cancer by site2016). figures include in situ and invasive cancers ¹ 5-year relative survival rates...
Post on 27-Feb-2020
0 Views
Preview:
TRANSCRIPT
Cancer By Site
Percent Distribution of Cancer
Percent Distribution of Cancer Washington State Cancer Registry Page 1
N/C: not calculated because the number of cases less than 10
17.1%10.8%
10.5%10.0%
7.2%7.1%
4.4%3.8%
3.4%3.1%
2.8%2.7%2.7%
2.5%2.0%
1.3%1.3%1.2%
1.0%1.0%
0.8%0.7%0.7%
0.6%0.6%
0.5%0.5%
0 1000 2000 3000 4000 5000 6000 7000 8000
Breast (Female)Lung and Bronchus
Melanoma of the SkinProstate
ColorectalOther
BladderNon-Hodgkin Lymphoma
Kidney and Renal PelvisEndometrium
LeukemiaOral Cavity and Pharynx
PancreasThyroid
Liver and Intrahepatic Bile DuctBrain and Other Nervous System
Multiple MyelomaStomach
OvaryEsophagus
Anus, Anal Canal and AnorectumSoft Tissue Including Heart
Vulva (Female)Testis
Cervical (Uterine)Larynx
Hodgkin Lymphoma
2016 Total Cancer Incidence of Washington State Residents
23.3%11.1%
8.3%7.0%6.9%
5.5%4.7%
3.9%3.6%
3.4%3.1%3.0%
2.7%2.2%
1.9%1.8%1.8%1.8%
1.0%1.0%
0.6%0.5%
0.4%0.2%0.2%0.2%
N/C
0 500 1000 1500 2000 2500 3000 3500
Lung and BronchusOther
ColorectalBreast (Female)
PancreasProstate
Liver and Intrahepatic Bile DuctLeukemia
Non-Hodgkin LymphomaBrain and Other Nervous System
BladderEsophagus
OvaryKidney and Renal Pelvis
MyelomaOral Cavity and Pharynx
StomachMelanoma of the Skin
Soft Tissue Including HeartEndometrium
Cervix (Uterine)Larynx
ThyroidVulva (Female)
Anus, Anal Canal and AnorectumHodgkin Lymphoma
Testis
2016 Total Cancer Mortality of Washington State Residents
Percent Distribution of Cancer
Percent Distribution of Cancer Washington State Cancer Registry Page 2
N/C: not calculated because the number of cases less than 10
20.7%
12.4%
11.1%
7.8%
7.7%
7.0%
4.3%
4.3%
3.9%
3.5%
3.1%
2.9%
1.6%
1.5%
1.5%
1.5%
1.3%
1.2%
0.9%
0.8%
0.8%
0.5%
0 500 1000 1500 2000 2500 3000 3500 4000 4500
Prostate
Melanoma of the Skin
Lung and Bronchus
Other
Colorectal
Bladder
Non-Hodgkin Lymphoma
Kidney and Renal Pelvis
Oral Cavity and Pharynx
Leukemia
Liver and Intrahepatic Bile Duct
Pancreas
Esophagus
Brain and Other Nervous System
Stomach
Multiple Myeloma
Thyroid
Testis
Soft Tissue Including Heart
Larynx
Anus, Anal Canal and Anorectum
Hodgkin Lymphoma
2016 Male Cancer Incidence of Washington State Residents
23.0%
10.6%
10.4%
8.1%
6.8%
6.1%
4.5%
4.4%
4.2%
4.2%
3.9%
2.8%
2.4%
2.1%
2.1%
2.0%
1.0%
0.8%
0.3%
0.2%
N/C
N/C
0 200 400 600 800 1000 1200 1400 1600
Lung and Bronchus
Other
Prostate
Colorectal
Pancreas
Liver and Intrahepatic Bile Duct
Leukemia
Esophagus
Non-Hodgkin Lymphoma
Bladder
Brain and Other Nervous System
Kidney and Renal Pelvis
Oral Cavity and Pharynx
Myeloma
Melanoma of the Skin
Stomach
Soft Tissue Including Heart
Larynx
Thyroid
Hodgkin Lymphoma
Testis
Anus, Anal Canal and Anorectum
2016 Male Cancer Mortality of Washington State Residents
Percent Distribution of Cancer
Percent Distribution of Cancer Washington State Cancer Registry Page 3
N/C: not calculated because the number of cases less than 10
33.1%
10.6%
8.7%
6.7%
6.4%
6.0%
3.7%
3.2%
2.5%
2.5%
2.2%
2.0%
2.0%
1.6%
1.3%
1.1%
1.1%
1.1%
1.1%
0.9%
0.8%
0.5%
0.4%
0.4%
0.2%
0 1000 2000 3000 4000 5000 6000 7000 8000
Breast (Female)
Lung and Bronchus
Melanoma of the Skin
Colorectal
Other
Endometrium
Thyroid
Non-Hodgkin Lymphoma
Kidney and Renal Pelvis
Pancreas
Leukemia
Ovary
Bladder
Oral Cavity and Pharynx
Vulva (Female)
Cervical (Uterine)
Multiple Myeloma
Brain and Other Nervous System
Liver and Intrahepatic Bile Duct
Stomach
Anus, Anal Canal and Anorectum
Soft Tissue Including Heart
Hodgkin Lymphoma
Esophagus
Larynx
2016 Female Cancer Incidence of Washington State Residents
23.6%
14.7%
11.8%
8.5%
7.0%
5.6%
3.4%
3.1%
3.0%
3.0%
2.0%
1.8%
1.8%
1.6%
1.6%
1.4%
1.4%
1.2%
1.2%
1.0%
0.5%
0.4%
0.3%
0.2%
N/C
0 200 400 600 800 1000 1200 1400 1600
Lung and Bronchus
Breast (Female)
Other
Colorectal
Pancreas
Ovary
Leukemia
Liver and Intrahepatic Bile Duct
Brain and Other Nervous System
Non-Hodgkin Lymphoma
Endometrium
Bladder
Myeloma
Stomach
Kidney and Renal Pelvis
Melanoma of the Skin
Esophagus
Oral Cavity and Pharynx
Cervix (Uterine)
Soft Tissue Including Heart
Thyroid
Vulva (Female)
Anus, Anal Canal and Anorectum
Larynx
Hodgkin Lymphoma
2016 Female Cancer Mortality of Washington State Residents
All Sites Combined
All Sites Combined Washington State Cancer Registry Page 4
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 20,105 21,517 41,638
2016 Incidence Rates 506.6 498.7 497.6
2016 National Rates 490.1 453.7 465.9
DeathMale Female Total
Deaths 6,613 5,914 12,527
2016 Death Rates 176.8 132.3 151.5
2016 National Rates 185.9 134.0 155.9
Relative Survival Rates2016 National 5-year rates1¹
In situ n/aLocal n/a
Regional n/aDistant n/a
Unstaged n/aOverall 70%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using ICD-0-3 codes C00.0 - C80.9, all histology codes. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 140-208, 238.6 (1992-1998), ICD-10 codes C00-C97 (1999-2016).
Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
12%
41%
19%22%
6%
02000400060008000
100001200014000160001800020000
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
All Sites Combined
All Sites Combined Washington State Cancer Registry Page 5
For all cancers combined age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased slightly by 0.8% per year from 1992 to 2001; decreased slightly by 0.8% per year since 2001.Men: Rates decreased steadily by 3.4% per year from 1992 to 1995; remained level from 1995 to 1999; decreased slightly by 0.9% per year from 1999 to 2010; decreased steadily by 2.4% per year since 2010.Women: Rates increased steadily by 2.0% per year from 1992 and 1998; decreased slightly by 0.2% per year since 1998.
For all cancers combined age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 1.0% per year from 1992 to 2003; decreased steadily by 1.7% per year since 2003.Men: Rates decreased steadily by 1.6% per year from 1992 to 2016.Women: Rates decreased slightly by 0.7% per year from 1992 to 2003; decreased steadily by 1.7% per year since 2003.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
50
100
150
200
250
300
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
100
200
300
400
500
600
700
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
All Sites Combined2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
All Sites Combined Washington State Cancer Registry Page 6
0 100 200 300 400 500 600 700
Garfield [296]Ferry [298]
Whitman [315]Asotin [373]
Franklin [374]Kittitas [386]
Skamania [389]Pend Oreille [390]
Lincoln [395]Stevens [395]Yakima [396]Klickitat [429]
Spokane [433]Pacific [436]Adams [437]Lewis [441]
Walla Walla [442]Columbia [443]
Grant [445]Benton [447]
Clark [459]San Juan [462]
Chelan [467]Douglas [467]
Wahkiakum [469]Okanogan [474]
WA STATE [495]Cowlitz [504]
Thurston [506]Kitsap [510]Skagit [517]
Whatcom [520]Pierce [521]
King [521]Island [522]
Jefferson [533]Snohomish [536]
Mason [543]Grays Harbor [543]
Clallam [569]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
All Sites Combined2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
All Sites Combined Washington State Cancer Registry Page 7
0 50 100 150 200 250 300
Garfield [120]Asotin [127]
San Juan [131]Wahkiakum [131]
Franklin [132]Island [136]
Skamania [138]Jefferson [139]Whitman [139]Douglas [140]Chelan [141]Kittitas [142]
King [143]Kitsap [144]
Whatcom [147]Ferry [149]
Walla Walla [149]Stevens [151]Benton [151]Lincoln [153]
Thurston [154]Klickitat [154]
WA STATE [155]Adams [156]
Grant [160]Yakima [160]Clallam [161]
Snohomish [162]Clark [163]
Skagit [164]Okanogan [166]
Mason [167]Pierce [169]
Spokane [169]Pacific [174]
Pend Oreille [176]Columbia [177]
Cowlitz [178]Lewis [180]
Grays Harbor [193]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Anus, Anal Cancer and Anorectum
Anus, Anal Cancer and Anorectum Washington State Cancer Registry Page 8
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 152 162 314
2016 Incidence Rates 3.8 3.5 3.7
2016 National Rates 1.7 2.6 2.2
DeathMale Female Total
Deaths 6 17 23
2016 Death Rates 0.2 0.4 0.3
2016 National Rates 0.2 0.3 0.3
Relative Survival Rates2016 National 5-year rates1¹
In situ 97%Local 80%
Regional 66%Distant 36%
Unstaged 58%Overall 78%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C21.0 - C21.2, C21.8, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 154.2-154.3, 154.8 (1992-1998), ICD-10 code C21 (1999-2016).
Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
35%
31%
22%
7%4%
0
20
40
60
80
100
120
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Anus, Anal Cancer and Anorectum
Anus, Anal Cancer and Anorectum Washington State Cancer Registry Page 9
For anus, anal canal and anorectum age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2003; increased sharply by 11.0% per year from 2003 to 2010; remained level since 2010.Men: Rates remained level from 1992 to 2005; increased sharply by 25.7% per year from 2005 to 2009; remained level since 2009.Women: Rates increased steadily by 3.3% per year from 1992 to 2016.
