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					                                                                                                             Health, morbidity and mortality                              part         1
                                                                                                                                            Morbidity                     chapter      C

                                                                                                                                       Cancer                             C 9
     Scottish cancer incidence and mortality statistics

     Since the late 1950s, the Scottish Cancer Registry has                                            registration system, 1997 data are not yet fully complete. For
     collected centrally a limited data set for each primary cancer                                    presentation, pre-1997 registration diagnoses have been
     diagnosed in residents of Scotland. The information collected                                     converted to ICD-10, based on the combination of ICD-9
     includes demographic details, date of diagnosis, diagnostic                                       codes and ICD-O morphology codes. Since morphology
     details coded to ICD-9 (WHO, 1977) and morphology to the                                          codes are not recorded routinely by the GRO(S), causes of
     first edition of ICD-O (WHO, 1976), and eventually the date                                       death have been converted to ICD-10, based on ICD-9 codes
     and causes of death, which are provided by the General                                            alone. The conversion from ICD-9 to ICD-10 is imperfect,
     Register Office (Scotland) (GRO(S)), and linked onto the                                          although more correct when morphology is taken into account.
     registration record by probability matching.                                                      For example, while it is possible to identify separately cases
                                                                                                       of mesothelioma (ICD-10 C45) and Kaposi’s sarcoma
     Beginning with 1997 registrations, a new centrally organised
                                                                                                       (ICD-10 C46) in cancer registry data, this is not feasible in
     cancer registration system has been operating (ISD Scotland,
                                                                                                       respect of mortality data.
     1998). ‘Notifications’ of cancer are entered into the
     computerised system from four main sources: hospital                                              The numbers of registrations for the top ten cancers in 1996
     discharge records, oncology records, pathology records, and                                       are shown again (C 9.1), but this year the diagnostic entity
     death records from the GRO(S). Together with information                                          ‘head and neck cancer’, comprising a number of cancer sites
     from non-computerised sources these are linked together to                                        (ICD-10 C00-C14, C30-C32), has been considered as a
     produce provisional registrations and made available to                                           single category. The detailed tables (C 9.6 and C 9.7) also
     outposted Cancer Registration Officers, who validate the                                          present data for the same time period (1987-1996) as in
     information captured electronically and abstract additional                                       Scottish Health Statistics 1998. However, it is important to
     data from hospital medical records.                                                               note that the numbers of registrations in C 9.1, C 9.6, and
                                                                                                       C 9.7 differ from those presented last year because the cancer
     The new register is different from the old in three major
                                                                                                       registration file is dynamic. Furthermore, since the
     respects. Firstly, the old tumour-based register has been
                                                                                                       organisation of cancer registration became centralised, a
     transformed into a patient-based register by using medical
                                                                                                       standard definition of incidence date has been applied across
     record linkage to link together registrations which relate to
                                                                                                       the country, based essentially on the date of first consultation
     the same patient. Each patient on the register now has a
                                                                                                       at or admission to hospital for the cancer (MacLennan,
     unique patient identifier and each tumour record has a unique
                                                                                                       1991). This may have led to an increase in the numbers of
     tumour identifier. Thus a patient with two primary cancer
                                                                                                       cases allocated to 1996 from those parts of the country which
     registrations will now have two registrations with different
                                                                                                       previously defined the date of incidence based (when
     tumour identifiers and the same patient identifier. Secondly,
                                                                                                       applicable) on the date of microscopic verification or the date
     an extended data set is being collected from 1997, including
                                                                                                       of starting treatment.
     information on stage at diagnosis (for cancer of the breast,
     large bowel and cervix), grade of differentiation, basic                                          C 9.2 - C 9.5 demonstrate examples of new analyses which
     information on treatment, and whether the patient participated                                    will be possible in future using the new variables now being
     in a clinical trial. Thirdly, diagnostic information is now                                       collected. However, these results should be regarded as
     coded to ICD-10 (WHO, 1992) and to the second edition of                                          provisional because of incompleteness of the data and also
     ICD-O (WHO, 1990).                                                                                because more quality assurance has yet to be carried out.
     There have been some changes in presentation from last year,
     mainly because, as a result of the introduction of the new


References                                                                                                                             Further information
Black RJ, Sharp L, Kendrick SW (1993). Trends in Cancer            Scottish Breast Cancer Focus Group, Scottish Cancer Trials          Further information on cancer incidence, mortality
Survival in Scotland 1968-1990. Edinburgh: Information and         Breast Group, and Scottish Cancer Therapy Network (1996).
Statistics Division.                                               Scottish Breast Cancer Audit 1987 & 1993. Edinburgh: SCTN.          and survival may be found :

Harris V, Sandridge AL, Black RJ, Brewster DH, Gould A.            Stiller CA (1989). Survival of patients with cancer. BMJ; 299:      - in the publications Cancer Registration Statistics
(1998). Cancer Registration Statistics Scotland 1986-1995.         1058-1059.
Edinburgh: ISD Scotland Publications.                                                                                                    Scotland, 1986-1995 (Harris et al, 1998) and
                                                                   Stroner PL, Brewster DH, Dewar JA, Eremin O, Gould A, Howard          Trends in Cancer Survival in Scotland, 1968-
Berrino F (1999). Preface, pp ix-xii. In: Berrino F, Capocaccia    GCW and Kaye SB (1999). In pursuit of excellence for patients
R, Estève J, Gatta G, Hakulinen T, Micheli A, Sant M and           with cancer: the Scottish Cancer Therapy Network model. Br J
                                                                                                                                         1990 (Black et al, 1993) ;
Verdecchia A (eds). Survival of Cancer Patients in Europe: the     Cancer; 79: 1641-1645.
EUROCARE-2 Study. IARC Scientific Publications No. 151.                                                                                - on the ISD Web site at
Lyon: International Agency for Research on Cancer.                 Waterhouse J, Muir C, Correa P and Powell J (1976). Cancer
                                                                   Incidence in Five Continents, volume III, pp. 454-459. IARC           http://www.show.scot.nhs.uk/isd/
ISD Scotland (1998). Scottish Cancer Intelligence Unit Annual      Scientific Publications No. 15. Lyon: International Agency for
Report 1997 / 98. Edinburgh: ISD Scotland Publications.            Research on Cancer.
                                                                                                                                       - by contacting us
MacLennan R (1991). Items of patient information collected by      World Health Organisation (1976). International Classification
                                                                                                                                         The Cancer Surveillance Group
registries. In: Jensen OM, Parkin DM, MacLennan R, Muir CS         of Diseases for Oncology. First edition. Geneva: WHO.
and Skeet RG (eds). Cancer Registration Principles and Meth-                                                                             Scottish Cancer Intelligence Unit
ods. IARC Scientific Publications No. 95. Lyon: International      World Health Organisation (1977). Manual of the International         Information & Statistics Division
Agency for Research on Cancer.                                     Classification of Diseases, Injuries and Causes of Death. Ninth
                                                                   revision. London: HMSO.                                               Trinity Park House
Sant M, Capocaccia R, Verdecchia A, Estève J, Gatta G, Micheli                                                                           EDINBURGH EH5 3SQ
A, Coleman MP, Berrino F and the EUROCARE Working Group            World Health Organisation (1990). International Classification
(1998). Survival of Women with Breast Cancer in Europe:            of Diseases for Oncology. Second edition. Geneva: WHO.
Variation with Age, Year of Diagnosis and Country. Int J Cancer;                                                                         phone (0131) 551 8076
77: 679-683.                                                       World Health Organisation (1992). International Statistical Clas-     fax   (0131) 551 1392
                                                                   sification of Diseases and Related Health Problems. Tenth
                                                                   revision. Geneva: WHO.
                                                                                                                                         email cancerstats@isd.csa.scot.nhs.uk
                                                                                                                                                                                       73
                 Morbidity and Mortality
    C9           CANCER



    C 9.1 shows registrations for the ten most frequently                                               C 9.2                Cancer of the female breast
    diagnosed cancers in 1996 in Scotland (males and females                                                                 (ICD-10 C50)

    separately).

 C 9.1           Ten most frequently diagnosed cancers1; by                                        C 9.2 a                   Registrations; by clinical stage
                 sex : 1996                                                                                                  1997 (provisional data)
                 Numbers of registrations


                        Males
                                                                                                                                                                                         Stage I
     Trachea, bronchus and lung                                                                                                                                                          (Localised
                                                                                                                                                                                         disease)
                       Prostate
                   Large bowel
                                                                                                                  Stage
                       Bladder                                                                                       not
                                                                                                                  known
                 Head and neck
                      Stomach
                   Oesophagus
      Non-Hodgkin’s lymphoma
                        Kidney
                                                                                                                                                                                           Stage IIA
                   Leukaemias
                                   0   500   1000  1500     2000 2500       3000   3500
                                                 Numbers of registrations                                               Stage IV
                                                                                                                      (Advanced
                     Females                                                                                            disease)         Stage IIIB           Stage IIB

                         Breast                                                                                                                      Stage IIIA
     Trachea, bronchus and lung
                   Large bowel
                         Ovary
                                                                                                   C 9.2 b                   Registrations; by method of first detection
                       Bladder
                                                                                                                             and clinical stage
                   Corpus uteri                                                                                              1997 (provisional data)
Malignant melanoma of the skin
                      Stomach
                                                                                                                                               IIA       IIB IIIA IIIB
      Non-Hodgkin’s lymphoma
                                                                                                                           Stage I                                                    Not known
                    Cervix uteri                                                                   NOT                     (Localised                                    IV
                                   0   500   1000  1500     2000 2500       3000   3500         screen-                    disease)
                                                 Numbers of registrations                      detected
                                                                                                                                                                                   Stage IV
1     All malignant neoplasms excluding non-melanoma skin cancer (ICD-10 code                                                                                                      (Advanced disease)
      C00-C96 excluding C44).
                                                                                                                           Stage I
                                                                                                Screen-                    (Localised disease)
                                                                                                                                                                              IV

                                                                                               detected                                                                                Not known
      C 9.2 describes facets of clinical stage at diagnosis in female
      patients registered with breast cancer in 1997 (stage I =                                                        0                  25               50                75                        100
      localised disease, stage IV = advanced disease) : (a) the                                                                                  Percentage of registrations

      proportions of registrations by clinical stage; (b) percentages
      of registrations by clinical stage depending on method of
      first detection (whether screen-detected or not); and (c) the
                                                                                                   C 9.2 c                   Survival; by clinical stage
      comparative survival prognosis of patients according to                                                                period of diagnosis 1987
      stage at diagnosis. The latter data are taken from the Scottish
      Cancer Therapy Network (SCTN) Breast Cancer Audit
      (Scottish Breast Cancer Focus Group et al, 1996). Advanced                                        100

      clinical stage may indicate delays in presentation, which is                                                                                                                             Stage I
                                                                                                                                                                                               (Localised
      of interest from a public health viewpoint since stage at                                         75
                                                                                                                                                                                               disease)

      diagnosis is a strong predictor of survival (C 9.2 c). There                                                                                                                             Stage II
                                                                                          % surviving




      is indirect evidence that patients in the UK may be more                                                                                                                                 Stage III
                                                                                                        50
      likely to present with advanced disease than many of their                                                                                                                               Stage not
                                                                                                                                                                                               known
      European counterparts, since the relative risk of dying
                                                                                                        25
      within six months of diagnosis seems to be higher in the UK
                                                                                                                                                                                               Stage IV
      compared to the rest of Europe (Sant et al, 1998). C 9.2 b                                                                                                                               (Advanced
      shows evidence that the proportion of early stage disease is                                        0                                                                                    disease)
                                                                                                              0               1            2           3          4                        5
      greater for patients whose cancers have been detected by                                                                          Years following diagnosis
      screening.



