CANCER INCIDENCE IN FIVE CONTINENTS

VOLUME II

© International Union Against Cancer

Sofi:cover reprint of the hardcover 1 st edition 1970

Volume I of Cancer Incidence in Five Continents was published in 1966. It has been distributed for the UICC by Springer­Verlag. Berlin - Heidelberg - New York.

ISBN 978-3-642-85853-6 ISBN 978-3-642-85851-2 (eBook) 00110.1007/978-3-642-85851-2

UNION INTERNATIONALE CONTRE LE CANCER

INTERNATIONAL UNION AGAINST CANCER

Cancer Incidence in Five Continents

Volume II - 1970

Edited by:

Richard DOLL - Calum MUIR - John WATERHOUSE

Distributed for the

INTERNATIONAL UNION AGAINST CANCER

by

SPRINGER-VERLAG BERLIN - HEIDELBERG - NEW YORK

CONTRIBUTORS

Without the patient co-operation of the contributing registries, the Editors of this Monograph would have had no material to edit. The Editors hope that scientists will give due recognition to this fact and use the following style of reference when quoting the data from a given registry:

NORTH, A.B., and SOUTH, C.D. Cancer Incidence in Antarctica 1960-1966. In UICC: Cancer Incidence in Five Continents, Volume II. Eds. DOLL, R., MUIR. C.S •• and WATERHOUSE, J.A.H., Geneva, UICC, 1970.

A F RIC A

NIGERIA, lBADAN

Ibadan Cancer Registry University College Hospital Ibadan, Nigeria

RHODESIA, BULAWAYO

Bu1awayo Cancer Registry Radiotherapy Department Mpi10 Central Hospital P.O. Box 2096 Bu1awayo, Rhodesia

SOUTH AFRICA, CAPE PROVINCE

Ad-hoc Cancer Demographic Research Unit Groote Schuur Hospital Observatory Cape, South Africa

SOUTH AFRICA, NATAL

Cancer Morbidity Survey Unit Department of Pathology Faculty of Medicine Natal University Umbi10 Road Durban, Natal, South Africa

*

Professor G.M. Edington

Mrs M. Hendrickse

Dr M.E.G. Skinner

Dr D.A. Parker

Mrs H. F1egg Mitchell

Professor W. Fraser Ross

* Dr J. Muir Grieve

* Dr A.M. Linder

Dr M.M. Schon1and

Mrs E. Bradshaw

Presently at Karl Bremer Hospital, Bellville, Cape, South Africa

- V -

AMERICA

CANADA, ALBERTA

Provincial Cancer Hospitals Board 11560 University Avenue Edmonton 61 Alberta, Canada

Cancer Clinic 2104 - 2nd Street S.W. Calgary 4 Alberta, Canada

Cancer Clinic Lethbridge Alberta, Canada

CANADA, MANITOBA

Manitoba Provincial Cancer Registry c/o Manitoba Cancer Treatment and

Research Foundation :Department of Epidemiology and

Medical Statistics 700 Bannatyne Avenue Winnipeg 3, Manitoba, Canada

CANADA, NEW BRUNSWICK

New Brunswick Provincial Tumour Registry Saint John General Hospital Saint John, New Brunswick, Canada

CANADA, NEWFOUNDLAND

Provincial Tumour Registry The General Hospital St. John's, Newfoundland, Canada

CANADA, QUEBEC

Quebec Tumour Registry Faculty of Medicine Laval University Quebec 10, Quebec, Canada

CANADA, SASKATCHEWAN

Saskatchewan Cancer Commission Allan Blair Memorial Clinic Regina, Saskatchewan, Canada

COLOMBIA, CALI

Departamento de Patolog1a Facultad de Medicina Universidad del Valle Cali, Colombia

- VI -

Dr J.R. Ibberson

Mr R. Dewar

Dr J.R. Francis

Dr D.A. Rice

Dr R.J. Walton

Dr N.W. Choi

Mr V. Zarowski

Dr J.A. Caskey

Dr H.B. Murphy

Miss E. Conroy

Dr A.R. Potvin

Dr T.H.C. Barclay

Professor P. Correa

JAMAICA, KINGSTON AND St. ANDREW

The Cancer Registry Pathology Department University of the West Indies Kingston 7, Jamaica

PUERTO RICO

Registro Central del Cancer, Programa Control del Cancer Departamento de Sa1ud Central Cancer Registry; Cancer

Control Program Department of Health - Stop 19 Santurce, Puerto Rico 00908

U.S.A., CALIFORNIA, ALAMEDA COUNTY

Alameda County Cancer Registry State of California Department of Public Health 2151 Berkeley Way Berkeley, California 94704, U.S.A.