For anus, anal canal and anorectum age-adjusted mortality rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2016.Men: Rates remained level from 1992 to 2016.Women: Rates remained level from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
0.1
0.2
0.3
0.4
0.5
0.6
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
1
2
3
4
5
6
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Anus, Anal Cancer and Anorectum2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Anus, Anal Cancer and Anorectum Washington State Cancer Registry Page 10
0 2 4 6 8 10 12
Adams [n/c]Asotin [n/c]
Chelan [n/c]Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Jefferson [n/c]
Kittitas [n/c]Klickitat [n/c]Lincoln [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Spokane [2]
Pierce [2]Benton [2]
Snohomish [3]Mason [3]
Yakima [3]Lewis [3]Skagit [3]
WA STATE [4]Island [4]
Whatcom [4]Kitsap [4]
Thurston [4]Clark [5]King [5]
Cowlitz [5]Clallam [5]
Grays Harbor [6]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Anus, Anal Cancer and Anorectum2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Anus, Anal Cancer and Anorectum Washington State Cancer Registry Page 11
0 0.05 0.1 0.15 0.2 0.25 0.3 0.35 0.4 0.45
Adams [n/c]Asotin [n/c]
Benton [n/c]Chelan [n/c]Clallam [n/c]
Clark [n/c]Columbia [n/c]
Cowlitz [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Island [n/c]Jefferson [n/c]
Kitsap [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]Pierce [n/c]
San Juan [n/c]Skagit [n/c]
Skamania [n/c]Snohomish [n/c]
Spokane [n/c]Stevens [n/c]
Thurston [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whatcom [n/c]Whitman [n/c]
Yakima [n/c]King [0]
WA STATE [0]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Bladder
Bladder Washington State Cancer Registry Page 12
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 1,399 422 1,825
2016 Incidence Rates 37.4 9.4 22.1
2016 National Rates 32.7 8.2 19.0
DeathMale Female Total
Deaths 276 107 383
2016 Death Rates 7.7 2.4 4.7
2016 National Rates 7.5 2.1 4.4
Relative Survival Rates2016 National 5-year rates1¹
In situ 96%Local 70%
Regional 36%Distant 5%
Unstaged 47%Overall 77%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C67.0-C67.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 188.0-188.9 (1992-1998), ICD-10 code C67 (1999-2016).
Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
51%
34%
7% 5% 3%
0100200300400500600700800900
1000
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Bladder
Bladder Washington State Cancer Registry Page 13
For bladder cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased steadily by 1.1% per year from 1992 to 2000; decreased slightly by 0.9% per year since 2000.Men: Rates increased steadily by 2.5% per year from 1992 to 1998; decreased steadily by 1.1% per year since 1998.Women: Rates decreased slightly by 0.6% per year from 1992 to 2016.
For bladder cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates increased slightly by 0.4% per year from 1992 to 2016.Men: Rates remained level from 1992 to 2016.Women: Rates remained level from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
1
2
3
4
5
6
7
8
9
10
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
5
10
15
20
25
30
35
40
45
50
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Bladder2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Bladder Washington State Cancer Registry Page 14
0 10 20 30 40 50 60 70
Columbia [n/c]Garfield [n/c]
Skamania [n/c]Wahkiakum [n/c]
Whitman [n/c]Stevens [11]Klickitat [12]
Asotin [13]Pacific [14]
Yakima [17]Franklin [18]
San Juan [19]Kitsap [20]Kittitas [20]
Clark [20]Cowlitz [20]
Spokane [21]King [21]
Jefferson [22]WA STATE [22]
Chelan [22]Snohomish [22]
Thurston [22]Ferry [23]Grant [23]Island [23]
Mason [24]Benton [24]Pierce [24]Lewis [25]
Okanogan [25]Walla Walla [26]
Whatcom [26]Skagit [26]
Pend Oreille [26]Grays Harbor [27]
Clallam [27]Adams [29]
Douglas [29]Lincoln [30]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Bladder2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Bladder Washington State Cancer Registry Page 15
0 2 4 6 8 10 12 14
Adams [n/c]Asotin [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Garfield [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lincoln [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Clallam [3]Yakima [3]Kitsap [4]
Chelan [4]Spokane [4]
Island [4]Thurston [4]
King [4]Whatcom [5]
Grays Harbor [5]WA STATE [5]
Grant [5]Skagit [5]Lewis [5]
Snohomish [5]Clark [6]
Benton [6]Pierce [6]
Cowlitz [6]Mason [7]
Franklin [7]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Brain and Other Nervous System
Brain and Other Nervous System Washington State Cancer Registry Page 16
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 298 230 528
2016 Incidence Rates 7.7 5.8 6.7
2016 National Rates 7.2 5.1 6.1
DeathMale Female Total
Deaths 255 175 430
2016 Death Rates 6.5 4.0 5.2
2016 National Rates 5.5 3.6 4.5
Relative Survival Rates2016 National 5-year rates1¹
In situ n/aLocal 35%
Regional 20%Distant 32%
Unstaged 27%Overall 32%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C70.0-C70.9, C71.0-C71.9, C72.0-C72.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 191.0-191.9, 192.0-192.9 (1992-1998), ICD-10 code C70, C71, C72 (1999-2016).
n/c - Not calculated because the number of cases is less than 10.Figures include only invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
70%
14%
n/c
14%
0
50
100
150
200
250
300
350
400
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Brain and Other Nervous System
Brain and Other Nervous System Washington State Cancer Registry Page 17
● For brain and other nervous system cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2016.Men: Rates remained level from 1992 to 2016.Women: Rates remained level from 1992 to 2016.
For brain and other nervous system cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased slightly by 0.8% per year from 1992 to 2016.Men: Rates decreased steadily by 1.0% per year from 1992 to 2016.Women: Rates decreased slightly by 0.8% per year from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
1
2
3
4
5
6
7
8
9
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
2
4
6
8
10
12
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Brain and Other Nervous System2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Brain and Other Nervous System Washington State Cancer Registry Page 18
0 5 10 15 20 25 30
Adams [n/c]Asotin [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Garfield [n/c]Kittitas [n/c]
Klickitat [n/c]Lincoln [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]
Franklin [4]Grant [4]
Benton [6]Mason [6]Chelan [6]Yakima [7]
Walla Walla [7]Stevens [7]
Pierce [7]Skagit [7]Clark [7]
WA STATE [7]Lewis [7]Kitsap [7]
King [8]Cowlitz [8]
Okanogan [8]Thurston [8]
Snohomish [8]Island [8]
Spokane [8]Grays Harbor [9]
Clallam [9]Whatcom [9]
Jefferson [11]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Brain and Other Nervous System2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Brain and Other Nervous System Washington State Cancer Registry Page 19
0 2 4 6 8 10 12 14 16
Adams [n/c]Asotin [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lincoln [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]
Yakima [4]Mason [4]
Walla Walla [4]Grant [4]Kitsap [4]
Chelan [4]Benton [5]
King [5]WA STATE [5]
Skagit [5]Snohomish [5]
Island [5]Pierce [5]
Spokane [6]Whatcom [6]
Clark [6]Lewis [6]
Clallam [6]Thurston [6]
Cowlitz [7]Stevens [7]
Grays Harbor [7]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Breast (Female)
Breast (Female) Washington State Cancer Registry Page 20
2016 Washington State Female Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers n/a 7,119 n/a
2016 Incidence Rates n/a 165.2 n/a
2016 National Rates n/a 151.9 n/a
DeathMale Female Total
Deaths n/a 871 n/a
2016 Death Rates n/a 19.6 n/a
2016 National Rates n/a 20.0 n/a
Relative Survival Rates2016 National 5-year rates1¹
In situ 100%Local 99%
Regional 85%Distant 27%
Unstaged 54%Overall 92%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C50.0-C50.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 174.0-174.9 (1992-1998), ICD-10 codes C50 (1999-2016).
n/a - Not available for sex-specific sites.
Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
19%
55%
21%
4% 2%0
500
1000
1500
2000
2500
3000
3500
4000
4500
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State Female ResidentsTotal Incidence and Percents
Breast (Female)
Breast (Female) Washington State Cancer Registry Page 21
For female breast cancer age-adjusted incidence rates have increased steadily by 2.9% per year from 1992 to 1999; rates decreased steadily by 2.3% per year from 1999 to 2006; rates remained level from 2006 to 2009; rates remained level since 2009.
For female breast cancer age-adjusted mortality rates have decreased steadily by 3.4% per year from 1992 to 1999; rates decreased steadily by 1.6% per year since 1999..
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
5
10
15
20
25
30
35
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Female ResidentsDeath Rate TrendsAge-adjusted to 2000 US standard population
Female
0
20
40
60
80
100
120
140
160
180
200
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Female ResidentsIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female
Breast (Female)2014-2016 Washington State Female ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Breast (Female) Washington State Cancer Registry Page 22
0 50 100 150 200 250 300 350
Columbia [n/c]Garfield [n/c]
Ferry [87]Skamania [111]
Lewis [119]Douglas [121]Franklin [125]
Pacific [125]Yakima [126]Chelan [132]Adams [132]
Wahkiakum [134]Asotin [137]Grant [137]
Stevens [139]Island [141]
San Juan [144]Okanogan [144]
Klickitat [144]Grays Harbor [147]
Clallam [154]Thurston [154]
Kittitas [155]Whitman [157]
Clark [158]Walla Walla [159]
Benton [162]Kitsap [162]
Jefferson [162]Pend Oreille [167]
Spokane [167]WA STATE [167]
Skagit [168]Snohomish [169]
Whatcom [169]Mason [171]Cowlitz [174]Pierce [174]
King [185]Lincoln [186]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Breast (Female)2014-2016 Washington State Female ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Breast (Female) Washington State Cancer Registry Page 23
0 10 20 30 40 50 60 70 80 90 100
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Lincoln [n/c]
Pend Oreille [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]Jefferson [10]Douglas [15]
Mason [15]Cowlitz [16]
Franklin [17]Island [17]
Okanogan [17]Yakima [17]Chelan [17]
Stevens [18]Klickitat [18]
Skagit [18]Kitsap [18]Grant [19]Lewis [19]
Walla Walla [19]Spokane [19]
King [20]Kittitas [20]
WA STATE [20]Snohomish [21]
Clark [21]Benton [21]
Whatcom [21]Pierce [22]
Clallam [23]Thurston [24]
Grays Harbor [30]San Juan [36]
Pacific [38]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washingotn State Department of Health, Center for Health Statistics, released in April 2018.
