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CANCER IN ARIZONA CANCER INCIDENCE AND MORTALITY IN 1997
Arizona Department of Health Services Bureau of Public Health Statistics Office of Health Registries Arizona Cancer Registry Office of Epidemiology and Statistics 2700 North Third Street, Suite 4075 Phoenix, Arizona 85004 Ph: (602) 542-7320
December 1999
Partially Funded by the Centers For Disease Control Cooperative Agreement No. U75/CCU910675
CANCER IN ARIZONA CANCER INCIDENCE AND MORTALITY THE 1997 ANNUAL REPORT FOR THE ARIZONA CANCER REGISTRY ARIZONA DEPARTMENT OF HEALTH SERVICES BUREAU OF PUBLIC HEALTH STATISTICS CO-AUTHORS:
Amy Stoll, MS Epidemiologist Office of Epidemiology & Statistics Chris Newton, MPA Acting Program Manager Arizona Cancer Registry Office of Health Registries Georgia Armenta Yee, BSW, CTR Office Chief, Office of Health Registries Office of Health Registries
No tice The Arizona Department of Health Services does not discriminate on the basis of disability in the administration of its programs and services as prescribed by Title II of the Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. If you need this publication in an alternative format, please contact: townet@hs.state.az.us
BUREAU OF PUBLIC HEALTH STATISTICS
BUREAU CHIEF Richard S. Porter, M.S. MEDICAL DIRECTOR Timothy J. Flood, M.D. OFFICE OF HEALTH REGISTRIES OFFICE CHIEF Georgia Armenta Yee, B.S.W., C.T.R. ADMINISTRATIVE/SECRETARIAL SUPPORT Toni Towne EXECUTIVE CONSULTANT Keith A. Laubham, M.S. ACTING PROGRAM MANAGER Chris Newton, M.P.A. DATA ANALYSIS / SPECIAL PROJECTS SECTION SECTION MANAGER: Diane Volk, R.H.I.T., C.T.R. STAFF: Susan Sullivan, R.H.I.T., C.T.R. DATA COLLECTION/EDITING SECTION SECTION MANAGER: Maria Celaya, R.H.I.T., C.T.R. STAFF: Valerie Trotty, R.H.I.T., C.T.R. Janet Cole, C.S.T., H.U.C. Jill Ialenti, R.H.I.T. QUALITY ASSURANCE SECTION: SECTION MANAGER: Brenda Smith, B.G.S., C.T.R. STAFF: Kathleen Lynch Cynthia Dean OFFICE OF EPIDEMIOLOGY AND STATISTICS OFFICE CHIEF Ross J. Brechner, M.D., M.S., M.P.H. EPIDEMIOLOGIST Amy Stoll, M.S.
TABLE OF CONTENTS
GENERAL INFORMATION 1 2 3 4 7 7 8 8 9 Arizona Cancer Registry (ACR) Overview Accomplishments and Activities Confidentiality Definition and Procedures Methods Executive Summary - Part I: Cancer Incidence in Arizona Executive Summary - Part II: Cancer Incidence in Maricopa County Executive Summary - Part III: Cancer Incidence in Pima County Executive Summary - Part IV: Cancer Incidence in Arizona Rural Counties Executive Summary - Part V: Cancer Mortality In Arizona
PART I - CANCER INCIDENCE IN ARIZONA CASE DISTRIBUTION 12 12 13 13 14 14 15 18 21 22 22 23 24 25 26 29 32 32 33 Figure I-A Residence of All Cancer Cases Figure I-B County of Residence of Arizona Invasive Cancer Cases Figure I-C Invasive Cancer Case Percent Distribution by Age Figure I-D Invasive Cancer Case Percent Distribution by Age and Sex Figure I-E Race Distribution of Cancer Cases Figure I-F Ethnic Distribution of Cancer Cases Table I-A 1997 Frequency of Cancer Cases - Primary Site by Behavior Table I-B 1997 Frequency of Cancer Cases - Primary Site by Sex Figure I-G Case Distribution by Invasive Cancer Type Figure I-H Ten Most Common Invasive Cancer Types: Males Figure I-I Ten Most Common Invasive Cancer Types: Females Figure I-J Age-Adjusted Incidence Rates - All Sites: County of Residence Table I-C Age-Adjusted Incidence Rates - All Sites: County of Residence by Sex Table I-D Age-Adjusted Incidence Rates - All Sites: County of Residence by Ethnicity Table I-E Age-Adjusted Incidence Rates - Primary Site by Sex Table I-F Age-Adjusted Incidence Rates - Primary Site by Ethnicity Table I-G Age-Specific Incidence Rates, All Sites - Age Group by Sex Table I-H Age-Specific Incidence Rates, All Sites - Age Group by Ethnicity Table I-I Age-Specific Incidence Rates, All Sites - Sex by Race
INCIDENCE RATES
PART II - CANCER INCIDENCE IN MARICOPA COUNTY CASE DISTRIBUTION 36 36 37 Figure II-A Invasive Cancer Case Percent Distribution by Age Figure II-B Invasive Cancer Case Percent Distribution by Age and Sex Figure II-C Race Distribution of Cancer Cases
PART II - CANCER INCIDENCE IN MARICOPA COUNTY 37 Figure II-D Ethnic Distribution of Cancer Cases 38 Table II-A 1997 Frequency of Cancer Cases - Primary Site by Sex 41 Figure II-E Case Distribution by Invasive Cancer Type 42 Figure II-F Ten Most Common Invasive Cancer Types: Males 42 Figure II-G Ten Most Common Invasive Cancer Types: Females INCIDENCE RATES 43 46 49 49 50 Table II-B Age-Adjusted Incidence Rates - Primary Site by Sex Table II-C Age-Adjusted Incidence Rates - Primary Site by Ethnicity Table II-D Age-Specific Incidence Rates, All Sites-Age Group by Sex Table II-E Age-Specific Incidence Rates, All Sites - Age Group by Ethnicity Table II-F Age-Specific Incidence Rates, All Sites - Sex by Race
PART III - CANCER INCIDENCE IN PIMA COUNTY CASE DISTRIBUTION 52 52 53 53 54 57 58 58 59 62 65 65 66 Figure III-A Invasive Cancer Case Percent Distribution by Age Figure III-B Invasive Cancer Case Percent Distribution by Age and Sex Figure III-C Race Distribution of Cancer Cases Figure III-D Ethnic Distribution of Cancer Cases Table III-A 1997 Frequency of Cancer Cases - Primary Site by Sex Figure III-E Case Distribution by Invasive Cancer Type Figure III-F Ten Most Common Invasive Cancer Types: Males Figure III-G Ten Most Common Invasive Cancer Types: Females Table III-B Age-Adjusted Incidence Rates - Primary Site by Sex Table III-C Age-Adjusted Incidence Rates - Primary Site by Ethnicity Table III-D Age-Specific Incidence Rates, All Sites-Age Group by Sex Table III-E Age-Specific Incidence Rates, All Sites - Age Group by Ethnicity Table III-F Age-Specific Incidence Rates, All Sites - Sex by Race
INCIDENCE RATES
PART IV - CANCER INCIDENCE IN ARIZONA RURAL COUNTIES CASE DISTRIBUTION 68 68 69 69 70 73 74 74 75 78 Figure IV-A Invasive Cancer Case Percent Distribution by Age Figure IV-B Invasive Cancer Case Percent Distribution by Age and Sex Figure IV-C Race Distribution of Cancer Cases Figure IV-D Ethnic Distribution of Cancer Cases Table IV-A 1997 Frequency of Cancer Cases - Primary Site by Sex Figure IV-E Case Distribution by Invasive Cancer Type Figure IV-F Ten Most Common Invasive Cancer Types: Males Figure IV-G Ten Most Common Invasive Cancer Types: Females Table IV-B Age-Adjusted Incidence Rates - Primary Site by Sex Table IV-C Age-Adjusted Incidence Rates - Primary Site by Ethnicity
INCIDENCE RATES
PART IV - CANCER INCIDENCE IN ARIZONA RURAL COUNTIES 81 81 82 Table IV-D Age-Specific Incidence Rates, All Sites-Age Group by Sex Table IV-E Age-Specific Incidence Rates, All Sites - Age Group by Ethnicity Table IV-F Age-Specific Incidence Rates, All Sites - Sex by Race
PART V - CANCER MORTALITY IN ARIZONA ARIZONA MORTALITY 84 85 86 86 87 87 Figure V-A Age-Adjusted Mortality Rates - All Causes: County of Residence Table V-A 1997 Age-Adjusted Malignant Neoplasm Mortality Rates, All Causes - County of Residence by Sex Table V-B 1997 Age-Adjusted Malignant Neoplasm Mortality Rates, All Causes - County of Residence by Race Table V-C 1997 Age-Adjusted Malignant Neoplasm Mortality Rates, All Causes - County of Residence by Ethnicity Table V-D 1997 Age-Specific Malignant Neoplasm Mortality Rates, All Causes - Age Group by Sex Table V-E 1997 Age-Specific Malignant Neoplasm Mortality Rates, Cause of Death by Sex
APPENDIX 90 Primary Site & Histology Type: ICDO2 Code Definitions Table
ARIZONA CANCER REGISTRY The Arizona Cancer Registry (ACR) is a population-based surveillance system for the collection, management, and analysis of information on incidence and survival for persons having been diagnosed with and/or treated for cancer. Historical Perspective: The ACR began operating in 1980 and started collecting information in 1981. Initially, the registry was a voluntary hospital-based reporting system. In 1988, Arizona Revised Statute 36-133 was amended mandating the reporting of cancer cases. Rules to ensure reporting of all cases became effective January 1, 1992. These rules require hospitals, clinics, and physicians to report cases. Funding: The ACR receives its funding from state legislature appropriations to Arizona Department of Health Services. Enhancement funding to support and improve the registry is provided through the National Program of Cancer Registries (NPCR) from the Centers for Disease Control and Prevention (CDC) cooperative agreement (U75/CCU910679). Goals of the ACR: To collect complete and accurate incidence information and monitor incidence patterns To improve and maintain high standards in the quality of information collected To promote and assist hospital cancer registries To identify population subgroups at high risk for cancer To assist in the identification of geographic regions of this state that need intervention programs or epidemiological research, detection and prevention To perform studies To provide biostatistic and epidemiologic information to the medical community The services provided to reporting facilities include: exchange of follow-up information, consultation and assistance, statistical support, response to data requests, response to coding and abstracting questions (technical support), numerous training workshops and in-house training, support of cancer registry software, and provision of all forms and manuals. The quality assurance program is a comprehensive program that includes: reviewing data to ensure completeness and accuracy, visual editing, immediate and batch edits utilizing the Rocky Mountain Cancer Data System (RMCDS) software program and the North American Association of Central Cancer Registries (NAACCR) EDITS, additional RMCDS reports reviewed for accuracy, duplicate report checking, on-site case ascertainment reviews to determine the completeness of reporting at hospitals, on-site reabstracting studies to ascertain the validity of the data submitted, internal review, and a timeliness and completeness monitoring program. Annual Report: This annual report represents persons diagnosed with cancer in 1997 who reside in Arizona. This is the third complete year of population-based incidence reporting for Arizona. The registry collects information on all invasive and in situ cancers with the exception of cervix insitu. The registry also collects cases of benign brain tumors and only regional and distant staged skin cancers (basal and squamous cell carcinomas). 1
We hope that this document can provide useful information to assist with cancer control activities and provide information for intervention and prevention programs. Accomplishments and Activities: A total of 75 hospitals are reporting to the ACR, either directly or indirectly. This report includes data from all USPHS Indian Hospitals reporting through the New Mexico Tumor Registry, all non-federal hospitals and four out of six federal facilities (VA and military). In addition, the ACR receives cases from outpatient freestanding clinics and physician offices. Performed identification and collection of cancer cases at 12 hospitals with less than 50 beds. The collection of cancer cases from 35 freestanding and hospital pathology laboratories in order to capture 1997 cases not referred to a hospital. Many of the cases found through this method were prostate and melanoma types. A BBS (Bulletin Board System) electronic reporting system has been developed. Five hospitals are currently reporting through this method. The ACR is a member of NAACCR. NAACCR is an organization for cancer registries, governmental agencies, professional associations, and private groups in North America interested in enhancing the quality and use of cancer registry data. ACR participates in a Call for Data every year. This organization publishes Cancer in North America, both incidence and mortality. The ACR submits data to CBTRUS (Central Brain Tumor Registry of the United States). This is the largest population-based database of primary brain tumors. ACR participated in the CBTRUS quality control reabstracting study. Data obtained from this study will enable CBTRUS and ACR to continue to improve the quality of the data. Newsletters are published on a quarterly basis. The newsletter includes information on cancer data, educational opportunities, quality assurance and procedural information. To collect the cases of Arizona residents traveling to other states for diagnosis and/or treatment, the ACR has increased and maintained the number of interstate data exchange agreements. Data is exchanged with all neighboring states. ACR receives Arizona resident cases from 17 states. All information collected, abstracted, and coded is done so in a format consistent with national standards. The Arizona Coding Handbook includes the standards of the American College of Surgeons Commission on Cancer, Volume I and II and the Arizona Cancer Registry Supplement. A monitoring program tracks the timeliness and completeness of hospital reporting. Of the 1997 cases reported by hospitals, 83% of the cases were reported within six months from the close of the year. From December 1998 through December 1999 the ACR completed 96 requests for data. NAACCR established a certification process for central cancer registries. Data for 1997 was submitted for evaluation and feedback regarding our achievement in the areas of case ascertainment, completeness of information on critical variables, data accuracy and timeliness. The ACR was recognized for achieving the Gold Standard. In the certification process the NAACCR "gold standard" is <3%. The ACR met both national standards. The percentage of death certificate only cases after clearance was 1.4%. The SEER standard states that these cases "should not exceed 1.5 percent of all cancers registered in a given year after follow-back.". The ACR has held numerous workshops for reporting facilities in the goal of collecting quality information. Types of workshops conducted were: Introductory Abstracting Workshop, Secondary Abstracting Workshop, Certified Tumor Registrar Prepatory Seminar, Intermediate Abstracting 2
Workshop and Physician/Clinic Reporting Seminar and many satellite teleconferences. The ACR is a Phoenix College Health Information Technology intern training site. Acknowledgments: We would like to acknowledge all participating hospitals, clinics, physicians, and pathology laboratories (freestanding and hospital-based). The hospitals account for most of the reportable cases, providing complete identification and registration of each person with a diagnosis of cancer. Without their cooperation this report would not be possible. We would like to recognize the New Mexico Tumor Registry (NMTR) who travels into Arizona to collect information in the Indian Health Services (IHS) facilities. Through our agreement with NMTR and IHS, we are able to have complete reporting of Native Americans for the state. Confidentiality: All information identifying a specific individual is considered "medical information" as defined in the Arizona Administrative Code, A.A.C., Title 9, Chapter 1, Article 3, R9-1-311 through R9-1-315: Disclosure of Information and Records. Case reports are treated as confidential medical data. In addition, the ACR has established policies and procedures for the management and disclosure of confidential information to further protect privacy. All patient information is maintained in a confidential manner, consistent with the law, between the ACR and the reporting source. Policies do allow releasing aggregate data to anyone on request. Copies and information: Additional copies or information can be obtained by contacting the Arizona Cancer Registry at (602)542-7320.