                                                                                          Source of C 9.1 and C 9.2 a,b : ISD Scotland (Scottish Cancer Registry)
                                                                                                                   Source of C 9.2c : SCTN Breast Cancer Audit
74
                                                                                                                                                            Morbidity and Mortality
                                                                                                                                                                          CANCER            C9



  C 9.3                                 Cancer of the large bowel : Registrations;
                                        by Dukes’ stage                                                                     C 9.3 shows registrations of cancer of the large bowel
                                        (ICD-10 C18-C20)     1997 (provisional data)
                                                                                                                            by Dukes’ stage (Dukes’ A = localised disease, Dukes’
                                                                                                                            D = advanced disease). Again, advanced stage disease
                                                                              Dukes' stage A
                                                                              (Localised disease)                           may indicate delays in presentation and stage at
                                       Dukes' stage
                                         not known                                                                          diagnosis is a strong predictor of survival. Prelimi-
                                                                                                                            nary evidence suggests that most of the difference in
                                                                                                                            survival from colorectal cancer observed between
                                                                                                                            western European populations is due to early versus
 Dukes' stage D
    (Advanced                                                                                                               late diagnosis (Berrino, 1999). The baseline stage
      disease)                                                                                                              distribution of colorectal cancer in Scotland is impor-
                                                                                                                            tant information in the context of the screening pilot
                                                                                                        Dukes' stage B
                                                                                                                            study and the possible subsequent introduction of a
                                                                                                                            national screening programme.


                                              Dukes' stage C


                                                                                                                                                   Source : ISD Scotland (Scottish Cancer Registry)


  C 9.4                                 Clinical trials for selected cancers
                                        Percentage of patients entered into trials   1997 (provisional data)                 C 9.4 shows the percentage of patients entered into
                                                                                                                             clinical trials. There is evidence that patients
                                                                                                                             participating in trials have a better prognosis,
                                    Female breast
                                                                                                                             irrespective of the arm of the trial into which they are
                                     Large bowel                                                                             entered, than patients who do not take part in a
                                             Lung
                                                                                                                             clinical trial (Stiller, 1989). One of the aims of the
                                                                                                                             SCTN is to increase recruitment into clinical trials.
                                            Ovary
                                                                                                                             Scotland has a good record of recruitment to breast
                                         Prostate                                                                            cancer trials (Stroner et al, 1999), but for some other
                                           Cervix
                                                                                                                             cancer sites, for instance large bowel cancer and lung
                                                                                                                             cancer, there is scope for an increase in recruitment,
All malignant neoplasms1
                                                                                                                             assuming that suitable trials are available.
                                                    0             5               10               15                20
                                                               % entered into clinical trials (scale max = 20)               1 Excludes non-melanoma skin cancer.

                                                                                                                                                   Source : ISD Scotland (Scottish Cancer Registry)


  C 9.5                                 Lung cancer patients who received chemo-
                                        therapy; by cell type                                                                 C 9.5 shows the percentage of lung cancer patients
                                        Percentage of patients receiving chemotherapy      1997 (provisional data)
                                                                                                                              by cell type who received chemotherapy. It illustrates
                              100                                                                                             an example of the basic treatment information now
                                                    No Chemo-                                                                 being collected.
                                                    therapy
    Percentage of cell type




                              75



                              50


                                                            Chemo-
                              25                            therapy


                                0
                                        Small cell lung       Non-small cell lung       Not microscopically
                                           cancer                  cancer                    verified


                                                                                                                                                   Source : ISD Scotland (Scottish Cancer Registry)

on the following pages :

  C 9.6 and C 9.7 present numbers of cancer registrations and                                                             population (Waterhouse et al, 1976). C 9.7 shows numbers of
  deaths by anatomical site or histological type, sex and year of                                                         registrations and numbers of deaths for 1996 by age group,
  diagnosis/registration of death for all major cancers. C 9.6                                                            together with crude rates and age-standardised incidence and
  shows for each of the years 1987 to 1996, the numbers of                                                                mortality rates per 100,000 person-years at risk, directly
  registrations and numbers of deaths, together with age-                                                                 standardised to the World standard population (Waterhouse
  standardised incidence and mortality rates per 100,000 person-                                                          et al, 1976).
  years at risk, directly standardised to the European standard
                                                                                                                                                                                               75
                  Morbidity and Mortality
                  CANCER

C 9.6             Cancer incidence and mortality
                  by site / type of cancer, sex and year of diagnosis / registration of death : 1987-1996 1,2,3

                  numbers of registrations and deaths; age-standardised incidence and mortality rates per 100,000 person-years at risk
                  (rates standardised to the European standard population)



Cancer site / type (ICD-10) 4 Sex                              1987    1988     1989     1990     1991     1992     1993      1994     1995        1996


All Malignant Neoplasms            M      Registrations   12 668      12 854   13 139   13 430   13 611   14 265   14 650    14 961   15 096      16 117
(C00-C96)                                  Rate            515.5       521.1    528.1    534.4    536.6    559.2    572.0     580.1    579.3       613.6
                                          Deaths           7 563       7 518    7 593    7 608    7 589    7 796    7 936     7 652    7 768       7 707
                                           Rate            307.2       305.0    304.9    302.3    298.6    304.3    308.9     296.5    297.4       292.6
                                   F      Registrations   12 948      13 367   13 518   14 298   14 241   14 874   15 045    15 225   15 481      16 444
                                           Rate            386.5       396.7    400.0    422.8    420.9    435.1    437.6     441.7    446.7       475.2
                                          Deaths           7 087       7 202    7 324    7 349    7 287    7 336    7 522     7 512    7 456       7 464
                                           Rate            198.5       200.7    203.9    202.3    199.2    200.8    202.7     202.9    198.2       197.7
All Malignant Neoplasms            M      Registrations   10 978      10 986   11 094   11 494   11 497   11 958   12 202    12 372   12 309      13 073
except non-melanoma skin                   Rate            445.6       444.6    445.2    456.9    452.3    468.1    475.9     479.2    471.7       497.0
cancers (C00-C96 except C44)              Deaths           7 542       7 495    7 574    7 578    7 561    7 767    7 905     7 629    7 741       7 680
                                           Rate            306.3       304.0    304.1    300.9    297.5    303.2    307.7     295.6    296.3       291.5
                                   F      Registrations   11 400      11 491   11 575   12 384   12 211   12 564   12 645    12 805   12 922      13 570
                                           Rate            343.7       344.9    346.9    370.9    366.5    374.1    373.7     376.6    378.4       398.8
                                          Deaths           7 064       7 178    7 291    7 330    7 272    7 319    7 504     7 493    7 436       7 433
                                           Rate            198.0       200.1    203.2    201.9    198.9    200.5    202.3     202.5    197.9       197.0

Lip (C00)                          M      Registrations          56       44       49       50       44       51       38        44       50          30
                                           Rate                 2.4      1.8      2.0      2.0      1.7      2.0      1.6       1.7      1.9         1.1
                                          Deaths                  3        2        5        2        5        5        3         1        3           1
                                           Rate                 0.2      0.1      0.2      0.1      0.2      0.2      0.1       0.0      0.1         0.0
                                   F      Registrations          16       15       16       12       16       19       15        19       16          18
                                           Rate                 0.4      0.5      0.4      0.3      0.4      0.5      0.4       0.4      0.4         0.5
                                          Deaths                  2        3        1        2        .        2         .        1        2            .
                                           Rate                 0.0      0.1      0.0      0.0        .      0.0         .      0.0      0.1            .
Base of tongue (C01)               M      Registrations          11       12       11       11       18       16       15        23       13          24
                                           Rate                 0.4      0.5      0.5      0.4      0.7      0.7      0.6       0.9      0.5         1.0
                                          Deaths                  9       16        9       15       11       13       10         8       14           6
                                           Rate                 0.4      0.7      0.4      0.6      0.4      0.5      0.4       0.3      0.6         0.2
                                   F      Registrations           8        3        4        1        4        4        5         4        7           9
                                           Rate                 0.2      0.1      0.1      0.0      0.2      0.1      0.2       0.1      0.2         0.3
                                          Deaths                  7        3        1        2        1        4        5         3        3           3
                                           Rate                 0.2      0.1      0.0      0.1      0.0      0.1      0.2       0.1      0.1         0.1
Other and unspecified parts        M      Registrations          45       41       48       51       62       49       49        47       46          67
of tongue (C02)                            Rate                 2.0      1.8      2.0      2.1      2.5      2.0      2.0       1.9      1.9         2.7
                                          Deaths                 17       17       19       26       25       26       26        28       23          33
                                           Rate                 0.8      0.7      0.8      1.0      1.0      1.0      1.0       1.2      0.9         1.3
                                   F      Registrations          32       24       32       29       33       31       34        31       43          49
                                           Rate                 0.9      0.7      0.9      0.8      0.9      0.9      1.0       0.9      1.3         1.4
                                          Deaths                 11       12       18       20       11       14       18        14       18          17
                                           Rate                 0.3      0.3      0.5      0.5      0.3      0.3      0.5       0.4      0.5         0.4
Gum (C03)                          M      Registrations          11        9       10       10        3        7       14        13       11          10
                                           Rate                 0.5      0.4      0.4      0.4      0.1      0.3      0.6       0.5      0.4         0.4
                                          Deaths                  4        9        4        2        2        1        5         5        6           5
                                           Rate                 0.2      0.4      0.2      0.1      0.1      0.1      0.2       0.2      0.2         0.2
                                   F      Registrations          10       10        9        7       11       15       11         6       10          15
                                           Rate                 0.3      0.3      0.2      0.2      0.3      0.4      0.2       0.2      0.3         0.4
                                          Deaths                  7        4        4        5        2        3        5         6        4           2
                                           Rate                 0.2      0.1      0.1      0.1      0.1      0.1      0.1       0.2      0.1         0.0

Floor of mouth (C04)               M      Registrations          37       47       36       48       53       41       52        54       63          53
                                           Rate                 1.5      2.0      1.6      2.0      2.2      1.7      2.1       2.2      2.7         2.1
                                          Deaths                  9       19        6       13       16       14       15        19       19          14
                                           Rate                 0.4      0.8      0.3      0.5      0.6      0.6      0.6       0.7      0.8         0.6
                                   F      Registrations          15       24       21       18       20       19       23        31       21          26
                                           Rate                 0.5      0.7      0.7      0.6      0.7      0.6      0.7       1.1      0.7         0.8
                                          Deaths                  3        3        8       10        8        9        9         3        7           3
                                           Rate                 0.1      0.1      0.3      0.3      0.2      0.3      0.3       0.1      0.2         0.1
Palate (C05)                       M      Registrations          15       19       23       12       17       24       20        10       29          18
                                           Rate                 0.6      0.8      0.9      0.5      0.8      1.0      0.9       0.4      1.2         0.8
                                          Deaths                 12       10        8        8        7        2       11         4        6           7
                                           Rate                 0.5      0.5      0.3      0.3      0.3      0.1      0.4       0.2      0.2         0.3
                                   F      Registrations           9       10       14       17       16       16        8        11       15          15
                                           Rate                 0.3      0.4      0.5      0.6      0.6      0.5      0.3       0.4      0.5         0.5
                                          Deaths                  3        3        5        4        .        7        6         7        4           6
                                           Rate                 0.1      0.1      0.2      0.1        .      0.2      0.2       0.2      0.1         0.2
Other and unspecified parts        M      Registrations          21       19       21       31       22       27       30        35       28          29
of mouth (C06)                             Rate                 0.9      0.8      0.9      1.3      0.9      1.1      1.3       1.4      1.1         1.2
                                          Deaths                 14       14        9       15       15       13       11        17       15          14
                                           Rate                 0.7      0.6      0.4      0.6      0.6      0.5      0.5       0.6      0.6         0.6
                                   F      Registrations          27       21       18       16       16       14       17        24       32          23
                                           Rate                 0.8      0.7      0.5      0.4      0.5      0.3      0.5       0.8      0.8         0.7
                                          Deaths                  5        5       12        8        7       14       12        12        9          11
                                           Rate                 0.2      0.1      0.3      0.2      0.2      0.4      0.3       0.3      0.3         0.2
Parotid gland (C07)                M      Registrations          19       22       16       14       15        8       10        16       19          18
                                           Rate                 0.7      1.0      0.7      0.6      0.6      0.3      0.5       0.6      0.7         0.7
                                          Deaths                 10       10       11        7       11        6        7         9        7           7
                                           Rate                 0.4      0.4      0.4      0.3      0.4      0.3      0.3       0.3      0.3         0.3
                                   F      Registrations          22       14       20       19        7       17       13        11       17          21
                                           Rate                 0.8      0.5      0.7      0.6      0.2      0.4      0.4       0.3      0.5         0.6
                                          Deaths                  5        1        6        4        4        7        5         5        7           2
                                           Rate                 0.1      0.0      0.2      0.1      0.1      0.2      0.1       0.1      0.2         0.0