Cervix (Uterine)
Cervix (Uterine) Washington State Cancer Registry Page 24
2016 Washington State Female Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers n/a 240 n/a
2016 Incidence Rates n/a 6.4 n/a
2016 National Rates n/a 7.6 n/a
DeathMale Female Total
Deaths n/a 70 n/a
2016 Death Rates n/a 1.7 n/a
2016 National Rates n/a 2.2 n/a
Relative Survival Rates2016 National 5-year rates1¹
In situ n/aLocal 92%
Regional 56%Distant 16%
Unstaged 51%Overall 65%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C53.0-C53.9, excluding histology codes 9140, 9050-9055, 9590-9992 and excluding in situ. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 180.0-180.9 (1992-1998), ICD-10 code C53 (1999-2016).
n/a - Not available for sex-specific sites.n/c - Not calculated because the number of cases is less than 10.Figures include only invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
50%
32%
14%
n/c0
20
40
60
80
100
120
140
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State Female ResidentsTotal Incidence and Percents
Cervix (Uterine)
Cervix (Uterine) Washington State Cancer Registry Page 25
For cervical cancer age-adjusted incidence rates have decreased steadily by 1.3% per year from 1992 to 2016.
For cervical cancer age-adjusted mortality rates have decreased steadily by 1.9% per year from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
0.5
1
1.5
2
2.5
3
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Female ResidentsDeath Rate TrendsAge-adjusted to 2000 US standard population
Female
0
2
4
6
8
10
12
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Female ResidentsIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female
Cervix (Uterine)2014-2016 Washington State Female ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Cervix (Uterine) Washington State Cancer Registry Page 26
0 5 10 15 20 25
Adams [n/c]Asotin [n/c]
Chelan [n/c]Columbia [n/c]
Cowlitz [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Island [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Benton [5]
Spokane [5]Skagit [5]
Yakima [6]Thurston [6]
King [7]WA STATE [7]
Clark [7]Snohomish [8]
Kitsap [8]Pierce [8]
Whatcom [8]Grays Harbor [10]
Clallam [12]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Cervix (Uterine)2014-2016 Washington State Female ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Cervix (Uterine) Washington State Cancer Registry Page 27
0 0.5 1 1.5 2 2.5 3 3.5
Adams [n/c]Asotin [n/c]
Benton [n/c]Chelan [n/c]Clallam [n/c]
Columbia [n/c]Cowlitz [n/c]
Douglas [n/c]Ferry [n/c]
Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Island [n/c]Jefferson [n/c]
Kitsap [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]
Skagit [n/c]Skamania [n/c]
Stevens [n/c]Thurston [n/c]
Wahkiakum [n/c]Walla Walla [n/c]
Whatcom [n/c]Whitman [n/c]
Yakima [n/c]King [1]
Clark [1]Snohomish [1]WA STATE [1]
Spokane [1]Pierce [2]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washingotn State Department of Health, Center for Health Statistics, released in April 2018.
Colorectal
Colorectal Washington State Cancer Registry Page 28
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 1,547 1,433 2,982
2016 Incidence Rates 39.6 33.3 36.3
2016 National Rates 43.9 34.2 38.7
DeathMale Female Total
Deaths 534 503 1,037
2016 Death Rates 14.1 11.1 12.6
2016 National Rates 16.3 11.5 13.7
Relative Survival Rates2016 National 5-year rates1¹
In situ 94%Local 90%
Regional 71%Distant 14%
Unstaged 36%Overall 65%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C18.0-C18.9, C19.9, C20.9, C26.0, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 153.0-154.1, 159.0 (1992-1998), ICD-10 codes C18-C20, C26.0 (1999-2016).
Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
1%
35% 36%
21%
7%
0
200
400
600
800
1000
1200
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Colorectal
Colorectal Washington State Cancer Registry Page 29
For colorectal cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 1998; decreased steadily by 2.9% per year since 1998.Men: Rates remained level from 1992 to 1998; decreased steadily by 3.4% per year since 1998.Women: Rates remained level from 1992 to 1997; decreased steadily by 2.5% per year since 1997.
For colorectal cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 2.5% per year from 1992 to 2016.Men: Rates decreased steadily by 2.8% per year from 1992 to 2016.Women: Rates decreased steadily by 2.5% per year from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
5
10
15
20
25
30
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
10
20
30
40
50
60
70
80
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Colorectal2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Colorectal Washington State Cancer Registry Page 30
0 20 40 60 80 100 120
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Asotin [24]
Whitman [25]Kittitas [27]
San Juan [28]Lincoln [29]Klickitat [30]
Pend Oreille [30]Pacific [30]
Franklin [31]Spokane [31]
Walla Walla [32]Stevens [33]
Skamania [33]Skagit [33]Clark [34]
Kitsap [34]Jefferson [34]
Benton [35]Whatcom [35]
Pierce [35]WA STATE [36]
Yakima [36]King [36]
Grant [36]Grays Harbor [38]
Wahkiakum [38]Cowlitz [38]
Douglas [39]Mason [39]Lewis [39]
Thurston [40]Snohomish [40]
Chelan [40]Island [40]
Okanogan [41]Clallam [41]Adams [48]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Colorectal2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Colorectal Washington State Cancer Registry Page 31
0 5 10 15 20 25 30 35 40 45
Adams [n/c]Columbia [n/c]
Ferry [n/c]Garfield [n/c]
Skamania [n/c]Wahkiakum [n/c]
Asotin [9]Douglas [10]
Kittitas [10]Pacific [10]Chelan [10]
Jefferson [11]Kitsap [11]
Thurston [11]Benton [11]Mason [11]
Walla Walla [11]King [11]
Pierce [12]Okanogan [12]
WA STATE [12]Spokane [12]
Clark [13]Whatcom [13]
Clallam [13]Snohomish [13]
Grays Harbor [13]San Juan [13]
Yakima [14]Grant [14]
Franklin [15]Cowlitz [15]Skagit [15]Lewis [16]Island [16]
Lincoln [16]Whitman [16]Stevens [16]Klickitat [18]
Pend Oreille [20]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Endometrium
Endometrium Washington State Cancer Registry Page 32
2016 Washington State Female Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers n/a 1,284 n/a
2016 Incidence Rates n/a 27.9 n/a
2016 National Rates n/a 26.5 n/a
DeathMale Female Total
Deaths n/a 121 n/a
2016 Death Rates n/a 2.7 n/a
2016 National Rates n/a 2.5 n/a
Relative Survival Rates2016 National 5-year rates1¹
In situ 96%Local 95%
Regional 70%Distant 18%
Unstaged 57%Overall 83%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C54.0-C54.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 182.0-182.1, 182.8 (1992-1998), ICD-10 codes C54 (1999-2016).
n/a - Not available for sex-specific sites.n/c - Not calculated because the number of cases is less than 10.Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
74%
16%7%
3%0
100200300400500600700800900
1000
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State Female ResidentsTotal Incidence and Percents
Endometrium
Endometrium Washington State Cancer Registry Page 33
For endometrial cancer age-adjusted incidence rates have remained level from 1992 to 2016.
For endometrial cancer age-adjusted mortality rates have remained level from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
0.5
1
1.5
2
2.5
3
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Female ResidentsDeath Rate TrendsAge-adjusted to 2000 US standard population
Female
0
5
10
15
20
25
30
35
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Female ResidentsIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female
Endometrium2014-2016 Washington State Female ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Endometrium Washington State Cancer Registry Page 34
0 10 20 30 40 50 60 70 80 90 100
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Lincoln [n/c]
Pend Oreille [n/c]Wahkiakum [n/c]
Kittitas [16]Yakima [20]
Stevens [22]Okanogan [22]
Benton [22]Pacific [22]
Franklin [23]Spokane [23]Jefferson [24]
Skagit [24]Chelan [24]Klickitat [25]Douglas [25]
Pierce [25]Thurston [26]
WA STATE [26]Snohomish [26]
Grant [27]Whitman [27]
Island [27]Kitsap [27]
King [28]Clallam [28]
Whatcom [28]Mason [29]
Clark [30]Cowlitz [30]
Walla Walla [31]Lewis [32]
San Juan [33]Grays Harbor [37]
Skamania [38]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Endometrium2014-2016 Washington State Female ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Endometrium Washington State Cancer Registry Page 35
0 1 2 3 4 5 6
Adams [n/c]Asotin [n/c]
Benton [n/c]Chelan [n/c]Clallam [n/c]
Columbia [n/c]Cowlitz [n/c]
Douglas [n/c]Ferry [n/c]
Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Island [n/c]Jefferson [n/c]
Kittitas [n/c]Klickitat [n/c]
Lewis [n/c]Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]
Skagit [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Yakima [n/c]Spokane [1]
Kitsap [2]Pierce [2]
WA STATE [2]Clark [2]
Snohomish [3]King [3]
Whatcom [3]Thurston [3]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washingotn State Department of Health, Center for Health Statistics, released in April 2018.
Esophagus
Esophagus Washington State Cancer Registry Page 36
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 327 88 415
2016 Incidence Rates 8.1 2.0 4.8
2016 National Rates 7.6 1.7 4.4
DeathMale Female Total
Deaths 293 82 375
2016 Death Rates 7.5 1.9 4.4
2016 National Rates 7.0 1.5 3.9
Relative Survival Rates2016 National 5-year rates1¹
In situ 79%Local 46%
Regional 25%Distant 5%
Unstaged 13%Overall 20%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C15.0-C15.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 150.0-150.9 (1992-1998), ICD-10 code C15 (1999-2016).
n/c - Not calculated because the number of cases is less than 10.Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
17%
35%32%
14%
0
20
40
60
80
100
120
140
160
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Esophagus
Esophagus Washington State Cancer Registry Page 37
For esophageal cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 1999; decreased steadily by 1.1% per year since 1999.Men: Rates remained level from 1992 to 1999; decreased steadily by 1.3% per year since 1999..Women: Rates remained level from 1992 to 2016.
