 6000 7000 8000

Breast (Female)Lung and Bronchus

Melanoma of the SkinProstate

ColorectalOther

BladderNon-Hodgkin Lymphoma

Kidney and Renal PelvisEndometrium

LeukemiaOral Cavity and Pharynx

PancreasThyroid

Liver and Intrahepatic Bile DuctBrain and Other Nervous System

OvaryMultiple Myeloma

StomachEsophagus

Vulva (Female)Anus, Anal Canal and Anorectum

TestisSoft Tissue Including Heart

Cervical (Uterine)Larynx

Hodgkin Lymphoma

2014 Total Cancer Incidence of Washington State Residents

24.9%10.6%

7.5%7.1%7.1%

5.2%4.6%

4.0%3.8%

3.1%3.0%

2.7%2.7%2.7%

2.0%1.9%1.9%1.8%

0.9%0.8%

0.5%0.4%0.4%

0.2%0.2%0.1%N/C

0 500 1000 1500 2000 2500 3000 3500

Lung and BronchusOther

ColorectalBreast (Female)

PancreasProstate

Liver and Intrahepatic Bile DuctLeukemia

Non-Hodgkin LymphomaBrain and Other Nervous System

BladderOvary

Kidney and Renal PelvisEsophagus

StomachOral Cavity and Pharynx

MyelomaMelanoma of the Skin

Soft Tissue Including HeartEndometrium

LarynxThyroid

Cervix (Uterine)Hodgkin Lymphoma

Anus, Anal Canal and AnorectumVulva (Female)

Testis

2014 Total Cancer Mortality of Washington State Residents


Page 2Washington State Cancer Registry


19.6%

12.0%

11.8%

8.1%

7.8%

6.8%

4.6%

4.1%

4.0%

3.6%

2.8%

2.7%

1.7%

1.7%

1.5%

1.5%

1.4%

1.3%

1.0%

0.8%

0.8%

0.5%

0 500 1000 1500 2000 2500 3000 3500 4000

Prostate

Lung and Bronchus

Melanoma of the Skin

Colorectal

Other

Bladder

Non-Hodgkin Lymphoma

Kidney and Renal Pelvis

Oral Cavity and Pharynx

Leukemia

Liver and Intrahepatic Bile Duct

Pancreas

Esophagus

Brain and Other Nervous System

Stomach

Multiple Myeloma

Testis

Thyroid

Larynx

Anus, Anal Canal and Anorectum

Soft Tissue Including Heart

Hodgkin Lymphoma

2014 Male Cancer Incidence of Washington State Residents

24.9%

9.8%

9.5%

7.7%

6.7%

6.0%

4.4%

4.3%

4.2%

4.1%

3.5%

3.3%

2.4%

2.3%

2.3%

2.1%

0.9%

0.9%

0.4%

0.2%

N/C

N/C

0 200 400 600 800 1000 1200 1400 1600 1800

Lung and Bronchus

Prostate

Other

Colorectal

Pancreas



Leukemia

Esophagus

Bladder




Stomach


Myeloma


Larynx

Thyroid

Hodgkin Lymphoma

Testis


2014 Male Cancer Mortality of Washington State Residents


Page 3 Washington State Cancer Registry


34.3%

10.7%

8.7%

6.6%

6.2%

5.6%

3.5%

3.2%

2.6%

2.3%

2.2%

2.1%

1.8%

1.4%

1.4%

1.2%

1.1%

1.0%

1.0%

0.7%

0.6%

0.6%

0.4%

0.4%

0.2%

0 1000 2000 3000 4000 5000 6000 7000 8000

Breast (Female)

Lung and Bronchus


Colorectal

Other

Endometrium

Thyroid


Ovary

Pancreas

Leukemia


Bladder


Vulva (Female)

Cervical (Uterine)


Multiple Myeloma


Stomach



Hodgkin Lymphoma

Esophagus

Larynx

2014 Female Cancer Incidence of Washington State Residents

24.9%

15.0%

11.9%

7.5%

7.3%

5.8%

3.7%

3.2%

3.0%

2.9%

1.8%

1.7%

1.7%

1.7%

1.6%

1.3%

1.3%

1.0%

0.8%

0.8%

0.3%

0.2%

0.2%

0.2%

N/C

0 200 400 600 800 1000 1200 1400 1600

Lung and Bronchus

Breast (Female)

Other

Pancreas

Colorectal

Ovary

Leukemia





Endometrium

Myeloma

Bladder

Stomach



Esophagus


Cervix (Uterine)

Thyroid


Vulva (Female)

Larynx

Hodgkin Lymphoma

2014 Female Cancer Mortality of Washington State Residents

All Sites Combined

All Sites Combined Washington State Cancer Registry Page 4

2014 Washington State ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population

IncidenceMale Female Total

All Reportable Cancers 18,821 20,184 39,010

2014 Incidence Rates 506.9 492.7 494.4

2014 National Rates 506.3 467.9 480.2

DeathMale Female Total

Deaths 6,426 5,764 12,190

2014 Death Rates 183.6 136.0 156.4

2014 National Rates 193.6 137.9 161.3

Relative Survival Rates2014 National 5-year rates1

In situ n/aLocal n/a

Regional n/aDistant n/a

Unstaged n/aOverall 69%

n/a = not available

DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using ICD-03 codes C00.0 - C80.9, all histology codes. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 140-208, 238.6 (1992-1998), ICD-10 codes C00-C97 (1999-2014).

Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.

12%

40%

18%22%

8%

0

5000

10000

15000

20000

In situ Local Regional Distant Unstaged

Num

ber o

f Cas

es

Stage at Diagnosis2014 Washington State ResidentsTotal Incidence and Percents

All Sites Combined

Page 5 Washington State Cancer Registry All Sites Combined

For all cancers combined age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased slightly by 0.8% per year from 1992 to 2001; decreased slightly by 0.7% per year since 2001.Men: Rates decreased steadily by 3.4% per year from 1992 to 1995; remained level from 1995 to 1999; decreased slightly by 0.9% per year from 1999 to 2011; decreased steadily by 3.6% per year since 2011.Women: Rates increased steadily by 1.9% per year from 1992 and 1998; remained level since 1998.

For all cancers combined age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 1.2% per year from 1992 to 2009; decreased steadily by 2.4% per year since 2009.Men: Rates decreased steadily by 1.6% per year from 1992 to 2014.Women: Rates decreased slightly by 0.6% per year from 1992 to 2003; decreased steadily by 1.7% per year since 2003.

The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.

Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017. Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.

0

50

100

150

200

250

300

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000

Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population

Female Male Total

0

100

200

300

400

500

600

700

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000

Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population

Female Male Total

All Sites Combined2012-2014 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

All Sites Combined Washington State Cancer Registry Page 6

0 100 200 300 400 500 600 700

Garfield [234]Ferry [326]

Adams [374]Lincoln [382]

Skamania [387]Kittitas [389]

Franklin [398]Yakima [398]Klickitat [413]

Wahkiakum [431]Pacific [434]

Pend Oreille [438]Asotin [450]

Benton [451]Lewis [454]

San Juan [456]Columbia [458]

Stevens [461]Whitman [463]

Grant [473]Cowlitz [473]

Clark [474]Walla Walla [476]

Okanogan [476]Chelan [493]

Spokane [495]Douglas [504]

Whatcom [508]WA STATE [508]

Mason [516]King [520]

Island [525]Thurston [531]

Clallam [533]Pierce [534]Kitsap [539]

Snohomish [544]Skagit [544]

Grays Harbor [552]Jefferson [556]

Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are fewer than 10 cases for the combined data from 2012-2014.

Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.

All Sites Combined2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 7 Washington State Cancer Registry All Sites Combined

0 50 100 150 200 250 300

Garfield [n/c]San Juan [113]Columbia [133]

Lincoln [133]Island [134]

Kittitas [141]Franklin [141]

Jefferson [142]Adams [144]

Douglas [145]King [147]

Whitman [147]Whatcom [151]

Chelan [154]Wahkiakum [156]Walla Walla [156]

Benton [157]Kitsap [157]

Stevens [157]WA STATE [158]

Asotin [159]Snohomish [160]

Pacific [161]Thurston [162]

Yakima [162]Grant [162]Skagit [163]

Clallam [165]Skamania [166]Spokane [169]

Mason [170]Pierce [170]Clark [171]

Klickitat [173]Pend Oreille [176]

Cowlitz [177]Okanogan [179]

Ferry [180]Lewis [180]

Grays Harbor [186]


Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.

Anus, Anal Cancer and Anorectum

Anus, Anal Cancer and Anorectum Washington State Cancer Registry Page 8



All Reportable Cancers 149 126 275

2014 Incidence Rates 4.0 3.0 3.5

2014 National Rates 3.0 2.7 2.9


Deaths n/c 14 20

2014 Death Rates n/c 0.3 0.2



In situ 97%Local 82%

Regional 64%Distant 30%

Unstaged 57%Overall 78%

DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 codes C21.0 - C21.2, C21.8, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 154.2-154.3, 154.8 (1992-1998), ICD-10 code C21 (1999-2014).

n/c - Not calculated because the number of cases is less than 10.Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.

45%

25%

19%

4%7%

0

20

40

60

80

100

120

140


Num

ber o

f Cas

es


Anus, Anal Cancer and Anorectum

Page 9 Washington State Cancer Registry Anus, Anal Cancer and Anorectum

For anus, anal canal and anorectum age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2003; increased sharply by 11.1% per year from 2003 to 2010; remained level since 2010.Men: Rates increased steadily by 3.2% per year from 1992 to 2006; remained level from 2006 to 2009; remained level since 2009.Women: Rates increased steadily by 3.4% per year from 1992 to 2014.

For anus, anal canal and anorectum age-adjusted mortality rates have changed as follows.Both sexes combined: Rates increased steadily by 1.6% per year from 1992 to 2014.Men: Rates remained level from 1992 to 2014.Women: Rates remained level from 1992 to 2014.


Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017. Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.

