CANCER of TRACHEA, BRONCHUS, LUNG, PLEURA

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1 CANCER of TRACHEA, BRONCHUS, LUNG, PLEURA Data Highlights There were 9,888 cases of cancer of the trachea, bronchus, lung and pleura diagnosed among Pennsylvania residents in 1995, the highest annual number ever recorded by the Pennsylvania Cancer Registry. The 1995 age-adjusted incidence rate was 85.4 per 100,000 for males and 41.3 for females. National Cancer Institute SEER rates (for invasive lung and bronchus cases) for 1994 (the latest available year of U.S. data) were lower for males (73.9) but similar for females (42.4). In Pennsylvania, the average annual ( ) age-adjusted incidence rate for black males was 122.2, almost 52 percent higher than the corresponding rate of 80.6 for white males. This major cancer site accounted for the second largest number of cancer cases among males (6,028) and females (3,860) in The annual age-adjusted incidence rates for males of both races from 1986 through 1995 remained fairly stable. However, the annual numbers and rates for both white and black females have been on the increase. Black males had the highest average annual ( ) incidence rates for nearly every age group. Almost 72 percent of all cancers of the trachea, bronchus, lung and pleura reported for 1995 were diagnosed at the regional or distant stages of the disease. Because lung cancer is very difficult to detect early, survival is poor, and mortality rates in the population approach the incidence rates. The average annual age-adjusted death rate was 48.2, compared to 57.9 for the corresponding incidence rate. In 1995, almost one third of all cancer deaths in males were from lung cancer (4,941) while the proportion was almost 22 percent (3,176) in females, making this site the leading cause of cancer mortality in These numbers also made this site responsible for both the most male and female deaths due to cancer in Cigarette smoking accounted for about 85 percent of these deaths. The annual age-adjusted mortality rates from 1986 to 1995 showed increases among females of both races and declines among males of both races. FIGURE 9 Average Annual Age-Adjusted Incidence and Mortality Rates* by Sex and Race, Pennsylvania Residents, Incidence Mortality Race/Sex All Cases/Deaths All Males All Females Risk Factors Cigarette, cigar and pipe smoking. Diet low in vitamin A is suggestive. Family history of cancers of the trachea, bronchus, lung and pleura Age-Adjusted Rate Early Detection Neither sputum cytology nor x-rays have proven to be effective. *per 100, U.S. standard million population. Exposure to ionizing radiation, asbestos, mustard gas, nickel, polycyclic hydrocarbons, chromium, inorganic arsenic or chloromenthyl ethers. Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 84

2 Cancer of the Trachea, Bronchus, Lung, Pleura: INCIDENCE TABLE 9-A NUMBER OF CASES AND AGE-ADJUSTED INCIDENCE RATES BY SEX AND RACE, BY YEAR PENNSYLVANIA RESIDENTS, M A L E S F E M A L E S ALL* CASES ALL RACES* WHITE BLACK ALL RACES* WHITE BLACK YEAR NO. RATE NO. RATE NO. RATE NO. RATE NO. RATE NO. RATE NO. RATE , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , * Includes any unknowns. NOTE: Age-adjusted rates are per 100,000 and are computed by the direct method using the 1970 U.S. standard million population. See technical notes. FIGURE 9-A AGE-ADJUSTED INCIDENCE RATES BY SEX AND RACE PENNSYLVANIA RESIDENTS, RATE PER 100, YEAR Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 85

3 Cancer of the Trachea, Bronchus, Lung, Pleura: INCIDENCE TABLE 9-B AVERAGE ANNUAL AGE-SPECIFIC INCIDENCE RATES BY SEX AND RACE M A L E S F E M A L E S AGE ALL GROUP CASES ALL RACES WHITE BLACK ALL RACES WHITE BLACK Total Under NOTE: Rates are per 100,000 population ( ) for each specified group. FIGURE 9-B AVERAGE ANNUAL AGE-SPECIFIC INCIDENCE RATES BY SEX AND RACE RATE PER 100, Under AGE GROUP 85+ Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 86

4 Cancer of the Trachea, Bronchus, Lung, Pleura: INCIDENCE TABLE 9-C TOTAL NUMBER OF CASES BY AGE, SEX AND RACE M A L E S F E M A L E S AGE ALL* GROUP CASES ALL RACES* WHITE BLACK ALL RACES* WHITE BLACK Total 46,665 28,857 25,958 2,684 17,808 15,992 1,724 Under , ,376 1,418 1, ,923 2,462 2, ,461 1, ,321 4,025 3, ,296 1, ,213 5,890 5, ,323 3, ,327 5,838 5, ,489 3, ,248 4,403 4, ,845 2, ,964 2,378 2, ,586 1, ,808 1, * Includes any unknowns. FIGURE 9-C STAGE OF DISEASE AT DIAGNOSIS, PERCENT BY SEX AND RACE PENNSYLVANIA RESIDENTS, In Situ Local Regional Distant 40 PERCENT NUMBER AND PERCENT OF CASES MICROSCOPICALLY CONFIRMED: 8, % Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 87