U.S.A., CONNECTICUT

Connecticut Tumor Registry Chronic Disease Control Section Connecticut State Department of Health 79 Elm Street Hartford, Connecticut 06115, U.S.A.

U.S.A., NEVADA

Max C. Fleischmann State Cancer Registry Washoe Medical Center Building Kirman and Mill Streets Reno, Navada 89502, U.S.A.

U.S.A., TEXAS, EL PASO

E1 Paso County Medical Society Follow-Up Program

c/o R.E. Thomason General Hospital 4815 Alameda E1 Paso, Texas 79905, U.S.A.

A S I A

INDIA, BOMBAY

Bombay Cancer Registry Indian Cancer Society Hospital Avenue Pare1, Bombay-12, India

* Deceased

- VII -

Professor G. Bras

Dr D.C. Watler

Dr 1. Martinez

Miss M. Ortiz

Mr E. Borrero

Miss E. Diverse

Miss N. Mejias

Mr G. Linden

Dr J.E. Dunn, Jr.

Mr M.G. Arellano

* Dr H. Eisenberg

Mr R.R. Connelly

Dr J.W. Decker

Mrs L.B. Tularski

Dr M. Hart

Miss E.J. Macdonald

Dr D.J. Jussawalla

Mr V.A. Deshpande

ISRAEL

Rishoom Merkazi She1 Sartan b'Israe1 Israel Cancer Registry Ministry of Health Division of Chronic Disease and

Rehabilitation Jerusalem, Israel

JAPAN, MIYAGI PREFECTURE

Miyagi Shinseibutsu Registry Miyagi Cancer Registry Department of Public Health Tohoku University School of Medicine Sendai 980, Japan

JAPAN, OKAYAMA PREFECTURE

Okayama-ken Eiseibu Imuka Eiseitokei Gakari

Hygienic Statistics Sub-Section, Medical Affairs Section

Health Department, Okayama Prefecture 81 Uchisange, Okayama-shi Okayama-ken, Japan

E U R 0 P E

DENMARK

Cancerregisteret under Landsforeningen til Kraeftens Bekaempe1se

The Danish Cancer Registry under the National Anti-Cancer League

Strandbou1evarden 49 2100 Copenhagen, Denmark

FINLAND

Suomen Syoparekisteri Finnish Cancer Registry Liisankatu 21 B Helsinki 17, Finland

GERMAN DEMOCRATIC REPUBLIC (DDR)

Onko1ogisches Zentra1institut Central Institute of Oncology 1197 Berlin-Johannistha1 St~rndamrn 9/13 DDR

GERMAN FEDERAL REPUBLIC (FDR): HAMBURG

Krebsregister Hamburg

- VIII -

Dr R. Steinitz

Professor M. Segi

Dr M. Kurihara

Dr T. Matsuyama

Miss M. Ito

Miss C. Oba

Dr Y. Morimoto

Dr H. Kawahara

Mr 1. Seno

Dr J. C1emrnesen

Professor E.A. Saxen

Mr M. Hakama

Dr H.-J. Herold

Mr W. Staneczek

Dr W. Matti

Cancer Registry Hamburg Statistisches Landesamt der Freien

und Hansestadt Hamburg 2 Hamburg 11 Stecke1horn 12 FDR

HUNGARY, COUNTY SZABOLCS-SZATMAR

Szabo1cs-Szatmarmegyei Tanacs Daganatnyi1vantartasi Kozpontja Cancer Registry of the County

Szabo1cs-Szatmar Megyei Onko10giai Gond6zointezet Voroshadsereg u. 14 Nyiregyhaza, Hungary

HUNGARY, COUNTY VAS

Vas Megye Tanacsa "Markusovszky" Korhaza Nyugatdunantu1i Sugartherapias es

Daganatnyi1vantart6 Kozpont. County Vas Cancer Registry Hospital "Markusovszky" Semme1weis u. 2 Szombathe1y, Hungary

HUNGARY, MISKOLC

Misko1c-varosi Onko16giai Gondozd Misko1c Regional Cancer Registry Semme1weis k6rhaz Csabai-kapu 11 Misko1c, Hungary

NORWAY

Det Norske Kreftregister The Norwegian Cancer Registry Montebello Oslo 3, Norway

POLAND, CRACOW CITY AND DISTRICT

Rejestr nowotwor6w miasta Krakowa i wojewodztwa krakowskiego

Cracow City and District Cancer Registry Institute of Oncology Garncarska 11 Cracow, Poland

