Cancer By Site
Cancer By Site
Percent Distribution of Cancer
Page 1 Washington State Cancer Registry
N/C: not calculated because the number of cases less than 10
17.8%11.3%
10.2%9.5%
7.3%6.9%
4.2%3.9%
3.1%2.9%2.9%
2.7%2.5%2.4%
1.9%1.4%1.3%
1.2%1.1%1.0%
0.7%0.7%0.7%0.7%0.6%0.6%
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
OvaryMultiple Myeloma
StomachEsophagus
Vulva (Female)Anus, Anal Canal and Anorectum
TestisSoft Tissue Including Heart
Cervical (Uterine)Larynx
Hodgkin Lymphoma
2014 Total Cancer Incidence of Washington State Residents
24.9%10.6%
7.5%7.1%7.1%
5.2%4.6%
4.0%3.8%
3.1%3.0%
2.7%2.7%2.7%
2.0%1.9%1.9%1.8%
0.9%0.8%
0.5%0.4%0.4%
0.2%0.2%0.1%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
BladderOvary
Kidney and Renal PelvisEsophagus
StomachOral Cavity and Pharynx
MyelomaMelanoma of the Skin
Soft Tissue Including HeartEndometrium
LarynxThyroid
Cervix (Uterine)Hodgkin Lymphoma
Anus, Anal Canal and AnorectumVulva (Female)
Testis
2014 Total Cancer Mortality of Washington State Residents
Percent Distribution of Cancer
Page 2Washington State Cancer Registry
N/C: not calculated because the number of cases less than 10
19.6%
12.0%
11.8%
8.1%
7.8%
6.8%
4.6%
4.1%
4.0%
3.6%
2.8%
2.7%
1.7%
1.7%
1.5%
1.5%
1.4%
1.3%
1.0%
0.8%
0.8%
0.5%
0 500 1000 1500 2000 2500 3000 3500 4000
Prostate
Lung and Bronchus
Melanoma of the Skin
Colorectal
Other
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
Testis
Thyroid
Larynx
Anus, Anal Canal and Anorectum
Soft Tissue Including Heart
Hodgkin Lymphoma
2014 Male Cancer Incidence of Washington State Residents
24.9%
9.8%
9.5%
7.7%
6.7%
6.0%
4.4%
4.3%
4.2%
4.1%
3.5%
3.3%
2.4%
2.3%
2.3%
2.1%
0.9%
0.9%
0.4%
0.2%
N/C
N/C
0 200 400 600 800 1000 1200 1400 1600 1800
Lung and Bronchus
Prostate
Other
Colorectal
Pancreas
Liver and Intrahepatic Bile Duct
Non-Hodgkin Lymphoma
Leukemia
Esophagus
Bladder
Kidney and Renal Pelvis
Brain and Other Nervous System
Oral Cavity and Pharynx
Stomach
Melanoma of the Skin
Myeloma
Soft Tissue Including Heart
Larynx
Thyroid
Hodgkin Lymphoma
Testis
Anus, Anal Canal and Anorectum
2014 Male Cancer Mortality of Washington State Residents
Percent Distribution of Cancer
Page 3 Washington State Cancer Registry
N/C: not calculated because the number of cases less than 10
34.3%
10.7%
8.7%
6.6%
6.2%
5.6%
3.5%
3.2%
2.6%
2.3%
2.2%
2.1%
1.8%
1.4%
1.4%
1.2%
1.1%
1.0%
1.0%
0.7%
0.6%
0.6%
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
Ovary
Pancreas
Leukemia
Kidney and Renal Pelvis
Bladder
Oral Cavity and Pharynx
Vulva (Female)
Cervical (Uterine)
Brain and Other Nervous System
Multiple Myeloma
Liver and Intrahepatic Bile Duct
Stomach
Anus, Anal Canal and Anorectum
Soft Tissue Including Heart
Hodgkin Lymphoma
Esophagus
Larynx
2014 Female Cancer Incidence of Washington State Residents
24.9%
15.0%
11.9%
7.5%
7.3%
5.8%
3.7%
3.2%
3.0%
2.9%
1.8%
1.7%
1.7%
1.7%
1.6%
1.3%
1.3%
1.0%
0.8%
0.8%
0.3%
0.2%
0.2%
0.2%
N/C
0 200 400 600 800 1000 1200 1400 1600
Lung and Bronchus
Breast (Female)
Other
Pancreas
Colorectal
Ovary
Leukemia
Non-Hodgkin Lymphoma
Liver and Intrahepatic Bile Duct
Brain and Other Nervous System
Kidney and Renal Pelvis
Endometrium
Myeloma
Bladder
Stomach
Oral Cavity and Pharynx
Melanoma of the Skin
Esophagus
Soft Tissue Including Heart
Cervix (Uterine)
Thyroid
Anus, Anal Canal and Anorectum
Vulva (Female)
Larynx
Hodgkin Lymphoma
2014 Female Cancer Mortality of Washington State Residents
All Sites Combined
All Sites Combined Washington State Cancer Registry Page 4
2014 Washington State ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 18,821 20,184 39,010
2014 Incidence Rates 506.9 492.7 494.4
2014 National Rates 506.3 467.9 480.2
DeathMale Female Total
Deaths 6,426 5,764 12,190
2014 Death Rates 183.6 136.0 156.4
2014 National Rates 193.6 137.9 161.3
Relative Survival Rates2014 National 5-year rates1
In situ n/aLocal n/a
Regional n/aDistant n/a
Unstaged n/aOverall 69%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using ICD-03 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 (1999-2014).
Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
12%
40%
18%22%
8%
0
5000
10000
15000
20000
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State ResidentsTotal Incidence and Percents
All Sites Combined
Page 5 Washington State Cancer Registry All Sites Combined
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 0.7% 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 2011; decreased steadily by 3.6% per year since 2011.Women: Rates increased steadily by 1.9% per year from 1992 and 1998; remained level since 1998.
For all cancers combined age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 1.2% per year from 1992 to 2009; decreased steadily by 2.4% per year since 2009.Men: Rates decreased steadily by 1.6% per year from 1992 to 2014.Women: Rates decreased slightly by 0.6% 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 2017. Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
All Sites Combined2012-2014 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 [234]Ferry [326]
Adams [374]Lincoln [382]
Skamania [387]Kittitas [389]
Franklin [398]Yakima [398]Klickitat [413]
Wahkiakum [431]Pacific [434]
Pend Oreille [438]Asotin [450]
Benton [451]Lewis [454]
San Juan [456]Columbia [458]
Stevens [461]Whitman [463]
Grant [473]Cowlitz [473]
Clark [474]Walla Walla [476]
Okanogan [476]Chelan [493]
Spokane [495]Douglas [504]
Whatcom [508]WA STATE [508]
Mason [516]King [520]
Island [525]Thurston [531]
Clallam [533]Pierce [534]Kitsap [539]
Snohomish [544]Skagit [544]
Grays Harbor [552]Jefferson [556]
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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
All Sites Combined2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 7 Washington State Cancer Registry All Sites Combined
0 50 100 150 200 250 300
Garfield [n/c]San Juan [113]Columbia [133]
Lincoln [133]Island [134]
Kittitas [141]Franklin [141]
Jefferson [142]Adams [144]
Douglas [145]King [147]
Whitman [147]Whatcom [151]
Chelan [154]Wahkiakum [156]Walla Walla [156]
Benton [157]Kitsap [157]
Stevens [157]WA STATE [158]
Asotin [159]Snohomish [160]
Pacific [161]Thurston [162]
Yakima [162]Grant [162]Skagit [163]
Clallam [165]Skamania [166]Spokane [169]
Mason [170]Pierce [170]Clark [171]
Klickitat [173]Pend Oreille [176]
Cowlitz [177]Okanogan [179]
Ferry [180]Lewis [180]
Grays Harbor [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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Anus, Anal Cancer and Anorectum
Anus, Anal Cancer and Anorectum Washington State Cancer Registry Page 8
2014 Washington State ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 149 126 275
2014 Incidence Rates 4.0 3.0 3.5
2014 National Rates 3.0 2.7 2.9
DeathMale Female Total
Deaths n/c 14 20
2014 Death Rates n/c 0.3 0.2
2014 National Rates 0.2 0.3 0.2
Relative Survival Rates2014 National 5-year rates1
In situ 97%Local 82%
Regional 64%Distant 30%
Unstaged 57%Overall 78%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 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 (1999-2014).
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 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
45%
25%
19%
4%7%
0
20
40
60
80
100
120
140
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State ResidentsTotal Incidence and Percents
Anus, Anal Cancer and Anorectum
Page 9 Washington State Cancer Registry Anus, Anal Cancer and Anorectum
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 11.1% per year from 2003 to 2010; remained level since 2010.Men: Rates increased steadily by 3.2% per year from 1992 to 2006; remained level from 2006 to 2009; remained level since 2009.Women: Rates increased steadily by 3.4% per year from 1992 to 2014.
For anus, anal canal and anorectum age-adjusted mortality rates have changed as follows.Both sexes combined: Rates increased steadily by 1.6% per year from 1992 to 2014.Men: Rates remained level from 1992 to 2014.Women: Rates remained level from 1992 to 2014.