0

0.1

0.2

0.3

0.4

0.5

0.6

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

0

1

2

3

4

5

6

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

Anus, Anal Cancer and Anorectum2012-2014 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Anus, Anal Cancer and Anorectum Washington State Cancer Registry Page 10

0 2 4 6 8 10 12

Adams [n/c]Asotin [n/c]

Chelan [n/c]Columbia [n/c]Douglas [n/c]

Ferry [n/c]Franklin [n/c]Garfield [n/c]

Grant [n/c]Jefferson [n/c]

Kittitas [n/c]Klickitat [n/c]Lincoln [n/c]Mason [n/c]

Okanogan [n/c]Pacific [n/c]

Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]

Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]

Whitman [n/c]Spokane [1]

Yakima [2]Benton [2]Pierce [2]Island [3]Skagit [3]

Thurston [3]Snohomish [3]WA STATE [3]

Kitsap [4]Lewis [4]

Grays Harbor [4]Clark [4]

Whatcom [4]Cowlitz [4]

King [5]Clallam [6]



Anus, Anal Cancer and Anorectum2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 11 Washington State Cancer Registry Anus, Anal Cancer and Anorectum

0 0.2 0.4 0.6 0.8 1 1.2 1.4


Benton [n/c]Chelan [n/c]Clallam [n/c]

Columbia [n/c]Cowlitz [n/c]

Douglas [n/c]Ferry [n/c]

Franklin [n/c]Garfield [n/c]

Grant [n/c]Grays Harbor [n/c]

Island [n/c]Jefferson [n/c]

Kitsap [n/c]Kittitas [n/c]

Klickitat [n/c]Lewis [n/c]

Lincoln [n/c]Mason [n/c]


Pend Oreille [n/c]Pierce [n/c]

San Juan [n/c]Skagit [n/c]

Skamania [n/c]Snohomish [n/c]

Spokane [n/c]Stevens [n/c]

Thurston [n/c]Wahkiakum [n/c]Walla Walla [n/c]

Whatcom [n/c]Whitman [n/c]

Yakima [n/c]WA STATE [0]

King [0]Clark [1]



Bladder

Bladder Washington State Cancer Registry Page 12



All Reportable Cancers 1,279 372 1,652


2014 National Rates 33.4 8.2 19.1


Deaths 263 97 360

2014 Death Rates 8.2 2.2 4.7






DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 codes C67.0-C67.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 188.0-188.9 (1992-1998), ICD-10 code C67 (1999-2014).


51%

33%

7%5% 4%

0

200

400

600

800

1000


Num

ber o

f Cas

es


Bladder

Page 13 Washington State Cancer Registry Bladder

For bladder cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased steadily by 1.0% per year from 1992 to 2001; decreased steadily by 1.1% per year since 2001.Men: Rates increased steadily by 2.6% per year from 1992 to 1998; decreased steadily by 1.1% per year since 1998.Women: Rates remained level from 1992 to 1996; remained level from 1996 to 2002; decreased steadily by 1.3% per year since 2002.

For bladder cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates increased slightly by 0.5% per year from 1992 to 2014.Men: Rates remained level from 1992 to 2014.Women: Rates remained level from 1992 to 2014.


Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.

0

1

2

3

4

5

6

7

8

9

10

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

0

5

10

15

20

25

30

35

40

45

50

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

Bladder2012-2014 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Bladder Washington State Cancer Registry Page 14

0 10 20 30 40 50 60

Columbia [n/c]Ferry [n/c]

Garfield [n/c]Lincoln [n/c]

Wahkiakum [n/c]Klickitat [12]Cowlitz [18]Yakima [18]

Stevens [18]Pacific [19]

San Juan [19]King [20]

Clark [20]Pend Oreille [21]

Benton [21]Franklin [21]

Kitsap [21]Asotin [22]

WA STATE [22]Thurston [22]Spokane [22]

Snohomish [22]Whatcom [22]

Okanogan [23]Pierce [23]Mason [23]Kittitas [23]

Skamania [24]Adams [25]Clallam [25]Chelan [26]

Grant [26]Lewis [26]Island [27]

Douglas [28]Walla Walla [30]

Skagit [30]Jefferson [30]

Grays Harbor [31]Whitman [36]



Bladder2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 15 Washington State Cancer Registry Bladder

0 2 4 6 8 10 12 14 16


Columbia [n/c]Douglas [n/c]


Jefferson [n/c]Kittitas [n/c]

Klickitat [n/c]Lincoln [n/c]Mason [n/c]Pacific [n/c]


Stevens [n/c]Wahkiakum [n/c]

Whitman [n/c]Chelan [4]Yakima [4]Clallam [4]

Thurston [4]Benton [4]

Whatcom [4]King [5]

Skagit [5]WA STATE [5]

Kitsap [5]Spokane [5]

Island [5]Lewis [5]Clark [5]Grant [5]

Pierce [5]Snohomish [6]

Grays Harbor [6]Walla Walla [7]

Okanogan [7]Cowlitz [7]



Brain and Other Nervous System Washington State Cancer Registry Page 16







Deaths 212 166 378

2014 Death Rates 5.6 4.1 4.8



In situ n/aLocal 37%



n/a = not available

Brain and Other Nervous SystemDATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 codes C70.0-C70.9, C71.0-C71.9, C72.0-C72.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 191.0-191.9, 192.0-192.9 (1992-1998), ICD-10 code C70, C71, C72 (1999-2014)

n/c - Not calculated because the number of cases is less than 10.Figures include only invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014.


n/c

77%

13%

n/c

9%

0

100

200

300

400

500


Num

ber o

f Cas

es



Page 17 Washington State Cancer Registry Brain and Other Nervous System

For brain and other nervous system cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased slightly by 0.9% per year from 1992 to 2014.Men: Rates decreased steadily by 1.2% per year from 1992 to 2014.Women: Rates decreased slightly by 0.7% per year from 1992 to 2014.