                [ for Notes please see final page of table ]                                                                                   / continued



76
                                                                                                    Morbidity and Mortality
                                                                                                                  CANCER

                                                                                  Cancer incidence and mortality                  C 9.6
                               by site / type of cancer, sex and year of diagnosis / registration of death : 1987-1996 1,2,3      continued

   numbers of registrations and deaths; age-standardised incidence and mortality rates per 100,000 person-years at risk
                                                              (rates standardised to the European standard population)



Cancer site / type (ICD-10) 4 Sex                            1987   1988   1989   1990    1991    1992    1993     1994        1995        1996


Other and unspecified                M       Registrations      9     12      7       6      8       5        7        5          4           7
major salivary gland (C08)                    Rate            0.4    0.5    0.3     0.2    0.3     0.2      0.3      0.2        0.2         0.3
                                             Deaths             1      3      1       4      4       2        .         .         2           .
                                              Rate            0.0    0.1    0.0     0.2    0.2     0.1        .         .       0.1           .
                                     F       Registrations     10      8      7       9      5       5        5        5          6           5
                                              Rate            0.3    0.2    0.2     0.3    0.1     0.2      0.1      0.1        0.2         0.1
                                             Deaths             1      1      .       .      3       1        2        3          2           .
                                              Rate            0.0    0.0      .       .    0.1     0.0      0.0      0.1        0.1           .
Tonsil (C09)                         M       Registrations     19     20     33      29     18      26       24       23         31          33
                                              Rate            0.8    0.9    1.4     1.2    0.7     1.1      1.0      1.0        1.2         1.4
                                             Deaths            17      9     19       6     14       8       21        9         12          20
                                              Rate            0.8    0.3    0.8     0.2    0.5     0.3      0.9      0.4        0.5         0.8
                                     F       Registrations      5      8     10       7      9       9        8        8         17          21
                                              Rate            0.2    0.2    0.4     0.3    0.3     0.4      0.2      0.2        0.6         0.7
                                             Deaths             5      4      3       .      3       3        4        3          5           6
                                              Rate            0.1    0.1    0.1       .    0.1     0.1      0.2      0.1        0.1         0.3

Oropharynx (C10)                     M       Registrations      8      5      9      15     14      10       14       12         13          16
                                              Rate            0.3    0.2    0.4     0.6    0.6     0.4      0.6      0.5        0.5         0.6
                                             Deaths             2      1      2       7      9       3        7        7          5           6
                                              Rate            0.1    0.1    0.1     0.2    0.4     0.1      0.3      0.3        0.2         0.2
                                     F       Registrations      3      4      4       5      7       6        6        7          9           8
                                              Rate            0.1    0.2    0.1     0.1    0.3     0.2      0.2      0.2        0.3         0.3
                                             Deaths             .      1      3       4      5       2        4        6          3           5
                                              Rate              .    0.0    0.1     0.1    0.2     0.1      0.1      0.2        0.1         0.1
Nasopharynx (C11)                    M       Registrations     11     14     17      14     17      12       10       17         18          14
                                              Rate            0.5    0.6    0.7     0.6    0.7     0.5      0.4      0.6        0.7         0.6
                                             Deaths            13     11     11      11     10      11        8       11         11           4
                                              Rate            0.6    0.5    0.4     0.5    0.4     0.5      0.3      0.4        0.4         0.2
                                     F       Registrations      3      4      9       8       .      8        7        3          8           9
                                              Rate            0.1    0.1    0.3     0.2       .    0.3      0.2      0.1        0.2         0.3
                                             Deaths             3      6      4       3      3       3        4        7          1           3
                                              Rate            0.1    0.2    0.2     0.1    0.1     0.1      0.1      0.2        0.0         0.1
Pyriform sinus (C12)                 M       Registrations     14     21     21      27     25      13       29       27         32          26
                                              Rate            0.6    0.9    0.9     1.1    1.0     0.5      1.2      1.1        1.4         1.0
                                             Deaths            10      8     21      11     19      11       16       13         20          11
                                              Rate            0.4    0.3    0.9     0.5    0.8     0.4      0.6      0.5        0.8         0.5
                                     F       Registrations      4      5      7       8     10       2        9        9          5           8
                                              Rate            0.1    0.1    0.2     0.3    0.3     0.1      0.3      0.3        0.2         0.3
                                             Deaths             1      2      1       2      2       3        4        6          3           2
                                              Rate            0.0    0.1    0.0     0.0    0.0     0.1      0.1      0.2        0.1         0.1
Hypopharynx (C13)                    M       Registrations     11     11      8       5     14       9       17       20         20          17
                                              Rate            0.5    0.5    0.3     0.2    0.5     0.4      0.7      0.8        0.8         0.7
                                             Deaths            11      4      6       4     11      10        8       14         13           6
                                              Rate            0.4    0.2    0.2     0.2    0.5     0.4      0.3      0.5        0.5         0.2
                                     F       Registrations      6      8     10       9      6       4        6        8         11          16
                                              Rate            0.2    0.2    0.3     0.3    0.1     0.1      0.2      0.3        0.3         0.4
                                             Deaths             4     12      7      13      6       7        5        4          8           5
                                              Rate            0.1    0.3    0.2     0.4    0.2     0.1      0.1      0.1        0.2         0.1

Other and ill-defined sites          M       Registrations      8     18     10      15     22      14       17       17         24          30
in the lip, oral cavity                       Rate            0.3    0.8    0.4     0.6    0.9     0.5      0.7      0.7        1.0         1.2
and pharynx (C14)                            Deaths            15     14     13      19     22      20       25       15         28          21
                                              Rate            0.6    0.5    0.5     0.8    0.9     0.8      1.0      0.6        1.1         0.8
                                     F       Registrations      7      3      6       8      6       8        9       12          7          12
                                              Rate            0.2    0.1    0.2     0.3    0.2     0.2      0.3      0.3        0.2         0.3
                                             Deaths             8      7      1       6      8       7        8        9         10          11
                                              Rate            0.2    0.2    0.0     0.2    0.2     0.2      0.2      0.3        0.3         0.3
Oesophagus (C15)                     M       Registrations    331    317    330     368    340     368      430      442        449         490
                                              Rate           13.6   13.0   13.4    14.9   13.6    14.8     16.9     17.2       17.1        18.9
                                             Deaths           355    336    360     355    393     372      419      403        443         421
                                              Rate           14.5   13.5   14.5    14.0   15.9    14.7     16.5     15.7       17.1        15.9
                                     F       Registrations    267    280    284     296    296     314      374      333        339         350
                                              Rate            6.9    7.1    7.4     7.6    7.5     8.1      9.3      8.4        8.6         8.8
                                             Deaths           231    268    273     275    292     314      320      312        319         302
                                              Rate            5.7    6.4    6.9     6.8    7.1     7.9      7.9      7.6        7.7         7.4
Stomach (C16)                        M       Registrations    707    716    697     652    641     674      575      619        605         587
                                              Rate           28.5   28.6   28.1    25.7   25.5    26.5     22.1     23.9       23.0        22.3
                                             Deaths           561    554    502     504    482     469      454      432        422         386
                                              Rate           22.9   22.2   19.9    19.9   18.9    18.3     17.5     16.9       16.0        14.6
                                     F       Registrations    515    500    465     448    454     452      397      422        434         406
                                              Rate           13.1   12.5   11.6    11.4   11.3    10.9     10.0     10.6       10.7        10.4
                                             Deaths           424    392    375     373    351     359      312      322        336         313
                                              Rate           10.6    9.7    9.2     9.3    8.6     8.6      7.6      7.7        8.3         7.6
Small intestine (C17)                M       Registrations     23     22     19      36     15      20       24       14         25          32
                                              Rate            0.9    0.9    0.8     1.5    0.7     0.8      0.9      0.6        1.0         1.2
                                             Deaths            11     17     12       8     20      21       11       11         13          14
                                              Rate            0.5    0.7    0.5     0.3    0.9     0.7      0.4      0.4        0.5         0.5
                                     F       Registrations     25     16     26      17     27      19       29       29         27          23
                                              Rate            0.7    0.4    0.7     0.5    0.8     0.5      0.9      0.8        0.8         0.6
                                             Deaths            22     14     12      10     11      17       18       17          3          13
                                              Rate            0.6    0.3    0.3     0.3    0.3     0.4      0.5      0.4        0.1         0.4


         [ for Notes please see final page of table ]                                                                                 / continued



                                                                                                                                             77
                     Morbidity and Mortality
                     CANCER

C 9.6                Cancer incidence and mortality
continued            by site / type of cancer, sex and year of diagnosis / registration of death : 1987-1996 1,2,3

                     numbers of registrations and deaths; age-standardised incidence and mortality rates per 100,000 person-years at risk
                     (rates standardised to the European standard population)



Cancer site / type (ICD-10) 4 Sex                             1987     1988    1989    1990     1991    1992     1993     1994    1995         1996


Colon (C18)                         M       Registrations       818      819     922     930      954     978    1 039    1 039   1 036        1 152
                                             Rate              33.4     32.7    36.7    36.8     37.9    38.1     40.9     40.1    39.7         43.5
                                            Deaths              491      483     459     508      525     541      554      532     490          551
                                             Rate              20.4     19.6    18.4    20.0     21.1    21.4     22.2     20.8    18.8         20.6
                                    F       Registrations     1 078    1 065   1 167   1 192    1 090   1 058    1 197    1 195   1 226        1 243
                                             Rate              28.6     28.1    30.6    31.0     28.5    27.8     31.4     30.8    31.5         31.9
                                            Deaths              676      654     668     656      619     610      666      607     654          638
                                             Rate              17.1     16.7    16.6    16.1     15.8    15.1     16.1     15.0    15.7         15.1
Rectosigmoid junction (C19)         M       Registrations        91       71      87      84     112     129      101      109     130           165
                                             Rate               3.7      3.0     3.6     3.4     4.4     5.1       3.9     4.2     4.9            6.4
                                            Deaths               39       42      35      55      47      72        52      67      58             72
                                             Rate               1.6      1.6     1.4     2.2     1.9     2.8       2.1     2.7     2.2            2.9
                                    F       Registrations        80       80      65      84      67      81        92      85      94           112
                                             Rate               2.2      2.3     1.7     2.2     1.9     2.3       2.5     2.3     2.5            2.9
                                            Deaths               36       49      50      49      53      47        52      43      52             61
                                             Rate               0.9      1.2     1.4     1.3     1.4     1.3       1.3     1.2     1.3            1.6