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 2017. Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
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 Anorectum2012-2014 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]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 [1]
Yakima [2]Benton [2]Pierce [2]Island [3]Skagit [3]
Thurston [3]Snohomish [3]WA STATE [3]
Kitsap [4]Lewis [4]
Grays Harbor [4]Clark [4]
Whatcom [4]Cowlitz [4]
King [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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
Anus, Anal Cancer and Anorectum2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 11 Washington State Cancer Registry Anus, Anal Cancer and Anorectum
0 0.2 0.4 0.6 0.8 1 1.2 1.4
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]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]
King [0]Clark [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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Bladder
Bladder Washington State Cancer Registry Page 12
2014 Washington State ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 1,279 372 1,652
2014 Incidence Rates 36.6 8.8 21.3
2014 National Rates 33.4 8.2 19.1
DeathMale Female Total
Deaths 263 97 360
2014 Death Rates 8.2 2.2 4.7
2014 National Rates 7.5 2.1 4.3
Relative Survival Rates2014 National 5-year rates1
In situ 96%Local 69%
Regional 36%Distant 4%
Unstaged 45%Overall 77%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 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 (1999-2014).
Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
51%
33%
7%5% 4%
0
200
400
600
800
1000
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State ResidentsTotal Incidence and Percents
Bladder
Page 13 Washington State Cancer Registry Bladder
For bladder cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased steadily by 1.0% per year from 1992 to 2001; decreased steadily by 1.1% per year since 2001.Men: Rates increased steadily by 2.6% per year from 1992 to 1998; decreased steadily by 1.1% per year since 1998.Women: Rates remained level from 1992 to 1996; remained level from 1996 to 2002; decreased steadily by 1.3% per year since 2002.
For bladder cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates increased slightly by 0.5% per year from 1992 to 2014.Men: Rates remained level from 1992 to 2014.Women: Rates remained level from 1992 to 2014.
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 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Bladder2012-2014 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
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Lincoln [n/c]
Wahkiakum [n/c]Klickitat [12]Cowlitz [18]Yakima [18]
Stevens [18]Pacific [19]
San Juan [19]King [20]
Clark [20]Pend Oreille [21]
Benton [21]Franklin [21]
Kitsap [21]Asotin [22]
WA STATE [22]Thurston [22]Spokane [22]
Snohomish [22]Whatcom [22]
Okanogan [23]Pierce [23]Mason [23]Kittitas [23]
Skamania [24]Adams [25]Clallam [25]Chelan [26]
Grant [26]Lewis [26]Island [27]
Douglas [28]Walla Walla [30]
Skagit [30]Jefferson [30]
Grays Harbor [31]Whitman [36]
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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
Bladder2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 15 Washington State Cancer Registry Bladder
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]Mason [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]Chelan [4]Yakima [4]Clallam [4]
Thurston [4]Benton [4]
Whatcom [4]King [5]
Skagit [5]WA STATE [5]
Kitsap [5]Spokane [5]
Island [5]Lewis [5]Clark [5]Grant [5]
Pierce [5]Snohomish [6]
Grays Harbor [6]Walla Walla [7]
Okanogan [7]Cowlitz [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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Brain and Other Nervous System Washington State Cancer Registry Page 16
2014 Washington State ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 311 229 540
2014 Incidence Rates 8.7 6.0 7.3
2014 National Rates 7.5 5.1 6.2
DeathMale Female Total
Deaths 212 166 378
2014 Death Rates 5.6 4.1 4.8
2014 National Rates 5.4 3.6 4.4
Relative Survival Rates2014 National 5-year rates1
In situ n/aLocal 37%
Regional 20%Distant 32%
Unstaged 25%Overall 33%
n/a = not available
Brain and Other Nervous SystemDATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 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 (1999-2014)
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 2009-2013 based on follow-up of patients through 2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
n/c
77%
13%
n/c
9%
0
100
200
300
400
500
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State ResidentsTotal Incidence and Percents
Brain and Other Nervous System
Page 17 Washington State Cancer Registry Brain and Other Nervous System
For brain and other nervous system cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased slightly by 0.9% per year from 1992 to 2014.Men: Rates decreased steadily by 1.2% per year from 1992 to 2014.Women: Rates decreased slightly by 0.7% per year from 1992 to 2014.
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 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
For brain and other nervous system cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2014.Men: Rates remained level from 1992 to 2014.Women: Rates remained level from 1992 to 2014.