POLAND, KATOWICE DISTRICT

Rejestr nowotwor6w wojew6dztwa katowickiego

Katowice District Cancer Registry Oncological Centre Konopniekiej 1 G1iwice, Poland

- IX -

Dr G. Keding

Dr L. Juhasz

Miss M. Bak6

Miss A. GOrog

Dr S. Kocsis

Dr L. Laszl6

Mr L. Zsuzsanna

Dr Z. Peter

Miss Z. Tarkanyi

Miss M. Balogh

Dr E. Ped~rsen

Dr T. Mork

Mr K. Magnus

Miss A. Hougen

Mr Aa. Andersen

Professor H. Kolodziejska

Dr A. Wieczorkiewicz

Dr J. Staszewski

POLAND, WARSAW CITY

Rejestr nowotwor6w m.st. Warszawy Warsaw City Cancer Registry Institute of Oncology Wawelska 15 Warsaw, Poland

POLAND, FOUR RURAL AREAS

Rejestr nowotwor6w w wybranych regionach wiejskich

Selected Rural Areas Cancer Registry c/o Institute of Oncology Wawelska 15 Warsaw, Poland

ROMANIA, BANAT REGION

Serviciul Oncologic Judetean Departmental Oncological Service Policlinica de adul~i Nr 2 Str. Victor Babel 21 Timisoara, judo Timi" Romania

SWEDEN

Socialstyrelsens Cancerregister The Cancer Registry of the National

Board of Health and Welfare Socialstyrelsen P.B. 3, Drottninggatan 7lC 10530 Stockholm, Sweden

U.K., ENGLAND, BIRMINGHAM REGION

Birmingham Regional Cancer Registry ~een Elizabeth Hospital Edgbaston Birmingham 15, England

U.K., ENGLAND, OXFORD REGION

Oxford Regional Cancer Registry Oxford Regional Hospital Board Oxford, England

U.K., ENGLAND, SHEFFIELD REGION

Cancer Registration Bureau Sheffield Regional Hospital Board Fulwood House Old Fulwood Road Sheffield SlO 3TH, England

- X -

Professor T. Koszarowski

Dr H. Gadomska

Professor T. Koszarowski

Professor H. Kolodziejska

Dr J. Staszewski

Dr H. Gadomska

Dr B. Warda

Dr D.C. Georgescu

Dr R. Panaitescu

Mr AI. Barbuta

Professor N. Ringertz

Mr Aa. Sjostrom

Mr D. Swenson

Assistant Professor J. Ericsson

Dr J.A.H. Waterhouse

Miss J.M. Levi

Miss J. Powell

Dr J.A. Oddie

Dr F. Ellis

Dr A. Barr

Miss C. Hunt

Professor S. Shone

Mr K. Trout

U. K., ENGLAND, SOUTH WESTERN REGION

South West Regional Cancer Records Bureau

26 King Square Bristol BS2 8HY, England

U. K., ENGLAND AND WALES, LIVERPOOL REGION

Liverpool Clinical and Pathological Register

C1atterbridge Hospital West Bebington Wirra1 Cheshire L63 4JY, England

U. K., SCOTLAND

Professor R. Milnes Walker

Major L. Leyland

Mrs E.M. Longstaffe

Dr M.A. Stewart

Scottish Home and Health Department Dr L.F. Howitt Cancer Registration Branch Room 1.19, Research and Intelligence Unit 79 Lauriston Place Edinburgh EH3 9HZ, Scotland

YUGOSLAVIA, SLOVENIA

Register raka za SR Slovenijo The Cancer Registry of Slovenia The Institute of Oncology Vrazov trg 4 Ljubljana, Yugoslavia

OCEANIA

NEW ZEALAND

The National Cancer Registry National Centre for Health Statistics Department of Health Box 6314 Wellington, New Zealand

U. S.A., HAWAII

Hawaii Tumor Registry P.O. Box 3378 Honolulu, Hawaii 96801

OTHER CONTRIBUTORS

The Assistant Executive Director (Statistics) National Cancer Institute of Canada 25 Adelaide Street East Toronto 1, Ontario, Canada

- XI -

Professor B. Ravnihar

Dr P. Mavec

Miss A. Valentin

Miss T. BoZic

Miss S. Mat jan

Miss I. Zunec

Mr R.J. Rose

Dr Grover H. Batten

Mrs M. Rogers

Dr A.J. Phillips

University of Oxford Department of the Regius Professor

of Medicine Radcliffe Infirmary Oxford, England

International Agency for Research nn Cancer

16, Avenue Marechal Foch 69 Lyon 6eme, France

ACKNOWLEDGEMENT

Professor R. Doll

Dr C.S. Muir

Dr H. Tulinius

Dr A.J. Tuyns

Dr J. Delafresnaye and Mr F. Luder, of the Geneva Office of UICC, provided invaluable technical advice.