Rectum (C20)                        M       Registrations       384      388     381     428      443     453      460      468     448          511
                                             Rate              15.8     15.6    15.5    17.1     17.8    18.0     18.0     18.3    17.0         19.7
                                            Deaths              264      251     257     243      255     242      259      268     259          242
                                             Rate              10.7     10.4    10.5      9.8    10.1     9.7     10.3     10.3     9.9           9.3
                                    F       Registrations       378      356     347     359      348     344      340      365     336          384
                                             Rate              10.2      9.6     9.2      9.9     9.3     9.1       8.9    10.1     8.8         10.3
                                            Deaths              249      235     209     209      235     197      207      203     195          165
                                             Rate                6.5     6.1     5.4      5.3     5.9     5.1       5.2     5.0     4.7           4.0
Anus and anal canal (C21)           M       Registrations        26       17      14      17       20      23       34       27      29           24
                                             Rate               1.0      0.8     0.6     0.7      0.8     0.9      1.3      1.0     1.1          0.9
                                            Deaths               10        8       4       9        5      12       10       14      11           10
                                             Rate               0.4      0.3     0.2     0.4      0.2     0.5      0.4      0.6     0.4          0.4
                                    F       Registrations        26       20      30      36       45      35       30       37      29           38
                                             Rate               0.8      0.6     0.9     1.1      1.3     1.0      0.9      1.0     0.9          1.1
                                            Deaths               12       13      11       8        9      18       19        7      12           11
                                             Rate               0.3      0.3     0.3     0.2      0.2     0.5      0.5      0.2     0.4          0.4
Liver and intrahepatic              M       Registrations      110        97    108     113      113     127      114      119     126           150
bile ducts (C22)                             Rate               4.6      3.8    4.3      4.4     4.6     5.1       4.6     4.5     4.8            5.7
                                            Deaths             112        82     96     115       99     109      124      110     127           134
                                             Rate               4.6      3.3    3.7      4.5     4.0     4.4       5.0     4.2     4.8            5.1
                                    F       Registrations        56       65     65       65      73      87        78      70      71           102
                                             Rate               1.5      1.8    1.8      1.8     1.9     2.3       2.3     1.8     1.9            2.8
                                            Deaths               76       70     73       78      84      80        80      78      85           102
                                             Rate               2.1      2.0    2.0      2.2     2.1     2.1       2.0     1.9     2.2            2.6
Gall bladder (C23)                  M       Registrations        21       19      19       8       18      12       19       12       4           14
                                             Rate               1.0      0.8     0.8     0.3      0.7     0.5      0.7      0.5     0.1          0.6
                                            Deaths               17       14      13      11       14       2       10       14       2            8
                                             Rate               0.8      0.5     0.5     0.4      0.6     0.1      0.4      0.5     0.1          0.3
                                    F       Registrations        28       41      39      57       53      36       33       38      33           30
                                             Rate               0.7      1.0     1.0     1.5      1.3     0.9      1.0      1.0     0.9          0.8
                                            Deaths               28       30      35      41       43      21       30       32      22           14
                                             Rate               0.7      0.7     0.9     1.1      1.0     0.5      0.8      0.8     0.6          0.4

Other and unspecified parts of      M       Registrations        34       46      25      39       40      49       40       48      45           49
biliary tract (C24)                          Rate               1.3      1.8     1.0     1.6      1.6     2.0      1.7      1.8     1.7          1.8
                                            Deaths               21       23      24       9       15      21       20       16      22           17
                                             Rate               0.8      0.9     0.9     0.4      0.6     0.9      0.8      0.6     0.9          0.7
                                    F       Registrations        55       51      51      46       45      51       44       38      57           65
                                             Rate               1.4      1.2     1.2     1.3      1.2     1.3      1.1      1.1     1.4          1.7
                                            Deaths               27       25      28      23       21      35       31       24      28           17
                                             Rate               0.7      0.6     0.7     0.6      0.6     0.9      0.8      0.6     0.7          0.4
Pancreas (C25)                      M       Registrations       305      302     297     320      283     319      278      270     257          312
                                             Rate              12.3     12.3    12.0    12.8     11.2    12.4     10.7     10.5    10.2         12.0
                                            Deaths              281      299     298     301      277     292      298      241     248          280
                                             Rate              11.2     11.9    12.1    11.9     11.2    11.4     11.6      9.2     9.6         10.8
                                    F       Registrations       299      316     309     342      289     339      332      333     278          328
                                             Rate                7.8     8.2     8.2      8.8     7.7     8.5       8.4     8.3     7.4           8.4
                                            Deaths              301      334     311     341      294     311      334      310     290          280
                                             Rate                7.8     8.7     8.1      8.7     7.4     8.0       8.4     7.6     7.6           7.0
Other and ill-defined               M       Registrations        48       41      38      52       41      41       46       39      32           16
digestive organs (C26)                       Rate               2.0      1.7     1.5     2.1      1.7     1.6      1.9      1.5     1.2          0.6
                                            Deaths               46       42      36      54       51      49       51       56      43           58
                                             Rate               2.1      1.7     1.4     2.2      2.1     1.9      2.0      2.2     1.6          2.2
                                    F       Registrations        50       54      45      51       44      57       62       47      48           27
                                             Rate               1.2      1.2     1.0     1.2      1.0     1.3      1.4      1.1     1.0          0.5
                                            Deaths               55       45      58      53       50      62       78       70      69           71
                                             Rate               1.2      1.1     1.4     1.3      1.2     1.4      1.7      1.7     1.4          1.6
Nasal cavity and middle ear         M       Registrations         5        6       9       8        6      10        6        8       8           14
(C30)                                        Rate               0.2      0.3     0.4     0.4      0.2     0.4      0.2      0.3     0.3          0.5
                                            Deaths                 .       2       3        .       1       3        3        2        .           2
                                             Rate                  .     0.1     0.1        .     0.0     0.1      0.1      0.1        .         0.1
                                    F       Registrations         6        6       4       9        5      11       17       13       9           10
                                             Rate               0.2      0.2     0.1     0.3      0.2     0.3      0.5      0.4     0.3          0.4
                                            Deaths                1        2       1       3        .        .       2        6       4            2
                                             Rate               0.0      0.0     0.0     0.1        .        .     0.1      0.2     0.1          0.1


               [ for Notes please see final page of table ]                                                                                / continued



78
                                                                                                          Morbidity and Mortality
                                                                                                                       CANCER

                                                                                      Cancer incidence and mortality                    C 9.6
                               by site / type of cancer, sex and year of diagnosis / registration of death : 1987-1996 1,2,3            continued

   numbers of registrations and deaths; age-standardised incidence and mortality rates per 100,000 person-years at risk
                                                              (rates standardised to the European standard population)



Cancer site / type (ICD-10) 4 Sex                            1987    1988     1989    1990    1991     1992    1993     1994        1995         1996


Accessory sinuses (C31)               M      Registrations       6      11       12       5       9        9      12       10           9          12
                                              Rate             0.2     0.5      0.5     0.3     0.4      0.4     0.5      0.4         0.4         0.4
                                             Deaths              4       3        4       5       3        6       4        7           4           6
                                              Rate             0.2     0.1      0.2     0.3     0.1      0.3     0.2      0.3         0.2         0.2
                                      F      Registrations       7       9       10       6       7        9       6        8          12           7
                                              Rate             0.2     0.3      0.3     0.2     0.2      0.3     0.2      0.2         0.4         0.2
                                             Deaths              4       4        7       9       5        2       8        5           7           6
                                              Rate             0.1     0.1      0.2     0.2     0.2      0.1     0.3      0.2         0.3         0.2
Larynx (C32)                          M      Registrations    169     198      194     210     228       253     240     228         201          260
                                              Rate            7.0     8.3      7.9     8.6     9.3      10.1     9.6     9.2         7.9         10.3
                                             Deaths            61      70       79      80      65        75      85      76          94           74
                                              Rate            2.6     2.9      3.3     3.3     2.6       2.9     3.3     3.0         3.7          3.0
                                      F      Registrations     47      49       58      73      50        54      52      59          56           91
                                              Rate            1.6     1.6      1.8     2.4     1.6       1.8     1.6     1.9         1.8          3.0
                                             Deaths            23      15       19      28      25        26      16      31          21           25
                                              Rate            0.6     0.5      0.6     0.8     0.7       0.7     0.4     0.9         0.6          0.7

Trachea (C33)                         M      Registrations       4       7        6       6       6        3      10        6           3          10
                                              Rate             0.1     0.3      0.2     0.2     0.3      0.1     0.4      0.2         0.1         0.4
                                             Deaths              4       5        4       3       5        3       8        2           1           1
                                              Rate             0.1     0.2      0.2     0.1     0.2      0.1     0.3      0.1         0.0         0.0
                                      F      Registrations       6       3        2       3       4        2       4        8           4           8
                                              Rate             0.1     0.1      0.0     0.1     0.1      0.0     0.1      0.2         0.1         0.3
                                             Deaths              7       2        2       2       1        5       6        5           3           2
                                              Rate             0.2     0.1      0.1     0.1     0.0      0.2     0.2      0.1         0.1         0.1
Bronchus and lung (C34)               M      Registrations   3 174   3 032    3 012   2 961   3 040    3 085   3 021    2 931       2 852       2 821
                                              Rate           127.7   122.0    119.2   116.3   117.6    119.6   116.7    112.3       108.3       106.5
                                             Deaths          2 909   2 767    2 804   2 667   2 701    2 758   2 747    2 643       2 580       2 445
                                              Rate           115.8   110.8    111.3   104.4   104.2    106.2   105.4    101.1        97.5        91.8
                                      F      Registrations   1 542   1 568    1 555   1 703   1 722    1 846   1 770    1 818       1 883       1 985
                                              Rate            45.7    45.8     45.9    49.3    48.8     52.6    50.1     50.6        52.0        55.2
                                             Deaths          1 370   1 370    1 424   1 451   1 502    1 542   1 538    1 587       1 637       1 677
                                              Rate            39.9    39.6     40.8    41.6    42.1     43.1    42.7     43.9        44.3        45.8
Thymus (C37)                          M      Registrations       2       2        3       1        .       .       1        4           .           5
                                              Rate             0.1     0.1      0.1     0.0        .       .     0.0      0.2           .         0.2
                                             Deaths              2        .       2       .       1        .       1         .          .           1
                                              Rate             0.1        .     0.1       .     0.0        .     0.0         .          .         0.0
                                      F      Registrations       1        .       .       .       4        2       2        2           1           5
                                              Rate             0.0        .       .       .     0.1      0.1     0.1      0.1         0.0         0.2
                                             Deaths              .       1        1       1       1        1       .         .          1           3
                                              Rate               .     0.0      0.0     0.0     0.0      0.0       .         .        0.0         0.1
Heart, mediastinum                    M      Registrations       9      12       13       5      15       13      10        9          15          17
and pleura (C38)                              Rate             0.4     0.5      0.6     0.2     0.7      0.5     0.4      0.4         0.6         0.7
                                             Deaths             40      52       59      40      43       59      51       57          45          41
                                              Rate             1.6     2.3      2.4     1.7     1.7      2.2     2.0      2.2         1.8         1.6
                                      F      Registrations       5       8       13       5       5        7       6        4           7          16
                                              Rate             0.1     0.3      0.4     0.1     0.1      0.1     0.1      0.2         0.2         0.4
                                             Deaths             11       8       11       6       9       10      14       11          16          15
                                              Rate             0.3     0.2      0.3     0.2     0.3      0.3     0.3      0.3         0.5         0.4