Brain and Other Nervous System2012-2014 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]Ferry [n/c]
Garfield [n/c]Grant [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]Skagit [5]
Stevens [5]Island [6]
Whatcom [6]Benton [6]
Spokane [7]Yakima [7]Clallam [7]Mason [7]Cowlitz [7]
WA STATE [7]Pierce [7]
King [7]Kitsap [8]Clark [8]
Snohomish [8]Franklin [8]Douglas [9]Chelan [9]
Lewis [9]Thurston [9]
Grays Harbor [11]Jefferson [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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
Brain and Other Nervous System2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 19 Washington State Cancer Registry Brain and Other Nervous System
0 2 4 6 8 10 12 14 16
Adams [n/c]Asotin [n/c]
Columbia [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]
Whitman [n/c]Island [4]Kitsap [4]
Chelan [4]Snohomish [5]
Pierce [5]Yakima [5]
Walla Walla [5]King [5]
WA STATE [5]Skagit [5]
Cowlitz [5]Thurston [5]Whatcom [5]Spokane [5]
Benton [5]Lewis [6]Clark [6]
Grays Harbor [7]Douglas [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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Breast (Female)
Breast (Female) Washington State Cancer Registry Page 20
2014 Washington State Female ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers n/a 6,926 n/a
2014 Incidence Rates n/a 168.7 n/a
2014 National Rates n/a 156.0 n/a
DeathMale Female Total
Deaths n/a 865 n/a
2014 Death Rates n/a 20.4 n/a
2014 National Rates n/a 20.5 n/a
Relative Survival Rates2014 National 5-year rates1
In situ 100%Local 99%
Regional 85%Distant 27%
Unstaged 51%Overall 92%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 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 (1999-2014).
n/a - Not available for sex-specific sites.Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
20%
51%
22%
4% 4%
0
1000
2000
3000
4000
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State Female ResidentsTotal Incidence and Percents
Breast (Female)
Page 21 Washington State Cancer Registry Breast (Female)
For female breast cancer age-adjusted incidence rates have increased steadily by 2.8% per year from 1992 to 1999; rates decreased steadily by 1.8% per year from 1999 to 2006; rates remained level since 2006.
For female breast cancer age-adjusted mortality rates have decreased steadily by 2.1% per year from 1992 to 2014.
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 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
Rat
e pe
r 100
,000
Washington State Female ResidentsIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female
Breast (Female)2012-2014 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
Garfield [n/c]Skamania [85]
Adams [101]Ferry [109]
Yakima [121]Wahkiakum [122]
Franklin [123]Columbia [126]
Lewis [129]Kittitas [130]Pacific [132]
Douglas [132]Walla Walla [138]
Okanogan [141]Chelan [143]
Grays Harbor [145]Jefferson [146]
Cowlitz [148]Grant [157]Island [157]
Stevens [160]Klickitat [160]Benton [163]
Thurston [163]Kitsap [164]
Lincoln [164]Asotin [164]
Pend Oreille [166]San Juan [168]
Clark [169]Whatcom [171]
WA STATE [171]Snohomish [172]
Skagit [173]Clallam [174]
Spokane [174]Pierce [175]Mason [177]
Whitman [181]King [189]
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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
Breast (Female)2012-2014 Washington State Female ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 23 Washington State Cancer Registry Breast (Female)
0 10 20 30 40 50 60
Adams [n/c]Columbia [n/c]
Ferry [n/c]Garfield [n/c]Lincoln [n/c]
Pend Oreille [n/c]San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [n/c]Okanogan [9]Jefferson [10]
Chelan [15]Franklin [16]Kittitas [16]Grant [17]
Stevens [18]Skagit [18]
Douglas [18]Kitsap [18]Island [19]
Spokane [19]Snohomish [19]
Whatcom [19]Benton [19]
Lewis [20]Thurston [20]
WA STATE [20]Walla Walla [20]
King [20]Asotin [20]
Cowlitz [20]Clallam [20]Mason [20]
Yakima [21]Klickitat [21]
Pierce [21]Pacific [22]
Clark [22]Grays Harbor [23]
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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Cervix (Uterine)
Cervix (Uterine) Washington State Cancer Registry Page 24
2014 Washington State Female ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers n/a 252 n/a
2014 Incidence Rates n/a 7.2 n/a
2014 National Rates n/a 7.4 n/a
DeathMale Female Total
Deaths n/a 44 n/a
2014 Death Rates n/a 1.1 n/a
2014 National Rates n/a 2.3 n/a
Relative Survival Rates2014 National 5-year rates1
In situ n/aLocal 92%
Regional 57%Distant 18%
Unstaged 47%Overall 67%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 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 (1999-2014).
n/c - Not calculated because the number of cases is less than 10.n/a - Not available for sex-specific sites.Figures include only invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
n/c
47%
28%
13% 12%
0
20
40
60
80
100
120
140
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State Female ResidentsTotal Incidence and Percents
n/a = not available
Cervix (Uterine)
Page 25 Washington State Cancer Registry Cervix (Uterine)
For cervical cancer age-adjusted incidence rates have decreased steadily by 1.5% per year from 1992 to 2014.
For cervical cancer age-adjusted mortality rates have decreased steadily by 1.9% per year from 1992 to 2014.