0

1

2

3

4

5

6

7

8

9

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

0

2

4

6

8

10

12

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

For brain and other nervous system cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2014.Men: Rates remained level from 1992 to 2014.Women: Rates remained level from 1992 to 2014.

Brain and Other Nervous System2012-2014 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Brain and Other Nervous System Washington State Cancer Registry Page 18

0 5 10 15 20 25 30



Garfield [n/c]Grant [n/c]

Kittitas [n/c]Klickitat [n/c]Lincoln [n/c]



Wahkiakum [n/c]Walla Walla [n/c]

Whitman [n/c]Skagit [5]

Stevens [5]Island [6]

Whatcom [6]Benton [6]

Spokane [7]Yakima [7]Clallam [7]Mason [7]Cowlitz [7]

WA STATE [7]Pierce [7]

King [7]Kitsap [8]Clark [8]

Snohomish [8]Franklin [8]Douglas [9]Chelan [9]

Lewis [9]Thurston [9]




Brain and Other Nervous System2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 19 Washington State Cancer Registry Brain and Other Nervous System

0 2 4 6 8 10 12 14 16





Kittitas [n/c]Klickitat [n/c]Lincoln [n/c]Mason [n/c]




Whitman [n/c]Island [4]Kitsap [4]

Chelan [4]Snohomish [5]

Pierce [5]Yakima [5]

Walla Walla [5]King [5]

WA STATE [5]Skagit [5]

Cowlitz [5]Thurston [5]Whatcom [5]Spokane [5]

Benton [5]Lewis [6]Clark [6]

Grays Harbor [7]Douglas [8]Clallam [8]



Breast (Female)

Breast (Female) Washington State Cancer Registry Page 20

2014 Washington State Female ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population


All Reportable Cancers n/a 6,926 n/a

2014 Incidence Rates n/a 168.7 n/a

2014 National Rates n/a 156.0 n/a


Deaths n/a 865 n/a

2014 Death Rates n/a 20.4 n/a






DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 codes C50.0-C50.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 174.0-174.9 (1992-1998), ICD-10 codes C50 (1999-2014).

n/a - Not available for sex-specific sites.Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014.


20%

51%

22%

4% 4%

0

1000

2000

3000

4000


Num

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f Cas

es

Stage at Diagnosis2014 Washington State Female ResidentsTotal Incidence and Percents

Breast (Female)

Page 21 Washington State Cancer Registry Breast (Female)

For female breast cancer age-adjusted incidence rates have increased steadily by 2.8% per year from 1992 to 1999; rates decreased steadily by 1.8% per year from 1999 to 2006; rates remained level since 2006.

For female breast cancer age-adjusted mortality rates have decreased steadily by 2.1% per year from 1992 to 2014.



0

5

10

15

20

25

30

35

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

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r 100

,000

Washington State Female ResidentsDeath Rate TrendsAge-adjusted to 2000 US standard population

Female

0

20

40

60

80

100

120

140

160

180

200

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

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r 100

,000

Washington State Female ResidentsIncidence Rate TrendsAge-adjusted to 2000 US standard population

Female

Breast (Female)2012-2014 Washington State Female ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Breast (Female) Washington State Cancer Registry Page 22

0 50 100 150 200 250 300 350

Garfield [n/c]Skamania [85]

Adams [101]Ferry [109]

Yakima [121]Wahkiakum [122]

Franklin [123]Columbia [126]

Lewis [129]Kittitas [130]Pacific [132]


Okanogan [141]Chelan [143]


Cowlitz [148]Grant [157]Island [157]

Stevens [160]Klickitat [160]Benton [163]

Thurston [163]Kitsap [164]

Lincoln [164]Asotin [164]

Pend Oreille [166]San Juan [168]

Clark [169]Whatcom [171]

WA STATE [171]Snohomish [172]

Skagit [173]Clallam [174]

Spokane [174]Pierce [175]Mason [177]

Whitman [181]King [189]



Breast (Female)2012-2014 Washington State Female ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 23 Washington State Cancer Registry Breast (Female)

0 10 20 30 40 50 60

Adams [n/c]Columbia [n/c]

Ferry [n/c]Garfield [n/c]Lincoln [n/c]


Wahkiakum [n/c]Whitman [n/c]Okanogan [9]Jefferson [10]

Chelan [15]Franklin [16]Kittitas [16]Grant [17]

Stevens [18]Skagit [18]

Douglas [18]Kitsap [18]Island [19]

Spokane [19]Snohomish [19]

Whatcom [19]Benton [19]

Lewis [20]Thurston [20]