For esophageal cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2000; decreased slightly by 0.9% per year since 2000.Men: Rates remained level from 1992 to 2016.Women: Rates remained level from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
1
2
3
4
5
6
7
8
9
10
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
2
4
6
8
10
12
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Esophagus2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Esophagus Washington State Cancer Registry Page 38
0 2 4 6 8 10 12 14 16 18 20
Adams [n/c]Asotin [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]Kittitas [n/c]
Klickitat [n/c]Lincoln [n/c]
Okanogan [n/c]Pend Oreille [n/c]
San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]
Benton [3]Chelan [4]Kitsap [4]
Grays Harbor [4]Pierce [4]Mason [4]
Clark [4]Yakima [4]
King [5]Whatcom [5]Spokane [5]
WA STATE [5]Jefferson [5]
Snohomish [5]Thurston [5]
Island [5]Walla Walla [6]
Skagit [7]Lewis [7]
Stevens [7]Pacific [7]Grant [8]
Cowlitz [8]Clallam [8]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Esophagus2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Esophagus Washington State Cancer Registry Page 39
0 5 10 15 20 25
Adams [n/c]Asotin [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]Kittitas [n/c]Lincoln [n/c]
Okanogan [n/c]Pend Oreille [n/c]
San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]
Whitman [n/c]Lewis [3]
Mason [4]King [4]
Benton [4]Chelan [4]
Thurston [4]Pierce [4]
Snohomish [4]Whatcom [4]
WA STATE [4]Clark [4]
Yakima [5]Island [5]
Walla Walla [5]Grant [5]Kitsap [5]
Grays Harbor [5]Spokane [5]
Skagit [5]Clallam [5]
Jefferson [7]Cowlitz [8]Pacific [9]
Klickitat [10]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Hodgkin Lymphoma
Hodgkin Lymphoma Washington State Cancer Registry Page 40
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 102 91 194
2016 Incidence Rates 2.8 2.5 2.6
2016 National Rates 2.8 2.2 2.5
DeathMale Female Total
Deaths 14 6 20
2016 Death Rates 0.4 0.1 0.3
2016 National Rates 0.4 0.2 0.3
Relative Survival Rates2016 National 5-year rates1¹
In situ n/aLocal 92%
Regional 94%Distant 80%
Unstaged 83%Overall 87%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using all primary sites with histology codes 9650-9667. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 201.0-201.9 (1992-1998), ICD-10 code C81 (1999-2016).
n/c - Not calculated because the number of cases is less than 10.Figures include only invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
10%
41% 41%
8%
0
10
20
30
40
50
60
70
80
90
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Hodgkin Lymphoma
Hodgkin Lymphoma Washington State Cancer Registry Page 41
For Hodgkin Lymphoma age-adjusted incidence rates have changed as follows.Both sexes combined: Rates decreased slightly by 0.5% per year from 1992 to 2016.Men: Rates remained level from 1992 to 2016.Women: Rates decreased slightly by 0.7% per year from 1992 to 2016.
For Hodgkin lymphoma age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 3.2% per year from 1992 to 2016.Men: Rates decreased steadily by 3.7% per year from 1992 to 2016.Women: Rates decreased steadily by 2.7% per year from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Hodgkin Lymphoma2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Hodgkin Lymphoma Washington State Cancer Registry Page 42
0 1 2 3 4 5 6 7 8 9 10
Adams [n/c]Asotin [n/c]
Chelan [n/c]Clallam [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Pierce [2]
Yakima [2]King [3]
Spokane [3]WA STATE [3]
Benton [3]Snohomish [3]
Clark [3]Whatcom [3]
Skagit [3]Thurston [3]
Kitsap [3]Island [4]
Cowlitz [4]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Hodgkin Lymphoma2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Hodgkin Lymphoma Washington State Cancer Registry Page 43
0 0.05 0.1 0.15 0.2 0.25 0.3 0.35 0.4
Adams [n/c]Asotin [n/c]
Benton [n/c]Chelan [n/c]Clallam [n/c]
Clark [n/c]Columbia [n/c]
Cowlitz [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Island [n/c]Jefferson [n/c]
King [n/c]Kitsap [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]Pierce [n/c]
San Juan [n/c]Skagit [n/c]
Skamania [n/c]Snohomish [n/c]
Spokane [n/c]Stevens [n/c]
Thurston [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whatcom [n/c]Whitman [n/c]
Yakima [n/c]WA STATE [0]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Kidney and Renal Pelvis
Kidney and Renal Pelvis Washington State Cancer Registry Page 44
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 855 542 1,397
2016 Incidence Rates 21.2 12.4 16.5
2016 National Rates 23.0 11.7 16.9
DeathMale Female Total
Deaths 186 95 281
2016 Death Rates 4.9 2.1 3.4
2016 National Rates 5.2 2.3 3.6
Relative Survival Rates2016 National 5-year rates1¹
In situ 87%Local 92%
Regional 69%Distant 12%
Unstaged 44%Overall 75%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C64.9, C65.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 189.0, 189.1 (1992-1998), ICD-10 codes C64-C65 (1999-2016).
Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
3%
64%
18%12%
3%
0100200300400500600700800900
1000
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Kidney and Renal Pelvis
Kidney and Renal Pelvis Washington State Cancer Registry Page 45
For kidney and renal pelvis age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased steadily by 2.8% per year from 1992 to 2008; remained level since 2008.Men: Rates increased steadily by 2.4% per year from 1992 to 2010; decreased steadily by 1.8% per year since 2010.Women: Rates remained level from 1992 to 1994; increased steadily by 3.7% per year from 1994 to 2007; remained level from 2007 to 2014; remained level since 2014.
For kidney and renal pelvis cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 1998; decreased steadily by 1.2% per year since 1998.Men: Rates remained level from 1992 to 2016.Women: Rates remained level from 1992 to 1997; decreased steadily by 1.7% per year since 1997.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
1
2
3
4
5
6
7
8
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
5
10
15
20
25
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Kidney and Renal Pelvis2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Kidney and Renal Pelvis Washington State Cancer Registry Page 46
0 10 20 30 40 50 60
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Lincoln [n/c]
Wahkiakum [n/c]Whitman [n/c]
Kittitas [10]Franklin [11]Douglas [11]Chelan [13]
San Juan [13]Island [13]
Walla Walla [13]Yakima [14]Skagit [14]
King [14]Cowlitz [15]
Okanogan [15]Kitsap [16]
Klickitat [16]Snohomish [16]WA STATE [16]
Whatcom [16]Jefferson [16]
Clark [16]Thurston [16]
Pacific [17]Grays Harbor [17]
Stevens [17]Mason [17]
Spokane [18]Lewis [18]
Benton [18]Grant [19]
Pierce [19]Clallam [21]
Skamania [23]Pend Oreille [25]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Kidney and Renal Pelvis2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Kidney and Renal Pelvis Washington State Cancer Registry Page 47
0 2 4 6 8 10 12 14
Adams [n/c]Asotin [n/c]
Chelan [n/c]Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lincoln [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Whatcom [3]
King [3]Spokane [3]Thurston [3]
WA STATE [4]Pierce [4]
Cowlitz [4]Mason [4]
Snohomish [4]Kitsap [4]
Yakima [4]Clallam [4]
Clark [5]Grant [5]Island [5]
Benton [5]Skagit [5]Lewis [5]
Stevens [5]Grays Harbor [7]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018
Larynx
Larynx Washington State Cancer Registry Page 48
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 165 38 203
2016 Incidence Rates 4.1 0.8 2.3
2016 National Rates 5.6 1.3 3.3
DeathMale Female Total
Deaths 55 11 66
2016 Death Rates 1.5 0.2 0.8
2016 National Rates 1.7 0.4 1.0
Relative Survival Rates2016 National 5-year rates1¹
In situ 92%Local 77%
Regional 45%Distant 32%
Unstaged 52%Overall 62%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C32.0-C32.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 161.0-161.9 (1992-1998), ICD-10 code C32 (1999-2016).
n/c - Not calculated because the number of cases is less than 10.Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
6%
44%
34%
12%
n/c0
102030405060708090
100
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Larynx
Larynx Washington State Cancer Registry Page 49
For laryngeal cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates decreased steadily by 2.6% per year from 1992 to 2016.Men: Rates decreased steadily by 2.6% per year from 1992 to 2016.Women: Rates decreased steadily by 2.9% per year from 1992 to 2016.
For laryngeal cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 2.0% per year from 1992 to 2016.Men: Rates decreased steadily by 2.1% per year from 1992 to 2016.Women: Rates decreased steadily by 2.8% per year from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
0.5
1
1.5
2
2.5
3
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
1
2
3
4
5
6
7
8
9
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Larynx2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Larynx Washington State Cancer Registry Page 50
0 1 2 3 4 5 6 7 8 9
Adams [n/c]Asotin [n/c]
Clallam [n/c]Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Island [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Spokane [2]
Yakima [2]Thurston [2]
Clark [2]Kitsap [2]
King [2]WA STATE [3]
Pierce [3]Skagit [3]
Snohomish [3]Whatcom [3]
Benton [4]Cowlitz [4]
Grays Harbor [4]Chelan [4]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Larynx2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Larynx Washington State Cancer Registry Page 51
0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.8 2
Adams [n/c]Asotin [n/c]
Benton [n/c]Chelan [n/c]Clallam [n/c]
Clark [n/c]Columbia [n/c]
Cowlitz [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Island [n/c]Jefferson [n/c]
Kitsap [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]
Skagit [n/c]Skamania [n/c]
Stevens [n/c]Thurston [n/c]
Wahkiakum [n/c]Walla Walla [n/c]
Whatcom [n/c]Whitman [n/c]
Yakima [n/c]King [1]
WA STATE [1]Snohomish [1]
Pierce [1]Spokane [1]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Leukemia
Leukemia Washington State Cancer Registry Page 52
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 696 477 1,173
2016 Incidence Rates 18.1 11.2 14.4
2016 National Rates 16.4 9.9 12.8
DeathMale Female Total
Deaths 295 199 494
2016 Death Rates 8.2 4.6 6.2
2016 National Rates 8.3 4.7 6.3
Relative Survival Rates2016 National 5-year rates1¹
In situ n/aLocal 55%
Regional n/aDistant 63%
Unstaged n/aOverall 63%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using all sites with histology 9733, 9742, 9800-9810, 9820, 9826, 9831-9836, 9838-9948, 9963, 9964; for sites C420, C421 and C424 only, histology 9823, 9827, 9837, or 9811-9818. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 202.4, 203.1, 204.0-208.9 (1992-1998), ICD-10 codes C90.1, C91-C95 (1999-2016).
n/c - Not calculated because the number of cases is less than 10.Figures include only invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c n/c n/c
98%
2%0
200
400
600
800
1000
1200
1400
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Leukemia
Leukemia Washington State Cancer Registry Page 53
For leukemia age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 1994; remained level since 1994.Men: Rates remained level from 1992 to 1994; remained level since 1994.Women: Rates remained level from 1992 to 1994; remained level since 1994.