Other and ill-defined sites           M      Registrations       .        .       1       1        .       .       1        1           .           .
in the respiratory system                     Rate               .        .     0.0     0.0        .       .     0.0      0.0           .           .
and intrathoracic organs (C39)               Deaths              .        .       .       .        .       .       .         .          2           1
                                              Rate               .        .       .       .        .       .       .         .        0.1         0.0
                                      F      Registrations       .        .       .       .       1        .       1         .          .           .
                                              Rate               .        .       .       .     0.0        .     0.0         .          .           .
                                             Deaths              .        .       .       .        .       .       1         .          1           .
                                              Rate               .        .       .       .        .       .     0.0         .        0.0           .
Bone and articular                    M      Registrations      18      13       14      14      13        9      11        9           5          14
cartilage of limbs (C40)                      Rate             0.6     0.5      0.5     0.5     0.5      0.4     0.4      0.3         0.2         0.6
                                             Deaths              5       4        9       2       3        7       1        1           5           1
                                              Rate             0.2     0.2      0.3     0.1     0.1      0.3     0.0      0.1         0.2         0.0
                                      F      Registrations      10      10        6       8       5       10       8       10           9           7
                                              Rate             0.3     0.3      0.2     0.3     0.2      0.4     0.2      0.4         0.4         0.3
                                             Deaths              5       3        3       5       1        .       1        6           3           3
                                              Rate             0.1     0.1      0.1     0.1     0.0        .     0.0      0.2         0.1         0.1
Bone and articular                    M      Registrations      18       9       12      17      12       10      10       12           8          12
cartilage of other and                        Rate             0.7     0.4      0.5     0.6     0.5      0.4     0.4      0.5         0.3         0.5
unspecified sites (C41)                      Deaths              7      12        8      13      17        8       8        5          12           9
                                              Rate             0.3     0.5      0.4     0.5     0.7      0.3     0.3      0.2         0.4         0.4
                                      F      Registrations       7       9       12       9      10       12       8        9          11          12
                                              Rate             0.2     0.3      0.4     0.3     0.3      0.4     0.2      0.2         0.3         0.4
                                             Deaths              4       3        8       6      10        8      14        6          10           9
                                              Rate             0.1     0.1      0.2     0.2     0.3      0.2     0.4      0.2         0.3         0.3
Malignant melanoma                    M      Registrations    152      204      190     189    199       209     205      221         242         276
of skin (C43)                                 Rate            6.4      8.5      8.0     8.0    8.1       8.4     8.3      8.8         9.5        10.8
                                             Deaths            51       54       57      41     50        46      56       57          60          63
                                              Rate            2.2      2.2      2.4     1.7    2.1       2.0     2.2      2.3         2.4         2.5
                                      F      Registrations    253      301      304     321    290       326     338      376         397         412
                                              Rate            8.6     10.6     10.3    10.9    9.7      10.7    11.2     12.4        13.2        13.6
                                             Deaths            63       35       52      43     48        56      56       50          51          56
                                              Rate            2.0      1.1      1.6     1.3    1.5       1.6     1.6      1.5         1.5         1.5


       [ for Notes please see final page of table ]                                                                                         / continued



                                                                                                                                                   79
                     Morbidity and Mortality
                     CANCER

C 9.6                Cancer incidence and mortality
continued            by site / type of cancer, sex and year of diagnosis / registration of death : 1987-1996 1,2,3

                     numbers of registrations and deaths; age-standardised incidence and mortality rates per 100,000 person-years at risk
                     (rates standardised to the European standard population)



Cancer site / type (ICD-10) 4 Sex                             1987     1988    1989     1990     1991    1992    1993     1994    1995        1996


Other malignant                     M      Registrations      1 690    1 868   2 045    1 936    2 114   2 307   2 448    2 589   2 787       3 044
neoplasms of skin (C44)                     Rate               69.9     76.5    83.0     77.5     84.3    91.0    96.1    100.9   107.6       116.6
                                           Deaths                21       23      19       30       28      29      31       23      27          27
                                            Rate                0.9      1.0     0.9      1.3      1.1     1.1     1.2      0.9     1.0         1.0
                                    F      Registrations      1 548    1 876   1 943    1 914    2 030   2 310   2 400    2 420   2 559       2 874
                                            Rate               42.8     51.8    53.1     51.9     54.4    61.0    63.9     65.1    68.4        76.4
                                           Deaths                23       24      33       19       15      17      18       19      20          31
                                            Rate                0.5      0.6     0.7      0.4      0.3     0.4     0.4      0.4     0.4         0.7

Basal cell carcinoma                M      Registrations      1 178    1 338   1 514    1 384    1 512   1 677   1 828    1 872   1 956       2 113
of skin 5,6                                 Rate               48.6     54.6    61.4     55.2     60.1    66.4    72.1     73.0    75.9        81.4
(C44, ICD-O M-809)                  F      Registrations      1 237    1 514   1 552    1 522    1 587   1 874   1 919    1 946   1 979       2 294
                                            Rate               35.3     43.0    43.9     42.8     44.1    51.5    53.1     54.5    54.9        63.3
Squamous cell carcinoma             M      Registrations        480      502     506      522      584     604     590      695     804         903
of skin 6                                   Rate               19.9     20.8    20.6     21.1     23.5    23.6    22.9     26.9    30.7        34.1
(C44, ICD-O M-807)                  F      Registrations        293      323     355      366      413     408     455      434     555         533
                                            Rate                 7.0     7.7     8.2       8.4     9.6     8.7    10.1      9.6    12.7        12.1
Mesothelioma (C45)     7
                                    M      Registrations         83     103     120      113      111     121     112      139     131          142
                                            Rate                3.4     4.3     4.7       4.6     4.3     4.6      4.3     5.4     5.1           5.4
                                    F      Registrations         11      15      14        20      18      19       20      27      21            27
                                            Rate                0.3     0.4     0.4       0.6     0.5     0.6      0.6     0.8     0.7           0.8
                           7
Kaposi’s sarcoma (C46)              M      Registrations          5        4       2       13       13       8      10        6       5           6
                                            Rate                0.2      0.2     0.1      0.5      0.5     0.3     0.4      0.2     0.2         0.2
                                    F      Registrations           .       .        .       .        1       2       .        1       1           1
                                            Rate                   .       .        .       .      0.0     0.1       .      0.0     0.0         0.0
Peripheral nerves and               M      Registrations         46       59      61       56       51      58      66       61      61          92
autonomic                                   Rate                1.8      2.4     2.6      2.2      2.1     2.3     2.7      2.4     2.4         3.7
nervous system, and other                  Deaths                24       30      26       23       24      33      28       30      30          22
connective and soft tissue                  Rate                1.0      1.4     1.0      0.9      1.0     1.4     1.1      1.3     1.2         0.9
(C47+C49)                           F      Registrations         41       48      53       41       45      41      55       63      61          57
                                            Rate                1.4      1.5     1.7      1.4      1.5     1.2     1.8      2.1     1.9         1.7
                                           Deaths                24       23      23       23       37      28      24       35      25          38
                                            Rate                0.7      0.8     0.7      0.8      1.1     1.0     0.7      1.1     0.8         1.2
Retroperitoneum and                 M      Registrations         12       11      13        7       14       9      17        9      10          11
peritoneum (C48)                            Rate                0.5      0.5     0.5      0.3      0.5     0.4     0.7      0.4     0.4         0.4
                                           Deaths                 7        8       7        8       11       8      12        8      13           9
                                            Rate                0.3      0.3     0.3      0.3      0.4     0.3     0.5      0.3     0.5         0.3
                                    F      Registrations         16       12      10       14       11      15      16       12      22          20
                                            Rate                0.5      0.4     0.3      0.4      0.4     0.4     0.5      0.3     0.6         0.6
                                           Deaths                11       14       6        5        9       8       7        5       7           8
                                            Rate                0.3      0.4     0.2      0.1      0.2     0.2     0.2      0.1     0.2         0.3
Breast (C50)                        M      Registrations         10       13       8       20       20      12      23       15      19           8
                                            Rate                0.5      0.5     0.3      0.8      0.8     0.5     1.0      0.6     0.8         0.3
                                           Deaths                11        7       7        7        4       6       5        3       5          10
                                            Rate                0.5      0.3     0.3      0.3      0.2     0.3     0.2      0.1     0.2         0.4
                                    F      Registrations      2 696    2 703   2 791    2 991    3 190   3 269   3 174    3 134   3 293       3 295
                                            Rate               89.2     90.2    92.1    100.1    107.8   109.8   105.2    103.3   108.5       109.3
                                           Deaths             1 234    1 261   1 356    1 250    1 278   1 250   1 280    1 275   1 244       1 190
                                            Rate               38.3     38.3    41.5     37.4     38.2    37.9    38.0     38.3    36.4        34.2

Vulva (C51)                         F      Registrations         68       72      74       84       83      90      83       88      89          99
                                            Rate                1.7      1.9     1.9      2.3      2.2     2.3     2.3      2.4     2.4         2.6
                                           Deaths                28       37      34       27       38      32      27       24      38          36
                                            Rate                0.6      0.9     0.8      0.6      0.9     0.8     0.6      0.5     0.9         0.8
Vagina (C52)                        F      Registrations         19       30      30       18       31      22      25       25      21          35
                                            Rate                0.6      0.9     0.9      0.5      0.8     0.7     0.7      0.7     0.6         0.9
                                           Deaths                12       16      11       12       13      12      12       12       7           9
                                            Rate                0.3      0.4     0.3      0.3      0.3     0.3     0.3      0.2     0.1         0.2
Cervix uteri (C53)                  F      Registrations        461      453     374      495      460     401     388      365     348         379
                                            Rate               16.8     17.1    13.6     17.9     16.8    14.1    13.7     12.4    11.9        12.9
                                           Deaths               188      191     205      162      175     183     170      154     147         138
                                            Rate                 6.1     6.5     6.9       5.2     5.9     5.9      5.4     4.9     4.6          4.2
Corpus uteri (C54)                  F      Registrations        355      350     342      313     256      341     333      382     402         424
                                            Rate               11.6     11.1    11.6     10.2     8.1     11.2    10.6     12.3    12.7        13.9
                                           Deaths               111       94      99        92     87      107       87     112      78           82
                                            Rate                 3.0     2.5     2.6       2.3    2.3      2.9      2.2     2.9     2.0          2.1
Uterus, part unspecified (C55)      F      Registrations         47       43      43       38       56      46      41       42      27          35
                                            Rate                1.4      1.2     1.3      1.0      1.7     1.3     1.2      1.2     0.8         1.0
                                           Deaths                28       28      27       43       32      24      28       21      20          23
                                            Rate                0.7      0.8     0.7      1.2      0.8     0.6     0.8      0.6     0.6         0.6

Ovary (C56)                         F      Registrations        520      555     528      584      572     558     538      590     517         615
                                            Rate               17.2     18.0    17.0     18.0     18.6    18.0    16.8     18.4    15.9        18.6
                                           Deaths               362      391     391      425      409     376     386      443     368         408
                                            Rate               10.9     11.8    11.6     12.8     12.4    11.2    11.4     13.0    10.4        11.7
Other and unspecified female        F      Registrations         14       11      11        9        8       9       7        7      12           7
genital organs (C57)                        Rate                0.5      0.4     0.4      0.3      0.2     0.3     0.2      0.2     0.4         0.3
                                           Deaths                 7        3       6        5        5       2       6        5       7           5
                                            Rate                0.3      0.1     0.2      0.1      0.1     0.1     0.1      0.1     0.2         0.2

               [ for Notes please see final page of table ]                                                                               / continued



80
                                                                                                          Morbidity and Mortality
                                                                                                                       CANCER

                                                                                      Cancer incidence and mortality                    C 9.6
                               by site / type of cancer, sex and year of diagnosis / registration of death : 1987-1996 1,2,3            continued

   numbers of registrations and deaths; age-standardised incidence and mortality rates per 100,000 person-years at risk
                                                              (rates standardised to the European standard population)



Cancer site / type (ICD-10) 4 Sex                            1987    1988     1989    1990    1991     1992    1993     1994        1995         1996


