United States Cancer Statistics

United States Cancer Statistics 2002 INCIDENCE AND MORTALITY PUBLICATION YEAR 2005

U . S . D E PA RT M E N T O F H E A LT H A N D H U M A N S E RV I C E S

Suggested citation: U.S. Cancer Statistics Working Group. United States Cancer Statistics: 2002 Incidence and Mortality. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2005. All material in this report is in the public domain and may be reproduced or copied without permission. However, citation as to source is requested.

For more information, contact National Program of Cancer Registries (NPCR) National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention 4770 Buford Highway, MS K-53 Atlanta, GA 30341-3717 Phone: (770) 488-4783 Fax: (770) 488-4759 http://www.cdc.gov/cancer/npcr National Center for Health Statistics Centers for Disease Control and Prevention 3311 Toledo Road Hyattsville, MD 20782-2064 Phone: (301) 458-4000 E-mail: [email protected] http://www.cdc.gov/nchs

Surveillance, Epidemiology, and End Results (SEER) Program Surveillance Research Program Division of Cancer Control and Population Sciences National Cancer Institute Suite 504, MSC 8316 6116 Executive Boulevard Bethesda, MD 20892-8316 Phone: (301) 496-8510 Fax: (301) 496-9949 http://seer.cancer.gov

Web-site addresses of nonfederal organizations are provided solely as a service to our readers. Their provision does not constitute an endorsement of these organizations by CDC or the federal government, and none should be inferred. CDC is not responsible for the content of other organizations’ Web pages. The Web-site addresses listed in this report were accurate as of November 2005.

United States Cancer Statistics will be published annually. All sections of this report are available on the Web sites listed below: • http://www.cdc.gov/cancer/npcr/uscs • http://seer.cancer.gov/statistics A CD-ROM of this report may be ordered at http://www.cdc.gov/cancer/npcr/uscs.

United States Cancer Statistics 2002 Incidence and Mortality

U.S. Cancer Statistics Working Group

United States Cancer Statistics: 2002 Incidence and Mortality

U.S. Cancer Statistics Working Group Editors Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion

National Cancer Institute

North American Association of Central Cancer Registries

Brenda K. Edwards, PhD Marsha E. Reichman, PhD

Holly L. Howe, PhD Betsy A. Kohler, MPH, CTR

Lyn Almon, MSPH Cheryll Cardinez, MSPH Temeika Fairley, PhD Robert R. German, DrPH Donald Haverkamp, MPH Patricia M. Jamison, MPH Jessica B. King, MPH Joseph D. Rogers, BS Sherri L. Stewart, PhD Trevor D. Thompson, BS Hannah K. Weir, PhD Phyllis A. Wingo, PhD, MS

National Center for Health Statistics Robert N. Anderson, PhD

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Acknowledgments The Centers for Disease Control and Prevention and the National Cancer Institute thank the staff in state and metropolitan area cancer registries for their commitment to cancer surveillance and control programs. The consistent efforts of registry staff to collect complete, timely, and high-quality cancer incidence data are essential for monitoring progress toward reducing the burden of cancer in the United States. Appendix A provides a list of state and metropolitan area cancer registries in the National Program of Cancer Registries (NPCR) and the Surveillance, Epidemiology, and End Results (SEER) program. We thank the NPCR’s Scientific Working Group members (Appendix B) for their assistance in designing and reviewing this report. We also wish to thank vital registration and statistics staff in the 50 states, New York City, and the District of Columbia for their efforts to provide high-quality, timely, and comparable mortality data. National partner organizations are crucial to the success of cancer registration and cancer surveillance in the United States. This report, and many advances in cancer surveillance in the United States, would not have been possible without the tireless efforts and many achievements of these organizations. The Centers for Disease Control and Prevention and the National Cancer Institute gratefully acknowledge and thank the American Cancer Society, the American College of Surgeons Commission on Cancer, the American Joint Committee on Cancer, the National Cancer Registrars Association, and our collaborating partner, the North American Association of Central Cancer Registries, for their support for cancer registration and cancer surveillance provided over many years. Appendix C has contact information for these national partner organizations. We wish to thank several people from the Centers for Disease Control and Prevention: Kimbelian Barnes, Ryan Intlekofer, Karen Ledford, Mary Lewis, Fran Michaud, Phyllis (Janie) Nichols, and Reda Wilson for verifying the data and assisting with the appendices; Gayle Clutter and Dr. Roger E. McLendon for their assistance in preparing and reviewing the data on brain cancer by histologic group; and Dr. Harland Austin for his expert contributions to the Technical Notes and Appendix L. Additionally, we would like to acknowledge several people who were involved in the production and distribution of this year’s report: Kathleen Carey, Mary Kaeser, Diana Toomer, and the Division of Cancer Prevention and Control Web Development Team: Phuong Huynh, Aimee Murphy, Shannon Orr, Marcy Pendley, Blakeslee Potter, Wies Rafi, Corey Schuman, and Ramesh Thalluru. Publication support was provided by Palladian Partners, Inc., under Contract No. 200-980-0415 for the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services.