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METHODS
This annual report includes cases diagnosed in 1997. These cases were reported to the Arizona Cancer Registry (ACR) prior to December 17, 1999. This report focused on invasive cancer cases with the exception of localized basal and squamous cell skin cancer. In situ cases are included in a table of cancer type by behavior code. This table excludes: 1) cervix in situ and 2) in situ and localized basal and squamous skin cancer. In situ urinary bladder cases are also combined with invasive urinary bladder cases in many of the invasive cancer tables and graphs. This approach was used to create charts comparable to the Surveillance, Epidemiology, and End Results program (SEER) reports. For a listing of the cancer and histologic site types used in this report, see the appendix. Data Quality Standards All case reports were rigorously reviewed for errors. These errors were corrected before inclusion into the data set used in this report. These error checks included: 1) 1997 North American Association of Central Cancer Registries (NAACCR) EDITS 2) Rocky Mountain Cancer Data System (RMCDS) error checks 3) A manual visual editing on all cases seen at multiple facilities 4) A validity check of codes in all fields used in the report analysis 5) Random and targeted visual editing on unduplicated cases 6) Duplicate error checking of all cases The data used in this report met the existing "Data Quality Indicator Gold Standard", set by NAACCR for: 1) The percent of cases that are microscopically confirmed. The ACR rate was 93.7% . The accepted NAACCR standard may fall between 92 percent and 95 percent. 2) The NAACCR standard for the percent of cases that are "Death Certificate Only". The ACR percentage was 1.2 percent and the NAACCR standard is 3.0 percent. 3) The completeness of information recorded was greater than 98 percent for the rated fields of: Completeness of Data Field Name Pct. Missing Age at Diagnosis Sex Race State/County < 0.1 < 0.1 1.6 0.1
4) 5) 6) 7)
The completeness of cases ascertainment was over 100 percent of the expected number of cases as estimated by the SEER incidence to US mortality ratio. 100 percent of the cases passed the "EDITS" data quality program. Duplicates for Primary cases were at less than 1 per 1000 cases. The data was timely. All data was received within 23 months of the close of the diagnosis year. 4
Categories Used in Analysis Cases were classified by primary site or histologic type; race, ethnicity, age at diagnosis, and residence at diagnosis. Primary Site & Histologic Type Primary site and histologic type were classified according to International Classification of Diseases for Oncology, 2nd Edition. (a.k.a.: ICDO2) See Appendix. The definition of behavior code, invasive, and in situ is as follows: Behavior code: The 5th digit of the Morphology Code that indicates: 1) the growth pattern of a tumor and 2) whether or not it is invasive. Invasive: A Malignant tumor that has invaded the basement membrane of the tissue of origin. In situ: Non-infiltrating, non-invasive, intra epithelial tumor cells that have not penetrated the basement membrane or extended beyond the epithelial tissue. Counts The counts are the number of cases diagnosed with a reportable cancer in 1997. A cancer case can either be a tumor originating in one primary site or may be a systemic cancer of a specific histologic type. More than one cancer case may be reported for a person. This results in more cancer cases than persons recorded in the ACR. Rates Rates were calculated by dividing the number of cases diagnosed in 1997 with a specific cancer type by the population. Each rate was multiplied by 100,000 persons. These crude rates were used in the figures showing the ten most common invasive cancer types for males and females. Age adjusted morbidity rates were subsequently multiplied by the proportion of the US 1970 population for each age group to standardize the rate. The rates from each age group are then added together to create the age adjusted rate. Mortality rates were age adjusted and standardized, using the US 1940 population, in the same manner as the morbidity rates. Population Denominators Population denominators were taken from the February 1997 DES projections of the expected 1997 Arizona population. These county and state projections have been approved for use in analysis by the Arizona Department of Health Services. However, these projections were not divided by race and ethnicity. To derive race and ethnicity of Arizona populations by sex, the percentage of the July 1st, 1997 US Bureau of Census Estimates for these population subgroups were calculated and applied to the DES projections. Mortality Rates Cancer mortality rates are calculated on counts of cancer deaths that meet all of the following criteria: 1) The cancer death occurs to an Arizona resident 2) The "Primary Cause of Death" is coded to ICD9 codes 140.0 through 208.9 3) The case is reported to the Arizona Office of Vital Records The Primary Cause of Death is classified according to the International Classification of Diseases, Injuries, and Causes of Death, (Ninth Revision, 1975) . Age adjusted cancer mortality rates are standardized to the 1940 US population. This standardization method is used to create rates that are comparable over time and geographic region. 5
Caution in Using Small Numbers The intent of these data is to provide the reader with useful information on cancer in Arizona. However, it is equally important not to mislead the data users on the meaning of this data. Rates or other analysis based on fewer than 10 cases were not considered statistically reliable and are excluded from this report. When a rate is excluded for this reason it is denoted by a dash in the rate tables. Data Completeness It is estimated that the ACR has collected at least 95 percent of all reportable cancer cases in Arizona. However, cases diagnosed or treated at the VA Medical Centers in Tucson and Prescott were not reported and subsequently not included in this report. The lack of inclusion of these cases may affect the results in this report. Race Information concerning a person's race is generally obtained by a hospital tumor registrar upon reviewing the physicians notations and the medical record admission information. Race was grouped by categories of White, Black, and Other in the incidence rate tables. The other category included Asians, Native Americans, and cases classified as "other race". These categories were used to compare them to SEER racial categories. However, charts of case counts further divide the "other" category by separating Asian, Native American, and "other race" into their own groups. Cases having an unknown race diagnosed with a primary site of skin melanoma were coded as white. One hundred four melanoma skin cases with an unknown race code were changed to a race of white. Ethnicity Information concerning a person's ethnicity is generally obtained by a hospital tumor registrar upon reviewing the physician's notations and the medical record admission information. Ethnicity can be derived from self identification, surname, or place of birth. Ethnicity incidence rates were divided into two groups: Hispanic and Non-Hispanic. Counts further divided the Hispanic group into classifications of Mexican, Puerto Rican, Cuban, South or Central American, Other Spanish, Spanish NOS ( Not Otherwise Specified), and Spanish Surname Only. Hispanic ethnicity may be assigned to cases with an unknown ethnicity that have a Spanish last name. These cases have been placed in the "Spanish Surname Only" category. Their Hispanic designation is based on the New Mexico Tumor Registry's "Hispanic Surname Checking Program". An additional 61 invasive cases were categorized as Hispanic with this method. For the purpose of this report all remaining cases (1484) with an unknown ethnicity are considered Non-Hispanic. Age at Diagnosis Age groups were divided into: 1) eight 10 year age groupings for ages 0 through 79 years; and 2) one grouping for all cases with an age 80 years or above. Residence at Diagnosis The residence of a case was grouped at a county or higher level. The charts of residence counts divided cases by: 1) Arizona Resident (county or state); 2) Other US states; and 3) Other Countries. Incidence rates focused on Arizona residence and divided cases into three geographic regions: 1) Maricopa County; 2) Pima County; and 3) the thirteen remaining "Rural" counties. The rural counties were grouped together to create larger counts sufficient in size to generate reliable rate tables. Of Arizona residents, there were 16 cases with no known county. 6
Executive Summary This is a five-part report summarizing data about the morbidity and mortality of cancer in Arizona in 1997. Cases diagnosed with cancer in Arizona and reported to the ACR are presented in Parts I - IV. "Arizona Rural Counties" Part IV includes: Apache County, Cochise County, Coconino County, Gila County, Graham County, Greenlee County, Mohave County, Navajo County, Pinal County, Santa Cruz County, Yavapai County, Yuma County, and La Paz County. These counties were combined so that a sufficient number of cases could be generated for an analysis. Deaths due to cancer in Arizona residents are presented in Part V. Data for the analysis of deaths were provided by the ADHS Office of Vital Records. The format for the five parts of this report was chosen so that information about cancer in Arizona would be easy to understand and meaningful in its presentation. Tables with a large number of missing incidence rates were not included. The user of this report should take care to review all footnotes attached to the tables, graphs, and maps in this publication before interpreting this information. Part I: Cancer Incidence in Arizona In 1997, 19,384 invasive cancer cases were diagnosed and recorded among Arizona residents. The demographic distribution of Arizona cancer cases indicated the greatest percentage are among Whites (94.2%) and non-Hispanics (92.9%). Of the most common cancer types, prostate, breast, and lung & bronchus collectively account for 45.4% of all cancers diagnosed in Arizona residents in 1997. The "all sites" age-adjusted cancer rate of 349 per 100,000 persons among Arizona residents was lower than the national age-adjusted cancer incidence rate of 389 per 100,000 persons1 and lower than the 1996 Arizona rate of 352 per 100,000 persons.2 In addition, age-adjusted cancer rates were lowest among females (318 per 100,000 persons) and Hispanics (217 per 100,000 persons). Analysis of the "all sites" by county showed, for both sexes combined, a range of age-adjusted cancer rates from 232 to 408 per 100,000. In the age-adjusted cancer rates by race, Table I-I, Whites had a higher rate than Blacks. This is inconsistent with the national age-adjusted cancer rate for Blacks which is typically higher than that of Whites.1 "All sites" age-specific incidence rates indicated that invasive cancer is highest among individuals 80 years of age or older with an overall rate of 1959 per 100,000 persons. When analyzed by sex and ethnicity, the highest cancer rate for males was in the 70 to 79 age group. Females, Hispanics and nonHispanics had the highest age-specific cancer rate in the 80 years and older age group. Part II: Cancer Incidence in Maricopa County Among residents of Maricopa County there were 10,821 invasive cancer cases. As with Arizona, the demographic distribution of Maricopa County showed 94.8% of cancer cases were among Whites and 94.8% were among non-Hispanic. Prostate, breast, and lung & bronchus accounted for 47.3% of all cancers diagnosed in Maricopa County residents. The "all sites" age-adjusted rate of 348 per 100,000 persons among Maricopa County residents was approximately the same as the Arizona rate of 349 but lower than the national age-adjusted cancer rate of 388 per 100,000 persons1 as well as the 1996 Maricopa County rate of 352 per 100,000 persons.2 As with Arizona in general, Maricopa County age-adjusted rates were lowest among females (315 per 7
100,000 persons) and Hispanics (210 per 100,000 persons). Age-adjusted cancer rates by race indicated a higher rate of cancer for Whites than for Blacks or Other races. However, the age-adjusted cancer rate among Whites decreased from 357 per 100,000 persons in 1996 to 346 per 100,000 persons in 1997, while among Blacks, the age-adjusted cancer rates increased from 305 per 100,000 persons in 1996 to 326 per 100,000 persons in 1997. Age-specific incidence rates for "all sites" differed slightly from Arizona, indicating most cancer occurrence among persons 70 to 79 years of age with a rate of 1986 per 100,000 persons. However, when analyzed by sex and ethnicity, all four categories (i.e. males, females, Hispanics and nonHispanics) in Maricopa County showed highest age-specific incidence rates among persons 80 years of age or older. Part III: Cancer Incidence in Pima County Among Pima County residents, there were 3610 cancer cases in 1997. Most cancer was diagnosed in Whites (93.7%) and non-Hispanics (90.1%). Prostate, breast, and lung & bronchus accounted for 44.5% of invasive cancer cases diagnosed in Pima County residents. The Pima County "all sites" age-adjusted cancer rate of 353 per 100,000 persons was even higher than that of Maricopa County's rate of 348 per 100,000 persons but, still well below the national ageadjusted incidence rate1 and below the 1996 Pima County rate of 375 per 100,000 persons.2 As with Arizona and Maricopa County, age-adjusted cancer rates were lowest among females (321 per 100,000 persons) and Hispanics (220 per 100,000 persons). As with Maricopa County, age-adjusted cancer rates by race showed a higher rate of cancer for Whites. Among males, the age-adjusted cancer rate for Blacks decreased considerably from 475 per 100,000 persons in 1996 to 347 per 100,000 persons in 1997. For White males, the age-adjusted cancer rate also decreased from 432 per 100,000 persons in 1996 to 392 per 100,000 persons in 1997. However the age-adjusted cancer rate for Black females increased considerably from 188 per100,000 persons in 1996 to 258 per 100,000 persons in 1997. As with Arizona, "all sites" age-specific incidence rates indicated that invasive cancer is most common among individuals 80 years of age or older with an overall rate of 2009 per 100,000 persons. This only varied among Males which showed their highest age-specific rate of cancer in the 70 to 79 age group. Part IV: Cancer Incidence in Arizona Rural Counties As stated above "Arizona Rural Counties" is a combination of Apache County, Cochise County, Coconino County, Gila County, Graham County, Greenlee County, Mohave County, Navajo County, Pinal County, Santa Cruz County, Yavapai County, Yuma County, and La Paz County. Among these counties there were 4953 cancer cases. As above, cases were generally White (93.0%) and non-Hispanic (91.1%). Most Native American cases were residents of the rural counties (71% of all Native Americans that were reported). Prostate, breast, and lung & bronchus accounted for 45.2% of invasive cancer diagnosed in these counties. The rural counties "all sites" age-adjusted cancer rate of 350 per 100,000 persons was approximately equal to Arizona's rate of 349 per 100,000 persons. However the rate is steadily increasing for the past three years, from 320 per 100,000 persons in 1995, and 331 per 100,000 persons in 1996 to 350 per 8
100,000 persons in 1997.2,3 As with Arizona, Maricopa and Pima County, age-adjusted cancer rates were lowest among females (323 per 100,000 persons) and Hispanics (228 per 100,000 persons). Like Arizona, age-adjusted cancer rates by race showed a highest rate of invasive cancer for Whites but only for white females. Black males had a slightly higher incidence rate of 395 per 100,000 persons than white males (391 per 100,000 persons). "All sites" age-specific incidence rates for rural counties indicated that invasive cancer is most common among individuals 70 to 79 years of age with an overall rate of 1913 per 100,000 persons. This varied among females and non-Hispanics which showed their highest age-specific rate of cancer in the 80 years and older age group. Part V: Cancer Mortality in Arizona The 1997 cancer death rate of 116 per 100,000 persons was the lowest of the 11-year period from 1987 to 1997.4 There were 8429 deaths due to cancer recorded in Arizona residents in 1997. Cancer deaths were more common among males than females with age-adjusted mortality rates of 135 and 102 per 100,000 persons, respectively. Age-adjusted mortality rates by race showed cancer deaths were most common among Blacks in Maricopa county. Whites, however, had higher cancer death rates in Pima and other rural counties. As with cancer morbidity, there was a higher rate of cancer deaths among non-Hispanics. This did not vary by county. Age-adjusted mortality rates for the most common types of cancer were lung cancer at 32 per 100,000 persons, female breast cancer at 19 per 100,000 persons and prostate cancer at 14 per 100,000 persons. Age-specific mortality rates indicated deaths due to cancer were highest among persons 80 years of age or older. This did not vary by sex.
References 1. Kosary CL, Ries LAG, Miller BA, Hankey BF, Harras A, Edwards BK (eds). SEER Cancer Statistics Review, 19731996: Tables and Graphs, National Cancer Institute. NIH Pub. No. 96-2789. Bethesda, MD, 1998. 2. Nowak J, Newton C, Yee GA. Cancer in Arizona 1996 - Cancer Incidence and Mortality in 1996, Arizona Department of Health Services, Phoenix, AZ, 1998. 3. Nowak J, Newton C, Yee GA. Cancer in Arizona 1995 - Cancer Incidence and Mortality in 1995, Arizona Department of Health Services, Phoenix, AZ, 1997. 4. Mrela K. Christopher. Arizona Health Status and Vital Statistics 1997, Arizona Department of Health Services, Phoenix, AZ, 1998.
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PART I CANCER INCIDENCE IN ARIZONA 1997
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CANCER IN ARIZONA: 1997
*All U.S. states, Territories, and Possessions except Arizona.
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CANCER IN ARIZONA: 1997
* Distribution by age at diagnosis excludes 14 cases with an unknown age at diagnosis. ** Distribution by age at diagnosis and sex excludes 14 cases with an unknown age and 2 cases with other sex. *** Male percentages are the percent of all male cases, and female percentages are the percent of all female cases.
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CANCER IN ARIZONA: 1997
* Spanish Surname Only: Ethnicity derived from Spanish last name with the use of a computer program. **Spanish NOS: Spanish, not otherwise specified.
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Arizona Table I-A. 1997 Frequency of Cancer Cases Primary Site by Behavior
BEHAVIOR PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system IN SITU 1631 7 3 2 0 2 0 0 0 0 0 0 153 2 4 0 137 93 44 7 0 0 0 1 2 0 0 0 INVASIVE 19384 406 29 109 45 29 58 20 34 28 33 21 3572 191 322 50 2183 1558 625 52 162 136 26 57 74 433 33 15 TOTAL 21015 413 32 111 45 31 58 20 34 28 33 21 3725 193 326 50 2320 1651 669 59 162 136 26 58 76 433 33 15
67 "Other primary site" cases are listed only in the "All Sites" category of this table.
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Arizona Table I-A. 1997 Frequency of Cancer Cases (continued) Primary Site by Behavior
BEHAVIOR PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system IN SITU 14 0 11 3 0 0 0 0 435 435 0 543 85 0 14 1 0 9 61 0 9 4 0 4 1 INVASIVE 3088 15 170 2859 35 9 35 137 795 720 75 3083 1130 184 469 10 383 16 50 18 3187 3024 139 23 1 TOTAL 3102 15 181 2862 35 9 35 137 1230 1155 75 3626 1215 184 483 11 383 25 111 18 3196 3028 139 27 2
16
Arizona Table I-A. 1997 Frequency of Cancer Cases (continued) Primary Site by Behavior
BEHAVIOR PRIMARY SITE Urinary System: Urinary bladder Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified IN SITU 380 358 8 9 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 INVASIVE 1193 663 493 32 5 39 262 237 25 300 286 14 857 109 748 201 398 162 170 2 64 634 TOTAL 1573 1021 501 41 10 44 262 237 25 300 286 14 857 109 748 201 398 162 170 2 64 634
17
Arizona Table I-B. 1997 Frequency of Invasive Cancer Cases Primary Site by Sex
SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallb lad d e r Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 9985 280 22 76 32 19 33 17 25 20 23 13 1920 152 202 30 1121 779 342 19 111 93 18 20 39 211 8 7 FEMALE 9397 126 7 33 13 10 25 3 9 8 10 8 1652 39 120 20 1062 779 283 33 51 43 8 37 35 222 25 8 TOTAL 19384 406 29 109 45 29 58 20 34 28 33 21 3572 191 322 50 2183 1558 625 52 162 136 26 57 74 433 33 15
67 "Other primary site" cases are listed only in the "All Sites" category of this table. "All Sites" does not include bladder in situ cases. Included only in the "Total" category are two "other sex" cases.
18
Arizona Table I-B. 1997 Frequency of Invasive Cancer Cases (continued) Primary Site by Sex
SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system
NA = not applicable.
MALE 1760 7 147 1573 27 6 21 75 491 439 52 37 NA NA NA NA NA NA NA NA 3187 3024 139 23 1
FEMALE 1328 8 23 1286 8 3 14 62 304 281 23 3046 1129 183 469 10 383 16 50 18 NA NA NA NA NA
TOTAL 3088 15 170 2859 35 9 35 137 795 720 75 3083 1129 183 469 10 383 16 50 18 3187 3024 139 23 1
19
Arizona Table I-B . 1997 Frequency of Invasive Cancer Cases (continued) Primary Site by Sex
SEX PRIMARY SITE Urinary System*: Urinary bladder* Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified
* = Includes invasive and in situ bladder cases.
MALE 1109 772 312 22 3 19 134 119 15
FEMALE 441 249 180 10 2 20 128 118 10
TOTAL 1550 1021 492 32 5 39 262 237 25
78 70 8 461 60 401 117 223 95 91 1 36 330
222 216 6 396 49 347 84 175 67 79 1 28 304
300 286 14 857 109 748 201 398 162 170 2 64 634
20
CANCER IN ARIZONA: 1997
Figure I-G: Case Distribution by Invasive Cancer Type
* Bladder cases include 358 in situ cases.
21
CANCER IN ARIZONA: 1997
* Bladder cases include 288 male in situ cases and 70 female in situ cases.
22
23
Arizona Table I-C. 1997 Age-Adjusted Incidence Rates, All Sites County of Residence by Sex SEX COUNTY Apache Cochise Coconino Gila Graham Greenlee La Paz Maricopa Mohave Navajo Pima Pinal Santa Cruz Yavapai Yuma Arizona MALE 289.48 409.48 416.71 414.27 295.94 244.01 414.65 392.21 444.41 471.15 397.29 354.40 411.42 356.79 320.23 389.56 FEMALE 184.73 331.00 363.30 298.48 302.51 371.25 386.91 314.60 374.18 287.34 320.92 318.72 275.34 348.60 288.20 317.56 TOTAL 232.17 366.13 385.65 353.75 293.45 288.26 395.07 347.92 408.10 370.98 352.88 334.01 337.47 351.16 303.97 348.96
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. Invasive cancer cases only. Two "other sex" cases are included only in "Total" category.
24
Arizona Table I-D. 1997 Age-Adjusted Incidence Rates, All Sites County of Residence by Ethnicity ETHNICITY COUNTY Apache Cochise Coconino Gila Graham Greenlee La Paz Maricopa Mohave Navajo Pima Pinal Santa Cruz Yavapai Yuma Arizona NON-HISPANIC 221.10 469.48 438.33 377.88 319.01 316.26 615.41 367.11 437.40 378.07 414.19 425.94 424.93 359.18 328.03 379.99 HISPANIC -212.16 275.57 173.48 207.62 --209.99 393.33 203.31 220.46 182.17 304.40 122.78 234.88 217.28 TOTAL 232.17 366.13 385.65 353.75 293.45 288.26 395.07 347.92 408.10 370.98 352.88 334.01 337.47 351.16 303.97 348.96
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only.
25
Arizona Table I-E. 1997 Age-Adjusted Incidence Rates Primary Site by Sex
SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 389.56 11.75 0 .84 3 .2 9 1 .30 0 .83 1.34 0 .74 1.15 0 .87 0.89 0 .50 73.62 5.95 7.61 1 .1 6 42.85 29.23 13.62 0.70 4.36 3 .66 0.70 0 .71 1 .5 5 8.14 --FEMALE 317.56 4.38 -1 .1 3 0 .43 0 .37 0.84 ---0.37 -50.77 1.16 3.71 0 .6 5 32.47 23.51 8.96 1.12 1.59 1 .36 -1 .11 1 .0 8 6.82 0.84 -TOTAL 348.96 7.87 0 .51 2 .1 7 0 .84 0 .59 1.08 0 .42 0.72 0 .57 0.61 0 .37 61.32 3.36 5.48 0 .8 8 37.28 26.14 11.14 0.92 2.86 2 .42 0.45 0 .92 1 .3 0 7.45 0.61 0.25
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. 67 "Other primary site" cases are listed only in the "All Sites" category of this table. Two "other sex" cases are included only in the "Total" category. "All sites" does not include bladder in situ cases. Invasive cancer cases only. -- = Insufficient cases for an adjusted rate calculation.
26
Arizona Table I-E. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex
SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system MALE 68.58 -5.87 6 1 .0 9 1.03 -0.83 2.83 19.28 17.35 1.93 1.47 NA NA NA NA NA NA NA NA 125.48 119.34 5.22 0 .8 8 -FEMALE 43.41 -0.85 4 1 .9 3 --0.53 2.24 10.72 9.94 0.78 107.32 3 9 .7 2 6 .79 16.27 0 .3 3 13.54 0 .5 6 1 .5 4 0 .6 9 NA NA NA NA NA TOTAL 54.86 0.29 3.16 5 0 .6 1 0.62 -0.66 2.50 14.67 13.32 1.35 57.61 NA NA NA NA NA NA NA NA NA NA NA NA NA
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only.
27
Arizona Table I-E. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex
SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified MALE 41.92 28.68 12.34 0.79 -0 .86 5 .40 4 .93 0.48 FEMALE 14.37 7.82 6.18 0.30 -0 .73 4 .93 4 .53 0.40 TOTAL 26.86 17.23 9.03 0.52 -0 .80 5 .11 4 .69 0.43
3 .21 2 .83 -17.85 2 .34 15.51 4 .4 1 8 .89 3.89 3 .60 1 .36 12.70
8 .08 7 .88 -13.45 2 .16 11.30 2 .7 3 5 .91 2.39 2 .65 0 .83 9.28
5 .65 5 .36 0.30 15.50 2 .21 13.29 3 .4 9 7 .32 3.12 3 .10 1 .07 10.89
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. * = Includes invasive and in situ bladder cases.