For leukemia age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 1.2% per year from 1992 to 2016.Men: Rates decreased steadily by 1.3% per year from 1992 to 2016.Women: Rates decreased steadily by 1.2% per year from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
2
4
6
8
10
12
14
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
5
10
15
20
25
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Leukemia2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Leukemia Washington State Cancer Registry Page 54
0 5 10 15 20 25 30 35 40 45
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Lincoln [n/c]Pacific [n/c]
Pend Oreille [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]Stevens [10]
Clark [11]Klickitat [12]
Grant [12]Kittitas [12]
Franklin [12]Spokane [12]
Chelan [13]Mason [13]Benton [13]
Douglas [14]Yakima [14]
Lewis [14]Kitsap [14]
WA STATE [15]Cowlitz [15]
San Juan [15]King [15]
Walla Walla [15]Pierce [15]Skagit [16]
Thurston [16]Clallam [16]
Snohomish [17]Jefferson [17]
Island [17]Okanogan [18]
Grays Harbor [19]Whatcom [19]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Leukemia2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Leukemia Washington State Cancer Registry Page 55
0 2 4 6 8 10 12 14 16 18 20
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Jefferson [n/c]
Kittitas [n/c]Klickitat [n/c]Lincoln [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]
Walla Walla [4]Lewis [4]Island [5]
Chelan [5]Clallam [5]
King [6]Okanogan [6]
Grant [6]Clark [6]
Kitsap [6]Stevens [6]
Whatcom [6]WA STATE [6]
Pierce [6]Benton [7]Mason [7]Skagit [7]
Thurston [7]Grays Harbor [7]
Snohomish [7]Cowlitz [8]Yakima [8]Franklin [8]
Spokane [8]Douglas [10]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Liver and Intrahepatic Bile Duct
Liver and Intrahepatic Bile Duct Washington State Cancer Registry Page 56
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 617 229 848
2016 Incidence Rates 13.8 5.0 9.2
2016 National Rates 12.0 4.2 7.8
DeathMale Female Total
Deaths 403 183 586
2016 Death Rates 9.7 3.9 6.6
2016 National Rates 9.7 4.1 6.7
Relative Survival Rates2016 National 5-year rates1¹
In situ n/aLocal 34%
Regional 12%Distant 2%
Unstaged 7%Overall 19%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 code C22.0-C22.1, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 155.0-155.2 (1992-1998), ICD-10 codes C22.0-C22.4, C22.7, C22.9 (1999-2016).
n/c - Not calculated because the number of cases is less than 10.Figures include only invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
51%
23%17%
9%
050
100150200250300350400450500
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Liver and Intrahepatic Bile Duct
Liver and Intrahepatic Bile Duct Washington State Cancer Registry Page 57
For liver and intrahepatic bile duct cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased sharply by 4.5% per year from 1992 to 2012; remained level since 2012.Men: Rates increased sharply by 4.7% per year from 1992 to 2012; remained level since 2012 .Women: Rates increased steadily by 3.2% per year from 1992 to 2016.
For liver and intrahepatic bile duct cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates increased steadily by 3.0% per year from 1992 to 2012; remained level since 2012..Men: Rates increased steadily by 2.8% per year from 1992 to 2016.Women: Rates increased steadily by 2.0% per year from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
2
4
6
8
10
12
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
2
4
6
8
10
12
14
16
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Liver and Intrahepatic Bile Duct2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Liver and Intrahepatic Bile Duct Washington State Cancer Registry Page 58
0 5 10 15 20 25
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Franklin [n/c]Garfield [n/c]Klickitat [n/c]Lincoln [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]
Chelan [5]Island [6]Grant [6]
Clallam [6]Kittitas [7]
Okanogan [7]Stevens [7]
Spokane [7]Kitsap [7]
Whatcom [8]Thurston [8]Jefferson [8]Douglas [8]
Clark [9]Walla Walla [9]
Skagit [9]Mason [9]
WA STATE [9]Lewis [9]
Cowlitz [9]Snohomish [9]
Benton [9]Yakima [10]Pierce [10]Pacific [11]
King [11]Grays Harbor [11]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Liver and Intrahepatic Bile Duct2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Liver and Intrahepatic Bile Duct Washington State Cancer Registry Page 59
0 2 4 6 8 10 12 14 16 18 20
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Franklin [n/c]Garfield [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lincoln [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]
Island [4]Kitsap [5]
Thurston [5]Benton [6]Chelan [6]Clallam [6]Skagit [6]Clark [6]
Mason [6]Stevens [7]
WA STATE [7]Whatcom [7]
King [7]Walla Walla [7]
Pierce [7]Grant [7]
Yakima [7]Grays Harbor [7]
Snohomish [7]Okanogan [8]
Spokane [8]Cowlitz [10]
Douglas [11]Lewis [12]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Lung and Bronchus
Lung and Bronchus Washington State Cancer Registry Page 60
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 2,222 2,291 4,513
2016 Incidence Rates 57.0 51.3 53.7
2016 National Rates 62.2 48.5 54.4
DeathMale Female Total
Deaths 1,520 1,393 2,913
2016 Death Rates 40.0 31.4 35.3
2016 National Rates 46.9 31.9 38.5
Relative Survival Rates2016 National 5-year rates1¹
In situ 80%Local 58%
Regional 32%Distant 6%
Unstaged 8%Overall 20%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C34.0-C34.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 162.2-162.9 (1992-1998), ICD-10 code C34 (1999-2016).
Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
1%
25% 23%
46%
6%
0
500
1000
1500
2000
2500
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Lung and Bronchus
Lung and Bronchus Washington State Cancer Registry Page 61
For lung and bronchus cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 1998; decreased steadily by 1.3% per year from 1998 to 2010; decreased steadily by 2.7% per year since 2010.Men: Rates remained level from 1992 to 1999; decreased steadily by 2.5% per year since 1999.Women: Rates increased steadily by 1.5% per year from 1992 to 2001; decreased steadily by 1.4% per year since 2001
For lung and bronchus cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 1.0% per year from 1992 to 2002; decreased steadily by 2.2% per year from 2002 to 2010; decreased sharply by 4.3% per year since 2010.Men: Rates decreased steadily by 2.4% per year from 1992 to 2010; decreased sharply by 4.8% per year since 2010.Women: Rates remained level from 1992 to 2003; decreased steadily by 2.8% per year since 2003.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
10
20
30
40
50
60
70
80
90
100
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
20
40
60
80
100
120
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Lung and Bronchus2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Lung and Bronchus Washington State Cancer Registry Page 62
0 20 40 60 80 100 120 140
Garfield [n/c]Wahkiakum [n/c]
Whitman [36]Kittitas [36]
Stevens [40]Franklin [42]Lincoln [43]
Jefferson [43]San Juan [44]
Ferry [46]Walla Walla [46]
Asotin [47]Chelan [47]Island [48]
King [49]Adams [51]Yakima [51]
Douglas [51]Benton [52]
Thurston [53]Kitsap [53]
Klickitat [53]WA STATE [55]
Spokane [56]Clark [56]
Whatcom [57]Snohomish [58]
Skagit [58]Pacific [59]Lewis [60]Grant [60]
Clallam [61]Skamania [62]Okanogan [64]
Pend Oreille [65]Cowlitz [66]
Columbia [67]Pierce [68]
Grays Harbor [70]Mason [79]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Lung and Bronchus2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Lung and Bronchus Washington State Cancer Registry Page 63
0 20 40 60 80 100 120
Garfield [n/c]Wahkiakum [n/c]
Kittitas [26]Island [27]
Douglas [27]San Juan [29]Whitman [29]Jefferson [29]
Lincoln [30]Franklin [31]
Walla Walla [31]King [32]
Whatcom [34]Chelan [34]
Stevens [34]Asotin [35]Kitsap [36]
Benton [37]WA STATE [38]
Skagit [38]Snohomish [38]
Clallam [39]Clark [39]
Thurston [40]Yakima [40]Klickitat [41]
Grant [42]Spokane [42]
Adams [43]Columbia [43]
Cowlitz [45]Pierce [46]Pacific [46]
Skamania [47]Lewis [49]
Mason [50]Grays Harbor [50]
Okanogan [52]Ferry [53]
Pend Oreille [62]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Melanoma of the Skin
Melanoma of the Skin Washington State Cancer Registry Page 64
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 2,489 1,877 4,368
2016 Incidence Rates 64.3 44.9 53.3
2016 National Rates 51.5 31.8 40.1
DeathMale Female Total
Deaths 137 83 220
2016 Death Rates 3.7 1.9 2.7
2016 National Rates 3.2 1.3 2.2
Relative Survival Rates2016 National 5-year rates1¹
In situ 100%Local 99%
Regional 65%Distant 27%
Unstaged 85%Overall 98%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C44.0-C44.9, including only histology codes 8720-8790. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 172.0-172.9 (1992-1998), ICD-10 code C43 (1999-2016).
Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
52%
41%
4% 2% 1%0
500
1000
1500
2000
2500
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Melanoma of the Skin
Melanoma of the Skin Washington State Cancer Registry Page 65
For melanoma of the skin cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased sharply by 6.3% per year from 1992 to 2000; increased steadily by 2.1% per year since 2000.Men: Rates increased sharply by 6.2% per year from 1992 to 2000; increased steadily by 2.3% per year since 2000.Women: Rates increased sharply by 7.4% per year from 1992 to 1999; increased steadily by 1.8% per year since 1999.
For melanoma of the skin cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2016.Men: Rates remained level from 1992 to 2016.Women: Rates remained level from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
1
2
3
4
5
6
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
10
20
30
40
50
60
70
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Melanoma of the Skin2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Melanoma of the Skin Washington State Cancer Registry Page 66
0 20 40 60 80 100 120 140
Adams [n/c]Columbia [n/c]
Ferry [n/c]Garfield [n/c]Whitman [14]Franklin [14]Lincoln [21]
Pend Oreille [22]Yakima [23]
Grant [24]Benton [24]
Walla Walla [24]Pacific [26]Lewis [27]
Skamania [27]Klickitat [28]
Spokane [31]Okanogan [32]
Kittitas [33]Stevens [36]Chelan [42]
Clark [44]Douglas [44]
Grays Harbor [45]Pierce [45]
Cowlitz [45]Wahkiakum [46]
Whatcom [47]WA STATE [52]
Thurston [54]Asotin [57]Mason [59]
King [64]Skagit [67]
Snohomish [69]San Juan [70]
Kitsap [71]Clallam [72]
Island [73]Jefferson [84]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Melanoma of the Skin2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Melanoma of the Skin Washington State Cancer Registry Page 67
0 1 2 3 4 5 6 7 8
Adams [n/c]Asotin [n/c]
Chelan [n/c]Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Jefferson [n/c]
Kittitas [n/c]Klickitat [n/c]Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Clark [2]
Whatcom [2]King [2]
Yakima [3]Island [3]
Clallam [3]Snohomish [3]
Kitsap [3]WA STATE [3]
Thurston [3]Pierce [3]Lewis [3]
Cowlitz [3]Benton [4]
Grays Harbor [4]Skagit [4]
Spokane [4]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Myeloma
Myeloma Washington State Cancer Registry Page 68
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 292 233 525
2016 Incidence Rates 7.5 5.2 6.2
2016 National Rates 7.9 5.2 6.4
DeathMale Female Total
Deaths 140 104 244
2016 Death Rates 3.8 2.4 3.0
2016 National Rates 4.1 2.6 3.2
Relative Survival Rates2016 National 5-year rates1¹
In situ n/aLocal 76%
Regional n/aDistant 52%
Unstaged n/aOverall 53%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using all primary sites with histology codes 9731-9732, 9734. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 203.0, 238.6 (1992-1998), ICD-10 codes C90.0, C90.2 (1999-2016).
n/c - Not calculated because the number of cases is less than 10.Figures include only invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c5%
n/c
94%
n/c0
100
200
300
400
500
600
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Myeloma
Myeloma Washington State Cancer Registry Page 69
For myeloma age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2016.Men: Rates remained level from 1992 to 2016.Women: Rates remained level from 1992 to 2016.
