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Cancer Study Says Prostate Most Common for Men, Breast for Women: Lung Kills Most of Both

Nov. 22, 2004 – Prostate cancer is the most frequent cancer found in men and breast cancer is the most common form of cancer found in women, but lung cancer is the leading cause of death by cancer for both genders, says a government study covering 92 percent of the U.S. population in 2001.

United States Cancer Statistics: 2001 Incidence and Mortality marks the third time the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI), in collaboration with the North American Association of Central Cancer Registries, have combined data to produce federal cancer statistics.

Major findings in this year’s report include:

   > The District of Columbia has the highest incidence rate of prostate cancer, and Arizona has the lowest.

   > Washington State has the highest incidence rate of female breast cancer, and Texas has the lowest.

   > Utah has the lowest lung cancer incidence rate among men and women.

   > Kentucky has the highest incidence rate of colorectal cancer among men, and New Jersey has the highest incidence rate among women. Utah has the lowest colorectal cancer incidence rate among men and women.

The report also cites geographic differences in cancer mortality including:

   > The District of Columbia has the highest prostate cancer death rate among men; Hawaii has the lowest.

   > The District of Columbia has the highest female breast cancer death rate; South Dakota has the lowest.

   > Kentucky has the highest death rate of lung cancer among men.

   > West Virginia has the highest lung cancer death rate among women.

   > The District of Columbia has the highest colorectal cancer death rates among men and women; Utah has the lowest.

Described as “the most comprehensive federal report available on state-specific cancer rates,” the study for the first time includes information on incidence and death rates, as well as data for Hispanics and a new section on mesothelioma and Kaposi’s sarcoma.

U.S. Cancer Statistics: 2001 Incidence and Mortality includes quality-assured incidence data from 43 states, six metropolitan areas, and the District of Columbia, covering 92 percent of the U.S. population – up from the coverage rate of 84 percent for the report issued last year. The report supplies essential state, population, racial, ethnic and gender information for tailored cancer prevention and control programs nationwide.

“Having highly accurate data about which cancers most commonly strike specific groups, such as the Hispanic population, means we can better meet prevention, care and treatment needs,” said HHS Secretary Tommy G. Thompson. “We know from the report that breast cancer is the leading cause of cancer death for Hispanic women. Breaking out data by racial and ethnic populations, we have a broader and more accurate view of our nation’s cancer problem, how it affects our diverse population and can intervene to combat this disease."

Collecting and reporting state data helps identify special concerns in specific populations, such as high proportions of cervical cancer in Hispanic and African-American women. This information can be used to assist states focus appropriate cancer control interventions to increase access to screening and care.

United States Cancer Statistics: 2001 Incidence and Mortality marks the third time the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI), in collaboration with the North American Association of Central Cancer Registries, have combined data to produce federal cancer statistics. The annual report provides a basis for individual states and researchers to describe the variability in cancer incidence and death rates across different populations and to focus on certain populations for evidence-based cancer control programs. Future United States Cancer Statistics reports will include data for American Indians/Alaska Natives. The full report is available at www.cdc.gov/cancer/ and www.seer.cancer.gov/statistics.

U.S. Cancer Statistics: 2001 Incidence and Mortality

Major incidence findings*:

  • Prostate cancer is the leading cancer affecting all men, followed by lung cancer and colorectal cancer;

  • Breast cancer is the leading cancer among women;

  • Among white women, lung cancer is the second most common cancer and colorectal is the third most common cancer. Among black, Asian/Pacific Islander and Hispanic women, colorectal cancer and lung cancer are the second and third most common cancers, respectively.

Major mortality findings:

  • Lung cancer is the leading cause of cancer death among all men; prostate cancer is the second leading cause of cancer death among white, black and Hispanic men. Colorectal cancer is the second leading cause of cancer death among Asian/Pacific Islander men.

  • Colorectal cancer is the third leading cause of cancer death among white, black and Hispanic men, whereas liver cancer is the third leading cause of cancer death among Asian/Pacific Islander men.

  • Lung cancer is the leading cause of cancer death among white, black, and Asian/Pacific Islander women and the second leading cause of cancer death among Hispanic women.

  • Breast cancer is the leading cause of cancer death among Hispanic women and the second leading cause of cancer death among white, black and Asian/Pacific Islander women.

  • Leukemia is the most common childhood cancer and the leading cause of cancer death among children.

Racial and ethnic differences in cancer incidence and mortality

  • Overall, cancer incidence and death rates are highest among black men, followed by white, Hispanic, and Asian/Pacific Islander men.

  • Cancer incidence rates are highest for white women, followed by black, Hispanic, and Asian/Pacific Islander women.

  • Cancer death rates are highest among black women, followed by white, Hispanic and Asian/Pacific Islander women.

Mesothelioma and Kaposi’s Sarcoma

Mesothelioma is a cancer that generally occurs in the chest, abdominal region, or areas surrounding the heart. It is typically associated with exposure to asbestos, which has been documented in as many as 70 percent to 80 percent of all mesothelioma cases. Kaposi's sarcoma is a cancer of connective tissues such as cartilage, bone, fat, muscle, and blood vessels. The vast majority of Kaposi’s sarcoma cases have developed in association with human immunodeficiency virus (HIV) infection and the acquired immunodeficiency syndrome (AIDS).

  • Mesothelioma and Kaposi’s sarcoma primarily affect men.

  • White men and women are more often affected by mesothelioma than are black, Asian/Pacific Islander, and Hispanic men and women.

  • For men aged 35-44, the rate of Kaposi’s sarcoma is 1.6 times higher among black men compared to Hispanic men, and 3 times higher among black men compared to white men.

*Major incidence findings include invasive cancers, along with in situ bladder cancer.

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