WA STATE [20]Walla Walla [20]

King [20]Asotin [20]

Cowlitz [20]Clallam [20]Mason [20]

Yakima [21]Klickitat [21]

Pierce [21]Pacific [22]

Clark [22]Grays Harbor [23]



Cervix (Uterine)

Cervix (Uterine) Washington State Cancer Registry Page 24



All Reportable Cancers n/a 252 n/a




Deaths n/a 44 n/a







DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 codes C53.0-C53.9, excluding histology codes 9140, 9050-9055, 9590-9992 and excluding in situ. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 180.0-180.9 (1992-1998), ICD-10 code C53 (1999-2014).

n/c - Not calculated because the number of cases is less than 10.n/a - Not available for sex-specific sites.Figures include only invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.

n/c

47%

28%

13% 12%

0

20

40

60

80

100

120

140


Num

ber o

f Cas

es


n/a = not available

Cervix (Uterine)

Page 25 Washington State Cancer Registry Cervix (Uterine)

For cervical cancer age-adjusted incidence rates have decreased steadily by 1.5% per year from 1992 to 2014.

For cervical cancer age-adjusted mortality rates have decreased steadily by 1.9% per year from 1992 to 2014.



0

0.5

1

1.5

2

2.5

3

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female

0

2

4

6

8

10

12

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female

Cervix (Uterine)2012-2014 Washington State Female ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Cervix (Uterine) Washington State Cancer Registry Page 26

0 5 10 15 20 25


Clallam [n/c]Columbia [n/c]Douglas [n/c]



Kittitas [n/c]Klickitat [n/c]

Lewis [n/c]Lincoln [n/c]Mason [n/c]


Pend Oreille [n/c]San Juan [n/c]

Skagit [n/c]Skamania [n/c]


Whitman [n/c]Whatcom [4]Thurston [5]

King [6]Benton [6]

Clark [6]Spokane [7]

Snohomish [7]WA STATE [7]

Island [8]Cowlitz [8]Kitsap [8]

Chelan [9]Pierce [9]

Yakima [11]Grays Harbor [13]



Cervix (Uterine)2012-2014 Washington State Female ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 27 Washington State Cancer Registry Cervix (Uterine)

0 0.5 1 1.5 2 2.5 3 3.5 4 4.5














Stevens [n/c]Thurston [n/c]



Yakima [n/c]Snohomish [1]

King [1]Spokane [2]

WA STATE [2]Clark [2]

Pierce [3]



Colorectal

Colorectal Washington State Cancer Registry Page 28



All Reportable Cancers 1,530 1,334 2,864


2014 National Rates 46.3 35.2 40.2


Deaths 493 420 913

2014 Death Rates 13.9 9.7 11.7

2014 National Rates 16.9 11.9 14.1





DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 codes C18.0-C18.9, C19.9, C20.9, C26.0, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 153.0-154.1, 159.0 (1992-1998), ICD-10 codes C18-C20, C26.0 (1999-2014).


1%

37%35%

18%

8%

0

200

400

600

800

1000

1200


Num

ber o

f Cas

es


Colorectal

Page 29 Washington State Cancer Registry Colorectal

For colorectal cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 1998; decreased steadily by 3.1% per year since 1998.Men: Rates remained level from 1992 to 1998; decreased steadily by 3.6% per year since 1998.Women: Rates remained level from 1992 to 1998; decreased steadily by 2.7% per year since 1998.

For colorectal cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 2.6% per year from 1992 to 2014.Men: Rates decreased steadily by 2.8% per year from 1992 to 2014.Women: Rates decreased steadily by 2.6% per year from 1992 to 2014.



0

5

10

15

20

25

30

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

0

10

20

30

40

50

60

70

80

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

Colorectal2012-2014 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Colorectal Washington State Cancer Registry Page 30

0 10 20 30 40 50 60 70



Wahkiakum [n/c]Kittitas [23]

San Juan [28]Pend Oreille [28]

Asotin [29]Douglas [30]Adams [32]

Klickitat [32]Stevens [32]Chelan [33]

Jefferson [33]Pacific [33]

Whitman [34]Spokane [34]Whatcom [34]

Yakima [35]Clark [35]King [35]

Kitsap [35]Franklin [35]

WA STATE [36]Skamania [36]

Walla Walla [37]Grant [37]

Clallam [38]Benton [38]Mason [38]Pierce [38]

Snohomish [38]Cowlitz [39]Island [40]

Okanogan [40]Lewis [41]

Thurston [42]Skagit [43]

Grays Harbor [45]



Colorectal2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 31 Washington State Cancer Registry Colorectal

0 5 10 15 20 25 30 35 40




Skamania [n/c]Wahkiakum [n/c]


Kittitas [9]Whatcom [10]

Kitsap [11]Yakima [11]

King [11]Spokane [12]

Clark [12]Thurston [12]

Clallam [12]Chelan [12]

WA STATE [12]Pierce [13]

Snohomish [13]San Juan [13]Jefferson [14]

Mason [14]Cowlitz [14]Benton [14]

Grays Harbor [15]Grant [15]

Whitman [16]Lewis [16]Island [16]

Pend Oreille [16]Franklin [17]