For myeloma age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 1.5% per year from 1992 to 2016.Men: Rates decreased steadily by 1.7% per year from 1992 to 2016.Women: Rates decreased steadily by 1.4% per year from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
1
2
3
4
5
6
7
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
1
2
3
4
5
6
7
8
9
10
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Myeloma2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Myeloma Washington State Cancer Registry Page 70
0 2 4 6 8 10 12 14 16 18
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Kittitas [n/c]
Klickitat [n/c]Lincoln [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]
Cowlitz [3]Island [4]Lewis [4]Clark [4]Grant [5]
Stevens [5]Walla Walla [5]
Clallam [5]Whatcom [5]Spokane [5]
Yakima [5]Chelan [6]
Thurston [6]Jefferson [6]
Mason [6]Okanogan [6]
Snohomish [6]WA STATE [6]
Douglas [6]Kitsap [6]
Franklin [7]Pierce [7]
King [7]Grays Harbor [7]
Skagit [9]Benton [11]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Myeloma2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Myeloma Washington State Cancer Registry Page 71
0 1 2 3 4 5 6 7 8 9
Adams [n/c]Asotin [n/c]
Clallam [n/c]Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Island [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]
Whitman [n/c]Kitsap [2]
Yakima [3]Cowlitz [3]
Whatcom [3]Pierce [3]Clark [3]
WA STATE [3]Benton [3]
King [3]Grays Harbor [3]
Lewis [3]Thurston [3]
Snohomish [3]Spokane [4]
Walla Walla [4]Chelan [5]Skagit [5]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Non-Hodgkin Lymphoma
Non-Hodgkin Lymphoma Washington State Cancer Registry Page 72
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 867 695 1,562
2016 Incidence Rates 22.7 15.9 18.9
2016 National Rates 21.6 15.2 18.1
DeathMale Female Total
Deaths 277 175 452
2016 Death Rates 7.7 4.0 5.6
2016 National Rates 6.9 4.2 5.4
Relative Survival Rates2016 National 5-year rates1¹
In situ n/aLocal 85%
Regional 75%Distant 65%
Unstaged 69%Overall 72%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using all sites with histology 9590-9597, 9670-9729, 9735, 9737, 9738; and except for sites C420, C421 and C424 all other sites with histology 9823, 9827, 9837, or 9811-9818. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 200.0-200.8, 202.0-202.2, 202.8-202.9 (1992-1998), ICD-10 codes C82-C85, C96.3 (1999-2016).
n/c - Not calculated because the number of cases is less than 10.Figures include only invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
24%
13%
51%
12%
0
100
200
300
400
500
600
700
800
900
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Non-Hodgkin Lymphoma
Non-Hodgkin Lymphoma Washington State Cancer Registry Page 73
For Non-Hodgkin Lymphoma age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased steadily by 1.5% per year from 1992 to 2004; decreased steadily by 1.4% per year since 2004.Men: Rates increased sharply by 12.0% per year from 1992 to 1994; remained level from 1994 to 1999; increased steadily by 3.3% per year from 1999 to 2003; decreased steadily by 1.0% per year from 2003 to 2013; decreased steadily by 3.5% per year since 2013.Women: Rates increased steadily by 2.0% per year from 1992 to 2003; decreased steadily by 1.5% per year since 2003.
For Non-Hodgkin Lymphoma age-adjusted mortality rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 1999; decreased steadily by 2.7% per year since 1999.Men: Rates remained level from 1992 to 2002; remained level from 2002 to 2005; decreased steadily by 1.3% per year since 2005..Women: Rates remained level from 1992 to 1998; decreased steadily by 3.1% per year since 1998.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
2
4
6
8
10
12
14
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
5
10
15
20
25
30
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Non-Hodgkin Lymphoma2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Non-Hodgkin Lymphoma Washington State Cancer Registry Page 74
0 10 20 30 40 50 60
Adams [n/c]Columbia [n/c]
Ferry [n/c]Garfield [n/c]
Pend Oreille [n/c]Wahkiakum [n/c]
Stevens [9]Whitman [11]
Kittitas [11]Asotin [14]Pacific [14]
Jefferson [16]Chelan [16]
Clark [17]Spokane [17]
Lewis [17]Yakima [17]
Island [18]Walla Walla [18]
Benton [18]San Juan [18]
Mason [18]Cowlitz [18]Kitsap [19]
WA STATE [19]Snohomish [20]
Pierce [20]Douglas [20]
King [20]Thurston [20]
Skagit [21]Grant [21]
Klickitat [22]Skamania [23]
Lincoln [23]Whatcom [23]
Franklin [23]Okanogan [24]
Clallam [24]Grays Harbor [27]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Non-Hodgkin Lymphoma2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Non-Hodgkin Lymphoma Washington State Cancer Registry Page 75
0 5 10 15 20 25
Adams [n/c]Asotin [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Garfield [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lincoln [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]
Okanogan [5]Whatcom [5]
Grant [5]Island [5]
Thurston [5]Kitsap [5]
Walla Walla [5]Skagit [5]
Benton [5]King [5]
Franklin [5]Grays Harbor [5]
Lewis [6]WA STATE [6]
Yakima [6]Cowlitz [6]Pierce [7]
Spokane [7]Clark [7]
Snohomish [7]Mason [8]Chelan [8]Clallam [9]
Whitman [12]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Oral Cavity and Pharynx
Oral Cavity and Pharynx Washington State Cancer Registry Page 76
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 782 340 1,122
2016 Incidence Rates 18.8 7.8 13.1
2016 National Rates 18.0 6.5 11.9
DeathMale Female Total
Deaths 156 73 229
2016 Death Rates 3.9 1.6 2.7
2016 National Rates 4.0 1.4 2.6
Relative Survival Rates2016 National 5-year rates1¹
In situ 91%Local 84%
Regional 66%Distant 40%
Unstaged 53%Overall 66%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C00.0-C14.8, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 140.0-149.9 (1992-1998), ICD-10 codes C00-C14 (1999-2016).
Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
4%
27%
50%
10% 9%
0
100
200
300
400
500
600
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Oral Cavity and Pharynx
Oral Cavity and Pharynx Washington State Cancer Registry Page 77
For oral cavity and pharyngeal cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates decreased steadily by 1.1% per year from 1992 to 2003; increased steadily by 1.1% per year since 2003.Men: Rates decreased steadily by 1.9% per year from 1992 to 2000; increased slightly by 0.9% per year since 2000.Women: Rates decreased steadily by 1.9% per year from 1992 to 2003; increased slightly by 0.9% per year since 2003.
For oral cavity and pharynx cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased slightly by 0.6% per year from 1992 to 2016.Men: Rates decreased slightly by 0.5% per year from 1992 to 2016.Women: Rates decreased steadily by 1.0% per year from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
1
2
3
4
5
6
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
5
10
15
20
25
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Oral Cavity and Pharynx2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Oral Cavity and Pharynx Washington State Cancer Registry Page 78
0 5 10 15 20 25 30 35 40
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Lincoln [n/c]
Pend Oreille [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]
Yakima [8]Stevens [9]Kittitas [10]
Spokane [10]Okanogan [11]
Franklin [11]Clark [11]
Benton [12]Walla Walla [12]
Grant [12]Lewis [12]
Whatcom [12]Kitsap [12]
WA STATE [13]King [13]
Pacific [13]Pierce [13]
San Juan [13]Skagit [14]
Snohomish [14]Cowlitz [14]
Douglas [15]Klickitat [15]
Grays Harbor [15]Thurston [15]
Chelan [16]Clallam [16]
Island [18]Mason [19]
Jefferson [22]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Oral Cavity and Pharynx2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Oral Cavity and Pharynx Washington State Cancer Registry Page 79
0 1 2 3 4 5 6 7 8
Adams [n/c]Asotin [n/c]
Chelan [n/c]Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Okanogan [n/c]
Pacific [n/c]Pend Oreille [n/c]
San Juan [n/c]Skagit [n/c]
Skamania [n/c]Stevens [n/c]
Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Yakima [2]
Island [3]Pierce [3]
King [3]Thurston [3]
Benton [3]Kitsap [3]
WA STATE [3]Whatcom [3]
Cowlitz [3]Clallam [3]
Clark [3]Snohomish [3]
Mason [4]Spokane [4]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Ovary
Ovary Washington State Cancer Registry Page 80
2016 Washington State Female Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers n/a 430 n/a
2016 Incidence Rates n/a 9.9 n/a
2016 National Rates n/a 10.2 n/a
DeathMale Female Total
Deaths n/a 332 n/a
2016 Death Rates n/a 7.4 n/a
2016 National Rates n/a 6.8 n/a
Relative Survival Rates2016 National 5-year rates1¹
In situ 96%Local 91%
Regional 75%Distant 30%
Unstaged 23%Overall 48%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 code C56.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 code 183.0 (1992-1998), ICD-10 code C56 (1999-2016).
n/a - Not available for sex-specific sites.n/c - Not calculated because the number of cases is less than 10.Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
20% 21%
50%
10%
0
50
100
150
200
250
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State Female ResidentsTotal Incidence and Percents
Ovary
Ovary Washington State Cancer Registry Page 81
For ovarian cancer age-adjusted incidence rates have remained level from 1992 to 2000; rates decreased steadily by 2.4% per year since 2000.