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 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
Rat
e pe
r 100
,000
Washington State Female ResidentsIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female
Cervix (Uterine)2012-2014 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]
Clallam [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]
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]Whatcom [4]Thurston [5]
King [6]Benton [6]
Clark [6]Spokane [7]
Snohomish [7]WA STATE [7]
Island [8]Cowlitz [8]Kitsap [8]
Chelan [9]Pierce [9]
Yakima [11]Grays Harbor [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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
Cervix (Uterine)2012-2014 Washington State Female ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 27 Washington State Cancer Registry Cervix (Uterine)
0 0.5 1 1.5 2 2.5 3 3.5 4 4.5
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]Snohomish [1]
King [1]Spokane [2]
WA STATE [2]Clark [2]
Pierce [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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Colorectal
Colorectal Washington State Cancer Registry Page 28
2014 Washington State ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 1,530 1,334 2,864
2014 Incidence Rates 40.9 32.3 36.3
2014 National Rates 46.3 35.2 40.2
DeathMale Female Total
Deaths 493 420 913
2014 Death Rates 13.9 9.7 11.7
2014 National Rates 16.9 11.9 14.1
Relative Survival Rates2014 National 5-year rates1
In situ 93%Local 90%
Regional 71%Distant 14%
Unstaged 34%Overall 66%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 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 (1999-2014).
Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
1%
37%35%
18%
8%
0
200
400
600
800
1000
1200
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State ResidentsTotal Incidence and Percents
Colorectal
Page 29 Washington State Cancer Registry Colorectal
For colorectal cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 1998; decreased steadily by 3.1% per year since 1998.Men: Rates remained level from 1992 to 1998; decreased steadily by 3.6% per year since 1998.Women: Rates remained level from 1992 to 1998; decreased steadily by 2.7% per year since 1998.
For colorectal cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 2.6% per year from 1992 to 2014.Men: Rates decreased steadily by 2.8% per year from 1992 to 2014.Women: Rates decreased steadily by 2.6% per year from 1992 to 2014.
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 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Colorectal2012-2014 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 10 20 30 40 50 60 70
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Lincoln [n/c]
Wahkiakum [n/c]Kittitas [23]
San Juan [28]Pend Oreille [28]
Asotin [29]Douglas [30]Adams [32]
Klickitat [32]Stevens [32]Chelan [33]
Jefferson [33]Pacific [33]
Whitman [34]Spokane [34]Whatcom [34]
Yakima [35]Clark [35]King [35]
Kitsap [35]Franklin [35]
WA STATE [36]Skamania [36]
Walla Walla [37]Grant [37]
Clallam [38]Benton [38]Mason [38]Pierce [38]
Snohomish [38]Cowlitz [39]Island [40]
Okanogan [40]Lewis [41]
Thurston [42]Skagit [43]
Grays Harbor [45]
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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
Colorectal2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 31 Washington State Cancer Registry Colorectal
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]
Skamania [n/c]Wahkiakum [n/c]
Douglas [8]Walla Walla [9]
Kittitas [9]Whatcom [10]
Kitsap [11]Yakima [11]
King [11]Spokane [12]
Clark [12]Thurston [12]
Clallam [12]Chelan [12]
WA STATE [12]Pierce [13]
Snohomish [13]San Juan [13]Jefferson [14]
Mason [14]Cowlitz [14]Benton [14]
Grays Harbor [15]Grant [15]
Whitman [16]Lewis [16]Island [16]
Pend Oreille [16]Franklin [17]
Pacific [17]Skagit [17]
Stevens [18]Okanogan [18]
Klickitat [21]
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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Endometrium
Endometrium Washington State Cancer Registry Page 32
2014 Washington State Female ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers n/a 1,124 n/a
2014 Incidence Rates n/a 25.8 n/a
2014 National Rates n/a 25.7 n/a
DeathMale Female Total
Deaths n/a 100 n/a
2014 Death Rates n/a 2.3 n/a
2014 National Rates n/a 2.0 n/a
Relative Survival Rates2014 National 5-year rates1
In situ 97%Local 95%
Regional 70%Distant 18%
Unstaged 55%Overall 83%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 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 (1999-2014).
n/c - Not calculated because the number of cases is less than 10.n/a - Not available for sex-specific sites.Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
n/c
72%
17%
5% 5%
0
200
400
600
800
1000
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State Female ResidentsTotal Incidence and Percents
Endometrium
Page 33 Washington State Cancer Registry Endometrium
For endometrial cancer age-adjusted incidence rates have decreased slightly by 0.4% per year from 1992 to 2014.
For endometrial cancer age-adjusted mortality rates have remained level from 1992 to 2014.