28
Arizona Table I-F. 1997 Age-Adjusted Incidence Rates Primary Site by Ethnicity
ET HNICIT Y PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallb lad d e r Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system NON-HISPANIC 379.99 8.46 0 .59 2 .3 9 0 .92 0 .62 1.14 0 .41 0.76 0 .58 0.66 0 .39 65.56 3.56 5.42 0 .9 0 40.69 28.59 12.10 1.06 2.86 2 .36 0.50 0 .8 7 1 .3 4 7.97 0.64 0.26 HISPANIC 217.28 5.04 ----------47.96 3.06 8.11 -21.85 14.98 6.87 -3.92 3 .74 ---6.09 --TOTAL 348.96 7.87 0 .51 2 .1 7 0 .84 0 .59 1.08 0 .42 0.72 0 .57 0.61 0 .37 61.32 3.36 5.48 0 .8 8 37.28 26.14 11.14 0.92 2.86 2 .42 0.45 0 .9 2 1 .3 0 7.45 0.61 0.25
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. 67 "Other primary site" cases are listed only in the "All Sites" category of this table. "All Sites" does not include bladder in situ cases. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only.
29
Arizona Table I-F. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity
ET HNICIT Y PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Breast (female) Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis NON-HISPANIC 60.50 0.24 3.49 5 5 .9 3 0.65 -0.74 2.56 17.06 15.68 1.38 63.17 117.31 41.72 5 .96 17.84 -14.63 0.57 1 .69 0.70 138.65 131.11 6.55 0 .9 6 HISPANIC 29.14 --2 6 .2 4 ---2.92 3.98 2.56 1.43 29.17 55.11 31.20 12.92 7.57 -7.74 ---73.18 70.90 1.50 -TOTAL 54.86 0.29 3.16 5 0 .6 1 0.62 -0.66 2.50 14.67 13.32 1.35 57.61 107.32 39.72 6.79 16.27 0 .3 3 13.54 0.56 1 .54 0.69 125.48 119.34 5.22
0.88
Other male genital system ---Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. --- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only.
30
Arizona Table I-F. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity
ETHNICITY PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified NON-HISPANIC 29.49 19.27 9.53 0.59 -0 .78 5 .65 5 .19 0.46 6 .27 5 .96 0.31 17.05 2 .60 14.45 3 .5 9 7 .71 3.17 3 .25 1 .23 11.67 HISPANIC 15.03 7.09 7.78 ---2 .55 2 .21 -3 .95 3 .65 -1.72 0 .31 1.41 0 .4 8 1 .21 0.71 0 .47 -1.04 TOTAL 26.86 17.23 9.03 0.52 -0 .80 5 .11 4 .69 0.43 5 .65 5 .36 0.30 15.50 2 .21 13.29 3 .4 9 7 .29 3.12 3 .08 1 .06 10.89
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. * = Includes invasive and in situ bladder cases.
31
Arizona Table I-G. 1997 Age-Specific Incidence Rates, All Sites Age Group by Sex
SEX AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years MALE 14.43 10.47 34.27 75.53 171.75 619.85 1760.09 2413.77 2350.32 FEMALE 13.41 12.72 44.64 128.05 313.66 652.97 1106.90 1564.30 1700.90 TOTAL 13.94 11.53 39.23 101.68 244.03 636.99 1413.85 1948.28 1959.06
Total 434.74 408.24 421.51 Rates are per 100,000 persons. Invasive cancer cases only. Not included are 14 cases with unknown age group. Two "other sex" cases are included only in the "Total" category.
Arizona Table I-H. 1997 Age-Specific Incidence Rates, All Sites Age Group by Ethnicity
ET HNICIT Y AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years NON-HISPANIC 13.58 12.23 51.38 114.75 260.03 675.92 1515.26 2152.38 2248.49 HISPANIC 12.75 8.59 20.09 66.09 159.58 353.50 811.54 1294.78 1341.58 TOTAL 13.94 11.53 39.23 101.68 244.03 636.99 1413.85 1948.28 1959.06
Total 506.33 137.00 421.51 Rates are per 100,000 persons. Invasive cancer cases only. Not included are 14 cases with unknown age group.
32
Arizona Table I-I. 1997 Age-Adjusted Incidence Rates, All Sites Sex by Race RACE SEX Male Female Total WHITE 388.38 321.90 350.81 BLACK 372.69 268.36 310.80 *OTHER 211.91 193.27 201.07 TOTAL 389.56 317.56 348.96
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. Invasive cancer cases only. 307 unknown race cases are included in the "TOTAL" category only. Two "other sex" cases are included in the "Total"category only. * Other race includes Native American, Chinese, Japanese, Filipino, Hawaiian, Korean, Asian Indian, Vietnamese, Cambodian, Thai, Micronesian, Guamanian, Polynesian, Tahitian, Tongan, New Guinean, Other Asian, Pacific Islander and Other.
33
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34
PART II CANCER INCIDENCE IN MARICOPA COUNTY 1997
35
CANCER IN MARICOPA COUNTY: 1997
* Distribution by age at diagnosis excludes 5 cases with an unknown age at diagnosis. ** Distribution by age at diagnosis and sex excludes 1 other sex case and 5 cases with an unknown age at diagnosis. ***Male percentages are the percent of all male cases, and female percentages are the percent of all female cases.
36
CANCER IN MARICOPA COUNTY: 1997
* Spanish Surname Only: Ethnicity derived from Spanish last name with the use of a computer program. ** Spanish NOS: Spanish, not otherwise specified.
37
Maricopa County Table II-A. 1997 Frequency of Invasive Cancer Cases Primary Site by Sex
SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallb lad d e r Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 5526 142 8 38 17 12 18 10 15 9 8 7 1038 73 103 15 629 438 191 10 55 45 10 10 24 112 3 4 FEMALE 5294 68 4 20 6 4 12 3 4 5 5 5 899 17 67 12 577 423 154 25 24 22 2 19 16 124 15 3 TOTAL 10821 210 12 58 23 16 30 13 19 14 13 12 1937 90 170 27 1206 861 345 35 79 67 12 29 40 236 18 7
36 "Other primary site" cases are listed only in the "All Sites" category of this table. "All Sites" does not include bladder in situ cases. One "other sex" case is included in the "Total" category only.
38
Maricopa County Table II-A. 1997 Frequency of Invasive Cancer Cases(continued) Primary Site by Sex
SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system
NA = not applicable.
MALE 965 3 94 854 11 3 11 46 317 280 37 21 NA NA NA NA NA NA NA NA 1804 1708 82 13 1
FEMALE 748 4 10 728 5 1 6 42 195 180 15 1811 580 96 228 5 207 11 24 9 NA NA NA NA NA
TOTAL 1713 7 104 1582 16 4 17 88 512 460 52 1832 580 96 228 5 207 11 24 9 1804 1708 82 13 1
39
Maricopa County Table II-A. 1997 Frequency of Invasive Cancer Cases(continued) Primary Site by Sex
SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified
* = Includes invasive and in situ bladder cases.
MALE 626 439 173 13 1 8 73 63 10 45 40 5 271 40 231 56 127 57 51 1 18 162
FEMALE 237 130 101 5 1 9 62 58 4 116 115 1 236 33 203 34 98 36 46 1 15 185
TOTAL 863 569 274 18 2 17 135 121 14 161 155 6 507 73 434 90 225 93 97 2 33 347
40
CANCER IN MARICOPA COUNTY: 1997
Figure II-E: Case Distribution by Invasive Cancer Type
*Bladder cases include 254 in situ cases.
41
CANCER IN MARICOPA COUNTY: 1997
* Bladder cases include 209 males in situ cases and 45 female in situ cases.
42
Maricopa County Table II-B. 1997 Age-Adjusted Incidence Rates Primary Site by Sex
SEX PRIMARY SITE All Sites MALE 392.21 10.56 Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system
-
FEMALE 314.60 4.19 1 .2 4 0.72 48.72 0.92 3.56 0 .6 9 30.99 22.47 8.51 1.49 1.35 1 .26 1 .06 0 .8 9 6.72 0 .9 0 --
TOTAL 347.92 7.20 0 .3 4 2 .0 1 0.82 0.59 0.97 0.47 0.71 0 .5 0 0.40 0 .3 8 59.70 2.92 5.15 0 .8 7 36.97 26.00 10.97 1.11 2.48 2 .09 0 .3 9 0 .88 1 .3 3 7.21 0 .5 6 --
2 .8 1 1 .28 0.97 1.27 0.76 1.21
-
-
72.73 5.30 7.10 1 .0 8 44.01 30.19 13.82 0.66 3.85 3 .12 0 .7 3 0 .68 1 .8 2 7.77 --
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. 36 "Other primary site" cases are listed only in the "All Sites" category of this table. "All Sites" does not include bladder in situ cases. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. One "other sex" case is included only in the "Total" category.
43
Maricopa County Table II-B. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex
SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system MALE 69.34 6.79 6 1 .3 7 0.74 0 .7 1 3.13 21.65 19.27 2.38 1.52 NA NA NA NA NA NA NA NA 130.47 124.48 5.07 0 .8 7 FEMALE 43.79 0.60 4 2 .6 1 2.58 11.73 10.84 0.90 111.86 3 5 .9 2 6 .07 14.15 12.83 0 .6 9 1 .2 9 NA NA NA NA NA TOTAL 55.32 3.41 5 1 .0 5 0.50 0 .5 2 2.82 16.26 14.64 1.62 60.32 NA NA NA NA NA NA NA NA NA NA NA NA NA
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. --= Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. NA = not applicable.
44
Maricopa County Table II-B. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex
SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified MALE 43.03 29.68 12.42 0.85 5 .16 4 .69 3 .22 2 .80 18.49 2 .63 15.86 3 .8 1 9 .10 4.17 3 .67 1 .20 11.32 FEMALE 13.71 7.22 6.17 4 .13 3 .98 7 .23 7 .18 13.97 2 .35 11.62 2 .0 1 5 .63 2.19 2 .64 0 .74 9.95 TOTAL 26.73 17.13 9.01 0 .53 0 .59 4 .55 4 .25 0.29 5 .22 4 .97 16.05 2 .45 13.60 2 .7 9 7 .30 3.16 3 .14 0 .95 10.61
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. * = Includes invasive and in situ bladder cases.
45
Maricopa County Table II-C. 1997 Age-Adjusted Incidence Rates Primary Site by Ethnicity
ET HNICIT Y PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system NON-HISPANIC 367.11 7.56 0.36 2 .2 4 0 .84 0.58 0.95 0.43 0.77 0.50 0.44 0 .43 61.57 3.06 4.83 0 .8 0 38.87 27.39 11.49 1.21 2 .3 8 1.96 0 .4 3 0.64 1 .3 1 7.62 0.63 HISPANIC 209.99 4.70 45.80 9.10 19.08 11.82 7.26 4.72 TOTAL 347.92 7.20 0.34 2 .0 1 0.82 0.59 0 .97 0.47 0.71 0.50 0.40 0.38 59.70 2.92 5.15 0 .8 7 36.97 26.00 10.97 1 .11 2 .4 8 2.09 0 .3 9 0.88 1 .3 3 7.21 0 .56 --
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. 36 "Other primary site" cases are listed only in the "All Sites" category of this table. "All Sites" does not include bladder in situ cases. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only.
46
Maricopa County Table II-C. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity
ET HNICIT Y PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Breast (female) Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system NON-HISPANIC 58.48 3.53 5 4 .0 7 0.51 0 .4 8 2.66 18.31 16.72 1 .5 9 64.50 118.88 36.48 5 .51 14.90 13.22 0 .6 9 1.43 141.09 133.80 6.40 0.84 HISPANIC 30.44 2 7 .0 6 4.62 4.17 26.58 50.56 30.72 12.03 6.21 9.26 62.56 59.95 TOTAL 55.32 3.41 5 1 .0 5 0.50 0 .5 2 2.82 16.26 14.64 1 .6 2 60.32 111.86 35.92 6.07 14.15 12.83 0 .6 9 1.29 130.47 124.48 5.07 0.87
-
Rates are per 100,000 persons and are adjusted to the 1970 U.S. --- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only.
47
Maricopa County Table II-C. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity
ETHNICITY PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified NON-HISPANIC 28.11 18.16 9.30 0.59 0 .60 5 .06 4 .71 0.35 5 .66 5 .42 16.94 2 .80 14.14 2 .8 4 7 .59 3.24 3 .24 1.04 10.82 HISPANIC 16.23 8.33 7.90 3 .89 3 .69 1.58 1.22 0 .92 0.56 0.88 TOTAL 26.73 17.13 9.01 0 .53 0.59 4.55 4.25 0 .29 5 .22 4 .97 16.05 2.45 13.60 2 .7 9 7 .30 3.16 3.14 0.95 10.61
Rates are per 100,000 persons and are adjusted to the 1970 U.S. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. * = Includes invasive and in situ bladder cases.
48
Maricopa County Table II-D. 1997 Age-Specific Incidence Rates, All Sites Age Group by Sex
SEX AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years Total MALE 14.99 8.84 36.05 75.66 173.47 609.26 1734.61 2465.05 2473.85 405.14 FEMALE 10.71 14.32 45.67 123.75 301.36 643.29 1086.89 1606.66 1671.57 389.54 TOTAL 12.98 11.37 40.64 99.75 239.17 626.72 1390.72 1985.64 1979.99
397.39
Rates are per 100,000 persons. Invasive cancer cases only. Not included are 5 cases with unknown age group. One "other sex"case is included only in the "Total " category.
Maricopa County Table II-E. 1997 Age-Specific Incidence Rates, All Sites Age Group by Ethnicity
ET HNICIT Y AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years Total NON-HISPANIC 13.29 10.94 51.44 118.22 251.61 669.38 1463.24 2030.04 2123.53 472.62 HISPANIC 10.28 12.16 19.78 55.27 141.34 342.31 778.53 1291.40 1302.40 TOTAL 12.98 11.37 40.64 99.75 239.17 626.72 1390.72 1985.64 1979.99
108.63
397.39
Rates are per 100,000 persons. Invasive cancer cases only. Not included are 5 cases with unknown age group.
49
Maricopa County Table II-F. 1997 Age-Adjusted Incidence Rates, All Sites Sex by Race RACE SEX Male Female Total WHITE 386.80 316.29 346.49 BLACK 392.11 288.28 326.42 *OTHER 259.55 210.67 231.42 TOTAL 392.21 314.60 347.92
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. One "other sex" case is included only in the "Total" category. Invasive cancer cases only. Included in the "TOTAL" category only are 162 cases with and unknown race. * Other race includes Native American, Chinese, Japanese, Filipino, Hawaiian, Korean, Asian Indian, Vietnamese, Cambodian, Thai, Tongan, Other Asian, Pacific Islander, and Other.
50
PART III CANCER INCIDENCE IN PIMA COUNTY 1997
51
CANCER IN PIMA COUNTY:1997
* Distribution by age and by age and sex at diagnosis excludes 4 cases with an unknown age at diagnosis. ** Male percentages are the percent of all male cases, and female percentages are the percent of all female cases.
52
CANCER IN PIMA COUNTY: 1997
* Spanish Surname Only: Ethnicity derived from Spanish last name with the use of a computer program. ** Spanish NOS: Spanish, not otherwise specified.
53
Pima County Table III-A. 1997 Frequency of Invasive Cancer Cases Primary Site by Sex
SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallb lad d e r Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 1807 52 4 20 5 1 6 2 6 1 6 1 375 34 40 8 214 158 56 2 19 16 3 4 5 42 4 3 FEMALE 1803 34 2 7 6 2 9 0 2 2 2 2 319 7 28 1 212 158 54 3 5 3 2 6 11 43 2 1 TOTAL 3610 86 6 27 11 3 15 2 8 3 8 3 694 41 68 9 426 316 110 5 24 19 5 10 16 85 6 4
12 "Other primary site" cases included only in the "All Sites" category in this table. "All Sites" does not include Bladder in situ cases.
54
Pima County Table III-A. 1997 Frequency of Invasive Cancer Cases(continued) Primary Site by Sex
SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system
NA = not applicable.
MALE 296 2 18 268 7 1 3 10 69 62 7 9 NA NA NA NA NA NA NA NA 579 550 27 2 0
FEMALE 245 1 3 237 2 2 6 4 52 49 3 542 259 36 129 2 72 3 11 6 NA NA NA NA NA
TOTAL 541 3 21 505 9 3 9 14 121 111 10 551 259 36 129 2 72 3 11 6 579 550 27 2 0
55
Pima County Table III-A. 1997 Frequency of Invasive Cancer Cases(continued) Primary Site by Sex
SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified
* = Includes invasive and in situ Bladder cases.
MALE 188 116 69 2 1 8 27 26 1 12 12 0 77 9 68 22 37 11 17 0 9 69
FEMALE 90 55 32 3 0 3 23 18 5 55 51 4 69 8 61 23 30 11 15 0 4 54
TOTAL 278 171 101 5 1 11 50 44 6 67 63 4 146 17 129 45 67 22 32 0 13 123
56
CANCER IN PIMA COUNTY: 1997
Figure III-E: Case Distribution by Invasive Cancer Type
* Bladder cases include 43 in situ cases.
57
CANCER IN PIMA COUNTY: 1997
* Bladder cases include 29 male in situ cases and 14 female in situ cases.
58
Pima County Table III-B. 1997 Age-Adjusted Incidence Rates Primary Site by Sex
SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallb lad d e r Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 397.29 12.38 4 .7 3 FEMALE 320.92 5.65 TOTAL 352.88 8.79 2 .8 6 0.95 1 .5 1 63.68 3.83 6.15 39.23 28.64 10.59 2 .3 8 1.92 0.78 1.36 7.92 -
78.60 7.37 8.14
-
51.64 4.51
44.86 32.74 12.13
34.69 25.36 9.33 -
4 .3 6 3.71
8.89
1.58 7.11
-
-
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. 12 "Other primary site" cases included only in the "All Sites" category in this table."All Sites" does not include Bladder in situ cases. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only.
59
Pima County Table III-B. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex
SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system MALE 64.17 FEMALE 40.82 TOTAL 50.98 2.24 4 7 .3 4 1 .4 5 12.15 11.33 0 .8 2 56.44 NA NA NA NA NA NA NA NA NA NA NA NA NA
4.22 5 7 .6 8
3 9 .4 9
2 .1 3 14.77 13.51 NA NA NA NA NA NA NA NA 130.58 124.39 5.79 -
10.34 9.93 102.19 4 6 .9 7 6 .98 23.29 12.92 1 .6 5 NA NA NA NA NA
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population.. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. NA = not applicable.
60
Pima County Table III-B. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex
SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified MALE 40.17 24.67 14.99 FEMALE 15.25 8.91 5.93 TOTAL 26.19 15.78 9.95 1.41 5 .65 4 .88 6.89 6.53 14.87 2 .1 8 12.69 4 .3 6 6 .53 2.25 2 .87 1.41 11.24
6 .52 6 .33
4 .96 3 .61
2 .88 2.88
10.69 10.02
17.21 15.27 4 .7 4 8 .41 2.61 3 .51
12.91 10.36 4 .0 9 5 .02 1.87 2 .48
2.29
15.02
8.05
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. NA = not applicable. * = Includes invasive and in situ Bladder cases.
61
Pima County Table III-C. 1997 Age-Adjusted Incidence Rates Primary Site by Ethnicity
ET HNICIT Y PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system NON-HISPANIC 414.19 10.25 HISPANIC 220.46 50.29 7.08 25.94 18.40 7.54 8.36 TOTAL 352.88 8.79 2 .8 6 0.95 1 .51 63.68 3.83 6.15 39.23 28.64 10.59 2 .3 8 1.92 0.78 1 .3 6 7.92 -
3 .0 1 1 .28 1.79 72.98 4.39 6.80 45.66 33.60 12.05 2 .3 6 1.88 1.02 1 .5 1 8.78 -
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. 12 "Other primary site" cases included only in the "All Sites" category in this table. "All Sites" does not include Bladder in situ cases. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only.
62
Pima County Table III-C. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity
ET HNICIT Y PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Breast (female) Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system NON-HISPANIC 61.11
-
HISPANIC 27.27 2 7 .2 7 31.81 57.45 33.26 10.87 14.77 84.42 82.67 -
TOTAL 50.98 2.24 4 7 .3 4 1 .4 5 12.15 11.33 0 .8 2 56.44 102.19 46.97 6.98 23.29 12.92 1 .6 5 130.58 124.39 5.79 -
2.89 5 6 .4 0
-
-
1 .7 9 15.23 14.46
-
66.23 121.11 53.94 6 .70 27.35
-
15.47
-
149.55 141.22 7.83
-
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only.