For ovarian cancer age-adjusted mortality rates have remained level from 1992 to 2007; rates decreased steadily by 3.3% per year since 2007.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
2
4
6
8
10
12
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Female ResidentsDeath Rate TrendsAge-adjusted to 2000 US standard population
Female
0
2
4
6
8
10
12
14
16
18
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Female ResidentsIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female
Ovary2014-2016 Washington State Female ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Ovary Washington State Cancer Registry Page 82
0 5 10 15 20 25 30 35 40
Adams [n/c]Asotin [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]Kittitas [n/c]
Klickitat [n/c]Lincoln [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]
Grays Harbor [7]Chelan [7]Benton [8]
Walla Walla [9]Kitsap [9]Grant [10]
Cowlitz [10]Clark [10]
Mason [10]Lewis [11]Skagit [11]
King [11]WA STATE [12]
Thurston [12]Yakima [12]
Snohomish [12]Spokane [13]
Pierce [13]Whatcom [14]Jefferson [14]Stevens [14]Clallam [14]
Island [14]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Ovary2014-2016 Washington State Female ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Ovary Washington State Cancer Registry Page 83
0 5 10 15 20 25 30 35
Adams [n/c]Asotin [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Klickitat [n/c]Lincoln [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]
Whitman [n/c]Kitsap [6]Island [6]
Cowlitz [6]Clallam [7]Chelan [7]Benton [7]
King [7]Skagit [7]Mason [8]
WA STATE [8]Spokane [8]
Clark [8]Whatcom [8]Thurston [9]
Snohomish [9]Lewis [9]Pierce [9]
Yakima [9]Grays Harbor [11]
Walla Walla [12]Jefferson [12]
Kittitas [14]Okanogan [15]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washingotn State Department of Health, Center for Health Statistics, released in April 2018.
Pancreas
Pancreas Washington State Cancer Registry Page 84
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 574 534 1,108
2016 Incidence Rates 14.6 11.8 13.1
2016 National Rates 13.9 10.8 12.2
DeathMale Female Total
Deaths 452 414 866
2016 Death Rates 11.8 9.0 10.2
2016 National Rates 12.7 9.7 11.0
Relative Survival Rates2016 National 5-year rates1¹
In situ 90%Local 40%
Regional 13%Distant 3%
Unstaged 5%Overall 10%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0 codes C25.0-C25.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 157.0-157.9 (1992-1998), ICD-10 code C25 (1999-2016).
Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
1%
13%
32%
46%
8%
0
100
200
300
400
500
600
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Pancreas
Pancreas Washington State Cancer Registry Page 85
For pancreatic cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased slightly by 0.7% per year from 1992 to 2016.Men: Rates increased slightly by 0.7% per year from 1992 to 2016.Women: Rates increased slightly by 0.6% per year from 1992 to 2016.
For pancreatic cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2016.Men: Rates remained level from 1992 to 2016.Women: Rates remained level from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
2
4
6
8
10
12
14
16
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
2
4
6
8
10
12
14
16
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Pancreas2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Pancreas Washington State Cancer Registry Page 86
0 5 10 15 20 25 30 35
Adams [n/c]Columbia [n/c]
Ferry [n/c]Garfield [n/c]Lincoln [n/c]
Pend Oreille [n/c]Skamania [n/c]
Wahkiakum [n/c]Franklin [8]
San Juan [9]Asotin [10]
Klickitat [10]Kitsap [10]
Benton [10]Lewis [11]
Cowlitz [11]Douglas [11]Yakima [11]
Whitman [11]Walla Walla [12]
Mason [12]Chelan [12]Skagit [12]
Jefferson [12]WA STATE [13]
Grant [13]King [13]
Island [13]Whatcom [13]
Clark [13]Snohomish [13]
Thurston [13]Spokane [13]
Pacific [13]Pierce [14]
Clallam [14]Okanogan [14]
Grays Harbor [15]Stevens [16]
Kittitas [18]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Pancreas2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Pancreas Washington State Cancer Registry Page 87
0 5 10 15 20 25 30 35
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Klickitat [n/c]Lincoln [n/c]
Pend Oreille [n/c]Skamania [n/c]
Wahkiakum [n/c]Jefferson [8]
Benton [8]Pacific [8]
San Juan [9]Douglas [10]
Kitsap [10]Thurston [10]
Clallam [10]Chelan [10]
Franklin [10]Cowlitz [10]
King [10]Island [10]
WA STATE [11]Grant [11]
Walla Walla [11]Mason [11]
Snohomish [11]Yakima [11]
Clark [11]Okanogan [12]
Lewis [12]Whatcom [12]
Grays Harbor [12]Pierce [12]
Whitman [12]Skagit [12]Kittitas [12]
Spokane [12]Stevens [13]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Prostate
Prostate Washington State Cancer Registry Page 88
2016 Washington State Male Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 4,158 n/a n/a
2016 Incidence Rates 96.7 n/a n/a
2016 National Rates 100.0 n/a n/a
DeathMale Female Total
Deaths 686 n/a n/a
2016 Death Rates 20.2 n/a n/a
2016 National Rates 19.4 n/a n/a
Relative Survival Rates2016 National 5-year rates1¹
In situ n/aLocal 100%
Regional 100%Distant 30%
Unstaged 80%Overall 98%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 code C61.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 code 185 (1992-1998), ICD-10 code C61 (1999-2016).
n/a - Not available for sex-specific sites.n/c - Not calculated because the number of cases is less than 10.Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
72%
16%9%
3%0
500
1000
1500
2000
2500
3000
3500
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State Male ResidentsTotal Incidence and Percents
Prostate
Prostate Washington State Cancer Registry Page 89
For prostate cancer age-adjusted incidence rates have decreased sharply by 12.7% per year from 1992 to 1995; rates remained level from 1995 to 1999; rates decreased steadily by 2.3% per year from 1999 to 2010; rates decreased sharply by 10.3% per year from 2010 to 2014; rates remained level since 2014.
For prostate cancer age-adjusted mortality rates have decreased sharply by 4.9% per year from 1992 to 1998; rates decreased steadily by 2.0% per year from 1998 to 2009; rates remained level from 2009 to 2012; rates remained level from 2012 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
5
10
15
20
25
30
35
40
45
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Male ResidentsDeath Rate TrendsAge-adjusted to 2000 US standard population
Male
0
50
100
150
200
250
300
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Male ResidentsIncidence Rate TrendsAge-adjusted to 2000 US standard population
Male
Prostate2014-2016 Washington State Male ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Prostate Washington State Cancer Registry Page 90
0 50 100 150 200 250
Ferry [n/c]Garfield [n/c]
Wahkiakum [n/c]Whitman [34]
Pend Oreille [55]Lincoln [58]Asotin [62]
Spokane [64]Stevens [66]
Skamania [67]Clark [72]
Yakima [72]Adams [78]Cowlitz [79]Skagit [80]
Benton [81]Kittitas [82]
Franklin [87]Lewis [94]
Pacific [94]Pierce [95]
WA STATE [95]Klickitat [96]Clallam [97]
Snohomish [99]San Juan [100]
Grant [101]Island [101]
Mason [102]Okanogan [102]
Thurston [104]Jefferson [105]Columbia [107]
King [107]Walla Walla [107]
Whatcom [111]Grays Harbor [113]
Kitsap [115]Chelan [118]
Douglas [132]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Prostate2014-2016 Washington State Male ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Prostate Washington State Cancer Registry Page 91
0 10 20 30 40 50 60 70 80
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Lincoln [n/c]
Pend Oreille [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]
Franklin [14]Jefferson [18]
Clallam [18]Yakima [19]Mason [19]
Clark [19]Snohomish [19]
Whatcom [19]Chelan [19]Island [19]
Thurston [20]King [20]
Kitsap [20]WA STATE [20]
Cowlitz [21]Benton [21]
Grays Harbor [21]Pierce [21]
Stevens [22]Spokane [22]
Grant [22]Skagit [23]Lewis [24]
Okanogan [24]Walla Walla [25]
Klickitat [25]Kittitas [26]
San Juan [27]Douglas [28]
Pacific [29]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washingotn State Department of Health, Center for Health Statistics, released in April 2018.
Soft Tissue Including Heart
Soft Tissue Including Heart Washington State Cancer Registry Page 92
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 189 110 299
2016 Incidence Rates 5.1 2.7 3.8
2016 National Rates 3.9 2.8 3.3
DeathMale Female Total
Deaths 68 57 125
2016 Death Rates 1.8 1.3 1.5
2016 National Rates 1.5 1.2 1.3
Relative Survival Rates2016 National 5-year rates1¹
In situ n/aLocal 81%
Regional 55%Distant 16%
Unstaged 55%Overall 65%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 code C38.0, C47.0-C47.9, C49.0-C49.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 164.1, 171.0-171.9 (1992-1998), ICD-10 codes C47, C49, C38.0 (1999-2016).
n/c - Not calculated because the number of cases is less than 10.Figures include only invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
57%
16%19%
8%
0
20
40
60
80
100
120
140
160
180
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Soft Tissue Including Heart
Soft Tissue Including Heart Washington State Cancer Registry Page 93
For soft tissue including heart age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased slightly by 0.8% per year from 1992 to 2016.Men: Rates increased steadily by 1.0% per year from 1992 to 2016.Women: Rates remained level from 1992 to 2016.
For soft tissue including heart the age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased sharply by 6.0% per year from 1992 to 2001; increased steadily by 1.8% per year since 2001.Men: Rates decreased sharply by 4.9% per year from 1992 to 2001; remained level since 2001.Women: Rates decreased sharply by 7.3% per year from 1992 to 2001; increased steadily by 2.1% per year since 2001.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
0.5
1
1.5
2
2.5
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
1
2
3
4
5
6
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Soft Tissue Including Heart2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Soft Tissue Including Heart Washington State Cancer Registry Page 94
0 2 4 6 8 10 12
Adams [n/c]Asotin [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lincoln [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Spokane [3]
Pierce [3]Benton [3]Kitsap [3]
King [3]Skagit [3]
WA STATE [3]Whatcom [4]
Yakima [4]Chelan [4]Cowlitz [4]
Snohomish [4]Island [4]
Mason [5]Lewis [5]Clark [5]
Thurston [5]Clallam [6]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Soft Tissue Including Heart2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Soft Tissue Including Heart Washington State Cancer Registry Page 95
0 0.5 1 1.5 2 2.5 3 3.5
Adams [n/c]Asotin [n/c]
Benton [n/c]Chelan [n/c]Clallam [n/c]
Columbia [n/c]Cowlitz [n/c]
Douglas [n/c]Ferry [n/c]
Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Island [n/c]Jefferson [n/c]
Kittitas [n/c]Klickitat [n/c]
Lewis [n/c]Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]
Skagit [n/c]Skamania [n/c]
Stevens [n/c]Thurston [n/c]
Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Snohomish [1]
Spokane [1]WA STATE [1]
Clark [1]King [1]
Yakima [2]Kitsap [2]
Whatcom [2]Pierce [2]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Stomach
Stomach Washington State Cancer Registry Page 96
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 296 197 493
2016 Incidence Rates 7.5 4.5 5.9
2016 National Rates 8.5 4.6 6.3
DeathMale Female Total
Deaths 133 96 229
2016 Death Rates 3.4 2.2 2.8
2016 National Rates 4.0 2.2 3.0
Relative Survival Rates2016 National 5-year rates1¹
In situ 73%Local 69%
Regional 30%Distant 5%
Unstaged 22%Overall 32%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C16.0-C16.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 151.0-151.9 (1992-1998), ICD-10 code C16 (1999-2016).
n/c - Not calculated because the number of cases is less than 10.Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
24% 23%
38%
14%
020406080
100120140160180200
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Stomach
Stomach Washington State Cancer Registry Page 97
For stomach cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates decreased steadily by 1.1% per year from 1992 to 2016.Men: Rates decreased steadily by 1.5% per year from 1992 to 2016.Women: Rates decreased slightly by 0.7% per year from 1992 to 2016.