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 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
Rat
e pe
r 100
,000
Washington State Female ResidentsIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female
Endometrium2012-2014 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
Adams [n/c]Asotin [n/c]
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Klickitat [n/c]Lincoln [n/c]
Skamania [n/c]Wahkiakum [n/c]
Okanogan [18]Yakima [19]
Stevens [20]Kittitas [20]
Walla Walla [21]Spokane [21]Whitman [21]Jefferson [22]
Skagit [23]Lewis [23]Pierce [24]Mason [24]
Douglas [24]Pacific [24]Benton [24]
Thurston [24]Franklin [24]Chelan [25]
WA STATE [25]King [26]
Island [27]Snohomish [27]
Cowlitz [27]Clallam [27]
San Juan [28]Grant [28]Kitsap [29]Clark [29]
Whatcom [31]Grays Harbor [31]Pend Oreille [35]
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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
Endometrium2012-2014 Washington State Female ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 35 Washington State Cancer Registry Endometrium
0 1 2 3 4 5 6 7 8 9 10
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]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]Pierce [2]Clark [2]
Spokane [2]WA STATE [2]
King [3]Snohomish [3]
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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Esophagus
Esophagus Washington State Cancer Registry Page 36
2014 Washington State ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 319 75 394
2014 Incidence Rates 8.4 1.8 4.9
2014 National Rates 7.1 1.7 4.2
DeathMale Female Total
Deaths 270 58 328
2014 Death Rates 7.3 1.4 4.1
2014 National Rates 7.1 1.4 4.0
Relative Survival Rates2014 National 5-year rates1
In situ 84%Local 46%
Regional 25%Distant 5%
Unstaged 13%Overall 21%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 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 (1999-2014).
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 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
n/c
14%
29%
34%
21%
0
20
40
60
80
100
120
140
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State ResidentsTotal Incidence and Percents
Esophagus
Page 37 Washington State Cancer Registry Esophagus
For esophageal cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 1999; decreased steadily by 1.2% per year since 1999.Men: Rates remained level from 1992 to 2014.Women: Rates remained level from 1992 to 2014.
For esophageal cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates increased slightly by 0.8% per year from 1992 to 2009; decreased sharply by 4.8% per year since 2009.Men: Rates remained level from 1992 to 2009; decreased sharply by 4.5% per year since 2009.Women: Rates remained level from 1992 to 2014.
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 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Esophagus2012-2014 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 5 10 15 20 25
Adams [n/c]Asotin [n/c]
Columbia [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]
Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]Chelan [4]Island [4]Kitsap [4]
Snohomish [4]Yakima [4]Cowlitz [4]
Whatcom [4]Grays Harbor [5]
King [5]Clark [5]
WA STATE [5]Benton [5]Skagit [5]
Thurston [5]Spokane [5]
Pierce [5]Mason [6]
Clallam [6]Stevens [6]
Lewis [7]Jefferson [7]
Grant [7]Douglas [8]
Pacific [9]Klickitat [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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
Esophagus2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 39 Washington State Cancer Registry Esophagus
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]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]
Stevens [n/c]Wahkiakum [n/c]Walla Walla [n/c]
Whitman [n/c]King [3]
Snohomish [3]Whatcom [3]
Benton [4]Cowlitz [4]Chelan [4]Island [4]Kitsap [4]Pierce [4]
Yakima [4]WA STATE [4]
Grays Harbor [4]Grant [4]
Thurston [4]Clark [5]
Clallam [5]Lewis [5]
Mason [5]Spokane [6]
Skagit [6]Jefferson [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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Hodgkin Lymphoma
Hodgkin Lymphoma Washington State Cancer Registry Page 40
2014 Washington State ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 102 79 181
2014 Incidence Rates 2.9 2.3 2.6
2014 National Rates 2.9 2.2 2.5
DeathMale Female Total
Deaths 12 9 21
2014 Death Rates 0.3 0.3 0.3
2014 National Rates 0.4 0.2 0.3
Relative Survival Rates2014 National 5-year rates1
In situ n/aLocal 92%
Regional 94%Distant 77%
Unstaged 82%Overall 86%
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 (1999-2014).
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 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
n/c
12%
30%
36%
21%
0
10
20
30
40
50
60
70
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State ResidentsTotal Incidence and Percents
Hodgkin Lymphoma
Page 41 Washington State Cancer Registry Hodgkin Lymphoma
For Hodgkin Lymphoma age-adjusted incidence rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2009; decreased steadily by 3.7% per year since 2009.Men: Rates remained level from 1992 to 2014.Women: Rates decreased slightly by 0.8% per year from 1992 to 2014.
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 2014.Men: Rates decreased steadily by 3.9% per year from 1992 to 2014.Women: Rates decreased steadily by 2.5% per year from 1992 to 2014.
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 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Hodgkin Lymphoma2012-2014 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
Adams [n/c]Asotin [n/c]
Benton [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]
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]Whatcom [2]
Yakima [2]Pierce [2]
King [2]Spokane [2]
WA STATE [3]Snohomish [3]
Clark [3]Kitsap [3]
Thurston [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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
Hodgkin Lymphoma2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 43 Washington State Cancer Registry Hodgkin Lymphoma
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1
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]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]Snohomish [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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Kidney and Renal Pelvis
Kidney and Renal Pelvis Washington State Cancer Registry Page 44
2014 Washington State ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 775 423 1,198
2014 Incidence Rates 20.6 10.3 15.1
2014 National Rates 21.9 10.9 15.9
DeathMale Female Total
Deaths 224 106 330
2014 Death Rates 6.3 2.5 4.2
2014 National Rates 5.6 2.3 3.8
Relative Survival Rates2014 National 5-year rates1
In situ 91%Local 93%
Regional 68%Distant 12%
Unstaged 41%Overall 75%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 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 (1999-2014).
Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
2%
63%
16% 14%
5%
0
200
400
600
800
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State ResidentsTotal Incidence and Percents
Kidney and Renal Pelvis
Page 45 Washington State Cancer Registry Kidney and Renal Pelvis
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 2.3% per year from 1992 to 2011; remained level since 2011.Women: Rates remained level from 1992 to 1994; increased steadily by 3.7% per year from 1994 to 2007; decreased steadily by 1.4% per year since 2007.
For kidney and renal pelvis cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates remained level from 1992 to 2014.Men: Rates remained level from 1992 to 2014.Women: Rates decreased slightly by 0.9% per year from 1992 to 2014.
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 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
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 Pelvis2012-2014 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 5 10 15 20 25 30 35 40 45 50
Adams [n/c]Columbia [n/c]
Ferry [n/c]Garfield [n/c]Lincoln [n/c]
San Juan [n/c]Skamania [n/c]
Wahkiakum [n/c]Franklin [10]Kittitas [12]Chelan [13]
Okanogan [13]Yakima [14]
King [14]Whatcom [15]
Island [15]Cowlitz [15]Mason [15]
Douglas [15]Benton [15]Clallam [16]
Spokane [16]WA STATE [16]Walla Walla [16]
Clark [16]Whitman [16]
Snohomish [17]Kitsap [17]Grant [18]Skagit [18]
Jefferson [18]Lewis [19]Pierce [19]
Grays Harbor [19]Stevens [19]
Thurston [20]Pend Oreille [21]
Klickitat [21]Asotin [22]Pacific [26]
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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
Kidney and Renal Pelvis2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 47 Washington State Cancer Registry Kidney and Renal Pelvis
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]
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]
Whitman [n/c]Kitsap [3]Grant [3]
Whatcom [3]Cowlitz [3]Pierce [3]Mason [3]Island [4]
Chelan [4]Thurston [4]
King [4]Spokane [4]
WA STATE [4]Grays Harbor [4]
Snohomish [4]Clark [5]
Benton [5]Clallam [5]
Lewis [5]Walla Walla [5]
Skagit [6]Yakima [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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Larynx
Larynx Washington State Cancer Registry Page 48
2014 Washington State ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 180 43 223
2014 Incidence Rates 4.7 1.0 2.7
2014 National Rates 5.3 1.2 3.0
DeathMale Female Total
Deaths 56 10 66
2014 Death Rates 1.5 0.2 0.8
2014 National Rates 1.8 0.4 1.0
Relative Survival Rates2014 National 5-year rates1
In situ 93%Local 78%
Regional 45%Distant 34%
Unstaged 53%Overall 63%
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 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 (1999-2014).
Figures include in situ and invasive cancers1 5-Year Relative Survival Rates for cases diagnosed 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
12%
44%
16% 16%12%
0
20
40
60
80
100
120
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State ResidentsTotal Incidence and Percents
Larynx
Page 49 Washington State Cancer Registry Larynx
For laryngeal cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates decreased steadily by 2.5% per year from 1992 to 2014.Men: Rates decreased steadily by 2.6% per year from 1992 to 2014.Women: Rates decreased steadily by 2.5% per year from 1992 to 2014.
For laryngeal cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates decreased steadily by 1.8% per year from 1992 to 2014.Men: Rates decreased steadily by 1.9% per year from 1992 to 2014.Women: Rates decreased steadily by 2.2% per year from 1992 to 2014.
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 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Larynx2012-2014 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 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]Island [n/c]
Jefferson [n/c]Kittitas [n/c]
Klickitat [n/c]Lewis [n/c]
Lincoln [n/c]Mason [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 [2]
King [2]Thurston [2]Whatcom [3]
WA STATE [3]Spokane [3]
Snohomish [3]Yakima [3]Clallam [3]
Clark [3]Kitsap [3]Pierce [3]
Cowlitz [3]Chelan [4]Skagit [4]
Grays Harbor [5]Okanogan [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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
Larynx2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 51 Washington State Cancer Registry Larynx
0 0.5 1 1.5 2 2.5
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]
Whatcom [n/c]Whitman [n/c]
Yakima [n/c]Snohomish [1]
King [1]Clark [1]
WA STATE [1]Spokane [1]
Pierce [1]Kitsap [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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Leukemia
Leukemia Washington State Cancer Registry Page 52
2014 Washington State ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 677 444 1,121
2014 Incidence Rates 19.0 11.0 14.7
2014 National Rates 17.4 10.6 13.7
DeathMale Female Total
Deaths 274 212 486
2014 Death Rates 8.3 5.0 6.5
2014 National Rates 8.8 5.0 6.6
Relative Survival Rates2014 National 5-year rates1
In situ n/aLocal 59%
Regional n/aDistant 61%
Unstaged n/aOverall 61%
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 (1999-2014).