5 Cancer of the Trachea, Bronchus, Lung, Pleura: MORTALITY TABLE 9-D NUMBER OF DEATHS AND AGE-ADJUSTED DEATH RATES BY SEX AND RACE, BY YEAR PENNSYLVANIA RESIDENTS, M A L E S F E M A L E S ALL* DEATHS ALL RACES* WHITE BLACK ALL RACES* WHITE BLACK YEAR NO. RATE NO. RATE NO. RATE NO. RATE NO. RATE NO. RATE NO. RATE , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , * Includes any unknowns. NOTE: Age-adjusted rates are per 100,000 and are computed by the direct method using the 1970 U.S. standard million population. See technical notes. FIGURE 9-D AGE-ADJUSTED DEATH RATES BY SEX AND RACE PENNSYLVANIA RESIDENTS, RATE PER 100, YEAR Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 88

6 Cancer of the Trachea, Bronchus, Lung, Pleura: MORTALITY TABLE 9-E NUMBER OF DEATHS AND AVERAGE ANNUAL AGE-SPECIFIC DEATH RATES BY SEX AND RACE M A L E S F E M A L E S ALL* AGE DEATHS ALL RACES* WHITE BLACK ALL RACES* WHITE BLACK GROUP NO. RATE NO. RATE NO. RATE NO. RATE NO. RATE NO. RATE NO. RATE TOTAL* 40, , , , , , , UNDER , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , * Includes any unknowns. NOTE: Rates are per 100,000 population ( ) for each specified group. FIGURE 9-E AVERAGE ANNUAL AGE-SPECIFIC DEATH RATES BY SEX AND RACE RATE PER 100, UNDER AGE GROUP Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 89

7 Cancer of the Trachea, Bronchus, Lung, Pleura: INCIDENCE TABLE 9-F TOTAL NUMBER OF CASES AND AVERAGE ANNUAL AGE-ADJUSTED INCIDENCE RATES* BY COUNTY AND SEX M A L E S F E M A L E S M A L E S F E M A L E S TOTAL TOTAL COUNTY CASES NO. RATE NO. RATE COUNTY CASES NO. RATE NO. RATE ALL COUNTIES 46,665 28, , ADAMS JUNIATA ALLEGHENY 6,467 3, , LACKAWANNA ARMSTRONG LANCASTER 1, BEAVER LAWRENCE BEDFORD LEBANON BERKS 1, LEHIGH BLAIR LUZERNE 1, BRADFORD LYCOMING BUCKS 1,749 1, MCKEAN BUTLER MERCER CAMBRIA MIFFLIN CAMERON MONROE CARBON MONTGOMERY 2,525 1, , CENTRE MONTOUR CHESTER 1, NORTHAMPTON CLARION NORTHUMBERLAND CLEARFIELD PERRY CLINTON PHILADELPHIA 7,499 4, , COLUMBIA PIKE CRAWFORD POTTER CUMBERLAND SCHUYLKILL DAUPHIN SNYDER DELAWARE 2,243 1, SOMERSET ELK SULLIVAN ERIE SUSQUEHANNA FAYETTE TIOGA FOREST UNION FRANKLIN VENANGO FULTON WARREN GREENE WASHINGTON HUNTINGDON WAYNE INDIANA WESTMORELAND 1,655 1, JEFFERSON WYOMING YORK 1, * Age-adjusted rates are per 100,000 and are computed by the direct method using the 1970 U.S. standard million population. See technical notes regarding reliability of rates. Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 90

8 Cancer of the Trachea, Bronchus, Lung, Pleura: MORTALITY TABLE 9-G TOTAL NUMBER OF DEATHS AND AVERAGE ANNUAL AGE-ADJUSTED DEATH RATES* BY COUNTY AND SEX M A L E S F E M A L E S M A L E S F E M A L E S TOTAL TOTAL COUNTY DEATHS NO. RATE NO. RATE COUNTY DEATHS NO. RATE NO. RATE ALL COUNTIES 40,126 24, , ADAMS JUNIATA ALLEGHENY 5,533 3, , LACKAWANNA ARMSTRONG LANCASTER 1, BEAVER LAWRENCE BEDFORD LEBANON BERKS 1, LEHIGH BLAIR LUZERNE 1, BRADFORD LYCOMING BUCKS 1, MCKEAN BUTLER MERCER CAMBRIA MIFFLIN CAMERON MONROE CARBON MONTGOMERY 2,005 1, CENTRE MONTOUR CHESTER 1, NORTHAMPTON CLARION NORTHUMBERLAND CLEARFIELD PERRY CLINTON PHILADELPHIA 6,361 3, , COLUMBIA PIKE CRAWFORD POTTER CUMBERLAND SCHUYLKILL DAUPHIN SNYDER DELAWARE 2,043 1, SOMERSET ELK SULLIVAN ERIE SUSQUEHANNA FAYETTE TIOGA FOREST UNION FRANKLIN VENANGO FULTON WARREN GREENE WASHINGTON HUNTINGDON WAYNE INDIANA WESTMORELAND 1, JEFFERSON WYOMING YORK * Age-adjusted rates are per 100,000 and are computed by the direct method using the 1970 U.S. standard million population. See technical notes regarding reliability of rates. Pennsylvania Department of Health - Pennsylvania Cancer Incidence and Mortality Page 91

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