Placenta (C58)                       F       Registrations       2       2        1       1       1        1       2        1           .           4
                                              Rate             0.1     0.1      0.0     0.0     0.0      0.0     0.1      0.0           .         0.1
                                             Deaths              .        .       .       1        .       .       .         .          .           1
                                              Rate               .        .       .     0.0        .       .       .         .          .         0.0
Penis (C60)                          M       Registrations      40      34       30      31      35       39      28       37          36          45
                                              Rate             1.6     1.4      1.2     1.4     1.4      1.6     1.0      1.5         1.4         1.8
                                             Deaths             10       7        6      11       9       14      12       10          10          14
                                              Rate             0.4     0.3      0.3     0.5     0.3      0.6     0.4      0.4         0.4         0.6
Prostate (C61)                       M       Registrations   1 207   1 224    1 265   1 336   1 343    1 422   1 705    1 754       1 830       2 027
                                              Rate            48.3    48.9     49.5    52.2    51.5     54.8    65.3     66.3        68.6        75.0
                                             Deaths            560     617      639     645     651      693     746      740         776         743
                                              Rate            23.1    25.4     25.5    25.9    25.4     26.7    29.2     28.8        29.2        28.0

Testis (C62)                         M       Registrations    138     151      151     165     179      158      165     195         170          171
                                              Rate            5.4     6.0      6.0     6.4     6.7      6.0      6.1     7.5         6.3          6.4
                                             Deaths            19       9        9      14      10        8       15       8           9           11
                                              Rate            0.8     0.4      0.4     0.6     0.4      0.4      0.6     0.3         0.3          0.4
Other and unspecified male           M       Registrations       7       9       10      12       6        3       3        8           4          12
genital organs (C63)                          Rate             0.3     0.3      0.4     0.4     0.2      0.1     0.1      0.3         0.1         0.4
                                             Deaths              2       2        .       3        .       4       .         .          1           .
                                              Rate             0.1     0.1        .     0.1        .     0.2       .         .        0.0           .
Kidney, except                       M       Registrations    216     210      223     230      279      255     258      290         278         316
renal pelvis (C64)                            Rate            8.9     8.6      9.0     9.2     11.4     10.4    10.3     11.5        11.2        12.1
                                             Deaths           118     163      136     146      150      168     149      155         176         194
                                              Rate            4.9     6.6      5.3     5.8      6.0      6.6     5.9      6.1         7.1         7.4
                                     F       Registrations    150     174      167     194      168      190     187      218         202         235
                                              Rate            4.8     5.0      5.2     5.8      5.1      5.8     5.2      6.4         5.7         7.0
                                             Deaths            89     124      112     118      110      116     124      122         140         115
                                              Rate            2.7     3.5      3.3     3.2      3.0      3.5     3.4      3.2         3.7         3.0
Renal pelvis (C65)                   M       Registrations      22      22       16      19      19       14       9        8          25          14
                                              Rate             0.9     0.9      0.6     0.8     0.7      0.5     0.4      0.3         1.0         0.5
                                             Deaths              2       2        5       3       3        2       3        1           1           1
                                              Rate             0.1     0.1      0.2     0.1     0.1      0.1     0.2      0.0         0.0         0.0
                                     F       Registrations      11      21       15      14      10        9      11       13          14          13
                                              Rate             0.3     0.6      0.4     0.4     0.2      0.3     0.3      0.5         0.4         0.4
                                             Deaths              1       2        3       2       4        1       1        1           1           1
                                              Rate             0.0     0.1      0.1     0.0     0.1      0.0     0.0      0.0         0.0         0.0
Ureter (C66)                         M       Registrations      24      19       11      18      24       16      21       13          18          30
                                              Rate             1.0     0.8      0.4     0.7     1.0      0.6     0.8      0.5         0.7         1.2
                                             Deaths              6       7        4       6       3        7       4        3           2           3
                                              Rate             0.2     0.3      0.2     0.2     0.1      0.3     0.2      0.1         0.1         0.1
                                     F       Registrations      14       8       12      14      15        9      11       12          11          11
                                              Rate             0.4     0.2      0.4     0.4     0.3      0.2     0.3      0.3         0.3         0.3
                                             Deaths              2       2        5       1       5        4       1        5           3           5
                                              Rate             0.1     0.1      0.1     0.0     0.1      0.1     0.0      0.1         0.1         0.2

Bladder (C67)                        M       Registrations     881     864      828     891     824      938     933      993         948         968
                                              Rate            35.7    34.9     33.4    35.5    32.5     36.5    35.9     38.4        36.1        36.4
                                             Deaths            288     311      327     294     315      295     322      295         328         314
                                              Rate            11.6    12.7     13.3    11.8    12.7     11.5    12.3     11.3        12.4        11.9
                                     F       Registrations     389     385      394     395     413      404     421      422         463         473
                                              Rate            10.6    10.5     11.2    10.6    11.3     10.7    11.6     11.1        12.3        12.2
                                             Deaths            158     165      177     180     184      176     180      166         180         191
                                              Rate             3.8     4.1      4.3     4.5     4.1      4.4     4.0      4.0         4.2         4.5
Other and unspecified                M       Registrations       8       8       10       7      13        5       8        6           8          11
urinary organs (C68)                          Rate             0.3     0.3      0.5     0.3     0.5      0.2     0.3      0.2         0.3         0.4
                                             Deaths              3       1        3       2       2        2       4        2           2           1
                                              Rate             0.1     0.0      0.1     0.1     0.1      0.1     0.2      0.1         0.1         0.0
                                     F       Registrations       5       4        6       5       5        7       4        6           6           3
                                              Rate             0.1     0.1      0.2     0.1     0.2      0.2     0.1      0.2         0.1         0.1
                                             Deaths              2       3        1       4       5        5       3        1           2           1
                                              Rate             0.0     0.1      0.0     0.1     0.1      0.1     0.1      0.0         0.0         0.0
Eye and adnexa (C69)                 M       Registrations      23      44       30      27      35       26      18       23          21          20
                                              Rate             1.0     1.9      1.3     1.1     1.4      1.0     0.7      0.9         0.9         0.8
                                             Deaths             11       9        7       6       5        5       3        5          10           5
                                              Rate             0.5     0.4      0.3     0.2     0.2      0.2     0.1      0.2         0.4         0.2
                                     F       Registrations      40      28       41      30      32       33      21       18          28          20
                                              Rate             1.3     0.9      1.3     0.9     1.0      1.0     0.6      0.6         0.9         0.6
                                             Deaths              6       8       15       6       7        6      11       11           9           6
                                              Rate             0.2     0.2      0.5     0.1     0.2      0.1     0.3      0.4         0.2         0.2
Meninges (C70)                       M       Registrations       .       1        3       2       5        2       3        1           1           3
                                              Rate               .     0.0      0.1     0.1     0.2      0.1     0.1      0.0         0.0         0.1
                                             Deaths              .       1        4       3       2        .       .        4           1           1
                                              Rate               .     0.0      0.2     0.1     0.1        .       .      0.1         0.0         0.0
                                     F       Registrations       .       2        3       2       4        5       2        3           4           1
                                              Rate               .     0.1      0.1     0.0     0.1      0.2     0.1      0.1         0.1         0.0
                                             Deaths              1       1        2       .       1        3       3        2           .           3
                                              Rate             0.0     0.0      0.1       .     0.0      0.1     0.1      0.1           .         0.1




       [ for Notes please see final page of table ]                                                                                         / continued



                                                                                                                                                   81
                    Morbidity and Mortality
                    CANCER

C 9.6               Cancer incidence and mortality
continued           by site / type of cancer, sex and year of diagnosis / registration of death : 1987-1996 1,2,3

                    numbers of registrations and deaths; age-standardised incidence and mortality rates per 100,000 person-years at risk
                    (rates standardised to the European standard population)



Cancer site / type (ICD-10) 4 Sex                            1987    1988    1989   1990   1991   1992   1993     1994     1995        1996


Brain (C71)                           M      Registrations   157     161     148    186    198    194     187       195     175         197
                                              Rate           6.6     6.7     6.2    7.6    8.1    7.8     7.6       7.9     7.0         7.8
                                             Deaths          151     120     123    148    158    168     150       167     162         161
                                              Rate           6.4     5.0     5.0    6.0    6.5    6.8     6.0       6.7     6.5         6.5
                                      F      Registrations   134     145     122    153    130    152     179       156     140         156
                                              Rate           4.8     5.3     4.2    5.6    4.6    5.2     6.2       5.4     4.8         5.2
                                             Deaths          109     116     107    113    103    123     138       135     134         101
                                              Rate           3.7     4.1     3.7    3.8    3.6    4.1     4.6       4.5     4.3         3.4

Spinal cord, cranial nerves           M      Registrations      2       2       2      7      2      2      2         5        5           1
and other parts of central                    Rate            0.1     0.1     0.1    0.3    0.1    0.1    0.1       0.2      0.2         0.0
nervous system (C72)                         Deaths              .      2       .      2      1      5      1         2        1           3
                                              Rate               .    0.1       .    0.1    0.0    0.2    0.1       0.1      0.0         0.1
                                      F      Registrations      1        .      1     10      1      6      4         7        4           5
                                              Rate            0.1        .    0.0    0.4    0.0    0.2    0.2       0.2      0.1         0.1
                                             Deaths             1       2       1      2      1      .       .        1        .           1
                                              Rate            0.1     0.1     0.0    0.0    0.0      .       .      0.0        .         0.0
Thyroid (C73)                         M      Registrations     20      31      16     36     29     36     28        18       30         29
                                              Rate            0.8     1.3     0.7    1.5    1.1    1.4    1.1       0.7      1.2        1.1
                                             Deaths             8       9       4     10     13      6     16         5       13          7
                                              Rate            0.4     0.3     0.2    0.4    0.5    0.2    0.6       0.2      0.5        0.3
                                      F      Registrations     70      72      80     63     68     78     79        91       95        105
                                              Rate            2.4     2.4     2.9    2.1    2.3    2.7    2.8       3.1      3.2        3.7
                                             Deaths            24      28      25     13     16     16     23        20       15         24
                                              Rate            0.6     0.7     0.7    0.3    0.4    0.4    0.5       0.5      0.4        0.6
Adrenal gland (C74)                   M      Registrations      8       7       7      9      9      6      5         9        5           8
                                              Rate            0.3     0.3     0.3    0.4    0.4    0.3    0.2       0.4      0.2         0.3
                                             Deaths             5       6       8     11      3      6      9         7        6           8
                                              Rate            0.2     0.3     0.3    0.5    0.1    0.3    0.4       0.3      0.3         0.3
                                      F      Registrations      9      13       8      9      7     14     10         8       10           4
                                              Rate            0.3     0.5     0.3    0.4    0.3    0.5    0.4       0.3      0.3         0.2
                                             Deaths             2       6       6      3      3      4      6         8        4           4
                                              Rate            0.1     0.2     0.2    0.1    0.1    0.2    0.2       0.3      0.1         0.2
Other endocrine glands and            M      Registrations      6       5       4      5      7      9      8         3        2           6
related structures (C75)                      Rate            0.3     0.2     0.1    0.2    0.3    0.4    0.3       0.1      0.1         0.3
                                             Deaths             4       1       .      4      2      2      4         2        .           5
                                              Rate            0.2     0.0       .    0.2    0.1    0.1    0.1       0.1        .         0.2
                                      F      Registrations      2       5       4      8      3      4      5         2        5           5
                                              Rate            0.1     0.2     0.2    0.3    0.1    0.2    0.1       0.1      0.2         0.2
                                             Deaths             2        .      3      4      2      .      1         2        1           2
                                              Rate            0.1        .    0.1    0.2    0.1      .    0.0       0.1      0.0         0.0