63
Pima County Table III-C. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity
ETHNICITY PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified NON-HISPANIC 31.11 19.43 11.09
-
HISPANIC 13.73 9.04 2.42 2.11 1 .44 1.91
TOTAL 26.19 15.78 9.95 1 .4 1 5.65 4.88 6.89 6.53 14.87 2.18 12.69 4 .3 6 6 .53 2 .25 2.87 1 .4 1 11.24
1.83
7 .22 6 .22
-
8 .52 7.99
-
17.89 2 .93 14.96 4 .8 3 7 .33 2.61 3 .07
1.64
12.68
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. * = Includes invasive and in situ Bladder cases.
64
Pima County Table III-D. 1997 Age-Specific Incidence Rates, All Sites Age Group by Sex
SEX AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years MALE 19.00 18.43 28.67 78.92 159.54 644.42 1844.40 2388.30 2294.97 FEMALE 14.30 13.40 40.25 140.18 294.90 650.61 1169.76 1516.23 1834.28 TOTAL 16.69 15.96 34.31 108.96 228.90 647.69 1474.38 1895.76 2008.58
Total 462.21 440.51 451.10 Rates are per 100,000 persons. Invasive cancer cases only. Not included are 4 cases with an unknown age group.
Pima County Table III-E. 1997 Age-Specific Incidence Rates, All Sites Age Group by Ethnicity
ET HNICIT Y AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years NON-HISPANIC 21.02 22.56 48.40 121.34 266.15 692.84 1676.20 2404.76 2484.93 HISPANIC 8.39 2.49 21.97 68.54 152.79 403.80 794.32 1209.96 1566.30 TOTAL 16.69 15.96 34.31 108.96 228.90 647.69 1474.38 1895.76 2008.58
Total 586.55 156.83 451.10 Rates are per 100,000 persons. Invasive cancer cases only. Not included are 4 cases with an unknown age group.
65
Pima County Table III-F. 1997 Age-Adjusted Incidence Rates, All Sites Sex by Race RACE SEX Male Female Total WHITE 392.15 320.05 350.15 BLACK 346.64 258.00 291.83 *OTHER 295.95 252.82 269.53 TOTAL 397.29 320.92 352.88
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. Invasive cancer cases only. Included in the "TOTAL" category only are 71 cases with an unknown race. * Other race includes Native American, Chinese, Japanese, Filipino, Korean, Asian Indian, Vietnamese, Thai, Micronesian, Guamanian, Polynesian, Tahitian, New Guinean, Other Asian, and Other.
66
PART IV CANCER INCIDENCE IN ARIZONA RURAL COUNTIES 1997
67
CANCER IN RURAL COUNTIES: 1997
Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz * Distribution by age at diagnosis excludes 5 cases with an unknown age at diagnosis. ** Distribution by age and sex at diagnosis excludes 5 cases with an unknown age and one case of unknown sex at diagnosis. *** Male percentages are the percent of all male cases, and female percentages are the percent of all female cases.
68
CANCER IN RURAL COUNTIES: 1997
Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. * Spanish Surname Only: Ethnicity derived from Spanish last name with the use of a computer program. ** Spanish NOS: Spanish, not otherwise specified.
69
Arizona Rural Counties Table IV-A. 1997 Frequency of Invasive Cancer Cases Primary Site by Sex
SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 2652 86 10 18 10 6 9 5 4 10 9 5 509 45 59 7 278 183 95 7 37 32 5 6 10 57 3 0 FEMALE 2300 24 1 6 1 4 4 0 3 1 3 1 434 15 25 7 273 198 75 5 22 18 4 12 8 55 8 4 TOTAL 4953 110 11 24 11 10 13 5 7 11 12 6 943 60 84 14 551 381 170 12 59 50 9 18 18 112 11 4
Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. Included only in the "All Sites" category are 19 "Other primary site" cases. "All Sites" does not include Bladder in situ cases. One "other sex" case is included in the "Total" category. .
70
Arizona Rural Counties Table IV-A. 1997 Frequency of Invasive Cancer Cases (continued) Primary Site by Sex
SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system MALE 499 2 35 451 9 2 7 19 105 97 8 7 NA NA NA NA NA NA NA NA 804 766 30 8 0 FEMALE 336 3 10 321 1 1 2 16 57 52 5 693 290 51 112 3 104 2 15 3 NA NA NA NA NA TOTAL 835 5 45 772 10 3 9 35 162 149 13 700 290 51 112 3 104 2 15 3 804 766 30 8 0
Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz.
71
Arizona Rural Counties Table IV-A. 1997 Frequency of Invasive Cancer Cases (continued) Primary Site by Sex
SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified MALE 295 217 70 7 1 3 34 30 4 21 18 3 113 11 102 39 59 27 23 0 9 96 FEMALE 114 64 47 2 1 8 43 41 2 51 50 1 91 8 83 27 48 20 19 0 9 64 TOTAL 409 281 117 9 2 11 77 71 6 72 68 4 204 19 185 66 107 47 42 0 18 160
Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. * = Includes invasive and in situ Bladder cases.
72
CANCER IN RURAL COUNTIES: 1997
Figure IV-E: Case Distribution by Invasive Cancer Type
Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. * Bladder cases include 61 total in situ cases
73
CANCER IN RURAL COUNTIES: 1997
Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. * Bladder cases include 50 male in situ cases and 11 female in situ cases.
74
Arizona Rural Counties Table IV-B. 1997 Age-Adjusted Incidence Rates Primary Site by Sex
SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 381.17 13.85 1 .6 2 3 .3 1 1 .49 FEMALE 323.34 3.85 TOTAL 350.13 8.70 0.89 2 .0 5 0.78 0.76 1.05 0.90 0.88 63.26 4.02 5.73 0 .9 9 36.67 24.65 12.03 0 .8 1 4.08 3 .51 1.08 1 .1 4 7.67 0 .8 5 -
-
-
1.71
-
-
-
72.36 6.49 8.39 39.14 24.77 14.38
54.97 1.77 3.31 34.42 24.57 9.86 2.81 2 .32
5.49 4 .82
-
1.38 7.01 -
1.23
8.35
-
-
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. Included only in the "All Sites" category are 19 "Other primary site" cases."All Sites" does not include Bladder in situ cases. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. One "other sex" case is included only in the "Total" category. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz.
75
Arizona Rural Counties Table IV-B. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex
SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system MALE 69.91 FEMALE 44.79 TOTAL 56.78 3.30 5 2 .0 7 0.68 2.62 12.50 11.48 1 .0 2 52.39 NA NA NA NA NA NA NA NA NA NA NA NA NA
5.15 6 2 .6 0 -
1.59 4 2 .4 8 -
2.73 16.81 15.49 NA NA NA NA NA NA NA NA 113.29 106.85 5.21 -
2.57 8.52 7.82 100.49 4 3 .9 2 8 .41 16.04 16.08 2 .1 7 NA NA NA NA NA
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. NA = not applicable.
76
Arizona Rural Counties Table IV-B. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex
SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified MALE 41.68 29.94 10.66 FEMALE 15.38 8.38 6.60 TOTAL 28.02 18.68 8.60 0.86 5 .60 5 .05 5 .84 5 .49 14.80 1.64 13.15 4 .5 1 7 .70 3.52 3 .10 1.08 11.21
5 .41 4 .64
5 .77 5 .43
3 .36 2 .86
8 .41 8 .21
16.92 1 .84 15.08 5 .6 1 8 .41 3.92 3 .46
12.76 11.27 3 .4 7 7 .06 3.17 2 .76
14.01
8.62
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. * = Includes invasive and in situ Bladder cases.
77
Arizona Rural Counties Table IV-C. 1997 Age-Adjusted Incidence Rates Primary Site by Ethnicity
ET HNICIT Y PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system NON-HISPANIC 390.00 9.40 1.07 2 .3 0 0 .87 1.20 0.88 69.94 4.29 5.87 1 .2 2 41.60 27.96 13.64 1.00 4 .3 0 3.58 1.28 1 .2 6 8.21 HISPANIC 227.69 6.27 49.80 7.69 22.59 16.40 6.20 6.68 TOTAL 350.13 8.70 0.89 2 .0 5 0.78 0.76 1 .05 0.90 0.88 63.26 4.02 5.73 0 .9 9 36.67 24.65 12.03 0 .81 4 .0 8 3.51 1.08 1 .1 4 7.67 0.85 -
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. Included only in the "All Sites" category are 19 "Other primary site" cases."All Sites" does not include Bladder in situ cases.-- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz.
78
Arizona Rural Counties Table IV-C. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity
ET HNICIT Y PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Breast (female) Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system NON-HISPANIC 64.99 3.75 6 0 .2 0 2 .8 7 14.71 13.52 1 .1 9 57.83 110.73 47.38 6 .69 18.89 17.93 2.45 127.35 119.76 6.10 HISPANIC 29.36 2 4 .4 8 30.64 59.52 30.00 16.05 78.11 75.01 TOTAL 56.78 3.30 5 2 .0 7 0.68 2 .6 2 12.50 11.48 1 .0 2 52.39 100.49 43.92 8.41 16.04 16.08 2.17 113.29 106.85 5.21 -
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz.
79
Arizona Rural Counties Table IV-C. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity
ETHNICITY PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified NON-HISPANIC 31.84 21.82 9.18 HISPANIC 15.34 8.00 6.83 1.70 1.51 0 .8 5 1 .77 1.22 0.87 TOTAL 28.02 18.68 8.60 0 .8 6 5.60 5.05 5.84 5.49 14.80 1.64 13.15 4 .5 1 7 .70 3.52 3.10 1 .0 8 11.21
6 .03 5 .60
6 .43 6.10
16.64 1 .88 14.77 4 .6 9 8 .02 3.30 3 .37
1.35
12.84
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. * = Includes invasive and in situ Bladder cases.
80
Arizona Rural Counties Table IV-D. 1997 Age-Specific Incidence Rates, All Sites Age Group by Sex
SEX AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years MALE 10.10 9.31 33.94 72.26 176.71 629.31 1757.35 2338.88 2131.25 FEMALE 19.12 8.77 45.66 131.69 364.37 678.04 1103.81 1512.59 1652.93 TOTAL 14.46 9.05 39.48 101.70 269.67 654.65 1419.77 1912.94 1866.09
Total 489.50 393.75 460.60 Rates are per 100,000 persons. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and LaPaz. Not included are 5 cases with an unknown age group. One "other sex" case is included only in the "Total" category.
Arizona Rural Counties Table IV-E. 1997 Age-Specific Incidence Rates, All Sites Age Group by Ethnicity
ET HNICIT Y AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years NON-HISPANIC 10.13 9.37 53.56 99.24 280.28 680.94 1524.80 2271.98 2420.73 HISPANIC 22.47 6.33 18.84 89.88 203.20 330.40 867.14 1369.30 1187.01 TOTAL 14.46 9.05 39.48 101.70 269.67 654.65 1419.77 1912.94 1866.09
Total 540.62 180.04 460.63 Rates are per 100,000 persons. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. Not included are 5 cases with an unknown age group.
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Arizona Rural Counties Table IV-F. 1997 Age-Adjusted Incidence Rates, All Sites Sex by Race RACE SEX Male Female Total WHITE 390.91 339.43 363.15 BLACK 395.02 209.64 301.68 *OTHER 172.15 172.09 171.88 TOTAL 381.17 323.34 350.13
Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. Invasive cancer cases only. Included only in the "TOTAL" category are 74 cases with an unknown race. One "other sex" case is included only in the "Total" category. * Other race includes Native American, Chinese, Japanese, Filipino, Korean, Asian Indian, Vietnamese, Other Asian and Other. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz.
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PART V CANCER MORTALITY IN ARIZONA 1997
83
84
Arizona Table V-A. 1997 Age-Adjusted Malignant Neoplasm Mortality Rates, All Causes County of Residence by Sex SEX COUNTY Apache Cochise Coconino Gila Graham Greenlee La Paz Maricopa Mohave Navajo Pima Pinal Santa Cruz Yavapai Yuma Arizona MALE 86.4 137.0 86.6 151.0 125.3 102.1 132.0 169.6 160.0 138.1 142.5 179.3 130.2 116.5 134.7 FEMALE 62.4 112.6 96.3 81.5 76.1 161.2 103.0 120.6 95.9 95.2 99.9 90.4 112.5 92.1 101.6 TOTAL 73.2 123.9 91.6 114.2 99.3 113.0 128.9 115.7 144.3 125.8 113.8 120.8 129.9 120.3 103.9 116.5
rate
Rates are per 100,000 persons and are adjusted to the 1940 U.S. population. - = Insufficient cases for an adjusted calculation. Source: ADHS Office of Vital Records.
85
Arizona Table V-B. 1997 Age-Adjusted Malignant Neoplasm Mortality Rates, All Causes County of Residence by Race RACE COUNTY Maricopa Pima *All Other Arizona WHITE 116.0 115.6 122.0 117.8 BLACK 147.7 103.1 114.4 135.5 OTHER 65.8 84.9 76.5 74.0 TOTAL 116.9 123.1 124.5 116.5
Rates are per 100,000 persons and are adjusted to the 1940 U.S. population. * Includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, and Yuma. Source: ADHS Office of Vital Records.
Arizona Table V-C. 1997 Age-Adjusted Malignant Neoplasm Mortality Rates, All Causes County of Residence by Ethnicity ETHNICITY COUNTY Maricopa Pima *All Other Arizona NON-HISPANIC 119.6 130.9 130.7 124.7 HISPANIC 84.1 84.1 86.1 85.5 TOTAL 116.9 123.1 124.5 116.5
Rates are per 100,000 persons and are adjusted to the 1940 U.S. population. * Includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, and Yuma. Unknown Included only in the "TOTAL" category are 21 cases with an unknown ethnicity. Source: ADHS Office of Vital Records.
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Arizona Table V-D. 1997 Age-Specific Malignant Neoplasm Mortality Rates, All Causes Age Group by Sex SEX AGE GROUP 0 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years Total MALE 6.1 8.7 17.1 60.4 234.2 612.5 1183.0 1764.4 196.6 FEMALE 7.2 5.4 22.0 69.4 191.8 456.2 737.8 1149.1 170.2 TOTAL 6.6 7.1 20.0 64.9 212.3 529.6 939.2 1393.7 183.4
Rates are per 100,000 persons. Source: ADHS Office of Vital Records.
Arizona Table V-E. 1997 Age-Adjusted Malignant Neoplasm Mortality Rates Cause of Death by Sex SEX CAUSE OF DEATH Lung Female Breast Prostate Colorectal Pancreas Lymphomas Ovarian Leukemias Brain Stomach MALE 43.2 NA 14.2 12.7 7.4 6.9 NA 4.6 3.3 3.9 FEMALE 25.2 19.3 NA 9.2 4.8 4.5 5.4 3.4 2.6 2.1 TOTAL 32.2 19.3 14.2 10.7 6.0 5.7 5.4 4.0 3.0 3.0
Rates are per 100,000 persons and are adjusted to the 1940 U.S. population. NA= Not applicable. Source: ADHS Office of Vital Records.