The data processing staff of the Birmingham Cancer Registry were respon­sible for the preparation of the data for the computer. Dr S.H. Hollingdale, Director of the University of Birmingham Computer Centre and his staff, under the direction of Mr P.G. Walling, provided their services at a nominal cost.

Mrs M. Mainaud, Mrs S. Garside, Miss A. Broc (IARC, Lyon), Mrs M. Fox, Miss C. Strasser '(Birmingham Cancer Registry) and Miss V. Williams (Regius Department of Medicine, Oxford) typed innumerable letters.

Mrs J. Nielsen-Kolding (IARe, Lyon) typed the final script and those tables not produced by computer.

- XII -

UICC COMMITTEE ON CANCER INCIDENCE

Professor A.V. Chak1in1

Dr J. C1emmesen

Professor P. Correa

Professor R. Doll, Chairman

Dr D. Jussawa11a

Dr M.E.G. Skinner

Dr R. Steinitz

Co-opted Members:

Professor G.M. Edington

* Dr H. Eisenberg

Dr C.S. Muir, Honorary Secretary 2 Mr P. Payne

Dr J. Staszewski

Dr A.J. Tuyns

Dr J.A.H. Waterhouse

Pathological Sub-Committee

3 Dr J. Berg

Dr J. C1emmesen

Professor P. Correa

Professor G.M. Edington, Chairman

Dr C.S. Muir, Secretary

* Deceased

1 Chief Oncologist, Ministry of Health of the USSR, Rahmanovskij per.3, Moscow 2 Director of the South Metropolitan Cancer Registry, Clifton Avenue, Belmont,

Sutton, Surrey

3 Wiscon Building, Biometry Branch, National Cancer Institute, National Institutes of Health, Bethesda, Mary1and'20014

- XIII -

CONTENTS

Contributors .......................................................... Acknowledgement ...................................................... .

UICC Committee on Cancer Incidence ................................ Pathological Sub-Committee

Contents ............................................................... Preface

Chapter I

Chapter II

Chapter III

Chapter IV

Introduction ............................................ .

Techniques of registration

Geographical and climatic features Population in the regis~ration area Med-ica1 facili ties: Legislation Sources of support Sources of information . Information recorded Filing sys terns •••••••• Follow-up of patients Use of death certificates Codes and classifications Techniques of registration and international comparisons

Classification

Special problems (lip, salivary gland etc.)

The classification used

Frequency of some morphological types of neoplasms of five sites

Results Difficulties experienced by registries Validity of registry information Conclusion

V

XII

XIII

XIII

XIV

1

3

5

5 6 6 6 6 7 7 7 7 7

8

17

17

19

23

24 25 25 26

Histology of cancers of selected sites (Introdu~tory Notes) 27

Chapter V

Arlnex ••••••••••.••••.•••••••.••••••••••••••••.••••••••••• 83

Incidence tables ......................................... Conventions adopted in tables

Popu1ation-at-risk Incidence tables Notes to the incidence Rubric variants

tables

. f· ....... .

Incidence tables by Continent (Introductory Notes)

- XIV -

85

85

85 86 86 86

89

Africa

Nigeria, Ibadan J_ ••••••••••••••••••••••••••••••••••••

Rhodesia, Bulawayo: African ••...•..•.••.•..••.••..•• South Africa, Cape Province: (White, Coloured and

Bantu) ...••••.••• " " , Natal: (African and Indian) .••••.

America

Asia

Canada, Alberta •••••••••• . . . . . . . . . . . . . . . . . . . . . . . . . . . " , Manitoba " New Brunswick .............................. . " Newfoundland ............ " ................... . " Queb ec ..................................... . " , Saskatchf!JNan ................•...............

Colombia, Cali ...................................... Jamaica, Kingston and St. Andrew ................... . Puerto Rico ........................................ . U.S.A., California, Alameda County: (White and Negro)

" Connecticut ................................ . " ,Nevada ••••••••••••••••••••••••••••••.•••.••• " , Texas, El Paso: (Latin and Other than Latin)

India, BoIIlbay ...................................... . Israel: (All Jews, Jews born in Israel, Jews born in

Africa or Asia, Jews born in Europe or .AInerica, Non-Jews) ........................ .

Japan, Miyagi Prefecture .•••••••••••...•••••.•••..•• " ,Okayama Prefecture .......................... .