Other and ill-defined sites           M      Registrations     11       4      12     16     11      7     13         8       12          15
(C76)                                         Rate            0.5     0.2     0.6    0.6    0.5    0.3    0.5       0.3      0.4         0.5
                                             Deaths            16      13      15     30     23     15     26        15       23          43
                                              Rate            0.7     0.6     0.6    1.2    0.9    0.6    1.0       0.6      0.9         1.6
                                      F      Registrations     19      22      18     23     19     19     22        30       33          32
                                              Rate            0.4     0.5     0.5    0.5    0.4    0.5    0.5       0.6      0.6         0.7
                                             Deaths            33      35      32     30     38     40     50        45       46          51
                                              Rate            0.8     0.9     0.8    0.7    0.8    0.9    1.2       0.9      1.0         1.0
Secondary and unspecified             M      Registrations     27      31      32     29     30     35     25        30       37          29
malignant neoplasm of                         Rate            1.1     1.3     1.3    1.2    1.2    1.4    1.0       1.2      1.4         1.1
lymph nodes (C77) 8                   F      Registrations     42      35      20     38     42     40     39        41       33          35
                                              Rate            1.2     1.0     0.6    1.0    1.3    1.2    1.1       1.2      1.0         1.0
Secondary malignant                   M      Registrations   145     142     153    204    191    207     229       253     211         263
neoplasm of respiratory and                   Rate           5.9     5.7     6.3    8.0    7.4    8.0     8.9       9.8     8.1         9.9
digestive systems (C78) 8             F      Registrations   197     202     179    226    229    215     255       263     245         317
                                              Rate           5.0     5.4     4.7    5.9    5.9    5.3     6.6       6.8     6.4         8.3
Secondary malignant                   M      Registrations   111     131     123    111      66   103     100       122     102         109
neoplasm of other sites                       Rate           4.4     5.3     4.9    4.6     2.6   3.9     3.9       4.7     3.9         4.1
(C79) 8                               F      Registrations   140     104     113    135      91    87      93       101     112         102
                                              Rate           4.0     2.7     3.0    3.6     2.6   2.4     2.6       2.7     3.1         2.8

Malignant neoplasm without            M      Registrations    221     252     300    272    282    281    250       277      283         236
specification of site (C80)                   Rate            8.9    10.5    12.0   10.8   11.1   11.0    9.9      10.9     10.9         8.9
                                             Deaths           447     470     522    572    508    566    535       557      576         633
                                              Rate           18.2    19.5    21.1   22.9   20.1   22.2   20.7      21.6     22.1        23.9
                                      F      Registrations    227     263     287    330    310    334    328       321      310         290
                                              Rate            5.7     6.8     7.3    8.4    7.5    7.9    8.0       7.5      7.0         6.9
                                             Deaths           482     510     498    606    545    549    561       589      599         636
                                              Rate           12.7    13.0    12.5   15.4   13.7   13.3   14.0      14.5     14.5        15.5
Hodgkin’s disease (C81)               M      Registrations     62      80      61     71     76     84     97        65       78          85
                                              Rate            2.4     3.1     2.4    2.7    3.0    3.2    3.8       2.6      3.1         3.3
                                             Deaths            21      19      25     23     19     20     24        19       11          21
                                              Rate            0.9     0.8     1.1    0.9    0.8    0.7    0.9       0.8      0.4         0.8
                                      F      Registrations     61      62      51     54     60     57     58        67       55          51
                                              Rate            2.1     2.1     1.9    1.9    2.1    2.0    2.0       2.3      1.9         1.8
                                             Deaths            16      18      22     22     16     18     16        21       12          11
                                              Rate            0.5     0.5     0.7    0.8    0.6    0.5    0.5       0.6      0.3         0.4


                                                                                                                                   / continued
           [ for Notes please see final page of table ]




82
                                                                                                                                 Morbidity and Mortality
                                                                                                                                                   CANCER

                                                                                                  Cancer incidence and mortality                                        C 9.6
                               by site / type of cancer, sex and year of diagnosis / registration of death : 1987-1996 1,2,3                                            continued

    numbers of registrations and deaths; age-standardised incidence and mortality rates per 100,000 person-years at risk
                                                               (rates standardised to the European standard population)



Cancer site / type (ICD-10) 4 Sex                             1987         1988        1989         1990        1991         1992         1993        1994         1995         1996


Non-Hodgkin’s lymphoma               M       Registrations      330          282         299          339         299          362          384         333          398          403
(C82-C85)                                     Rate             13.9         11.6        12.2         14.0        12.0         14.2         15.2        13.1         15.7         15.4
                                             Deaths             146          165         161          191         161          181          180         175          195          227
                                              Rate              6.1          6.9         6.8          7.9         6.5          7.1          7.1         7.0          7.6          8.8
                                     F       Registrations      294          328         348          358         362          354          394         392          373          397
                                              Rate              8.7          9.5        10.3         10.8        10.4         10.3         11.5        11.7         11.4         11.6
                                             Deaths             173          188         177          184         188          202          214         205          196          211
                                              Rate              4.6          5.1         4.8          4.9         5.3          5.4          5.5         5.3          5.4          5.4

Malignant                            M       Registrations        2            2           1            5            1           2            4            2           2            2
immunoproliferative                           Rate              0.1          0.1         0.1          0.2          0.0         0.1          0.1          0.1         0.1          0.1
diseases (C88)                               Deaths               .             .          .            1             .          .            1             .          .            .
                                              Rate                .             .          .          0.1             .          .          0.0             .          .            .
                                     F       Registrations        4             .          2            4            1           1            1             .          .            .
                                              Rate              0.1             .        0.1          0.1          0.0         0.0          0.0             .          .            .
                                             Deaths               2            1           .            .             .          .            2             .          1            .
                                              Rate              0.0          0.0           .            .             .          .          0.1             .        0.0            .
Multiple myeloma and                 M       Registrations      124         134          130          142         139          143         139          147          158         145
malignant plasma cell                         Rate              5.0         5.5          5.2          5.5         5.4          5.5         5.4          5.7          6.1         5.5
neoplasms (C90)                              Deaths              91          88           94           84          94           90         106           87          105          98
                                              Rate              3.9         3.6          3.8          3.4         3.5          3.4         4.1          3.4          4.0         3.6
                                     F       Registrations      149         119          144          154         160          139         163          163          161         134
                                              Rate              3.9         3.0          3.8          4.1         4.4          3.6         4.3          4.2          4.2         3.7
                                             Deaths             105         109           84           88          98           94         111          114          118         101
                                              Rate              2.6         2.7          2.1          2.3         2.4          2.4         2.8          2.7          3.0         2.6
Lymphoid leukaemia (C91)             M       Registrations      144         152          149          171         155          151         186          171          182         151
                                              Rate              5.9         6.3          6.1          7.0         6.1          6.3         7.3          7.0          7.2         6.0
                                             Deaths              50          56           67           72          52           57          70           65           71          61
                                              Rate              2.0         2.2          2.7          2.8         2.0          2.2         2.8          2.6          2.6         2.4
                                     F       Registrations      112         101           92          114         111          132         121          104          101         103
                                              Rate              3.5         2.9          2.8          3.3         3.5          4.0         3.4          3.1          2.9         3.0
                                             Deaths              44          52           43           50          42           38          54           48           36          47
                                              Rate              1.2         1.4          1.2          1.5         1.2          1.0         1.3          1.1          0.9         1.3
Myeloid leukaemia (C92)              M       Registrations      107          99          127          120         112          118         106          142          119         144
                                              Rate              4.4         3.9          5.3          4.6         4.3          4.6         4.2          5.6          4.5         5.5
                                             Deaths              85          79           88           70          76           88          71           80           82          81
                                              Rate              3.5         3.2          3.6          2.7         3.0          3.6         2.8          3.1          3.1         3.1
                                     F       Registrations      129         108          115          114         109          114         122          114           94         128
                                              Rate              4.1         3.2          3.5          3.3         3.3          3.3         3.6          3.5          2.6         3.5
                                             Deaths              96          97           94           84          81           87          76           79           88         102
                                              Rate              2.9         2.9          2.7          2.4         2.4          2.6         2.1          2.3          2.4         2.7

Monocytic leukaemia (C93)            M       Registrations        5            2           6            4            3           3            5            2           2            1
                                              Rate              0.2          0.1         0.2          0.2          0.2         0.1          0.2          0.1         0.1          0.0
                                             Deaths               3            2           7            2            2           1            2             .          .            1
                                              Rate              0.2          0.1         0.4          0.1          0.1         0.0          0.1             .          .          0.0
                                     F       Registrations        5            3           6            3            4           .            5            3           1            2
                                              Rate              0.1          0.1         0.2          0.1          0.1           .          0.1          0.1         0.0          0.1
                                             Deaths               4            1           3            3            2           .            2            3           .            .
                                              Rate              0.1          0.0         0.1          0.1          0.0           .          0.1          0.1           .            .
Other leukaemias of                  M       Registrations        1            6           3            1             .          .            2             .          .            .
specified cell type (C94)                     Rate              0.0          0.3         0.1          0.0             .          .          0.1             .          .            .
                                             Deaths               2            2           1            1            1           .            .            2           .            .
                                              Rate              0.1          0.1         0.0          0.0          0.0           .            .          0.1           .            .
                                     F       Registrations        1             .          .            1            2           1            .            1           1            .
                                              Rate              0.0             .          .          0.0          0.0         0.0            .          0.0         0.1            .
                                             Deaths               2             .          .            1             .          1            .             .          1            1
                                              Rate              0.0             .          .          0.0             .        0.0            .             .        0.0          0.0
Leukaemia of unspecified             M       Registrations       20           17          14           14           14          20           17           18          11           16
cell type (C95)                               Rate              0.8          0.6         0.6          0.6          0.5         0.8          0.7          0.8         0.4          0.6
                                             Deaths              14           19           8           12            5           5            8            7           7           11
                                              Rate              0.6          0.8         0.4          0.5          0.2         0.2          0.3          0.3         0.2          0.5
                                     F       Registrations       26           24          24           19           22          15           31           15          18           20
                                              Rate              0.6          0.6         0.5          0.4          0.5         0.4          0.7          0.3         0.4          0.5
                                             Deaths              13           12          17           17            8           7            6            8           3           19
                                              Rate              0.3          0.3         0.4          0.3          0.2         0.2          0.1          0.2         0.1          0.4
Other and unspecified                M       Registrations        3            7           4            3            2           3            3            6           2           22
malignant neoplasms of                        Rate              0.1          0.3         0.1          0.1          0.1         0.1          0.1          0.3         0.1          0.9
lymphoid, haematopoietic                     Deaths               .            3           2            1            1           .            .            1           .            .
and related tissue (C96)                      Rate                .          0.1         0.1          0.0          0.0           .            .          0.0           .            .
                                     F       Registrations        1            1           8            3            1           2            1            9           4           14
                                              Rate              0.0          0.0         0.3          0.1          0.0         0.1          0.0          0.3         0.1          0.4
                                             Deaths               2            1           1            1            3           .            .             .          1            1
                                              Rate              0.1          0.0         0.0          0.0          0.1           .            .             .        0.0          0.0


1   Data extracted 3 December 1999. Cancer registration is a dynamic process. The database is amended and updated on an ongoing basis, making use of additional data received
    later. The data presented in this table may differ from other published data relating to the same time period.
2   'Death Certificate Only' registrations have been included in these figures.
3   '0.0' = < 0.05; '.' = no events.
4   Registration diagnoses have been converted from ICD-9 codes and ICD-O morphology codes to ICD-10. Causes of death have been converted from ICD-9 codes to ICD-10. The
    ICD-10 code C97 - malignant neoplasm of independent (primary) multiple sites - is not used by the cancer registry since each independent primary malignant neoplasm is recorded
    separately.
5   Only the first basal cell carcinoma occurring in an individual is registered.
6   Deaths are not available separately for basal cell carcinoma and squamous cell carcinoma of skin.
7   Based on their allocated ICD-9 codes, deaths attributed to mesothelioma and Kaposi's sarcoma cannot be identified separately.
8   In accordance with rules for classification in the ninth revision of the International Classification of Diseases (ICD-9), the codes 196, 197 and 198 (corresponding to ICD-10 codes
    C77, C78 and C79) are not used by the General Register Office for Scotland to code the underlying cause of death.