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Preface United States Cancer Statistics: 2002 Incidence and Mortality is a joint publication of the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia; the National Cancer Institute (NCI) in Bethesda, Maryland; and the North American Association of Central Cancer Registries (NAACCR) in Springfield, Illinois. This is the fourth annual joint report produced, in collaboration with NAACCR, by the two federal programs that support population-based cancer registries in the United States: CDC’s National Program of Cancer Registries (NPCR) and NCI’s Surveillance, Epidemiology, and End Results (SEER) Program. This report contains official federal government cancer statistics for more than 1 million invasive cancer cases diagnosed during 2002 among residents of 44 states, 6 metropolitan areas, and the District of Columbia, and these geographic areas are inhabited by about 93% of the U.S. population. Data from population-based central cancer registries in these states and metropolitan areas meet the selected criteria for inclusion in this report (see “Registry Eligibility Criteria” in the Technical Notes). In addition to cancer incidence data, we present cancer mortality data collected and processed by CDC’s National Center for Health Statistics (NCHS). Mortality statistics, based on records of deaths that occurred during 2002, are available for all 50 states and the District of Columbia. The age-adjusted incidence and death rates are adjusted to the 2000 U.S. standard population, consistent with rates published in previous United States Cancer Statistics reports. Readers should not compare these data with published cancer rates that were not adjusted to the 2000 U.S. standard. The race and ethnicity categories have been expanded this year to include national cancer incidence and mortality data for American Indians/Alaska Natives. In addition, malignant brain and central nervous system cancer incidence data are provided for the United States, categorized by histologic subtype, age, and sex. In future reports, more comprehensive cancer statistics will be provided while maintaining high-quality data standards. A Web-based version of the report with current (2002) and updated (1999–2001) cancer incidence and mortality statistics is available at http://www.cdc.gov/cancer/npcr/uscs. Data at this Web site are provided in an HTML format that can be viewed in a variety of ways. A downloadable ASCII-formatted version of the data that can be manipulated to meet the needs of the user is also available.

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Table of Contents Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v List of Tables, Figures, and Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv Format for Numbering the Tables and Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxi Technical Notes Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Federal Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Collaborating Partner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Data Sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Registry Eligibility Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Populations Covered by This Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Statistical Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Interpreting the Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 HTML Edition of United States Cancer Statistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Cancer Incidence and Mortality for Adults and Children: All Areas Combined . . . . . . . . . . . . . . . . 25 Cancer Incidence and Mortality by U.S. Census Region and Division, State, and Metropolitan Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 State and Metropolitan Area Incidence Rates and State Death Rates for the Most Common Cancers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236 Appendices List of Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inside back cover

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List of Tables, Figures, and Appendices Cancer Incidence and Mortality for Adults and Children: All Areas Combined Figure 1

Geographic Areas Contributing Data to United States Cancer Statistics: 2002 Incidence and Mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Tables 1.1.1.1M– 1.1.1.2F

Age-adjusted invasive cancer incidence and death rates and 95% confidence intervals by primary site, race and ethnicity, and sex, United States, 2002 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Tables 1.1.2.1M– 1.1.2.2F

All cancer sites combined. Invasive cancer incidence and death rates and 95% confidence intervals by age, race and ethnicity, and sex, United States, 2002 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Tables 1.2.1.1M– 1.2.1.1F

Age-adjusted invasive cancer incidence rates and 95% confidence intervals for ages 0–19 by International Classification of Childhood Cancer (ICCC) group and subgroup, race and ethnicity, and sex, United States, 2002 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Table 1.2.2.1