87
NOTES
88
APPENDIX
89
Appendix Primary Site based on ICD-O-2 Primary site Buccal cavity and pharynx Lip Tongue Salivary glands Floor of Mouth Gum and other mouth Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity and pharynx Digestive System Esophagus Stomach Small Intestine Colon excluding rectum Rectum and recto sigmoid Anus, anal canal and anorectum Liver Intra hepatic bile duct Gall bladder Other biliary Pancreas Retro peritoneum Peritoneum, momentum and mesentery Other digestive organs Respiratory system Nasal Cavity, middle ear and accessory sinuses C300 : C301, C310 : C319 M-9590 : 9989 C150 : C159 C160 : C169 C170 : C179 C180 : C189, C260 C199 : C209 C210 : C212, C218 C220 C221 C239 C240 : C249 C250 : C259 C480 C481 : C482 C268 : C269, C488 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 C000 : C009 C019 : C029 C079 : C089 C040 : C049 C030 : C039, C050 : C059, C060 : C069 C110 : C119 C090 : C099 C100 : C109 C129, C130 : C139, C141 C140, C142 : C148 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 Site/Type Excluding Type
90
Appendix Primary Site based on ICD-O-2 Primary site Larynx Lung and bronchus Pleura Trachea, mediastinum and other respiratory organs Bones and joints Soft tissue (including heart) Skin (excluding basal and squamous) Melanomas - - - skin Other non-epithelial skin C440 : C449 (types 872 : 879) C440 : C449 M-8000 : 8004, M-8010 : 8012, M-8070 : 8076, M-8090 : 8096, M-8720 : 8790, M-9590 : 9989, M-9590 : 9989 Site/Type C320 : C329 C340 : C349 C384 C339, C381 : C383, C388, C390, C398, C399 C400 : C419 C380, C470 : C479, C490 : C499 Excluding Type M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989
Breast Female genital system Cervix Corpus Uterus, NOS Ovary Vagina Vulva Other female genital organs Male genital system Prostate Testis Penis Other male urinary organs Urinary system Urinary bladder
C500 : C509
C530 : C539 C540 : C549 C559 C569 C529 C510 : C519 C570 : C589
M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989
C619 C620 : C629 C600 : C609 C630 : C639
M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989
C670 : C679
M-9590 : 9989
91
Appendix Primary Site based on ICD-O-2 Primary site Kidney and renal pelvis Ureter Other urinary organs Eye and Orbit Brain and other nervous system Brain Other nervous system Endocrine system Thyroid Other endocrine (including thymus) Lymphomas Hodgkin's disease Non-Hodgkin's lymphoma Multiple Myeloma Leukemias Lymphocytic Granulocytic (myeloid) Monocytic Other types 9820, 9821, 9822, 9823, 9825, 9826 types 9860, 9861, 9862, 9863, 9864, 9866, 9867, 9868 types 9890, 9891, 9892, 9893, 9894 types 9800, 9801, 9802, 9803, 9804, 9827, 9830, 9840, 9841, 9842, 9850, 9870, 9880, 9900, 9910, 9931, 9930 : 9941 types 9720 : 9723, 9740, 9741, 9760 : 9764, 9950 : 9989, C760 : C768, C809 (types 8000: 9589) C420 : C424 (types 8000 : 9589) C770 : C779 (types 8000 : 9589) Site or histology code not within valid range or site code not found in this table types 9650 : 9667 types 9590 : 9595, 9670 : 9714 types 9731 : 9732 C739 C379, C740 : C749, C750 : C759 M-9590 : 9989 M-9590 : 9989 C710 : C719 C710 : C719 (type 953) C700 : C709, C720 : C729 M-9530 : 9939, M-9590 : 9989 M-9590 : 9989 Site/Type C649, C659 C669 C680 : C689 C690 : C699 Excluding Type M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989
Ill-defined and unspecified sites
Invalid site
92
93
Object Description
| Rating | |
| TITLE | Cancer in Arizona: cancer incidence and mortality |
| CREATOR | Arizona Cancer Registry; |
| SUBJECT | Cancer--Arizona--Statistics--Periodicals; Arizona Cancer Registry--Periodicals; |
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Science and technology |
| DESCRIPTION | This title contains one or more publications. The annual report for the Arizona Cancer Regsitry. Prepared by Arizona Cancer Registry, Office of Chronic Disease Epidemiology, Division of Disease Prevention, Arizona Dept. of Health Services. |
| Language | English |
| Contributor | Arizona. Division of Disease Prevention; |
| Publisher | Arizona. Dept. of Health Services; |
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Annual Reports State Documents |
| Source Identifier | HES 12.7:C 15/ |
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| REPOSITORY | Arizona State Library, Archives and Public Records--Law and Research Library. |
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| TITLE | Cancer in Arizona: cancer incidence and mortality in 1997 |
| DESCRIPTION | 99 pages (PDF version). File size: 2216.091 KB. "December 1999." |
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| DATE ORIGINAL | 1999-12 |
| Time Period | 2000s (2000-2009) |
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| Source Identifier | HES 12.7:C 15/1997 |
| DIGITAL IDENTIFIER | 97annual.pdf |
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| REPOSITORY | Arizona State Library, Archives and Public Records--Law and Research Library. |
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| Full Text | CANCER IN ARIZONA CANCER INCIDENCE AND MORTALITY IN 1997 Arizona Department of Health Services Bureau of Public Health Statistics Office of Health Registries Arizona Cancer Registry Office of Epidemiology and Statistics 2700 North Third Street, Suite 4075 Phoenix, Arizona 85004 Ph: (602) 542-7320 December 1999 Partially Funded by the Centers For Disease Control Cooperative Agreement No. U75/CCU910675 CANCER IN ARIZONA CANCER INCIDENCE AND MORTALITY THE 1997 ANNUAL REPORT FOR THE ARIZONA CANCER REGISTRY ARIZONA DEPARTMENT OF HEALTH SERVICES BUREAU OF PUBLIC HEALTH STATISTICS CO-AUTHORS: Amy Stoll, MS Epidemiologist Office of Epidemiology & Statistics Chris Newton, MPA Acting Program Manager Arizona Cancer Registry Office of Health Registries Georgia Armenta Yee, BSW, CTR Office Chief, Office of Health Registries Office of Health Registries No tice The Arizona Department of Health Services does not discriminate on the basis of disability in the administration of its programs and services as prescribed by Title II of the Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. If you need this publication in an alternative format, please contact: townet@hs.state.az.us BUREAU OF PUBLIC HEALTH STATISTICS BUREAU CHIEF Richard S. Porter, M.S. MEDICAL DIRECTOR Timothy J. Flood, M.D. OFFICE OF HEALTH REGISTRIES OFFICE CHIEF Georgia Armenta Yee, B.S.W., C.T.R. ADMINISTRATIVE/SECRETARIAL SUPPORT Toni Towne EXECUTIVE CONSULTANT Keith A. Laubham, M.S. ACTING PROGRAM MANAGER Chris Newton, M.P.A. DATA ANALYSIS / SPECIAL PROJECTS SECTION SECTION MANAGER: Diane Volk, R.H.I.T., C.T.R. STAFF: Susan Sullivan, R.H.I.T., C.T.R. DATA COLLECTION/EDITING SECTION SECTION MANAGER: Maria Celaya, R.H.I.T., C.T.R. STAFF: Valerie Trotty, R.H.I.T., C.T.R. Janet Cole, C.S.T., H.U.C. Jill Ialenti, R.H.I.T. QUALITY ASSURANCE SECTION: SECTION MANAGER: Brenda Smith, B.G.S., C.T.R. STAFF: Kathleen Lynch Cynthia Dean OFFICE OF EPIDEMIOLOGY AND STATISTICS OFFICE CHIEF Ross J. Brechner, M.D., M.S., M.P.H. EPIDEMIOLOGIST Amy Stoll, M.S. TABLE OF CONTENTS GENERAL INFORMATION 1 2 3 4 7 7 8 8 9 Arizona Cancer Registry (ACR) Overview Accomplishments and Activities Confidentiality Definition and Procedures Methods Executive Summary - Part I: Cancer Incidence in Arizona Executive Summary - Part II: Cancer Incidence in Maricopa County Executive Summary - Part III: Cancer Incidence in Pima County Executive Summary - Part IV: Cancer Incidence in Arizona Rural Counties Executive Summary - Part V: Cancer Mortality In Arizona PART I - CANCER INCIDENCE IN ARIZONA CASE DISTRIBUTION 12 12 13 13 14 14 15 18 21 22 22 23 24 25 26 29 32 32 33 Figure I-A Residence of All Cancer Cases Figure I-B County of Residence of Arizona Invasive Cancer Cases Figure I-C Invasive Cancer Case Percent Distribution by Age Figure I-D Invasive Cancer Case Percent Distribution by Age and Sex Figure I-E Race Distribution of Cancer Cases Figure I-F Ethnic Distribution of Cancer Cases Table I-A 1997 Frequency of Cancer Cases - Primary Site by Behavior Table I-B 1997 Frequency of Cancer Cases - Primary Site by Sex Figure I-G Case Distribution by Invasive Cancer Type Figure I-H Ten Most Common Invasive Cancer Types: Males Figure I-I Ten Most Common Invasive Cancer Types: Females Figure I-J Age-Adjusted Incidence Rates - All Sites: County of Residence Table I-C Age-Adjusted Incidence Rates - All Sites: County of Residence by Sex Table I-D Age-Adjusted Incidence Rates - All Sites: County of Residence by Ethnicity Table I-E Age-Adjusted Incidence Rates - Primary Site by Sex Table I-F Age-Adjusted Incidence Rates - Primary Site by Ethnicity Table I-G Age-Specific Incidence Rates, All Sites - Age Group by Sex Table I-H Age-Specific Incidence Rates, All Sites - Age Group by Ethnicity Table I-I Age-Specific Incidence Rates, All Sites - Sex by Race INCIDENCE RATES PART II - CANCER INCIDENCE IN MARICOPA COUNTY CASE DISTRIBUTION 36 36 37 Figure II-A Invasive Cancer Case Percent Distribution by Age Figure II-B Invasive Cancer Case Percent Distribution by Age and Sex Figure II-C Race Distribution of Cancer Cases PART II - CANCER INCIDENCE IN MARICOPA COUNTY 37 Figure II-D Ethnic Distribution of Cancer Cases 38 Table II-A 1997 Frequency of Cancer Cases - Primary Site by Sex 41 Figure II-E Case Distribution by Invasive Cancer Type 42 Figure II-F Ten Most Common Invasive Cancer Types: Males 42 Figure II-G Ten Most Common Invasive Cancer Types: Females INCIDENCE RATES 43 46 49 49 50 Table II-B Age-Adjusted Incidence Rates - Primary Site by Sex Table II-C Age-Adjusted Incidence Rates - Primary Site by Ethnicity Table II-D Age-Specific Incidence Rates, All Sites-Age Group by Sex Table II-E Age-Specific Incidence Rates, All Sites - Age Group by Ethnicity Table II-F Age-Specific Incidence Rates, All Sites - Sex by Race PART III - CANCER INCIDENCE IN PIMA COUNTY CASE DISTRIBUTION 52 52 53 53 54 57 58 58 59 62 65 65 66 Figure III-A Invasive Cancer Case Percent Distribution by Age Figure III-B Invasive Cancer Case Percent Distribution by Age and Sex Figure III-C Race Distribution of Cancer Cases Figure III-D Ethnic Distribution of Cancer Cases Table III-A 1997 Frequency of Cancer Cases - Primary Site by Sex Figure III-E Case Distribution by Invasive Cancer Type Figure III-F Ten Most Common Invasive Cancer Types: Males Figure III-G Ten Most Common Invasive Cancer Types: Females Table III-B Age-Adjusted Incidence Rates - Primary Site by Sex Table III-C Age-Adjusted Incidence Rates - Primary Site by Ethnicity Table III-D Age-Specific Incidence Rates, All Sites-Age Group by Sex Table III-E Age-Specific Incidence Rates, All Sites - Age Group by Ethnicity Table III-F Age-Specific Incidence Rates, All Sites - Sex by Race INCIDENCE RATES PART IV - CANCER INCIDENCE IN ARIZONA RURAL COUNTIES CASE DISTRIBUTION 68 68 69 69 70 73 74 74 75 78 Figure IV-A Invasive Cancer Case Percent Distribution by Age Figure IV-B Invasive Cancer Case Percent Distribution by Age and Sex Figure IV-C Race Distribution of Cancer Cases Figure IV-D Ethnic Distribution of Cancer Cases Table IV-A 1997 Frequency of Cancer Cases - Primary Site by Sex Figure IV-E Case Distribution by Invasive Cancer Type Figure IV-F Ten Most Common Invasive Cancer Types: Males Figure IV-G Ten Most Common Invasive Cancer Types: Females Table IV-B Age-Adjusted Incidence Rates - Primary Site by Sex Table IV-C Age-Adjusted Incidence Rates - Primary Site by Ethnicity INCIDENCE RATES PART IV - CANCER INCIDENCE IN ARIZONA RURAL COUNTIES 81 81 82 Table IV-D Age-Specific Incidence Rates, All Sites-Age Group by Sex Table IV-E Age-Specific Incidence Rates, All Sites - Age Group by Ethnicity Table IV-F Age-Specific Incidence Rates, All Sites - Sex by Race PART V - CANCER MORTALITY IN ARIZONA ARIZONA MORTALITY 84 85 86 86 87 87 Figure V-A Age-Adjusted Mortality Rates - All Causes: County of Residence Table V-A 1997 Age-Adjusted Malignant Neoplasm Mortality Rates, All Causes - County of Residence by Sex Table V-B 1997 Age-Adjusted Malignant Neoplasm Mortality Rates, All Causes - County of Residence by Race Table V-C 1997 Age-Adjusted Malignant Neoplasm Mortality Rates, All Causes - County of Residence by Ethnicity Table V-D 1997 Age-Specific Malignant Neoplasm Mortality Rates, All Causes - Age Group by Sex Table V-E 1997 Age-Specific Malignant Neoplasm Mortality Rates, Cause of Death by Sex APPENDIX 90 Primary Site & Histology Type: ICDO2 Code Definitions Table ARIZONA CANCER REGISTRY The Arizona Cancer Registry (ACR) is a population-based surveillance system for the collection, management, and analysis of information on incidence and survival for persons having been diagnosed with and/or treated for cancer. Historical Perspective: The ACR began operating in 1980 and started collecting information in 1981. Initially, the registry was a voluntary hospital-based reporting system. In 1988, Arizona Revised Statute 36-133 was amended mandating the reporting of cancer cases. Rules to ensure reporting of all cases became effective January 1, 1992. These rules require hospitals, clinics, and physicians to report cases. Funding: The ACR receives its funding from state legislature appropriations to Arizona Department of Health Services. Enhancement funding to support and improve the registry is provided through the National Program of Cancer Registries (NPCR) from the Centers for Disease Control and Prevention (CDC) cooperative agreement (U75/CCU910679). Goals of the ACR: To collect complete and accurate incidence information and monitor incidence patterns To improve and maintain high standards in the quality of information collected To promote and assist hospital cancer registries To identify population subgroups at high risk for cancer To assist in the identification of geographic regions of this state that need intervention programs or epidemiological research, detection and prevention To perform studies To provide biostatistic and epidemiologic information to the medical community The services provided to reporting facilities include: exchange of follow-up information, consultation and assistance, statistical support, response to data requests, response to coding and abstracting questions (technical support), numerous training workshops and in-house training, support of cancer registry software, and provision of all forms and manuals. The quality assurance program is a comprehensive program that includes: reviewing data to ensure completeness and accuracy, visual editing, immediate and batch edits utilizing the Rocky Mountain Cancer Data System (RMCDS) software program and the North American Association of Central Cancer Registries (NAACCR) EDITS, additional RMCDS reports reviewed for accuracy, duplicate report checking, on-site case ascertainment reviews to determine the completeness of reporting at hospitals, on-site reabstracting studies to ascertain the validity of the data submitted, internal review, and a timeliness and completeness monitoring program. Annual Report: This annual report represents persons diagnosed with cancer in 1997 who reside in Arizona. This is the third complete year of population-based incidence reporting for Arizona. The registry collects information on all invasive and in situ cancers with the exception of cervix insitu. The registry also collects cases of benign brain tumors and only regional and distant staged skin cancers (basal and squamous cell carcinomas). 1 We hope that this document can provide useful information to assist with cancer control activities and provide information for intervention and prevention programs. Accomplishments and Activities: A total of 75 hospitals are reporting to the ACR, either directly or indirectly. This report includes data from all USPHS Indian Hospitals reporting through the New Mexico Tumor Registry, all non-federal hospitals and four out of six federal facilities (VA and military). In addition, the ACR receives cases from outpatient freestanding clinics and physician offices. Performed identification and collection of cancer cases at 12 hospitals with less than 50 beds. The collection of cancer cases from 35 freestanding and hospital pathology laboratories in order to capture 1997 cases not referred to a hospital. Many of the cases found through this method were prostate and melanoma types. A BBS (Bulletin Board System) electronic reporting system has been developed. Five hospitals are currently reporting through this method. The ACR is a member of NAACCR. NAACCR is an organization for cancer registries, governmental agencies, professional associations, and private groups in North America interested in enhancing the quality and use of cancer registry data. ACR participates in a Call for Data every year. This organization publishes Cancer in North America, both incidence and mortality. The ACR submits data to CBTRUS (Central Brain Tumor Registry of the United States). This is the largest population-based database of primary brain tumors. ACR participated in the CBTRUS quality control reabstracting study. Data obtained from this study will enable CBTRUS and ACR to continue to improve the quality of the data. Newsletters are published on a quarterly basis. The newsletter includes information on cancer data, educational opportunities, quality assurance and procedural information. To collect the cases of Arizona residents traveling to other states for diagnosis and/or treatment, the ACR has increased and maintained the number of interstate data exchange agreements. Data is exchanged with all neighboring states. ACR receives Arizona resident cases from 17 states. All information collected, abstracted, and coded is done so in a format consistent with national standards. The Arizona Coding Handbook includes the standards of the American College of Surgeons Commission on Cancer, Volume I and II and the Arizona Cancer Registry Supplement. A monitoring program tracks the timeliness and completeness of hospital reporting. Of the 1997 cases reported by hospitals, 83% of the cases were reported within six months from the close of the year. From December 1998 through December 1999 the ACR completed 96 requests for data. NAACCR established a certification process for central cancer registries. Data for 1997 was submitted for evaluation and feedback regarding our achievement in the areas of case ascertainment, completeness of information on critical variables, data accuracy and timeliness. The ACR was recognized for achieving the Gold Standard. In the certification process the NAACCR "gold standard" is <3%. The ACR met both national standards. The percentage of death certificate only cases after clearance was 1.4%. The SEER standard states that these cases "should not exceed 1.5 percent of all cancers registered in a given year after follow-back.". The ACR has held numerous workshops for reporting facilities in the goal of collecting quality information. Types of workshops conducted were: Introductory Abstracting Workshop, Secondary Abstracting Workshop, Certified Tumor Registrar Prepatory Seminar, Intermediate Abstracting 2 Workshop and Physician/Clinic Reporting Seminar and many satellite teleconferences. The ACR is a Phoenix College Health Information Technology intern training site. Acknowledgments: We would like to acknowledge all participating hospitals, clinics, physicians, and pathology laboratories (freestanding and hospital-based). The hospitals account for most of the reportable cases, providing complete identification and registration of each person with a diagnosis of cancer. Without their cooperation this report would not be possible. We would like to recognize the New Mexico Tumor Registry (NMTR) who travels into Arizona to collect information in the Indian Health Services (IHS) facilities. Through our agreement with NMTR and IHS, we are able to have complete reporting of Native Americans for the state. Confidentiality: All information identifying a specific individual is considered "medical information" as defined in the Arizona Administrative Code, A.A.C., Title 9, Chapter 1, Article 3, R9-1-311 through R9-1-315: Disclosure of Information and Records. Case reports are treated as confidential medical data. In addition, the ACR has established policies and procedures for the management and disclosure of confidential information to further protect privacy. All patient information is maintained in a confidential manner, consistent with the law, between the ACR and the reporting source. Policies do allow releasing aggregate data to anyone on request. Copies and information: Additional copies or information can be obtained by contacting the Arizona Cancer Registry at (602)542-7320. 