Liver Cancer: An Increasing Concern - Michigan · 2019-07-23 · Liver Cancer: An Increasing...
Transcript of Liver Cancer: An Increasing Concern - Michigan · 2019-07-23 · Liver Cancer: An Increasing...
Liver Cancer: An Increasing Concern
Taylor Olsabeck, MSCancer Epidemiologist,
Michigan Department of Health and Human Services
Michigan Cancer Plan2016-2020
Overall Cancer Trends
What is Liver Cancer?
• Primary Liver cancer• Hepatocellular carcinoma • Intrahepatic cholangiocarcinoma (bile duct
cancer)• Angiosarcoma and hemangiosarcoma• Hepatoblastoma
• Secondary liver cancer (more common)
Factors Contributing to Liver Cancer
• Other• Cirrhosis• Excessive alcohol use• Obesity• Type 2 Diabetes• Smoking• Aflatoxins• Poor oral health
Liver Cancer: Nationwide Trend
Mortality Rate per 100,0002.3 – 4.5 4.6 – 5.2 5.3 – 6.1 6.2 – 11.0
Incidence Rate has Increased 69% Over the Last 17 Years.Mortality Rate has Increased 47% Over the Last 17 Years.
Michigan Trends
Incidence increased in males by 39% and females by 12%.
Males aged 60-64 increased by 165.6% and females aged 70-74 increased by 39.8%.
Mortality increased in males by 34% and females by 40%.
Males aged 60-64 increased by 146.1% and females aged 70-74 increased by 103.1%.
Michigan 5-Year Average Incidence
• Overall Incidence: 6.9 per 100,000
• Males: 10.2 per 100,000• Females: 3.9 per
100,000
• Averages 900 cases / year
• About 2.5% of all cancer cases
• Mean age of diagnosis: 66 years
• Black men mean age of diagnosis: 62 years
Michigan 5-Year Average Mortality• Overall Mortality: 6.0 per
100,000• Males: 8.5 per 100,000• Females: 3.9 per 100,000
• Estimated 920 deaths in 2019• Sixth highest for cancer related
deaths• About 5.2% of all cancer deaths
• Mean age of death: 67 years• Native American men
mean age of death: 63 years
Liver Cancer by County Incidence: 2012-2016 Mortality: 2013-2017
Cancer Survival Rates
1-Yr 5-Yr 10-Yr
Pancreatic 33.5% 9.8% 4.0%
Mesothelioma 41.8% 10.6% 3.8%
Lung 44.3% 18.1% 10.7%
Liver 48.3% 19.5% 10.5%
Trends in Liver Cancer Survival Rates
Stage at Diagnosis and Survival
Liver Cancer: Screening
Liver Cancer: Signs and Symptoms
Opportunities for Public Health Intervention
Questions?Taylor Olsabeck, [email protected]