trends in cancer incidence: highlights - kankerregister.org · breast 34% colorectal 12% lung 9%...
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Trends in Cancer Incidence: Highlights
Michael Rosskamp
Frédéric Calay
Breast34%
Colorectal12%
Lung9%
Other46%
Other47%
Colorectal13%
Lung15%
Prostate 25%
(excl. non-melanoma skin cancers)
36,243 cases 53%
68,216 new cancer diagnoses in 2016
Breast34%
Colorectal12%
Lung9%
Other46%
Other47%
Colorectal13%
Lung15%
Prostate 25%
(excl. non-melanoma skin cancers)
36,243 cases 53%
31,973 cases47%
68,216 new cancer diagnoses in 2016
Global trends in cancer incidence rate, Belgium 2004-2016
≈?
Liver
Melanoma
TestisThyroid
Colorectal
Lung (F)
Head & neck (F)Kidney (M)
Sarcoma
Breast
Head & neck (M)
Oesophagus (F)
Ovary
Corpus uteri
Stomach (M)
Lung (M)
Bladder (M)
Prostate
Pancreas
Cervix uteri
Brain
Renal pelvis
Myeloid malignancies
Breast34%
Colo-rectal12%
Lung9%
Other46%
Other47%
Colorectal13%
Lung15%
Prostate 25%
Prostate cancer: 9,050 cases
Breast cancer: 10,735 cases
Before 75 years: Before 75 years:
68,216 new cancer diagnoses in 2016
(excl. non-melanoma skin cancers)
Breast cancer: incidence rate 2004-2016
0
20
40
60
80
100
120
140
'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16
WSR
N/1
00
,00
0
Incidence year
Belgium Flemish Region Walloon Region Brussels Capital Region
Breast cancer in Europa (Estimated WSR 2018)
Source: ECIS - European Cancer Information SystemFrom https://ecis.jrc.ec.europa.eu, accessed on 19/11/2018© European Union, 2018
Breast34%
Colorectal12%
Lung9%
Other46%
Other47%
Colorectal13%
Lung15%
Prostate 25%
Lung cancer: 5,439 cases
Lung cancer: 2,735 cases
(excl. non-melanoma skin cancers)
68,216 new cancer diagnoses in 2016
0
10
20
30
40
50
60
70
'04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16
WSR
N/1
00
,00
0
Incidence year
Incidence - Males Incidence - Females Mortality - Males Mortality - Females
AAPC incidence: 3.5% [3.0; 4.0]
AAPC incidence: -1.7% [-1.9; -1.4]
Lung cancer: incidence rate 2004-2016 and mortality rate 2004-2015
Invasive tumours: Incidence trends projected to 2025
(excl. non-melanoma skin cancers)
Breast34%
Colorectal12%
Lung9%
Other46%
Other47%
Colorectal13%
Lung15%
Prostate 25%
Colorectal cancer: 4,714 cases
Colorectal cancer: 3,754 cases
(excl. non-melanoma skin cancers)
68,216 new cancer diagnoses in 2016
0
10
20
30
40
50
'99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16
WSR
N/1
00
,00
0
Incidence year
Belgium Flemish Region Walloon Region Brussels Capital Region
Colorectal cancer: incidence rate 2004-2016
2013 Start Screening Flemish Region
Melanoma6%
Other96%
Melanoma4%
Other 96%
Melanoma
Age-specific incidence rates, 2012-2016
0
10
20
30
40
50
60
70
80
0- 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70- 75- 80- 85+
N/1
00
,00
0
Age group
Males Females
N(2016)=1,786
N(2016)=1,283
0
5
10
15
20
25
'04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16
WSR
N/1
00
,00
0
Incidence year
Incidence - Males Incidence - Females Mortality - Males Mortality - Females
Incidence rate 2004-2016, mortality rate 2004-2015
AAPC incidence: 5.1% [4.0; 6.1]
AAPC incidence: 4.9% [4.1; 5.7]
Melanoma
0
5
10
15
20
25
'04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16
WSR
N/1
00
,00
0
Incidence year
Lymphoid malignancies Myeloid malignancies Histiocytic and dendritic cell neoplasms
Incidence rate 2004-2016
Haematological malignancies(11% of all cancers, 4th cause of death from cancer)
N(2016)=7,199
AAPC 3.6% [2.7; 4.4]AAPC 3.4% [2.6; 4.2]
0
2
4
6
8
10
'04 '05 '06 '07 '08 '09 '10 '11 '12 '13 '14 '15 '16
WSR
N/1
00
,00
0
Incidence year
Incidence Mortality
Ovarian cancer
AAPC incidence: -2.9% [-3.5; -2.2]N(2016)=752
Incidence rate 2004-2016, mortality rate 2004-2015
Relative survival 2012-2016
0%
20%
40%
60%
80%
100%
0 1 2 3 4 5
Rel
ativ
e su
rviv
al
Survival time (years)2004-2007 2008-2011 2012-2016
Take-home messages
• Overall risk to develop cancer:
• Risk for smoking-related cancers in women and melanoma increasing:
primary prevention measures!
2013 2018