3 METHODS This annual report includes cases diagnosed in 1997. These cases were reported to the Arizona Cancer Registry (ACR) prior to December 17, 1999. This report focused on invasive cancer cases with the exception of localized basal and squamous cell skin cancer. In situ cases are included in a table of cancer type by behavior code. This table excludes: 1) cervix in situ and 2) in situ and localized basal and squamous skin cancer. In situ urinary bladder cases are also combined with invasive urinary bladder cases in many of the invasive cancer tables and graphs. This approach was used to create charts comparable to the Surveillance, Epidemiology, and End Results program (SEER) reports. For a listing of the cancer and histologic site types used in this report, see the appendix. Data Quality Standards All case reports were rigorously reviewed for errors. These errors were corrected before inclusion into the data set used in this report. These error checks included: 1) 1997 North American Association of Central Cancer Registries (NAACCR) EDITS 2) Rocky Mountain Cancer Data System (RMCDS) error checks 3) A manual visual editing on all cases seen at multiple facilities 4) A validity check of codes in all fields used in the report analysis 5) Random and targeted visual editing on unduplicated cases 6) Duplicate error checking of all cases The data used in this report met the existing "Data Quality Indicator Gold Standard", set by NAACCR for: 1) The percent of cases that are microscopically confirmed. The ACR rate was 93.7% . The accepted NAACCR standard may fall between 92 percent and 95 percent. 2) The NAACCR standard for the percent of cases that are "Death Certificate Only". The ACR percentage was 1.2 percent and the NAACCR standard is 3.0 percent. 3) The completeness of information recorded was greater than 98 percent for the rated fields of: Completeness of Data Field Name Pct. Missing Age at Diagnosis Sex Race State/County < 0.1 < 0.1 1.6 0.1 4) 5) 6) 7) The completeness of cases ascertainment was over 100 percent of the expected number of cases as estimated by the SEER incidence to US mortality ratio. 100 percent of the cases passed the "EDITS" data quality program. Duplicates for Primary cases were at less than 1 per 1000 cases. The data was timely. All data was received within 23 months of the close of the diagnosis year. 4 Categories Used in Analysis Cases were classified by primary site or histologic type; race, ethnicity, age at diagnosis, and residence at diagnosis. Primary Site & Histologic Type Primary site and histologic type were classified according to International Classification of Diseases for Oncology, 2nd Edition. (a.k.a.: ICDO2) See Appendix. The definition of behavior code, invasive, and in situ is as follows: Behavior code: The 5th digit of the Morphology Code that indicates: 1) the growth pattern of a tumor and 2) whether or not it is invasive. Invasive: A Malignant tumor that has invaded the basement membrane of the tissue of origin. In situ: Non-infiltrating, non-invasive, intra epithelial tumor cells that have not penetrated the basement membrane or extended beyond the epithelial tissue. Counts The counts are the number of cases diagnosed with a reportable cancer in 1997. A cancer case can either be a tumor originating in one primary site or may be a systemic cancer of a specific histologic type. More than one cancer case may be reported for a person. This results in more cancer cases than persons recorded in the ACR. Rates Rates were calculated by dividing the number of cases diagnosed in 1997 with a specific cancer type by the population. Each rate was multiplied by 100,000 persons. These crude rates were used in the figures showing the ten most common invasive cancer types for males and females. Age adjusted morbidity rates were subsequently multiplied by the proportion of the US 1970 population for each age group to standardize the rate. The rates from each age group are then added together to create the age adjusted rate. Mortality rates were age adjusted and standardized, using the US 1940 population, in the same manner as the morbidity rates. Population Denominators Population denominators were taken from the February 1997 DES projections of the expected 1997 Arizona population. These county and state projections have been approved for use in analysis by the Arizona Department of Health Services. However, these projections were not divided by race and ethnicity. To derive race and ethnicity of Arizona populations by sex, the percentage of the July 1st, 1997 US Bureau of Census Estimates for these population subgroups were calculated and applied to the DES projections. Mortality Rates Cancer mortality rates are calculated on counts of cancer deaths that meet all of the following criteria: 1) The cancer death occurs to an Arizona resident 2) The "Primary Cause of Death" is coded to ICD9 codes 140.0 through 208.9 3) The case is reported to the Arizona Office of Vital Records The Primary Cause of Death is classified according to the International Classification of Diseases, Injuries, and Causes of Death, (Ninth Revision, 1975) . Age adjusted cancer mortality rates are standardized to the 1940 US population. This standardization method is used to create rates that are comparable over time and geographic region. 5 Caution in Using Small Numbers The intent of these data is to provide the reader with useful information on cancer in Arizona. However, it is equally important not to mislead the data users on the meaning of this data. Rates or other analysis based on fewer than 10 cases were not considered statistically reliable and are excluded from this report. When a rate is excluded for this reason it is denoted by a dash in the rate tables. Data Completeness It is estimated that the ACR has collected at least 95 percent of all reportable cancer cases in Arizona. However, cases diagnosed or treated at the VA Medical Centers in Tucson and Prescott were not reported and subsequently not included in this report. The lack of inclusion of these cases may affect the results in this report. Race Information concerning a person's race is generally obtained by a hospital tumor registrar upon reviewing the physicians notations and the medical record admission information. Race was grouped by categories of White, Black, and Other in the incidence rate tables. The other category included Asians, Native Americans, and cases classified as "other race". These categories were used to compare them to SEER racial categories. However, charts of case counts further divide the "other" category by separating Asian, Native American, and "other race" into their own groups. Cases having an unknown race diagnosed with a primary site of skin melanoma were coded as white. One hundred four melanoma skin cases with an unknown race code were changed to a race of white. Ethnicity Information concerning a person's ethnicity is generally obtained by a hospital tumor registrar upon reviewing the physician's notations and the medical record admission information. Ethnicity can be derived from self identification, surname, or place of birth. Ethnicity incidence rates were divided into two groups: Hispanic and Non-Hispanic. Counts further divided the Hispanic group into classifications of Mexican, Puerto Rican, Cuban, South or Central American, Other Spanish, Spanish NOS ( Not Otherwise Specified), and Spanish Surname Only. Hispanic ethnicity may be assigned to cases with an unknown ethnicity that have a Spanish last name. These cases have been placed in the "Spanish Surname Only" category. Their Hispanic designation is based on the New Mexico Tumor Registry's "Hispanic Surname Checking Program". An additional 61 invasive cases were categorized as Hispanic with this method. For the purpose of this report all remaining cases (1484) with an unknown ethnicity are considered Non-Hispanic. Age at Diagnosis Age groups were divided into: 1) eight 10 year age groupings for ages 0 through 79 years; and 2) one grouping for all cases with an age 80 years or above. Residence at Diagnosis The residence of a case was grouped at a county or higher level. The charts of residence counts divided cases by: 1) Arizona Resident (county or state); 2) Other US states; and 3) Other Countries. Incidence rates focused on Arizona residence and divided cases into three geographic regions: 1) Maricopa County; 2) Pima County; and 3) the thirteen remaining "Rural" counties. The rural counties were grouped together to create larger counts sufficient in size to generate reliable rate tables. Of Arizona residents, there were 16 cases with no known county. 6 Executive Summary This is a five-part report summarizing data about the morbidity and mortality of cancer in Arizona in 1997. Cases diagnosed with cancer in Arizona and reported to the ACR are presented in Parts I - IV. "Arizona Rural Counties" Part IV includes: Apache County, Cochise County, Coconino County, Gila County, Graham County, Greenlee County, Mohave County, Navajo County, Pinal County, Santa Cruz County, Yavapai County, Yuma County, and La Paz County. These counties were combined so that a sufficient number of cases could be generated for an analysis. Deaths due to cancer in Arizona residents are presented in Part V. Data for the analysis of deaths were provided by the ADHS Office of Vital Records. The format for the five parts of this report was chosen so that information about cancer in Arizona would be easy to understand and meaningful in its presentation. Tables with a large number of missing incidence rates were not included. The user of this report should take care to review all footnotes attached to the tables, graphs, and maps in this publication before interpreting this information. Part I: Cancer Incidence in Arizona In 1997, 19,384 invasive cancer cases were diagnosed and recorded among Arizona residents. The demographic distribution of Arizona cancer cases indicated the greatest percentage are among Whites (94.2%) and non-Hispanics (92.9%). Of the most common cancer types, prostate, breast, and lung & bronchus collectively account for 45.4% of all cancers diagnosed in Arizona residents in 1997. The "all sites" age-adjusted cancer rate of 349 per 100,000 persons among Arizona residents was lower than the national age-adjusted cancer incidence rate of 389 per 100,000 persons1 and lower than the 1996 Arizona rate of 352 per 100,000 persons.2 In addition, age-adjusted cancer rates were lowest among females (318 per 100,000 persons) and Hispanics (217 per 100,000 persons). Analysis of the "all sites" by county showed, for both sexes combined, a range of age-adjusted cancer rates from 232 to 408 per 100,000. In the age-adjusted cancer rates by race, Table I-I, Whites had a higher rate than Blacks. This is inconsistent with the national age-adjusted cancer rate for Blacks which is typically higher than that of Whites.1 "All sites" age-specific incidence rates indicated that invasive cancer is highest among individuals 80 years of age or older with an overall rate of 1959 per 100,000 persons. When analyzed by sex and ethnicity, the highest cancer rate for males was in the 70 to 79 age group. Females, Hispanics and nonHispanics had the highest age-specific cancer rate in the 80 years and older age group. Part II: Cancer Incidence in Maricopa County Among residents of Maricopa County there were 10,821 invasive cancer cases. As with Arizona, the demographic distribution of Maricopa County showed 94.8% of cancer cases were among Whites and 94.8% were among non-Hispanic. Prostate, breast, and lung & bronchus accounted for 47.3% of all cancers diagnosed in Maricopa County residents. The "all sites" age-adjusted rate of 348 per 100,000 persons among Maricopa County residents was approximately the same as the Arizona rate of 349 but lower than the national age-adjusted cancer rate of 388 per 100,000 persons1 as well as the 1996 Maricopa County rate of 352 per 100,000 persons.2 As with Arizona in general, Maricopa County age-adjusted rates were lowest among females (315 per 7 100,000 persons) and Hispanics (210 per 100,000 persons). Age-adjusted cancer rates by race indicated a higher rate of cancer for Whites than for Blacks or Other races. However, the age-adjusted cancer rate among Whites decreased from 357 per 100,000 persons in 1996 to 346 per 100,000 persons in 1997, while among Blacks, the age-adjusted cancer rates increased from 305 per 100,000 persons in 1996 to 326 per 100,000 persons in 1997. Age-specific incidence rates for "all sites" differed slightly from Arizona, indicating most cancer occurrence among persons 70 to 79 years of age with a rate of 1986 per 100,000 persons. However, when analyzed by sex and ethnicity, all four categories (i.e. males, females, Hispanics and nonHispanics) in Maricopa County showed highest age-specific incidence rates among persons 80 years of age or older. Part III: Cancer Incidence in Pima County Among Pima County residents, there were 3610 cancer cases in 1997. Most cancer was diagnosed in Whites (93.7%) and non-Hispanics (90.1%). Prostate, breast, and lung & bronchus accounted for 44.5% of invasive cancer cases diagnosed in Pima County residents. The Pima County "all sites" age-adjusted cancer rate of 353 per 100,000 persons was even higher than that of Maricopa County's rate of 348 per 100,000 persons but, still well below the national ageadjusted incidence rate1 and below the 1996 Pima County rate of 375 per 100,000 persons.2 As with Arizona and Maricopa County, age-adjusted cancer rates were lowest among females (321 per 100,000 persons) and Hispanics (220 per 100,000 persons). As with Maricopa County, age-adjusted cancer rates by race showed a higher rate of cancer for Whites. Among males, the age-adjusted cancer rate for Blacks decreased considerably from 475 per 100,000 persons in 1996 to 347 per 100,000 persons in 1997. For White males, the age-adjusted cancer rate also decreased from 432 per 100,000 persons in 1996 to 392 per 100,000 persons in 1997. However the age-adjusted cancer rate for Black females increased considerably from 188 per100,000 persons in 1996 to 258 per 100,000 persons in 1997. As with Arizona, "all sites" age-specific incidence rates indicated that invasive cancer is most common among individuals 80 years of age or older with an overall rate of 2009 per 100,000 persons. This only varied among Males which showed their highest age-specific rate of cancer in the 70 to 79 age group. Part IV: Cancer Incidence in Arizona Rural Counties As stated above "Arizona Rural Counties" is a combination of Apache County, Cochise County, Coconino County, Gila County, Graham County, Greenlee County, Mohave County, Navajo County, Pinal County, Santa Cruz County, Yavapai County, Yuma County, and La Paz County. Among these counties there were 4953 cancer cases. As above, cases were generally White (93.0%) and non-Hispanic (91.1%). Most Native American cases were residents of the rural counties (71% of all Native Americans that were reported). Prostate, breast, and lung & bronchus accounted for 45.2% of invasive cancer diagnosed in these counties. The rural counties "all sites" age-adjusted cancer rate of 350 per 100,000 persons was approximately equal to Arizona's rate of 349 per 100,000 persons. However the rate is steadily increasing for the past three years, from 320 per 100,000 persons in 1995, and 331 per 100,000 persons in 1996 to 350 per 8 100,000 persons in 1997.2,3 As with Arizona, Maricopa and Pima County, age-adjusted cancer rates were lowest among females (323 per 100,000 persons) and Hispanics (228 per 100,000 persons). Like Arizona, age-adjusted cancer rates by race showed a highest rate of invasive cancer for Whites but only for white females. Black males had a slightly higher incidence rate of 395 per 100,000 persons than white males (391 per 100,000 persons). "All sites" age-specific incidence rates for rural counties indicated that invasive cancer is most common among individuals 70 to 79 years of age with an overall rate of 1913 per 100,000 persons. This varied among females and non-Hispanics which showed their highest age-specific rate of cancer in the 80 years and older age group. Part V: Cancer Mortality in Arizona The 1997 cancer death rate of 116 per 100,000 persons was the lowest of the 11-year period from 1987 to 1997.4 There were 8429 deaths due to cancer recorded in Arizona residents in 1997. Cancer deaths were more common among males than females with age-adjusted mortality rates of 135 and 102 per 100,000 persons, respectively. Age-adjusted mortality rates by race showed cancer deaths were most common among Blacks in Maricopa county. Whites, however, had higher cancer death rates in Pima and other rural counties. As with cancer morbidity, there was a higher rate of cancer deaths among non-Hispanics. This did not vary by county. Age-adjusted mortality rates for the most common types of cancer were lung cancer at 32 per 100,000 persons, female breast cancer at 19 per 100,000 persons and prostate cancer at 14 per 100,000 persons. Age-specific mortality rates indicated deaths due to cancer were highest among persons 80 years of age or older. This did not vary by sex. References 1. Kosary CL, Ries LAG, Miller BA, Hankey BF, Harras A, Edwards BK (eds). SEER Cancer Statistics Review, 19731996: Tables and Graphs, National Cancer Institute. NIH Pub. No. 96-2789. Bethesda, MD, 1998. 2. Nowak J, Newton C, Yee GA. Cancer in Arizona 1996 - Cancer Incidence and Mortality in 1996, Arizona Department of Health Services, Phoenix, AZ, 1998. 3. Nowak J, Newton C, Yee GA. Cancer in Arizona 1995 - Cancer Incidence and Mortality in 1995, Arizona Department of Health Services, Phoenix, AZ, 1997. 4. Mrela K. Christopher. Arizona Health Status and Vital Statistics 1997, Arizona Department of Health Services, Phoenix, AZ, 1998. 9 (This page intentionally left Blank) 10 PART I CANCER INCIDENCE IN ARIZONA 1997 11 CANCER IN ARIZONA: 1997 *All U.S. states, Territories, and Possessions except Arizona. 12 CANCER IN ARIZONA: 1997 * Distribution by age at diagnosis excludes 14 cases with an unknown age at diagnosis. ** Distribution by age at diagnosis and sex excludes 14 cases with an unknown age and 2 cases with other sex. *** Male percentages are the percent of all male cases, and female percentages are the percent of all female cases. 13 CANCER IN ARIZONA: 1997 * Spanish Surname Only: Ethnicity derived from Spanish last name with the use of a computer program. **Spanish NOS: Spanish, not otherwise specified. 14 Arizona Table I-A. 1997 Frequency of Cancer Cases Primary Site by Behavior BEHAVIOR PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system IN SITU 1631 7 3 2 0 2 0 0 0 0 0 0 153 2 4 0 137 93 44 7 0 0 0 1 2 0 0 0 INVASIVE 19384 406 29 109 45 29 58 20 34 28 33 21 3572 191 322 50 2183 1558 625 52 162 136 26 57 74 433 33 15 TOTAL 21015 413 32 111 45 31 58 20 34 28 33 21 3725 193 326 50 2320 1651 669 59 162 136 26 58 76 433 33 15 67 "Other primary site" cases are listed only in the "All Sites" category of this table. 