Pacific [17]Skagit [17]

Stevens [18]Okanogan [18]

Klickitat [21]



Endometrium

Endometrium Washington State Cancer Registry Page 32



All Reportable Cancers n/a 1,124 n/a




Deaths n/a 100 n/a







DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 codes C54.0-C54.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 182.0-182.1, 182.8 (1992-1998), ICD-10 codes C54 (1999-2014).

n/c - Not calculated because the number of cases is less than 10.n/a - Not available for sex-specific sites.Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014.


n/c

72%

17%

5% 5%

0

200

400

600

800

1000


Num

ber o

f Cas

es


Endometrium

Page 33 Washington State Cancer Registry Endometrium

For endometrial cancer age-adjusted incidence rates have decreased slightly by 0.4% per year from 1992 to 2014.

For endometrial cancer age-adjusted mortality rates have remained level from 1992 to 2014.



0

0.5

1

1.5

2

2.5

3

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female

0

5

10

15

20

25

30

35

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female

Endometrium2012-2014 Washington State Female ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Endometrium Washington State Cancer Registry Page 34

0 10 20 30 40 50 60 70 80 90



Garfield [n/c]Klickitat [n/c]Lincoln [n/c]

Skamania [n/c]Wahkiakum [n/c]

Okanogan [18]Yakima [19]

Stevens [20]Kittitas [20]

Walla Walla [21]Spokane [21]Whitman [21]Jefferson [22]

Skagit [23]Lewis [23]Pierce [24]Mason [24]

Douglas [24]Pacific [24]Benton [24]

Thurston [24]Franklin [24]Chelan [25]

WA STATE [25]King [26]

Island [27]Snohomish [27]

Cowlitz [27]Clallam [27]

San Juan [28]Grant [28]Kitsap [29]Clark [29]

Whatcom [31]Grays Harbor [31]Pend Oreille [35]



Endometrium2012-2014 Washington State Female ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 35 Washington State Cancer Registry Endometrium

0 1 2 3 4 5 6 7 8 9 10
















Yakima [n/c]Pierce [2]Clark [2]

Spokane [2]WA STATE [2]

King [3]Snohomish [3]

Skagit [5]



Esophagus

Esophagus Washington State Cancer Registry Page 36







Deaths 270 58 328

2014 Death Rates 7.3 1.4 4.1







n/c - Not calculated because the number of cases is less than 10.Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.

n/c

14%

29%

34%

21%

0

20

40

60

80

100

120

140


Num

ber o

f Cas

es


Esophagus

Page 37 Washington State Cancer Registry Esophagus

For esophageal cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 1999; decreased steadily by 1.2% per year since 1999.Men: Rates remained level from 1992 to 2014.Women: Rates remained level from 1992 to 2014.

For esophageal cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates increased slightly by 0.8% per year from 1992 to 2009; decreased sharply by 4.8% per year since 2009.Men: Rates remained level from 1992 to 2009; decreased sharply by 4.5% per year since 2009.Women: Rates remained level from 1992 to 2014.



0

1

2

3

4

5

6

7

8

9

10

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

0

2

4

6

8

10

12

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

Esophagus2012-2014 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Esophagus Washington State Cancer Registry Page 38

0 5 10 15 20 25



Franklin [n/c]Garfield [n/c]Kittitas [n/c]Lincoln [n/c]

Okanogan [n/c]Pend Oreille [n/c]

San Juan [n/c]Skamania [n/c]


Whitman [n/c]Chelan [4]Island [4]Kitsap [4]

Snohomish [4]Yakima [4]Cowlitz [4]

Whatcom [4]Grays Harbor [5]

King [5]Clark [5]

WA STATE [5]Benton [5]Skagit [5]

Thurston [5]Spokane [5]

Pierce [5]Mason [6]

Clallam [6]Stevens [6]

Lewis [7]Jefferson [7]

Grant [7]Douglas [8]

Pacific [9]Klickitat [11]



Esophagus2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 39 Washington State Cancer Registry Esophagus

0 2 4 6 8 10 12 14 16 18



Ferry [n/c]Franklin [n/c]Garfield [n/c]Kittitas [n/c]

Klickitat [n/c]Lincoln [n/c]




Whitman [n/c]King [3]

Snohomish [3]Whatcom [3]

Benton [4]Cowlitz [4]Chelan [4]Island [4]Kitsap [4]Pierce [4]

Yakima [4]WA STATE [4]

Grays Harbor [4]Grant [4]

Thurston [4]Clark [5]

Clallam [5]Lewis [5]

Mason [5]Spokane [6]

Skagit [6]Jefferson [6]



Hodgkin Lymphoma

Hodgkin Lymphoma Washington State Cancer Registry Page 40







Deaths 12 9 21

2014 Death Rates 0.3 0.3 0.3






n/a=not available

DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using all primary sites with histology codes 9650-9667. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 201.0-201.9 (1992-1998), ICD-10 code C81 (1999-2014).

n/c - Not calculated because the number of cases is less than 10.Figures include only invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.

n/c

12%

30%

36%

21%

0

10

20

30

40

50

60

70


Num

ber o

f Cas

es


Hodgkin Lymphoma

Page 41 Washington State Cancer Registry Hodgkin Lymphoma

For Hodgkin Lymphoma age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2009; decreased steadily by 3.7% per year since 2009.Men: Rates remained level from 1992 to 2014.Women: Rates decreased slightly by 0.8% per year from 1992 to 2014.