Europe

Denmark .............................. . Finland .................................... . German Democratic Republic (DDR) ••••.•..••. German Federal Republic (FDR), Hamburg •..•.. Hungary, County Szabolcs-Szatmar .•....•....•

" County Vas ........................... . II ,Miskolc ................................. .

Norway: (All Norway, urban and rural) .••••.•..•.•. Poland, Cracow City and District •.•••••.•..••....

11 Katowice Dis trict ....................... . " , Warsaw Ci ty ............................. . " areas (Minsk/Siedlce, Cieszyn,

Romania,

Four rural Nowy Sacz)

Banat Region Sweden .........•......................... U.K., England, Birmingham Region •.

" " " "

" Oxford Region ....................... . " Sheffield Region ..................... " South Western Region •••••..••..••••••

England and Wales, Liverpool Region (including parts of North Wales, Anglesey, and the Isle of Man) .......................................

90 94

98 110

118 122 126 130 134 138 142 146 150 154 162 166 170

178

182 202 206

210 214 218 222 226 230 234 238 250 254 258

262 266 270 274 278 282 286

290

(Continued overleaf)

-xv-

Chapter VI

References

U.K., Scotland ............... 4 ••••••••••••••••••••••

Yugoslavia, Slovenia ............................... .

Oceania and Australasia

New Zealand: (European and Maori) ••••••••••••••••••• U.S.A., Hawaii: (Hawaiian, Caucasian, Chinese,

Filipino, Japanese) ••••••••••••••••

Carcinoma-in-situ of the cervix uteri .. ~ ................ . Comparison between registries ............................

Registration factors .•.•.••.•••.•.•.•...•.•.•.•••.•. Demographic factors ................................ . Standardized incidence rate ••••••••••••••••••••••••• Effect of change of standard population ••••••••••••• Truncated standardized incidence rate ••••••••••••••• Table 6.4 ........................................... .

Age-standardized rates by Registry and site (Introductory Notes) ....................... ' ........................... .

............................................................ h.ppendix ..............................................................

Histological confirmation •••••••••••••••••••••••••••••••• Death cer tificates ...................................... .

c.omputational errors in Volume I

- XVI -

294 298

302

310

330

333

333 334 334 336 336 338

341

379

383

384 386

388

PREFACE

In 1966, following the Ninth International Cancer Congress in Tokyo, the Commission on Epidemiology and Prevention of the International Union against Cancer formed a new Committee on Cancer Incidence. This Committee met in Lausanne in May 1968 and decided that the monograph on Cancer Incidence in Five Continents, which had been published by the UICC tw~ years previously, had been so useful that a second volume should be published as soon as a suf­ficient amount of new material could be collected. The Committee delegated the responsibility for the production of this volume to the Editors of the original monograph and to the Honorary Secretary of the Committee, Dr C.S. Muir. Mr P. Payne, however, was unable to continue in this capacity because of the pressure of other commitments.

The Editors have 1eant heavily on the skills and knowledge of Dr A.J. Tuyns and Dr H. Tu1inius, who have been responsible for the preparation of Chapters II and IV respectively and for the collection of a large part of the material presented in them. They are also greatly indebted to Miss J~ Powell of the Birmingham Cancer Registry, who wrote the computer programme for calcu­lating the age-specific and standardized incidence rates, in conjunction with Dr J.A.H. Waterhouse, and supervised the operation of the computer, as well as to Mme J. Nectoux of the International Agency for Research on Cancer who was responsible for verification of data, the preparation of the appendix tables and the notes etc.

The production of this second volume marks an interesting new experiment in international collaboration. Not only have the data been contributed by cancer registries in 24 countries throughout the world, but the editorial work has been shared by two international organizations, the International Union against Cancer (UICC) and the International Agency for Research on Can­cer (IARC) at Lyon. The smoothness and the speed with which the arrangements have been carried through augurs well for the success of similar collajoration in the future.

Finally, it is our sad duty to report the death of two investigators who contributed to our first volume. Dr Henry Eisenberg, Dir~ctor of the Connecti­cut Tumor Registry, became a member of the UICC Committee on Cancer Incidence and, though already ill, participated in the discussions at the Lausanne meet­ing by correspondence. A pioneer of cancer registration, Dr Eisenberg's en­thusiasm and knowledge will be sadly missed. Dr George Oettle, Director of the Cancer Research Unit of the South African Institute for Medical Research, was well known for his demonstration, in conjunction with Dr John Higginson, that it was possible to obtain accurate cancer incidence figures for popula­tions which lacked accurate mortality data. He inspired the collection of the new data for South African populations that are recorded here.

- 1 -

Richard Doll Ca1um Muir John Waterhouse

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