15 Arizona Table I-A. 1997 Frequency of Cancer Cases (continued) Primary Site by Behavior BEHAVIOR PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system IN SITU 14 0 11 3 0 0 0 0 435 435 0 543 85 0 14 1 0 9 61 0 9 4 0 4 1 INVASIVE 3088 15 170 2859 35 9 35 137 795 720 75 3083 1130 184 469 10 383 16 50 18 3187 3024 139 23 1 TOTAL 3102 15 181 2862 35 9 35 137 1230 1155 75 3626 1215 184 483 11 383 25 111 18 3196 3028 139 27 2 16 Arizona Table I-A. 1997 Frequency of Cancer Cases (continued) Primary Site by Behavior BEHAVIOR PRIMARY SITE Urinary System: Urinary bladder Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified IN SITU 380 358 8 9 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 INVASIVE 1193 663 493 32 5 39 262 237 25 300 286 14 857 109 748 201 398 162 170 2 64 634 TOTAL 1573 1021 501 41 10 44 262 237 25 300 286 14 857 109 748 201 398 162 170 2 64 634 17 Arizona Table I-B. 1997 Frequency of Invasive Cancer Cases Primary Site by Sex SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallb lad d e r Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 9985 280 22 76 32 19 33 17 25 20 23 13 1920 152 202 30 1121 779 342 19 111 93 18 20 39 211 8 7 FEMALE 9397 126 7 33 13 10 25 3 9 8 10 8 1652 39 120 20 1062 779 283 33 51 43 8 37 35 222 25 8 TOTAL 19384 406 29 109 45 29 58 20 34 28 33 21 3572 191 322 50 2183 1558 625 52 162 136 26 57 74 433 33 15 67 "Other primary site" cases are listed only in the "All Sites" category of this table. "All Sites" does not include bladder in situ cases. Included only in the "Total" category are two "other sex" cases. 18 Arizona Table I-B. 1997 Frequency of Invasive Cancer Cases (continued) Primary Site by Sex SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system NA = not applicable. MALE 1760 7 147 1573 27 6 21 75 491 439 52 37 NA NA NA NA NA NA NA NA 3187 3024 139 23 1 FEMALE 1328 8 23 1286 8 3 14 62 304 281 23 3046 1129 183 469 10 383 16 50 18 NA NA NA NA NA TOTAL 3088 15 170 2859 35 9 35 137 795 720 75 3083 1129 183 469 10 383 16 50 18 3187 3024 139 23 1 19 Arizona Table I-B . 1997 Frequency of Invasive Cancer Cases (continued) Primary Site by Sex SEX PRIMARY SITE Urinary System*: Urinary bladder* Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified * = Includes invasive and in situ bladder cases. MALE 1109 772 312 22 3 19 134 119 15 FEMALE 441 249 180 10 2 20 128 118 10 TOTAL 1550 1021 492 32 5 39 262 237 25 78 70 8 461 60 401 117 223 95 91 1 36 330 222 216 6 396 49 347 84 175 67 79 1 28 304 300 286 14 857 109 748 201 398 162 170 2 64 634 20 CANCER IN ARIZONA: 1997 Figure I-G: Case Distribution by Invasive Cancer Type * Bladder cases include 358 in situ cases. 21 CANCER IN ARIZONA: 1997 * Bladder cases include 288 male in situ cases and 70 female in situ cases. 22 23 Arizona Table I-C. 1997 Age-Adjusted Incidence Rates, All Sites County of Residence by Sex SEX COUNTY Apache Cochise Coconino Gila Graham Greenlee La Paz Maricopa Mohave Navajo Pima Pinal Santa Cruz Yavapai Yuma Arizona MALE 289.48 409.48 416.71 414.27 295.94 244.01 414.65 392.21 444.41 471.15 397.29 354.40 411.42 356.79 320.23 389.56 FEMALE 184.73 331.00 363.30 298.48 302.51 371.25 386.91 314.60 374.18 287.34 320.92 318.72 275.34 348.60 288.20 317.56 TOTAL 232.17 366.13 385.65 353.75 293.45 288.26 395.07 347.92 408.10 370.98 352.88 334.01 337.47 351.16 303.97 348.96 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. Invasive cancer cases only. Two "other sex" cases are included only in "Total" category. 24 Arizona Table I-D. 1997 Age-Adjusted Incidence Rates, All Sites County of Residence by Ethnicity ETHNICITY COUNTY Apache Cochise Coconino Gila Graham Greenlee La Paz Maricopa Mohave Navajo Pima Pinal Santa Cruz Yavapai Yuma Arizona NON-HISPANIC 221.10 469.48 438.33 377.88 319.01 316.26 615.41 367.11 437.40 378.07 414.19 425.94 424.93 359.18 328.03 379.99 HISPANIC -212.16 275.57 173.48 207.62 --209.99 393.33 203.31 220.46 182.17 304.40 122.78 234.88 217.28 TOTAL 232.17 366.13 385.65 353.75 293.45 288.26 395.07 347.92 408.10 370.98 352.88 334.01 337.47 351.16 303.97 348.96 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. 25 Arizona Table I-E. 1997 Age-Adjusted Incidence Rates Primary Site by Sex SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 389.56 11.75 0 .84 3 .2 9 1 .30 0 .83 1.34 0 .74 1.15 0 .87 0.89 0 .50 73.62 5.95 7.61 1 .1 6 42.85 29.23 13.62 0.70 4.36 3 .66 0.70 0 .71 1 .5 5 8.14 --FEMALE 317.56 4.38 -1 .1 3 0 .43 0 .37 0.84 ---0.37 -50.77 1.16 3.71 0 .6 5 32.47 23.51 8.96 1.12 1.59 1 .36 -1 .11 1 .0 8 6.82 0.84 -TOTAL 348.96 7.87 0 .51 2 .1 7 0 .84 0 .59 1.08 0 .42 0.72 0 .57 0.61 0 .37 61.32 3.36 5.48 0 .8 8 37.28 26.14 11.14 0.92 2.86 2 .42 0.45 0 .92 1 .3 0 7.45 0.61 0.25 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. 67 "Other primary site" cases are listed only in the "All Sites" category of this table. Two "other sex" cases are included only in the "Total" category. "All sites" does not include bladder in situ cases. Invasive cancer cases only. -- = Insufficient cases for an adjusted rate calculation. 26 Arizona Table I-E. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system MALE 68.58 -5.87 6 1 .0 9 1.03 -0.83 2.83 19.28 17.35 1.93 1.47 NA NA NA NA NA NA NA NA 125.48 119.34 5.22 0 .8 8 -FEMALE 43.41 -0.85 4 1 .9 3 --0.53 2.24 10.72 9.94 0.78 107.32 3 9 .7 2 6 .79 16.27 0 .3 3 13.54 0 .5 6 1 .5 4 0 .6 9 NA NA NA NA NA TOTAL 54.86 0.29 3.16 5 0 .6 1 0.62 -0.66 2.50 14.67 13.32 1.35 57.61 NA NA NA NA NA NA NA NA NA NA NA NA NA Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. 27 Arizona Table I-E. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified MALE 41.92 28.68 12.34 0.79 -0 .86 5 .40 4 .93 0.48 FEMALE 14.37 7.82 6.18 0.30 -0 .73 4 .93 4 .53 0.40 TOTAL 26.86 17.23 9.03 0.52 -0 .80 5 .11 4 .69 0.43 3 .21 2 .83 -17.85 2 .34 15.51 4 .4 1 8 .89 3.89 3 .60 1 .36 12.70 8 .08 7 .88 -13.45 2 .16 11.30 2 .7 3 5 .91 2.39 2 .65 0 .83 9.28 5 .65 5 .36 0.30 15.50 2 .21 13.29 3 .4 9 7 .32 3.12 3 .10 1 .07 10.89 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. * = Includes invasive and in situ bladder cases. 28 Arizona Table I-F. 1997 Age-Adjusted Incidence Rates Primary Site by Ethnicity ET HNICIT Y PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallb lad d e r Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system NON-HISPANIC 379.99 8.46 0 .59 2 .3 9 0 .92 0 .62 1.14 0 .41 0.76 0 .58 0.66 0 .39 65.56 3.56 5.42 0 .9 0 40.69 28.59 12.10 1.06 2.86 2 .36 0.50 0 .8 7 1 .3 4 7.97 0.64 0.26 HISPANIC 217.28 5.04 ----------47.96 3.06 8.11 -21.85 14.98 6.87 -3.92 3 .74 ---6.09 --TOTAL 348.96 7.87 0 .51 2 .1 7 0 .84 0 .59 1.08 0 .42 0.72 0 .57 0.61 0 .37 61.32 3.36 5.48 0 .8 8 37.28 26.14 11.14 0.92 2.86 2 .42 0.45 0 .9 2 1 .3 0 7.45 0.61 0.25 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. 67 "Other primary site" cases are listed only in the "All Sites" category of this table. "All Sites" does not include bladder in situ cases. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. 29 Arizona Table I-F. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity ET HNICIT Y PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Breast (female) Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis NON-HISPANIC 60.50 0.24 3.49 5 5 .9 3 0.65 -0.74 2.56 17.06 15.68 1.38 63.17 117.31 41.72 5 .96 17.84 -14.63 0.57 1 .69 0.70 138.65 131.11 6.55 0 .9 6 HISPANIC 29.14 --2 6 .2 4 ---2.92 3.98 2.56 1.43 29.17 55.11 31.20 12.92 7.57 -7.74 ---73.18 70.90 1.50 -TOTAL 54.86 0.29 3.16 5 0 .6 1 0.62 -0.66 2.50 14.67 13.32 1.35 57.61 107.32 39.72 6.79 16.27 0 .3 3 13.54 0.56 1 .54 0.69 125.48 119.34 5.22 0.88 Other male genital system ---Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. --- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. 30 Arizona Table I-F. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity ETHNICITY PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified NON-HISPANIC 29.49 19.27 9.53 0.59 -0 .78 5 .65 5 .19 0.46 6 .27 5 .96 0.31 17.05 2 .60 14.45 3 .5 9 7 .71 3.17 3 .25 1 .23 11.67 HISPANIC 15.03 7.09 7.78 ---2 .55 2 .21 -3 .95 3 .65 -1.72 0 .31 1.41 0 .4 8 1 .21 0.71 0 .47 -1.04 TOTAL 26.86 17.23 9.03 0.52 -0 .80 5 .11 4 .69 0.43 5 .65 5 .36 0.30 15.50 2 .21 13.29 3 .4 9 7 .29 3.12 3 .08 1 .06 10.89 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. * = Includes invasive and in situ bladder cases. 31 Arizona Table I-G. 1997 Age-Specific Incidence Rates, All Sites Age Group by Sex SEX AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years MALE 14.43 10.47 34.27 75.53 171.75 619.85 1760.09 2413.77 2350.32 FEMALE 13.41 12.72 44.64 128.05 313.66 652.97 1106.90 1564.30 1700.90 TOTAL 13.94 11.53 39.23 101.68 244.03 636.99 1413.85 1948.28 1959.06 Total 434.74 408.24 421.51 Rates are per 100,000 persons. Invasive cancer cases only. Not included are 14 cases with unknown age group. Two "other sex" cases are included only in the "Total" category. Arizona Table I-H. 1997 Age-Specific Incidence Rates, All Sites Age Group by Ethnicity ET HNICIT Y AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years NON-HISPANIC 13.58 12.23 51.38 114.75 260.03 675.92 1515.26 2152.38 2248.49 HISPANIC 12.75 8.59 20.09 66.09 159.58 353.50 811.54 1294.78 1341.58 TOTAL 13.94 11.53 39.23 101.68 244.03 636.99 1413.85 1948.28 1959.06 Total 506.33 137.00 421.51 Rates are per 100,000 persons. Invasive cancer cases only. Not included are 14 cases with unknown age group. 32 Arizona Table I-I. 1997 Age-Adjusted Incidence Rates, All Sites Sex by Race RACE SEX Male Female Total WHITE 388.38 321.90 350.81 BLACK 372.69 268.36 310.80 *OTHER 211.91 193.27 201.07 TOTAL 389.56 317.56 348.96 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. Invasive cancer cases only. 307 unknown race cases are included in the "TOTAL" category only. Two "other sex" cases are included in the "Total"category only. * Other race includes Native American, Chinese, Japanese, Filipino, Hawaiian, Korean, Asian Indian, Vietnamese, Cambodian, Thai, Micronesian, Guamanian, Polynesian, Tahitian, Tongan, New Guinean, Other Asian, Pacific Islander and Other. 33 (This page intentionally left Blank) 34 PART II CANCER INCIDENCE IN MARICOPA COUNTY 1997 35 CANCER IN MARICOPA COUNTY: 1997 * Distribution by age at diagnosis excludes 5 cases with an unknown age at diagnosis. ** Distribution by age at diagnosis and sex excludes 1 other sex case and 5 cases with an unknown age at diagnosis. ***Male percentages are the percent of all male cases, and female percentages are the percent of all female cases. 36 CANCER IN MARICOPA COUNTY: 1997 * Spanish Surname Only: Ethnicity derived from Spanish last name with the use of a computer program. ** Spanish NOS: Spanish, not otherwise specified. 37 Maricopa County Table II-A. 1997 Frequency of Invasive Cancer Cases Primary Site by Sex SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallb lad d e r Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 5526 142 8 38 17 12 18 10 15 9 8 7 1038 73 103 15 629 438 191 10 55 45 10 10 24 112 3 4 FEMALE 5294 68 4 20 6 4 12 3 4 5 5 5 899 17 67 12 577 423 154 25 24 22 2 19 16 124 15 3 TOTAL 10821 210 12 58 23 16 30 13 19 14 13 12 1937 90 170 27 1206 861 345 35 79 67 12 29 40 236 18 7 36 "Other primary site" cases are listed only in the "All Sites" category of this table. "All Sites" does not include bladder in situ cases. One "other sex" case is included in the "Total" category only. 38 Maricopa County Table II-A. 1997 Frequency of Invasive Cancer Cases(continued) Primary Site by Sex SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system NA = not applicable. MALE 965 3 94 854 11 3 11 46 317 280 37 21 NA NA NA NA NA NA NA NA 1804 1708 82 13 1 FEMALE 748 4 10 728 5 1 6 42 195 180 15 1811 580 96 228 5 207 11 24 9 NA NA NA NA NA TOTAL 1713 7 104 1582 16 4 17 88 512 460 52 1832 580 96 228 5 207 11 24 9 1804 1708 82 13 1 39 Maricopa County Table II-A. 1997 Frequency of Invasive Cancer Cases(continued) Primary Site by Sex SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified * = Includes invasive and in situ bladder cases. MALE 626 439 173 13 1 8 73 63 10 45 40 5 271 40 231 56 127 57 51 1 18 162 FEMALE 237 130 101 5 1 9 62 58 4 116 115 1 236 33 203 34 98 36 46 1 15 185 TOTAL 863 569 274 18 2 17 135 121 14 161 155 6 507 73 434 90 225 93 97 2 33 347 40 CANCER IN MARICOPA COUNTY: 1997 Figure II-E: Case Distribution by Invasive Cancer Type *Bladder cases include 254 in situ cases. 41 CANCER IN MARICOPA COUNTY: 1997 * Bladder cases include 209 males in situ cases and 45 female in situ cases. 42 Maricopa County Table II-B. 1997 Age-Adjusted Incidence Rates Primary Site by Sex SEX PRIMARY SITE All Sites MALE 392.21 10.56 Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system - FEMALE 314.60 4.19 1 .2 4 0.72 48.72 0.92 3.56 0 .6 9 30.99 22.47 8.51 1.49 1.35 1 .26 1 .06 0 .8 9 6.72 0 .9 0 -- TOTAL 347.92 7.20 0 .3 4 2 .0 1 0.82 0.59 0.97 0.47 0.71 0 .5 0 0.40 0 .3 8 59.70 2.92 5.15 0 .8 7 36.97 26.00 10.97 1.11 2.48 2 .09 0 .3 9 0 .88 1 .3 3 7.21 0 .5 6 -- 2 .8 1 1 .28 0.97 1.27 0.76 1.21 - - 72.73 5.30 7.10 1 .0 8 44.01 30.19 13.82 0.66 3.85 3 .12 0 .7 3 0 .68 1 .8 2 7.77 -- Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. 36 "Other primary site" cases are listed only in the "All Sites" category of this table. "All Sites" does not include bladder in situ cases. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. One "other sex" case is included only in the "Total" category. 43 Maricopa County Table II-B. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system MALE 69.34 6.79 6 1 .3 7 0.74 0 .7 1 3.13 21.65 19.27 2.38 1.52 NA NA NA NA NA NA NA NA 130.47 124.48 5.07 0 .8 7 FEMALE 43.79 0.60 4 2 .6 1 2.58 11.73 10.84 0.90 111.86 3 5 .9 2 6 .07 14.15 12.83 0 .6 9 1 .2 9 NA NA NA NA NA TOTAL 55.32 3.41 5 1 .0 5 0.50 0 .5 2 2.82 16.26 14.64 1.62 60.32 NA NA NA NA NA NA NA NA NA NA NA NA NA Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. --= Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. NA = not applicable. 44 Maricopa County Table II-B. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified MALE 43.03 29.68 12.42 0.85 5 .16 4 .69 3 .22 2 .80 18.49 2 .63 15.86 3 .8 1 9 .10 4.17 3 .67 1 .20 11.32 FEMALE 13.71 7.22 6.17 4 .13 3 .98 7 .23 7 .18 13.97 2 .35 11.62 2 .0 1 5 .63 2.19 2 .64 0 .74 9.95 TOTAL 26.73 17.13 9.01 0 .53 0 .59 4 .55 4 .25 0.29 5 .22 4 .97 16.05 2 .45 13.60 2 .7 9 7 .30 3.16 3 .14 0 .95 10.61 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. * = Includes invasive and in situ bladder cases. 45 Maricopa County Table II-C. 1997 Age-Adjusted Incidence Rates Primary Site by Ethnicity ET HNICIT Y PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system NON-HISPANIC 367.11 7.56 0.36 2 .2 4 0 .84 0.58 0.95 0.43 0.77 0.50 0.44 0 .43 61.57 3.06 4.83 0 .8 0 38.87 27.39 11.49 1.21 2 .3 8 1.96 0 .4 3 0.64 1 .3 1 7.62 0.63 HISPANIC 209.99 4.70 45.80 9.10 19.08 11.82 7.26 4.72 TOTAL 347.92 7.20 0.34 2 .0 1 0.82 0.59 0 .97 0.47 0.71 0.50 0.40 0.38 59.70 2.92 5.15 0 .8 7 36.97 26.00 10.97 1 .11 2 .4 8 2.09 0 .3 9 0.88 1 .3 3 7.21 0 .56 -- Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. 36 "Other primary site" cases are listed only in the "All Sites" category of this table. "All Sites" does not include bladder in situ cases. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. 46 Maricopa County Table II-C. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity ET HNICIT Y PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Breast (female) Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system NON-HISPANIC 58.48 3.53 5 4 .0 7 0.51 0 .4 8 2.66 18.31 16.72 1 .5 9 64.50 118.88 36.48 5 .51 14.90 13.22 0 .6 9 1.43 141.09 133.80 6.40 0.84 HISPANIC 30.44 2 7 .0 6 4.62 4.17 26.58 50.56 30.72 12.03 6.21 9.26 62.56 59.95 TOTAL 55.32 3.41 5 1 .0 5 0.50 0 .5 2 2.82 16.26 14.64 1 .6 2 60.32 111.86 35.92 6.07 14.15 12.83 0 .6 9 1.29 130.47 124.48 5.07 0.87 - Rates are per 100,000 persons and are adjusted to the 1970 U.S. --- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. 47 Maricopa County Table II-C. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity ETHNICITY PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified NON-HISPANIC 28.11 18.16 9.30 0.59 0 .60 5 .06 4 .71 0.35 5 .66 5 .42 16.94 2 .80 14.14 2 .8 4 7 .59 3.24 3 .24 1.04 10.82 HISPANIC 16.23 8.33 7.90 3 .89 3 .69 1.58 1.22 0 .92 0.56 0.88 TOTAL 26.73 17.13 9.01 0 .53 0.59 4.55 4.25 0 .29 5 .22 4 .97 16.05 2.45 13.60 2 .7 9 7 .30 3.16 3.14 0.95 10.61 Rates are per 100,000 persons and are adjusted to the 1970 U.S. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. * = Includes invasive and in situ bladder cases. 48 Maricopa County Table II-D. 1997 Age-Specific Incidence Rates, All Sites Age Group by Sex SEX AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years Total MALE 14.99 8.84 36.05 75.66 173.47 609.26 1734.61 2465.05 2473.85 405.14 FEMALE 10.71 14.32 45.67 123.75 301.36 643.29 1086.89 1606.66 1671.57 389.54 TOTAL 12.98 11.37 40.64 99.75 239.17 626.72 1390.72 1985.64 1979.99 397.39 Rates are per 100,000 persons. Invasive cancer cases only. Not included are 5 cases with unknown age group. One "other sex"case is included only in the "Total " category. Maricopa County Table II-E. 1997 Age-Specific Incidence Rates, All Sites Age Group by Ethnicity ET HNICIT Y AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years Total NON-HISPANIC 13.29 10.94 51.44 118.22 251.61 669.38 1463.24 2030.04 2123.53 472.62 HISPANIC 10.28 12.16 19.78 55.27 141.34 342.31 778.53 1291.40 1302.40 TOTAL 12.98 11.37 40.64 99.75 239.17 626.72 1390.72 1985.64 1979.99 108.63 397.39 Rates are per 100,000 persons. Invasive cancer cases only. Not included are 5 cases with unknown age group. 49 Maricopa County Table II-F. 1997 Age-Adjusted Incidence Rates, All Sites Sex by Race RACE SEX Male Female Total WHITE 386.80 316.29 346.49 BLACK 392.11 288.28 326.42 *OTHER 259.55 210.67 231.42 TOTAL 392.21 314.60 347.92 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. One "other sex" case is included only in the "Total" category. Invasive cancer cases only. Included in the "TOTAL" category only are 162 cases with and unknown race. * Other race includes Native American, Chinese, Japanese, Filipino, Hawaiian, Korean, Asian Indian, Vietnamese, Cambodian, Thai, Tongan, Other Asian, Pacific Islander, and Other. 50 PART III CANCER INCIDENCE IN PIMA COUNTY 1997 51 CANCER IN PIMA COUNTY:1997 * Distribution by age and by age and sex at diagnosis excludes 4 cases with an unknown age at diagnosis. ** Male percentages are the percent of all male cases, and female percentages are the percent of all female cases. 52 CANCER IN PIMA COUNTY: 1997 * Spanish Surname Only: Ethnicity derived from Spanish last name with the use of a computer program. ** Spanish NOS: Spanish, not otherwise specified. 53 Pima County Table III-A. 1997 Frequency of Invasive Cancer Cases Primary Site by Sex SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallb lad d e r Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 1807 52 4 20 5 1 6 2 6 1 6 1 375 34 40 8 214 158 56 2 19 16 3 4 5 42 4 3 FEMALE 1803 34 2 7 6 2 9 0 2 2 2 2 319 7 28 1 212 158 54 3 5 3 2 6 11 43 2 1 TOTAL 3610 86 6 27 11 3 15 2 8 3 8 3 694 41 68 9 426 316 110 5 24 19 5 10 16 85 6 4 12 "Other primary site" cases included only in the "All Sites" category in this table. "All Sites" does not include Bladder in situ cases. 54 Pima County Table III-A. 1997 Frequency of Invasive Cancer Cases(continued) Primary Site by Sex SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system NA = not applicable. MALE 296 2 18 268 7 1 3 10 69 62 7 9 NA NA NA NA NA NA NA NA 579 550 27 2 0 FEMALE 245 1 3 237 2 2 6 4 52 49 3 542 259 36 129 2 72 3 11 6 NA NA NA NA NA TOTAL 541 3 21 505 9 3 9 14 121 111 10 551 259 36 129 2 72 3 11 6 579 550 27 2 0 55 Pima County Table III-A. 1997 Frequency of Invasive Cancer Cases(continued) Primary Site by Sex SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified * = Includes invasive and in situ Bladder cases. MALE 188 116 69 2 1 8 27 26 1 12 12 0 77 9 68 22 37 11 17 0 9 69 FEMALE 90 55 32 3 0 3 23 18 5 55 51 4 69 8 61 23 30 11 15 0 4 54 TOTAL 278 171 101 5 1 11 50 44 6 67 63 4 146 17 129 45 67 22 32 0 13 123 56 CANCER IN PIMA COUNTY: 1997 Figure III-E: Case Distribution by Invasive Cancer Type * Bladder cases include 43 in situ cases. 57 CANCER IN PIMA COUNTY: 1997 * Bladder cases include 29 male in situ cases and 14 female in situ cases. 58 Pima County Table III-B. 1997 Age-Adjusted Incidence Rates Primary Site by Sex SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallb lad d e r Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 397.29 12.38 4 .7 3 FEMALE 320.92 5.65 TOTAL 352.88 8.79 2 .8 6 0.95 1 .5 1 63.68 3.83 6.15 39.23 28.64 10.59 2 .3 8 1.92 0.78 1.36 7.92 - 78.60 7.37 8.14 - 51.64 4.51 44.86 32.74 12.13 34.69 25.36 9.33 - 4 .3 6 3.71 8.89 1.58 7.11 - - Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. 