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Transcript of Slides last updated: March 2015. 1.Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C,...
Slides last updated: March 2015
1. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray, F. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International
Agency for Research on Cancer; 2013. Available from: http://globocan.iarc.fr, accessed on 11/03/2015.
Lung cancer incidence and mortality
0
5
10
15
20
25
Bothsexes
Men Women
Mor
talit
y (%
of a
ll ca
ncer
type
s)
Lung
Stomach
Liver
Colorectal
Femalebreast
Lung cancer is one of the most common
cancers, with 1.8 million new cases in 2012
worldwide1
Lung cancer is the most common cause of death from cancer, responsible
for 19.4% of all cancer deaths in 20121
Rates of lung cancer incidence and mortality differ worldwide1
58% of new lung cancer cases occur in developing countries
Highest lung cancer rates are found in Northern AmericaLung cancer is the most common cancer in men and the third most common in women
Lowest lung cancer rates are found in Western AfricaLung cancer is the 8th most common cancer in this region
Northern America
Micronesia
Eastern Asia
More developed regions
Western Europe
Central and Eastern Europe
Southern Europe
Northern Europe
Australia/New Zealand
Polynesia
World
Western Asia
Less developed regions
South-Eastern Asia
Caribbean
Southern Africa
South America
Melanesia
Northern Africa
South-Central Asia
Central America
Eastern Africa
Middle Africa
Western Africa80 60 40 20 0 20 40 60 80
Male Female
IncidenceMortality
Estimated age-standardized rates (World) per 100,000
1. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray, F. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International
Agency for Research on Cancer; 2013. Available from: http://globocan.iarc.fr, accessed on 11/03/2015.
Lung
Prostate
Colorectum
Stomach
Liver
Bladder
Oesophagus
Non-Hodgkin lymphoma
Kidney
Leukaemia
Lip, oral cavity
Pancreas
Brain, nervous syst.
Larynx
Melanoma of skin
2000 1500 1000 500 0
ASR (W) rate per 100,000
Breast
Colorectum
Lung
Cervix uteri
Stomach
Corpus uteri
Ovary
Thyroid
Liver
Non-Hodgkin lymphoma
Pancreas
Leukaemia
Oesophagus
Kidney
Brain, nervous syst.
0 500 1000 1500 2000
ASR (W) rate per 100,000
Lung1,242,0001,099,000 Lung
583,000491,000
Rates of lung cancer incidence differ between men and women1
IncidenceMortality
1. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray, F. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International
Agency for Research on Cancer; 2013. Available from: http://globocan.iarc.fr, accessed on 11/03/2015.
1975
1980
1985
1990
1995
1999
2003
2007
0
10
20
30
40
50
60
70
80
90
100
Five-year survival trend
Breastcancer
Colo-rectal
cancer
Lungcancer
High unmet medical need
Survival rates for lung cancer are generally low1
Survival rates vary depending on stage at diagnosis. The later the stage of diagnosis the lower the survival rates tend to be.
PE
RC
EN
TAG
E (%
)
1. SEER. Fast Stats Online. 5 year survival by diagnosis. 1975-2012. All races. All ages. Male and Female. Available online: seer.cancer.gov/faststats/selections.php, accessed on 09/07/2015.
Prostatecancer
NSCLC (83.6% of lung cancer)
Lung Cancer (100%)
NSCLC makes up approximately 84% of lung cancer1
Other NSCLC(19.1% of lung cancer)
Large cell carcinoma(2.0% of lung cancer)
Squamous cell carcinoma(18.6% of lung cancer)
Adenocarcinoma(44.1% of lung cancer)
1. Howlader N, Noone AM, Krapcho M, et al. (eds). SEER Cancer Statistics Review, 1975-2011, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2011/, based on November 2013 SEER data submission, posted to the SEER
web site, April 2014, accessed on 12/03/2015.
The distribution of NSCLC subtypes is changing1
Since the 1980’s, squamous cell carcinomas have become relatively less common
Meanwhile, adenocarcinomas have become relatively more common
1. Devasa S, Bray F, Vizcaino A, et al. Int. J. Cancer 2005: 117, 294–299
The reasons for these changes are unclear, but may be due to changes in the composition and filtering of cigarettes