For stomach cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 2.7% per year from 1992 to 2016.Men: Rates decreased steadily by 3.2% per year from 1992 to 2016.Women: Rates decreased steadily by 2.2% per year from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
1
2
3
4
5
6
7
8
9
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
2
4
6
8
10
12
14
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Stomach2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Stomach Washington State Cancer Registry Page 98
0 2 4 6 8 10 12 14 16 18
Adams [n/c]Asotin [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Garfield [n/c]
Grant [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]
Clallam [3]Benton [4]Kitsap [4]
Spokane [4]Mason [5]
Stevens [5]Island [5]
Walla Walla [5]Clark [5]
Thurston [5]WA STATE [6]
Franklin [6]Yakima [6]Pierce [6]
King [6]Cowlitz [6]
Jefferson [6]Whatcom [6]
Snohomish [6]Chelan [7]
Grays Harbor [7]Skagit [8]
Okanogan [8]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Stomach2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Stomach Washington State Cancer Registry Page 99
0 1 2 3 4 5 6 7 8 9
Adams [n/c]Asotin [n/c]
Chelan [n/c]Clallam [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Island [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Okanogan [n/c]
Pacific [n/c]Pend Oreille [n/c]
San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Spokane [2]Whatcom [2]
Cowlitz [2]Benton [2]
Thurston [2]Kitsap [3]
Yakima [3]WA STATE [3]
Clark [3]Snohomish [3]
Skagit [3]King [3]
Pierce [3]Grays Harbor [3]
Mason [4]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Testis
Testis Washington State Cancer Registry Page 100
2016 Washington State Male Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 250 n/a n/a
2016 Incidence Rates 7.1 n/a n/a
2016 National Rates 5.7 n/a n/a
DeathMale Female Total
Deaths 7 n/a n/a
2016 Death Rates 0.2 n/a n/a
2016 National Rates 0.3 n/a n/a
Relative Survival Rates2016 National 5-year rates1¹
In situ n/aLocal 99%
Regional 96%Distant 72%
Unstaged 74%Overall 95%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 codes C62.0-C62.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 codes 186.0-186.9 (1992-1998), ICD-10 code C62 (1999-2016).
n/a - Not available for sex-specific sites.n/c - Not calculated because the number of cases is less than 10.Figures include only invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
76%
15%8%
n/c0
20406080
100120140160180200
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State Male ResidentsTotal Incidence and Percents
Testis
Testis Washington State Cancer Registry Page 101
For testicular cancer age-adjusted incidence rates have increased slightly by 0.5% per year from 1992 to 2016.
For testicular cancer age-adjusted mortality rates have remained level from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
0.45
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Male ResidentsDeath Rate TrendsAge-adjusted to 2000 US standard population
Male
0
1
2
3
4
5
6
7
8
9
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Male ResidentsIncidence Rate TrendsAge-adjusted to 2000 US standard population
Male
Testis2014-2016 Washington State Male ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Testis Washington State Cancer Registry Page 102
0 5 10 15 20 25
Adams [n/c]Asotin [n/c]
Chelan [n/c]Clallam [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Clark [6]
Benton [6]Skagit [6]Kitsap [6]
King [7]WA STATE [7]
Pierce [7]Snohomish [8]
Spokane [8]Yakima [8]
Whatcom [9]Thurston [10]
Island [10]Cowlitz [11]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Testis2014-2016 Washington State Male ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Testis Washington State Cancer Registry Page 103
0 0.05 0.1 0.15 0.2 0.25 0.3
Adams [n/c]Asotin [n/c]
Benton [n/c]Chelan [n/c]Clallam [n/c]
Clark [n/c]Columbia [n/c]
Cowlitz [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Island [n/c]Jefferson [n/c]
King [n/c]Kitsap [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]Pierce [n/c]
San Juan [n/c]Skagit [n/c]
Skamania [n/c]Snohomish [n/c]
Spokane [n/c]Stevens [n/c]
Thurston [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whatcom [n/c]Whitman [n/c]
Yakima [n/c]WA STATE [0]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washingotn State Department of Health, Center for Health Statistics, released in April 2018
Thyroid
Thyroid Washington State Cancer Registry Page 104
2016 Washington State Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 263 788 1,053
2016 Incidence Rates 6.8 20.6 13.7
2016 National Rates 7.2 20.6 14.0
DeathMale Female Total
Deaths 19 28 47
2016 Death Rates 0.5 0.6 0.6
2016 National Rates 0.5 0.5 0.5
Relative Survival Rates2016 National 5-year rates1¹
In situ n/aLocal 100%
Regional 98%Distant 55%
Unstaged 88%Overall 98%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 code C73.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 code 193 (1992-1998), ICD-10 code C73 (1999-2016).
n/c - Not calculated because the number of cases is less than 10.Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
n/c
63%
32%
3% 2%0
100
200
300
400
500
600
700
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State ResidentsTotal Incidence and Percents
Thyroid
Thyroid Washington State Cancer Registry Page 105
For thyroid cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased sharply by 5.3% per year from 1992 to 2011; remained level since 2011.Men: Rates increased sharply by 4.8% per year from 1992 to 2012; remained level since 2012.Women: Rates increased sharply by 5.5% per year from 1992 to 2011; remained level since 2011.
For thyroid cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates increased steadily by 1.5% per year from 1992 to 2016.Men: Rates increased steadily by 1.9% per year from 1992 to 2016.Women: Rates increased steadily by 1.3% per year from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderDeath Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
0
5
10
15
20
25
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Thyroid2014-2016 Washington State ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Thyroid Washington State Cancer Registry Page 106
0 5 10 15 20 25 30
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Klickitat [n/c]Lincoln [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]
Lewis [8]Yakima [8]
Grays Harbor [9]Douglas [11]
Jefferson [11]Kittitas [11]Cowlitz [12]
Spokane [12]Whatcom [12]
Okanogan [13]Thurston [13]
Mason [13]Kitsap [13]
King [13]WA STATE [13]Snohomish [14]
Skagit [14]Franklin [15]
Clark [15]Walla Walla [16]
Pierce [16]Chelan [16]Island [17]Grant [17]
Stevens [17]Clallam [17]Benton [19]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Thyroid2014-2016 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Thyroid Washington State Cancer Registry Page 107
0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6
Adams [n/c]Asotin [n/c]
Benton [n/c]Chelan [n/c]Clallam [n/c]
Columbia [n/c]Cowlitz [n/c]
Douglas [n/c]Ferry [n/c]
Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Island [n/c]Jefferson [n/c]
Kitsap [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]
Skagit [n/c]Skamania [n/c]Spokane [n/c]Stevens [n/c]
Thurston [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whatcom [n/c]Whitman [n/c]
Yakima [n/c]Snohomish [0]WA STATE [1]
King [1]Clark [1]
Pierce [1]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
Vulva (Female)
Vulva (Female) Washington State Cancer Registry Page 108
2016 Washington State Female Residents
Incidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers n/a 289 n/a
2016 Incidence Rates n/a 6.9 n/a
2016 National Rates n/a 3.3 n/a
DeathMale Female Total
Deaths n/a 24 n/a
2016 Death Rates n/a 0.5 n/a
2016 National Rates n/a 0.6 n/a
Relative Survival Rates2016 National 5-year rates1¹
In situ 97%Local 86%
Regional 49%Distant 24%
Unstaged 67%Overall 87%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-0-3 code C51.0-C51.9, excluding histology codes 9140, 9050-9055, 9590-9992. Death data were obtained from Washington State death certificates using the underlying cause of death ICD-9 code 184.1-184.4 (1992-1998), ICD-10 code C51 (1999-2016).
n/a - Not available for sex-specific sites.n/c - Not calculated because the number of cases is less than 10.Figures include in situ and invasive cancers¹ 5-Year Relative Survival Rates for cases diagnosed 2011-2015 based on follow-up of patients through 2016.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
64%
22%
8%
n/c4%
020406080
100120140160180200
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2016 Washington State Female ResidentsTotal Incidence and Percents
Vulva (Female)
Vulva (Female) Washington State Cancer Registry Page 109
For vulva cancer age-adjusted incidence rates have remained level from 1992 to 2016.
For vulva age-adjusted mortality rates have remained level from 1992 to 2016.
The coding for causes of death changed in 1999. These changes do not substantively affect the trends for cancer deaths.Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in April 2018.
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Female ResidentsDeath Rate TrendsAge-adjusted to 2000 US standard population
Female
0
1
2
3
4
5
6
7
8
9
10
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Rat
e pe
r 100
,000
Washington State Female ResidentsIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female
Vulva (Female)2014-2016 Washington State Female ResidentsAverage Annual Incidence Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Vulva (Female) Washington State Cancer Registry Page 110
0 5 10 15 20 25 30
Adams [n/c]Asotin [n/c]
Chelan [n/c]Columbia [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Jefferson [n/c]
Kittitas [n/c]Klickitat [n/c]Lincoln [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Yakima [4]
Spokane [5]Lewis [5]
Benton [6]Clallam [6]
Whatcom [6]King [7]
Kitsap [7]WA STATE [7]
Thurston [8]Clark [8]
Pierce [9]Snohomish [9]
Skagit [10]Cowlitz [11]Island [11]
Mason [14]Grays Harbor [17]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2019.
Vulva (Female)2014-2016 Washington State Female ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Vulva (Female) Washington State Cancer Registry Page 111
0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6
Adams [n/c]Asotin [n/c]
Benton [n/c]Chelan [n/c]Clallam [n/c]
Clark [n/c]Columbia [n/c]
Cowlitz [n/c]Douglas [n/c]
Ferry [n/c]Franklin [n/c]Garfield [n/c]
Grant [n/c]Grays Harbor [n/c]
Island [n/c]Jefferson [n/c]
King [n/c]Kitsap [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Mason [n/c]
Okanogan [n/c]Pacific [n/c]
Pend Oreille [n/c]San Juan [n/c]
Skagit [n/c]Skamania [n/c]
Snohomish [n/c]Spokane [n/c]Stevens [n/c]
Thurston [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whatcom [n/c]Whitman [n/c]
Yakima [n/c]WA STATE [0]
Pierce [1]
Age-adjusted rate per 100,000NOTE: Rates and confidence intervals are not calculated if there are
fewer than 10 cases for the combined data from 2014-2016.
Mortality Data: Washingotn State Department of Health, Center for Health Statistics, released in April 2018.
top related