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 2009-2013 based on follow-up of patients through 2014. Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
n/c n/c n/c
100%
n/c0
200
400
600
800
1000
1200
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State ResidentsTotal Incidence and Percents
Leukemia
Page 53 Washington State Cancer Registry Leukemia
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 1.1% per year from 1992 to 2014.Men: Rates decreased steadily by 1.1% per year from 1992 to 2014.Women: Rates decreased steadily by 1.2% per year from 1992 to 2014.
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 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
Rat
e pe
r 100
,000
Washington State Residents by GenderIncidence Rate TrendsAge-adjusted to 2000 US standard population
Female Male Total
Leukemia2012-2014 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 10 20 30 40 50 60
Columbia [n/c]Ferry [n/c]
Garfield [n/c]Klickitat [n/c]Lincoln [n/c]Pacific [n/c]
Pend Oreille [n/c]Skamania [n/c]
Wahkiakum [n/c]Whitman [11]
Clark [12]Lewis [12]
Kittitas [13]Spokane [13]
Okanogan [13]Grant [13]Kitsap [13]Mason [14]
Yakima [14]Franklin [14]
King [15]WA STATE [15]
Stevens [15]Snohomish [16]
Whatcom [16]Thurston [16]
Cowlitz [16]Pierce [17]
Chelan [17]Island [17]
Clallam [17]Benton [18]
Walla Walla [18]San Juan [19]Jefferson [19]
Asotin [19]Skagit [20]
Douglas [20]Adams [20]
Grays Harbor [23]
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 2012-2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.
Leukemia2012-2014 Washington State ResidentsAverage Annual Death Rates by County with rates in [ ] and 95% CI'sAge-adjusted to 2000 US standard population
Page 55 Washington State Cancer Registry Leukemia
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]
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]
Lewis [4]Walla Walla [4]
Island [5]Mason [5]
Clallam [6]Snohomish [6]
Skagit [6]King [6]
Clark [6]WA STATE [6]
Benton [7]Grays Harbor [7]
Pierce [7]Kitsap [7]
Whatcom [7]Spokane [7]Thurston [7]
Chelan [8]Grant [8]
Yakima [8]Franklin [9]Stevens [9]Cowlitz [9]
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 2012-2014.
Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
Liver and Intrahepatic Bile Duct
Liver and Intrahepatic Bile Duct Washington State Cancer Registry Page 56
2014 Washington State ResidentsIncidence and Death Summary by SexCounts and rates per 100,000 adjusted to the 2000 standard population
IncidenceMale Female Total
All Reportable Cancers 526 201 729
2014 Incidence Rates 12.6 4.8 8.6
2014 National Rates 13.4 4.9 8.9
DeathMale Female Total
Deaths 385 172 557
2014 Death Rates 9.6 3.9 6.6
2014 National Rates 9.5 3.9 6.5
Relative Survival Rates2014 National 5-year rates1
In situ n/aLocal 31%
Regional 10%Distant 2%
Unstaged 6%Overall 17%
n/a = not available
DATA DEFINITIONS: Incidence data were obtained from the Washington State Cancer Registry using primary site ICD-03 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 (1999-2014).
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 2009-2013 based on follow-up of patients through 2014.
Incidence Data: Washington State Department of Health, Washington State Cancer Registry, released in January 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
n/c
42%
26%
17% 15%
0
50
100
150
200
250
300
350
In situ Local Regional Distant Unstaged
Num
ber o
f Cas
es
Stage at Diagnosis2014 Washington State ResidentsTotal Incidence and Percents
Liver and Intrahepatic Bile Duct
Page 57 Washington State Cancer Registry Liver and Intrahepatic Bile Duct
For liver and intrahepatic bile duct cancer age-adjusted incidence rates have changed as follows.Both sexes combined: Rates increased sharply by 4.2% per year from 1992 to 2014.Men: Rates increased sharply by 4.8% per year from 1992 to 2012; remained level since 2012 .Women: Rates increased steadily by 3.4% per year from 1992 to 2014.
For liver and intrahepatic bile duct cancer age-adjusted mortality rates have changed as follows.Both sexes combined: Rates increased steadily by 2.8% per year from 1992 to 2014.Men: Rates increased steadily by 3.0% per year from 1992 to 2014.Women: Rates increased steadily by 2.1% per year from 1992 to 2014.
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 2017.Mortality Data: Washington State Department of Health, Center for Health Statistics, released in October 2015.
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
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
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 Duct2012-2014 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 30 35
Adams [n/c]Asotin [n/c]
Columbia [n/c]Douglas [n/c]
Ferry [n/c