For Hodgkin lymphoma age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 3.2% per year from 1992 to 2014.Men: Rates decreased steadily by 3.9% per year from 1992 to 2014.Women: Rates decreased steadily by 2.5% per year from 1992 to 2014.



0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

Hodgkin Lymphoma2012-2014 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Hodgkin Lymphoma Washington State Cancer Registry Page 42

0 1 2 3 4 5 6 7 8













Whitman [n/c]Whatcom [2]

Yakima [2]Pierce [2]

King [2]Spokane [2]


Clark [3]Kitsap [3]

Thurston [4]Cowlitz [4]



Hodgkin Lymphoma2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 43 Washington State Cancer Registry Hodgkin Lymphoma

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1



Clark [n/c]Columbia [n/c]

Cowlitz [n/c]Douglas [n/c]








Pend Oreille [n/c]Pierce [n/c]

San Juan [n/c]Skagit [n/c]

Skamania [n/c]Spokane [n/c]Stevens [n/c]

Thurston [n/c]Wahkiakum [n/c]Walla Walla [n/c]


Yakima [n/c]King [0]





Kidney and Renal Pelvis Washington State Cancer Registry Page 44



All Reportable Cancers 775 423 1,198


2014 National Rates 21.9 10.9 15.9


Deaths 224 106 330

2014 Death Rates 6.3 2.5 4.2






DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 codes C64.9, C65.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 189.0, 189.1 (1992-1998), ICD-10 codes C64-C65 (1999-2014).


2%

63%

16% 14%

5%

0

200

400

600

800


Num

ber o

f Cas

es



Page 45 Washington State Cancer Registry Kidney and Renal Pelvis

For kidney and renal pelvis age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased steadily by 2.8% per year from 1992 to 2008; remained level since 2008.Men: Rates increased steadily by 2.3% per year from 1992 to 2011; remained level since 2011.Women: Rates remained level from 1992 to 1994; increased steadily by 3.7% per year from 1994 to 2007; decreased steadily by 1.4% per year since 2007.

For kidney and renal pelvis cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2014.Men: Rates remained level from 1992 to 2014.Women: Rates decreased slightly by 0.9% per year from 1992 to 2014.



0

1

2

3

4

5

6

7

8

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

0

5

10

15

20

25

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

Kidney and Renal Pelvis2012-2014 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Kidney and Renal Pelvis Washington State Cancer Registry Page 46

0 5 10 15 20 25 30 35 40 45 50

Adams [n/c]Columbia [n/c]

Ferry [n/c]Garfield [n/c]Lincoln [n/c]

San Juan [n/c]Skamania [n/c]

Wahkiakum [n/c]Franklin [10]Kittitas [12]Chelan [13]

Okanogan [13]Yakima [14]

King [14]Whatcom [15]

Island [15]Cowlitz [15]Mason [15]

Douglas [15]Benton [15]Clallam [16]

Spokane [16]WA STATE [16]Walla Walla [16]

Clark [16]Whitman [16]

Snohomish [17]Kitsap [17]Grant [18]Skagit [18]

Jefferson [18]Lewis [19]Pierce [19]

Grays Harbor [19]Stevens [19]

Thurston [20]Pend Oreille [21]

Klickitat [21]Asotin [22]Pacific [26]



Kidney and Renal Pelvis2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 47 Washington State Cancer Registry Kidney and Renal Pelvis

0 2 4 6 8 10 12









Whitman [n/c]Kitsap [3]Grant [3]

Whatcom [3]Cowlitz [3]Pierce [3]Mason [3]Island [4]

Chelan [4]Thurston [4]

King [4]Spokane [4]

WA STATE [4]Grays Harbor [4]

Snohomish [4]Clark [5]

Benton [5]Clallam [5]

Lewis [5]Walla Walla [5]

Skagit [6]Yakima [6]



Larynx

Larynx Washington State Cancer Registry Page 48







Deaths 56 10 66

2014 Death Rates 1.5 0.2 0.8








12%

44%

16% 16%12%

0

20

40

60

80

100

120


Num

ber o

f Cas

es


Larynx

Page 49 Washington State Cancer Registry Larynx

For laryngeal cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates decreased steadily by 2.5% per year from 1992 to 2014.Men: Rates decreased steadily by 2.6% per year from 1992 to 2014.Women: Rates decreased steadily by 2.5% per year from 1992 to 2014.

For laryngeal cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 1.8% per year from 1992 to 2014.Men: Rates decreased steadily by 1.9% per year from 1992 to 2014.Women: Rates decreased steadily by 2.2% per year from 1992 to 2014.