Age-Adjusted Invasive Cancer Incidence Rates and 95% Confidence Intervals by International Classification of Childhood Cancer (ICCC) Group and Subgroup and Age, United States. All Races, Males and Females, 2002 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Table 1.2.3.1

Invasive Cancer Incidence Rates and 95% Confidence Intervals by International Classification of Childhood Cancer (ICCC) Group and Subgroup and Age, United States. All Races, Males and Females, 2002 . . . . . . 44

Tables 1.2.4.1M– 1.2.4.2F

Childhood age-adjusted invasive cancer incidence and death rates and 95% confidence intervals for ages 0–19 by primary site, race and ethnicity, and sex, United States, 2002 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Tables 1.2.5.1– 1.2.5.2

Childhood age-adjusted invasive cancer incidence and death rates and 95% confidence intervals by primary site and age, United States. All races, males and females, 2002 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Tables 1.2.6.1– 1.2.6.2

Childhood invasive cancer incidence and death rates and 95% confidence intervals by primary site and age, United States. All races, males and females, 2002 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Table 1.3.1.1

Age-Adjusted Invasive Cancer of the Brain and Other Nervous System Incidence Rates and 95% Confidence Intervals by Standard Histology Group and Subgroup, Age, and Sex, United States. All Races, 2002 . . . . . . . . . 50

Cancer Incidence and Mortality by U.S. Census Region and Division, State, and Metropolitan Area Figure 2

Geographic Areas Contributing Data to United States Cancer Statistics: 2002 Incidence and Mortality, by U.S. Census Region and Division . . . . . . . . . . . 51

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United States Cancer Statistics: 2002 Incidence and Mortality

Tables 2.1.1.1M– 2.27.1.2F

Age-adjusted cancer incidence and death rates and 95% confidence intervals by U.S. Census region and division, state, metropolitan area, and race and ethnicity, by primary site and sex, United States, 2002

All Cancer Sites Combined . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Brain and Other Nervous System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 Breast, in situ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Cervix Uteri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Colon and Rectum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Corpus and Uterus, NOS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86 Esophagus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 Hodgkin Lymphoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Kaposi Sarcoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Kidney and Renal Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Larynx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Leukemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126 Liver and Intrahepatic Bile Duct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 Lung and Bronchus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 Melanomas of the Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150 Mesothelioma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158 Multiple Myeloma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166 Non-Hodgkin Lymphoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174 Oral Cavity and Pharynx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182 Ovary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190 Pancreas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194 Prostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202 Stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 Testis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214 Thyroid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218 Urinary Bladder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226

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List of Tables, Figures, and Appendices

State and Metropolitan Area Incidence Rates and State Death Rates for the Most Common Cancers Figures 3.1.M1– 3.58.F2

Age-adjusted cancer incidence and death rates for the 10 primary sites with the highest rates within race- and ethnic-specific categories, by geographic area and sex, 2002

United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236 Alabama . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240 Alaska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244 Arizona . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248 Arkansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252 California . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 256 Los Angeles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260 San Francisco-Oakland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264 San Jose-Monterey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268 Colorado . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272 Connecticut . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276 Delaware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280 District of Columbia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 284 Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 288 Georgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 292 Atlanta . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 296 Hawaii . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300 Idaho . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 304 Illinois . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 308 Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312 Iowa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 316 Kansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320 Kentucky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 324 Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 328 Maine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332 Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 336 Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340

xi

United States Cancer Statistics: 2002 Incidence and Mortality

Michigan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 344 Detroit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 348 Minnesota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 352 Mississippi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356 Missouri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360 Montana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 364 Nebraska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 368 Nevada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 372 New Hampshire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 376 New Jersey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 380 New Mexico . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 384 New York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 388 North Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 392 North Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396 Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400 Oklahoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404 Oregon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408 Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412 Rhode Island . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 416 South Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 420 South Dakota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 424 Tennessee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428 Texas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 432 Utah . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 436 Vermont . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 440 Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 444 Washington . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 448 Seattle-Puget Sound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 452 West Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 456 Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460 Wyoming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 464

xii

List of Tables, Figures, and Appendices

Appendices Appendix A

State and Metropolitan Area Cancer Registries

Appendix B

National Program of Cancer Registries: Scientific Working Group Members

Appendix C

National Partner Organizations

Appendix D

Invasive cancer incidence counts and cancer death counts by primary site, sex, race and ethnicity, and age (all ages,