12 "Other primary site" cases included only in the "All Sites" category in this table."All Sites" does not include Bladder in situ cases. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. 59 Pima County Table III-B. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system MALE 64.17 FEMALE 40.82 TOTAL 50.98 2.24 4 7 .3 4 1 .4 5 12.15 11.33 0 .8 2 56.44 NA NA NA NA NA NA NA NA NA NA NA NA NA 4.22 5 7 .6 8 3 9 .4 9 2 .1 3 14.77 13.51 NA NA NA NA NA NA NA NA 130.58 124.39 5.79 - 10.34 9.93 102.19 4 6 .9 7 6 .98 23.29 12.92 1 .6 5 NA NA NA NA NA Rates are per 100,000 persons and are adjusted to the 1970 U.S. population.. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. NA = not applicable. 60 Pima County Table III-B. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified MALE 40.17 24.67 14.99 FEMALE 15.25 8.91 5.93 TOTAL 26.19 15.78 9.95 1.41 5 .65 4 .88 6.89 6.53 14.87 2 .1 8 12.69 4 .3 6 6 .53 2.25 2 .87 1.41 11.24 6 .52 6 .33 4 .96 3 .61 2 .88 2.88 10.69 10.02 17.21 15.27 4 .7 4 8 .41 2.61 3 .51 12.91 10.36 4 .0 9 5 .02 1.87 2 .48 2.29 15.02 8.05 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. NA = not applicable. * = Includes invasive and in situ Bladder cases. 61 Pima County Table III-C. 1997 Age-Adjusted Incidence Rates Primary Site by Ethnicity ET HNICIT Y PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system NON-HISPANIC 414.19 10.25 HISPANIC 220.46 50.29 7.08 25.94 18.40 7.54 8.36 TOTAL 352.88 8.79 2 .8 6 0.95 1 .51 63.68 3.83 6.15 39.23 28.64 10.59 2 .3 8 1.92 0.78 1 .3 6 7.92 - 3 .0 1 1 .28 1.79 72.98 4.39 6.80 45.66 33.60 12.05 2 .3 6 1.88 1.02 1 .5 1 8.78 - Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. 12 "Other primary site" cases included only in the "All Sites" category in this table. "All Sites" does not include Bladder in situ cases. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. 62 Pima County Table III-C. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity ET HNICIT Y PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Breast (female) Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system NON-HISPANIC 61.11 - HISPANIC 27.27 2 7 .2 7 31.81 57.45 33.26 10.87 14.77 84.42 82.67 - TOTAL 50.98 2.24 4 7 .3 4 1 .4 5 12.15 11.33 0 .8 2 56.44 102.19 46.97 6.98 23.29 12.92 1 .6 5 130.58 124.39 5.79 - 2.89 5 6 .4 0 - - 1 .7 9 15.23 14.46 - 66.23 121.11 53.94 6 .70 27.35 - 15.47 - 149.55 141.22 7.83 - Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. 63 Pima County Table III-C. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity ETHNICITY PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified NON-HISPANIC 31.11 19.43 11.09 - HISPANIC 13.73 9.04 2.42 2.11 1 .44 1.91 TOTAL 26.19 15.78 9.95 1 .4 1 5.65 4.88 6.89 6.53 14.87 2.18 12.69 4 .3 6 6 .53 2 .25 2.87 1 .4 1 11.24 1.83 7 .22 6 .22 - 8 .52 7.99 - 17.89 2 .93 14.96 4 .8 3 7 .33 2.61 3 .07 1.64 12.68 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. * = Includes invasive and in situ Bladder cases. 64 Pima County Table III-D. 1997 Age-Specific Incidence Rates, All Sites Age Group by Sex SEX AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years MALE 19.00 18.43 28.67 78.92 159.54 644.42 1844.40 2388.30 2294.97 FEMALE 14.30 13.40 40.25 140.18 294.90 650.61 1169.76 1516.23 1834.28 TOTAL 16.69 15.96 34.31 108.96 228.90 647.69 1474.38 1895.76 2008.58 Total 462.21 440.51 451.10 Rates are per 100,000 persons. Invasive cancer cases only. Not included are 4 cases with an unknown age group. Pima County Table III-E. 1997 Age-Specific Incidence Rates, All Sites Age Group by Ethnicity ET HNICIT Y AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years NON-HISPANIC 21.02 22.56 48.40 121.34 266.15 692.84 1676.20 2404.76 2484.93 HISPANIC 8.39 2.49 21.97 68.54 152.79 403.80 794.32 1209.96 1566.30 TOTAL 16.69 15.96 34.31 108.96 228.90 647.69 1474.38 1895.76 2008.58 Total 586.55 156.83 451.10 Rates are per 100,000 persons. Invasive cancer cases only. Not included are 4 cases with an unknown age group. 65 Pima County Table III-F. 1997 Age-Adjusted Incidence Rates, All Sites Sex by Race RACE SEX Male Female Total WHITE 392.15 320.05 350.15 BLACK 346.64 258.00 291.83 *OTHER 295.95 252.82 269.53 TOTAL 397.29 320.92 352.88 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. Invasive cancer cases only. Included in the "TOTAL" category only are 71 cases with an unknown race. * Other race includes Native American, Chinese, Japanese, Filipino, Korean, Asian Indian, Vietnamese, Thai, Micronesian, Guamanian, Polynesian, Tahitian, New Guinean, Other Asian, and Other. 66 PART IV CANCER INCIDENCE IN ARIZONA RURAL COUNTIES 1997 67 CANCER IN RURAL COUNTIES: 1997 Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz * Distribution by age at diagnosis excludes 5 cases with an unknown age at diagnosis. ** Distribution by age and sex at diagnosis excludes 5 cases with an unknown age and one case of unknown sex at diagnosis. *** Male percentages are the percent of all male cases, and female percentages are the percent of all female cases. 68 CANCER IN RURAL COUNTIES: 1997 Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. * Spanish Surname Only: Ethnicity derived from Spanish last name with the use of a computer program. ** Spanish NOS: Spanish, not otherwise specified. 69 Arizona Rural Counties Table IV-A. 1997 Frequency of Invasive Cancer Cases Primary Site by Sex SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 2652 86 10 18 10 6 9 5 4 10 9 5 509 45 59 7 278 183 95 7 37 32 5 6 10 57 3 0 FEMALE 2300 24 1 6 1 4 4 0 3 1 3 1 434 15 25 7 273 198 75 5 22 18 4 12 8 55 8 4 TOTAL 4953 110 11 24 11 10 13 5 7 11 12 6 943 60 84 14 551 381 170 12 59 50 9 18 18 112 11 4 Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. Included only in the "All Sites" category are 19 "Other primary site" cases. "All Sites" does not include Bladder in situ cases. One "other sex" case is included in the "Total" category. . 70 Arizona Rural Counties Table IV-A. 1997 Frequency of Invasive Cancer Cases (continued) Primary Site by Sex SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system MALE 499 2 35 451 9 2 7 19 105 97 8 7 NA NA NA NA NA NA NA NA 804 766 30 8 0 FEMALE 336 3 10 321 1 1 2 16 57 52 5 693 290 51 112 3 104 2 15 3 NA NA NA NA NA TOTAL 835 5 45 772 10 3 9 35 162 149 13 700 290 51 112 3 104 2 15 3 804 766 30 8 0 Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. 71 Arizona Rural Counties Table IV-A. 1997 Frequency of Invasive Cancer Cases (continued) Primary Site by Sex SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified MALE 295 217 70 7 1 3 34 30 4 21 18 3 113 11 102 39 59 27 23 0 9 96 FEMALE 114 64 47 2 1 8 43 41 2 51 50 1 91 8 83 27 48 20 19 0 9 64 TOTAL 409 281 117 9 2 11 77 71 6 72 68 4 204 19 185 66 107 47 42 0 18 160 Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. * = Includes invasive and in situ Bladder cases. 72 CANCER IN RURAL COUNTIES: 1997 Figure IV-E: Case Distribution by Invasive Cancer Type Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. * Bladder cases include 61 total in situ cases 73 CANCER IN RURAL COUNTIES: 1997 Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. * Bladder cases include 50 male in situ cases and 11 female in situ cases. 74 Arizona Rural Counties Table IV-B. 1997 Age-Adjusted Incidence Rates Primary Site by Sex SEX PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system MALE 381.17 13.85 1 .6 2 3 .3 1 1 .49 FEMALE 323.34 3.85 TOTAL 350.13 8.70 0.89 2 .0 5 0.78 0.76 1.05 0.90 0.88 63.26 4.02 5.73 0 .9 9 36.67 24.65 12.03 0 .8 1 4.08 3 .51 1.08 1 .1 4 7.67 0 .8 5 - - - 1.71 - - - 72.36 6.49 8.39 39.14 24.77 14.38 54.97 1.77 3.31 34.42 24.57 9.86 2.81 2 .32 5.49 4 .82 - 1.38 7.01 - 1.23 8.35 - - Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. Included only in the "All Sites" category are 19 "Other primary site" cases."All Sites" does not include Bladder in situ cases. - = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. One "other sex" case is included only in the "Total" category. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. 75 Arizona Rural Counties Table IV-B. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex SEX PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system MALE 69.91 FEMALE 44.79 TOTAL 56.78 3.30 5 2 .0 7 0.68 2.62 12.50 11.48 1 .0 2 52.39 NA NA NA NA NA NA NA NA NA NA NA NA NA 5.15 6 2 .6 0 - 1.59 4 2 .4 8 - 2.73 16.81 15.49 NA NA NA NA NA NA NA NA 113.29 106.85 5.21 - 2.57 8.52 7.82 100.49 4 3 .9 2 8 .41 16.04 16.08 2 .1 7 NA NA NA NA NA Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. NA = not applicable. 76 Arizona Rural Counties Table IV-B. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Sex SEX PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified MALE 41.68 29.94 10.66 FEMALE 15.38 8.38 6.60 TOTAL 28.02 18.68 8.60 0.86 5 .60 5 .05 5 .84 5 .49 14.80 1.64 13.15 4 .5 1 7 .70 3.52 3 .10 1.08 11.21 5 .41 4 .64 5 .77 5 .43 3 .36 2 .86 8 .41 8 .21 16.92 1 .84 15.08 5 .6 1 8 .41 3.92 3 .46 12.76 11.27 3 .4 7 7 .06 3.17 2 .76 14.01 8.62 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. * = Includes invasive and in situ Bladder cases. 77 Arizona Rural Counties Table IV-C. 1997 Age-Adjusted Incidence Rates Primary Site by Ethnicity ET HNICIT Y PRIMARY SITE All Sites Oral Cavity & Pharynx: Lip Tongue Salivary gland Floor of Mouth Gum & other oral cavity Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity & pharynx Digestive System: Esophagus Stomach Small Intestine Colon & Rectum Colon Rectum Anus, anal canal & anorectum Liver & Intrahepatic bile duct Liver Intrahepatic bile duct Gallbladder Other biliary Pancreas Retroperitoneum & peritoneum Other digestive system NON-HISPANIC 390.00 9.40 1.07 2 .3 0 0 .87 1.20 0.88 69.94 4.29 5.87 1 .2 2 41.60 27.96 13.64 1.00 4 .3 0 3.58 1.28 1 .2 6 8.21 HISPANIC 227.69 6.27 49.80 7.69 22.59 16.40 6.20 6.68 TOTAL 350.13 8.70 0.89 2 .0 5 0.78 0.76 1 .05 0.90 0.88 63.26 4.02 5.73 0 .9 9 36.67 24.65 12.03 0 .81 4 .0 8 3.51 1.08 1 .1 4 7.67 0.85 - Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. Included only in the "All Sites" category are 19 "Other primary site" cases."All Sites" does not include Bladder in situ cases.-- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. 78 Arizona Rural Counties Table IV-C. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity ET HNICIT Y PRIMARY SITE Respiratory System: Nose, nasal cavity & middle ear Larynx Lung & bronchus Pleura Trachea & other respiratory organs Bone & joints Soft tissue (including heart) Skin (excluding basal & squamous): Melanomas of the skin Other non-epithelial skin Breast Breast (female) Female Genital System: Cervix uteri Corpus uteri Uterus, NOS Ovary Vagina Vulva Other female genital system Male Genital System: Prostate Testis Penis Other male genital system NON-HISPANIC 64.99 3.75 6 0 .2 0 2 .8 7 14.71 13.52 1 .1 9 57.83 110.73 47.38 6 .69 18.89 17.93 2.45 127.35 119.76 6.10 HISPANIC 29.36 2 4 .4 8 30.64 59.52 30.00 16.05 78.11 75.01 TOTAL 56.78 3.30 5 2 .0 7 0.68 2 .6 2 12.50 11.48 1 .0 2 52.39 100.49 43.92 8.41 16.04 16.08 2.17 113.29 106.85 5.21 - Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. 79 Arizona Rural Counties Table IV-C. 1997 Age-Adjusted Incidence Rates (continued) Primary Site by Ethnicity ETHNICITY PRIMARY SITE Urinary System*: Urinary bladder * Kidney & renal pelvis Ureter Other urinary system Eye & Orbit Brain & Nervous System: Brain Cranial nerves & other nervous system Endocrine System: Thyroid Other endocrine & thymus Lymphomas: Hodgkin's disease Non-Hodgkin's lymphomas Multiple Myeloma Leukemias: Lymphocytic Myeloid Monocytic Other Ill-defined & unspecified NON-HISPANIC 31.84 21.82 9.18 HISPANIC 15.34 8.00 6.83 1.70 1.51 0 .8 5 1 .77 1.22 0.87 TOTAL 28.02 18.68 8.60 0 .8 6 5.60 5.05 5.84 5.49 14.80 1.64 13.15 4 .5 1 7 .70 3.52 3.10 1 .0 8 11.21 6 .03 5 .60 6 .43 6.10 16.64 1 .88 14.77 4 .6 9 8 .02 3.30 3 .37 1.35 12.84 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. -- = Insufficient cases for an adjusted rate calculation. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. * = Includes invasive and in situ Bladder cases. 80 Arizona Rural Counties Table IV-D. 1997 Age-Specific Incidence Rates, All Sites Age Group by Sex SEX AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years MALE 10.10 9.31 33.94 72.26 176.71 629.31 1757.35 2338.88 2131.25 FEMALE 19.12 8.77 45.66 131.69 364.37 678.04 1103.81 1512.59 1652.93 TOTAL 14.46 9.05 39.48 101.70 269.67 654.65 1419.77 1912.94 1866.09 Total 489.50 393.75 460.60 Rates are per 100,000 persons. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and LaPaz. Not included are 5 cases with an unknown age group. One "other sex" case is included only in the "Total" category. Arizona Rural Counties Table IV-E. 1997 Age-Specific Incidence Rates, All Sites Age Group by Ethnicity ET HNICIT Y AGE GROUP 0 - 9 Years 10 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years NON-HISPANIC 10.13 9.37 53.56 99.24 280.28 680.94 1524.80 2271.98 2420.73 HISPANIC 22.47 6.33 18.84 89.88 203.20 330.40 867.14 1369.30 1187.01 TOTAL 14.46 9.05 39.48 101.70 269.67 654.65 1419.77 1912.94 1866.09 Total 540.62 180.04 460.63 Rates are per 100,000 persons. Invasive cancer cases only. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. Not included are 5 cases with an unknown age group. 81 Arizona Rural Counties Table IV-F. 1997 Age-Adjusted Incidence Rates, All Sites Sex by Race RACE SEX Male Female Total WHITE 390.91 339.43 363.15 BLACK 395.02 209.64 301.68 *OTHER 172.15 172.09 171.88 TOTAL 381.17 323.34 350.13 Rates are per 100,000 persons and are adjusted to the 1970 U.S. population. Invasive cancer cases only. Included only in the "TOTAL" category are 74 cases with an unknown race. One "other sex" case is included only in the "Total" category. * Other race includes Native American, Chinese, Japanese, Filipino, Korean, Asian Indian, Vietnamese, Other Asian and Other. Rural counties includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, Yuma, and La Paz. 82 PART V CANCER MORTALITY IN ARIZONA 1997 83 84 Arizona Table V-A. 1997 Age-Adjusted Malignant Neoplasm Mortality Rates, All Causes County of Residence by Sex SEX COUNTY Apache Cochise Coconino Gila Graham Greenlee La Paz Maricopa Mohave Navajo Pima Pinal Santa Cruz Yavapai Yuma Arizona MALE 86.4 137.0 86.6 151.0 125.3 102.1 132.0 169.6 160.0 138.1 142.5 179.3 130.2 116.5 134.7 FEMALE 62.4 112.6 96.3 81.5 76.1 161.2 103.0 120.6 95.9 95.2 99.9 90.4 112.5 92.1 101.6 TOTAL 73.2 123.9 91.6 114.2 99.3 113.0 128.9 115.7 144.3 125.8 113.8 120.8 129.9 120.3 103.9 116.5 rate Rates are per 100,000 persons and are adjusted to the 1940 U.S. population. - = Insufficient cases for an adjusted calculation. Source: ADHS Office of Vital Records. 85 Arizona Table V-B. 1997 Age-Adjusted Malignant Neoplasm Mortality Rates, All Causes County of Residence by Race RACE COUNTY Maricopa Pima *All Other Arizona WHITE 116.0 115.6 122.0 117.8 BLACK 147.7 103.1 114.4 135.5 OTHER 65.8 84.9 76.5 74.0 TOTAL 116.9 123.1 124.5 116.5 Rates are per 100,000 persons and are adjusted to the 1940 U.S. population. * Includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, and Yuma. Source: ADHS Office of Vital Records. Arizona Table V-C. 1997 Age-Adjusted Malignant Neoplasm Mortality Rates, All Causes County of Residence by Ethnicity ETHNICITY COUNTY Maricopa Pima *All Other Arizona NON-HISPANIC 119.6 130.9 130.7 124.7 HISPANIC 84.1 84.1 86.1 85.5 TOTAL 116.9 123.1 124.5 116.5 Rates are per 100,000 persons and are adjusted to the 1940 U.S. population. * Includes: Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Mohave, Navajo, Pinal, Santa Cruz, Yavapai, and Yuma. Unknown Included only in the "TOTAL" category are 21 cases with an unknown ethnicity. Source: ADHS Office of Vital Records. 86 Arizona Table V-D. 1997 Age-Specific Malignant Neoplasm Mortality Rates, All Causes Age Group by Sex SEX AGE GROUP 0 - 19 Years 20 - 29 Years 30 - 39 Years 40 - 49 Years 50 - 59 Years 60 - 69 Years 70 - 79 Years 80+ Years Total MALE 6.1 8.7 17.1 60.4 234.2 612.5 1183.0 1764.4 196.6 FEMALE 7.2 5.4 22.0 69.4 191.8 456.2 737.8 1149.1 170.2 TOTAL 6.6 7.1 20.0 64.9 212.3 529.6 939.2 1393.7 183.4 Rates are per 100,000 persons. Source: ADHS Office of Vital Records. Arizona Table V-E. 1997 Age-Adjusted Malignant Neoplasm Mortality Rates Cause of Death by Sex SEX CAUSE OF DEATH Lung Female Breast Prostate Colorectal Pancreas Lymphomas Ovarian Leukemias Brain Stomach MALE 43.2 NA 14.2 12.7 7.4 6.9 NA 4.6 3.3 3.9 FEMALE 25.2 19.3 NA 9.2 4.8 4.5 5.4 3.4 2.6 2.1 TOTAL 32.2 19.3 14.2 10.7 6.0 5.7 5.4 4.0 3.0 3.0 Rates are per 100,000 persons and are adjusted to the 1940 U.S. population. NA= Not applicable. Source: ADHS Office of Vital Records. 87 NOTES 88 APPENDIX 89 Appendix Primary Site based on ICD-O-2 Primary site Buccal cavity and pharynx Lip Tongue Salivary glands Floor of Mouth Gum and other mouth Nasopharynx Tonsil Oropharynx Hypopharynx Other oral cavity and pharynx Digestive System Esophagus Stomach Small Intestine Colon excluding rectum Rectum and recto sigmoid Anus, anal canal and anorectum Liver Intra hepatic bile duct Gall bladder Other biliary Pancreas Retro peritoneum Peritoneum, momentum and mesentery Other digestive organs Respiratory system Nasal Cavity, middle ear and accessory sinuses C300 : C301, C310 : C319 M-9590 : 9989 C150 : C159 C160 : C169 C170 : C179 C180 : C189, C260 C199 : C209 C210 : C212, C218 C220 C221 C239 C240 : C249 C250 : C259 C480 C481 : C482 C268 : C269, C488 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 C000 : C009 C019 : C029 C079 : C089 C040 : C049 C030 : C039, C050 : C059, C060 : C069 C110 : C119 C090 : C099 C100 : C109 C129, C130 : C139, C141 C140, C142 : C148 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 Site/Type Excluding Type 90 Appendix Primary Site based on ICD-O-2 Primary site Larynx Lung and bronchus Pleura Trachea, mediastinum and other respiratory organs Bones and joints Soft tissue (including heart) Skin (excluding basal and squamous) Melanomas - - - skin Other non-epithelial skin C440 : C449 (types 872 : 879) C440 : C449 M-8000 : 8004, M-8010 : 8012, M-8070 : 8076, M-8090 : 8096, M-8720 : 8790, M-9590 : 9989, M-9590 : 9989 Site/Type C320 : C329 C340 : C349 C384 C339, C381 : C383, C388, C390, C398, C399 C400 : C419 C380, C470 : C479, C490 : C499 Excluding Type M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 Breast Female genital system Cervix Corpus Uterus, NOS Ovary Vagina Vulva Other female genital organs Male genital system Prostate Testis Penis Other male urinary organs Urinary system Urinary bladder C500 : C509 C530 : C539 C540 : C549 C559 C569 C529 C510 : C519 C570 : C589 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 C619 C620 : C629 C600 : C609 C630 : C639 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 C670 : C679 M-9590 : 9989 91 Appendix Primary Site based on ICD-O-2 Primary site Kidney and renal pelvis Ureter Other urinary organs Eye and Orbit Brain and other nervous system Brain Other nervous system Endocrine system Thyroid Other endocrine (including thymus) Lymphomas Hodgkin's disease Non-Hodgkin's lymphoma Multiple Myeloma Leukemias Lymphocytic Granulocytic (myeloid) Monocytic Other types 9820, 9821, 9822, 9823, 9825, 9826 types 9860, 9861, 9862, 9863, 9864, 9866, 9867, 9868 types 9890, 9891, 9892, 9893, 9894 types 9800, 9801, 9802, 9803, 9804, 9827, 9830, 9840, 9841, 9842, 9850, 9870, 9880, 9900, 9910, 9931, 9930 : 9941 types 9720 : 9723, 9740, 9741, 9760 : 9764, 9950 : 9989, C760 : C768, C809 (types 8000: 9589) C420 : C424 (types 8000 : 9589) C770 : C779 (types 8000 : 9589) Site or histology code not within valid range or site code not found in this table types 9650 : 9667 types 9590 : 9595, 9670 : 9714 types 9731 : 9732 C739 C379, C740 : C749, C750 : C759 M-9590 : 9989 M-9590 : 9989 C710 : C719 C710 : C719 (type 953) C700 : C709, C720 : C729 M-9530 : 9939, M-9590 : 9989 M-9590 : 9989 Site/Type C649, C659 C669 C680 : C689 C690 : C699 Excluding Type M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 M-9590 : 9989 Ill-defined and unspecified sites Invalid site 92 93 |