0

0.5

1

1.5

2

2.5

3

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

0

1

2

3

4

5

6

7

8

9

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

Larynx2012-2014 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Larynx Washington State Cancer Registry Page 50

0 2 4 6 8 10 12




Grant [n/c]Island [n/c]



Lincoln [n/c]Mason [n/c]Pacific [n/c]



Whitman [n/c]Benton [2]

King [2]Thurston [2]Whatcom [3]

WA STATE [3]Spokane [3]

Snohomish [3]Yakima [3]Clallam [3]

Clark [3]Kitsap [3]Pierce [3]

Cowlitz [3]Chelan [4]Skagit [4]

Grays Harbor [5]Okanogan [5]



Larynx2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 51 Washington State Cancer Registry Larynx

0 0.5 1 1.5 2 2.5
















Yakima [n/c]Snohomish [1]

King [1]Clark [1]

WA STATE [1]Spokane [1]

Pierce [1]Kitsap [1]



Leukemia

Leukemia Washington State Cancer Registry Page 52



All Reportable Cancers 677 444 1,121


2014 National Rates 17.4 10.6 13.7


Deaths 274 212 486

2014 Death Rates 8.3 5.0 6.5




Regional n/aDistant 61%

Unstaged n/aOverall 61%

n/a = not available

DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using all sites with histology 9733, 9742, 9800-9810, 9820, 9826, 9831-9836, 9838-9948, 9963, 9964; for sites C420, C421 and C424 only, histology 9823, 9827, 9837, or 9811-9818. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 202.4, 203.1, 204.0-208.9 (1992-1998), ICD-10 codes C90.1, C91-C95 (1999-2014).

n/c - Not calculated because the number of cases is less than 10.Figures include only invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.

n/c n/c n/c

100%

n/c0

200

400

600

800

1000

1200


Num

ber o

f Cas

es


Leukemia

Page 53 Washington State Cancer Registry Leukemia

For leukemia age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 1994; remained level since 1994.Men: Rates remained level from 1992 to 1994; remained level since 1994.Women: Rates remained level from 1992 to 1994; remained level since 1994.

For leukemia age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 1.1% per year from 1992 to 2014.Men: Rates decreased steadily by 1.1% per year from 1992 to 2014.Women: Rates decreased steadily by 1.2% per year from 1992 to 2014.



0

2

4

6

8

10

12

14

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

0

5

10

15

20

25

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

Leukemia2012-2014 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Leukemia Washington State Cancer Registry Page 54

0 10 20 30 40 50 60


Garfield [n/c]Klickitat [n/c]Lincoln [n/c]Pacific [n/c]

Pend Oreille [n/c]Skamania [n/c]

Wahkiakum [n/c]Whitman [11]

Clark [12]Lewis [12]

Kittitas [13]Spokane [13]

Okanogan [13]Grant [13]Kitsap [13]Mason [14]

Yakima [14]Franklin [14]

King [15]WA STATE [15]

Stevens [15]Snohomish [16]

Whatcom [16]Thurston [16]

Cowlitz [16]Pierce [17]

Chelan [17]Island [17]

Clallam [17]Benton [18]

Walla Walla [18]San Juan [19]Jefferson [19]

Asotin [19]Skagit [20]

Douglas [20]Adams [20]

Grays Harbor [23]



Leukemia2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Page 55 Washington State Cancer Registry Leukemia

0 2 4 6 8 10 12 14 16 18



Ferry [n/c]Garfield [n/c]





Wahkiakum [n/c]Whitman [n/c]

Lewis [4]Walla Walla [4]

Island [5]Mason [5]

Clallam [6]Snohomish [6]

Skagit [6]King [6]

Clark [6]WA STATE [6]

Benton [7]Grays Harbor [7]

Pierce [7]Kitsap [7]

Whatcom [7]Spokane [7]Thurston [7]

Chelan [8]Grant [8]

Yakima [8]Franklin [9]Stevens [9]Cowlitz [9]




Liver and Intrahepatic Bile Duct Washington State Cancer Registry Page 56







Deaths 385 172 557

2014 Death Rates 9.6 3.9 6.6






n/a = not available

DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 code C22.0-C22.1, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 155.0-155.2 (1992-1998), ICD-10 codes C22.0-C22.4, C22.7, C22.9 (1999-2014).

n/c - Not calculated because the number of cases is less than 10.Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014.


n/c

42%

26%

17% 15%

0

50

100

150

200

250

300

350


Num

ber o

f Cas

es



Page 57 Washington State Cancer Registry Liver and Intrahepatic Bile Duct

For liver and intrahepatic bile duct cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased sharply by 4.2% per year from 1992 to 2014.Men: Rates increased sharply by 4.8% per year from 1992 to 2012; remained level since 2012 .Women: Rates increased steadily by 3.4% per year from 1992 to 2014.

For liver and intrahepatic bile duct cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates increased steadily by 2.8% per year from 1992 to 2014.Men: Rates increased steadily by 3.0% per year from 1992 to 2014.Women: Rates increased steadily by 2.1% per year from 1992 to 2014.



0

2

4

6

8

10

12

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

0

2

4

6

8

10

12

14

16

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Rat

e pe

r 100

,000


Female Male Total

Liver and Intrahepatic Bile Duct2012-2014 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population

Liver and Intrahepatic Bile Duct Washington State Cancer Registry Page 58

0 5 10 15 20 25 30 35



Ferry [n/c

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