Sources :     Registrations - ISD Scotland (Scottish Cancer Registry) : Deaths and estimated populations (for rates) - General Register Office for Scotland.
                                                                                                                                                                                   83
                       Morbidity and Mortality
                       CANCER

 C 9.7                 Cancer incidence and mortality
                       by site / type of cancer, sex, and age; year of diagnosis / registration of death : 1996 1,2,3

                       numbers of registrations and deaths together with crude and age-standardised incidence and mortality rates per 100,000
                       person-years at risk (rates standardised to the World standard population)


Cancer site / type (ICD-10) 4          Sex                      0-4   5-9   10-14   15-19   20-24   25-29   30-34   35-39   40-44   45-49   50-54   55-59


All Malignant Neoplasms                  M      Registrations   33     9      11      40       59    105     137     205     248     524      795   1 292
(C00-C96)                                       Deaths           6     6       6       7       12     13      25      40      72     182      364     552
                                         F      Registrations   21    11      13      20       55    121     200     333     480     783    1 126   1 265
                                                Deaths           4     8       4       9        7     13      41      69     106     217      315     472
All Malignant Neoplasms                  M      Registrations   32     8      10      38       56     99     115     163     196     423     653    1 041
except non-melanoma skin                        Deaths           6     6       6       6       12     13      25      40      71     181     362      550
cancers (C00-C96 except C44)             F      Registrations   20    11      13      16       51    106     181     290     417     684     978    1 093
                                                Deaths           4     8       4       9        7     13      41      68     106     216     315      469
Lip (C00)                                M      Registrations     .     .      .        .       .       .       .       .       .      1       2       .
                                                Deaths            .     .      .        .       .       .       .       .       .      1       .       .
                                         F      Registrations     .     .      1        .       .       .       .       .       .      1       2       1
                                                Deaths            .     .      .        .       .       .       .       .       .      .       .       .
Base of tongue (C01)                     M      Registrations     .     .       .       .       .      .        .      1       1       3       4       3
                                                Deaths            .     .       .       .       .      .        .       .       .      1       .       1
                                         F      Registrations     .     .       .       .       .      1        .       .       .      .       1       3
                                                Deaths            .     .       .       .       .      1        .       .       .      .       .       .

Other and unspecified parts              M      Registrations     .     .       .       .      .       .        .      1       1       5       5      14
of tongue (C02)                                 Deaths            .     .       .       .      .       .       1       1        .      2       2       3
                                         F      Registrations     .     .       .       .      1       .       2        .       .      1       3       5
                                                Deaths            .     .       .       .      .       1        .       .       .      .       1       1
Gum (C03)                                M      Registrations     .     .       .       .       .       .       .       .       .      1       .       1
                                                Deaths            .     .       .       .       .       .       .       .       .      .       .       1
                                         F      Registrations     .     .       .       .       .       .       .       .       .      .       2       .
                                                Deaths            .     .       .       .       .       .       .       .       .      .       .       .
Floor of mouth (C04)                     M      Registrations     .     .       .       .       .       .       .      1       5       4       8      10
                                                Deaths            .     .       .       .       .       .       .       .       .      1       2       2
                                         F      Registrations     .     .       .       .       .       .       .       .       .      .       4       2
                                                Deaths            .     .       .       .       .       .       .       .       .      .       .       1
Palate (C05)                             M      Registrations     .     .       .       .       .       .       .       .       .      1       .       5
                                                Deaths            .     .       .       .       .       .       .       .       .      .       1       .
                                         F      Registrations     .     .       .       .       .       .       .       .      2       1       2       .
                                                Deaths            .     .       .       .       .       .       .       .       .      1       .       .
Other and unspecified parts              M      Registrations     .     .       .       .       .       .       .       .      1       1       5       2
of mouth (C06)                                  Deaths            .     .       .       .       .       .       .       .       .      .       3       .
                                         F      Registrations     .     .       .       .       .       .      1        .      1       1       3       2
                                                Deaths            .     .       .       .       .       .       .       .       .      .       .       .

Parotid gland (C07)                      M      Registrations     .     .       .       .       .       .       .      2       1       3       1       1
                                                Deaths            .     .       .       .       .       .       .      1        .      .       .       .
                                         F      Registrations     .     .       .       .       .       .      1        .       .      2       1       2
                                                Deaths            .     .       .       .       .       .       .       .       .      .       .       .
Other and unspecified                    M      Registrations     .     .       .       .       .       .       .       .       .      1       .       3
major salivary gland (C08)                      Deaths            .     .       .       .       .       .       .       .       .      .       .       .
                                         F      Registrations     .     .       .       .       .       .       .       .       .      .       1       .
                                                Deaths            .     .       .       .       .       .       .       .       .      .       .       .
Tonsil (C09)                             M      Registrations     .     .       .       .       .       .       .      1       1       3       8       6
                                                Deaths            .     .       .       .       .       .       .       .       .      2       4       1
                                         F      Registrations     .     .       .       .       .       .       .       .       .      2       4       1
                                                Deaths            .     .       .       .       .       .       .       .      1       .       3       1
Oropharynx (C10)                         M      Registrations     .     .       .       .       .       .       .       .       .      3       1       .
                                                Deaths            .     .       .       .       .       .       .       .      1       1       .       .
                                         F      Registrations     .     .       .       .       .       .       .       .       .      1       1       1
                                                Deaths            .     .       .       .       .       .       .       .       .      .       .       .
Nasopharynx (C11)                        M      Registrations     .     .       .       .       .       .      1       1        .      2       1       2
                                                Deaths            .     .       .       .       .       .       .       .       .      .       .       1
                                         F      Registrations     .     .       .       .       .       .       .      1        .      .       .       1
                                                Deaths            .     .       .       .       .       .       .       .       .      .       .       .
Pyriform sinus (C12)                     M      Registrations     .     .       .       .       .       .       .       .      1       3       1       3
                                                Deaths            .     .       .       .       .       .       .       .       .      1       .       3
                                         F      Registrations     .     .       .       .       .       .       .       .       .      .       .       1
                                                Deaths            .     .       .       .       .       .       .       .       .      .       .       .
Hypopharynx (C13)                        M      Registrations     .     .       .       .       .       .       .       .       .      3       2       3
                                                Deaths            .     .       .       .       .       .       .       .       .      .       3       .
                                         F      Registrations     .     .       .       .       .       .       .       .       .      .       .       1
                                                Deaths            .     .       .       .       .       .       .       .       .      .       .       .

Other and ill-defined sites              M      Registrations     .     .       .       .       .       .       .       .      1       1       4       2
in the lip, oral cavity                         Deaths            .     .       .       .       .       .       .       .      1       .       3       1
and pharynx (C14)                        F      Registrations     .     .       .       .       .       .       .       .       .      1       1       1
                                                Deaths            .     .       .       .       .       .       .       .       .      .       .       1
Oesophagus (C15)                         M      Registrations     .     .       .       .       .      1       1       1       8      14      39      45
                                                Deaths            .     .       .       .       .      .       2       1       7      11      27      34
                                         F      Registrations     .     .       .       .       .      .        .      2       4       4      13      19
                                                Deaths            .     .       .       .       .      .        .      1        .      2       8      15
Stomach (C16)                            M      Registrations     .     .       .       .      .       3       2        4      5      16      25      42
                                                Deaths            .     .       .       .      1       1       2        1      3       6      13      25
                                         F      Registrations     .     .       .       .      1       .       1       11      8       4      12      15
                                                Deaths            .     .       .       .      .       1       1        1      3       6      13       8

                [ for Notes please see final page of table ]


84
                                                                                                                      Morbidity and Mortality
                                                                                                                                      CANCER

                                                                                    Cancer incidence and mortality                                         C 9.7
                                                                                                                                                   1,2,3
                                                 by site / type of cancer, sex, and age; year of diagnosis / registration of death : 1996                  continued

numbers of registrations and deaths together with crude and age-standardised incidence and mortality rates per 100,000
                                             person-years at risk (rates standardised to the World standard population)


                                                                                                          9
60-64       65-69        70-74        75-79          80-84        85          All       Crude    WASR                         Sex   Cancer site / type (ICD-10) 4
                                                              & over        ages          rate
1 820        2   507     2   973      2   456        1 805     1 098       16 117        648.4    410.4       Registrations   M     All Malignant Neoplasms
  834        1   160     1   515      1   250          999       664        7 707        310.0    189.9       Deaths                (C00-C96)
1 617        2   127     2   350      2   190        1 865     1 867       16 444        622.4    333.6       Registrations   F
  645        1   021     1   141      1   196        1 059     1 137        7 464        282.5    132.6       Deaths

1 484        2 107       2 449        1 961          1 423       815       13 073        525.9    334.5       Registrations   M     All Malignant Neoplasms
  832        1 158       1 511        1 248            992       661        7 680        309.0    189.2       Deaths                except non-melanoma skin
1 377        1 793       1 949        1 776          1 451     1 364       13 570        513.6    282.1       Registrations   F     cancers (C00-C96 except C44)
  643        1 020       1 141        1 191          1 053     1 125        7 433        281.3    132.2       Deaths

   2               3           7            6            5        4           30           1.2      0.7       Registrations   M     Lip (C00)
   .               .            .            .            .       .            1           0.0      0.0       Deaths
   .               5           2            1            2        3           18           0.7      0.4       Registrations   F
   .               .            .            .            .       .             .            .        .       Deaths

   4               1           4            2            1        .           24           1.0      0.7       Registrations   M     Base of tongue (C01)
   .               3            .           1             .       .            6           0.2      0.2       Deaths
   1               1           2             .            .       .            9           0.3      0.2       Registrations   F
   1               .            .            .            .       1            3           0.1      0.1       Deaths

  13               7          10            6            2        3           67           2.7      1.9       Registrations   M     Other and unspecified parts
   5               4           3            7            3        2           33           1.3      0.8       Deaths                of tongue (C02)
   4               8           6            9            5        5           49           1.9      1.0       Registrations   F
   .               1           4            1            3        5           17           0.6      0.3       Deaths

   3               1           1            2            1        .           10           0.4      0.3       Registrations   M     Gum (C03)
   .               1           1            2             .       .            5           0.2      0.1       Deaths
   2               2           1            1            4        3           15           0.6      0.3       Registrations   F
   .               .            .            .            .       2            2           0.1      0.0       Deaths

   3               7           9            2            3        1           53           2.1      1.5       Registrations   M     Floor of mouth (C04)
   3               1           3             .            .       2           14           0.6      0.4       Deaths
   4               5           4            2            3        2           26           1.0      0.6       Registrations   F
   .               1            .            .            .       1            3           0.1      0.1       Deaths

   4               3           2             .            .       3           18           0.7      0.5       Registrations   M     Palate (C05)
   3               1           1             .           1        .            7           0.3      0.2       Deaths
   2               3           4             .           1        .           15           0.6      0.4       Registrations   F
   .               3            .            .           1        1            6           0.2      0.1       Deaths

   4               8           4            3             .       1           29           1.2      0.8       Registrations   M     Other and unspecified parts
   4               .           3            2            1        1           14           0.6      0.4       Deaths                of mouth (C06)
   2               2           4            4            1        2           23           0.9      0.5       Registrations   F
   1               1           2            2            2        3           11           0.4      0.1       Deaths

   4               1           1            1            2        1           18           0.7      0.5       Registrations   M     Parotid gland (C07)
   1               1            .           1            2        1            7           0.3      0.2       Deaths
   4               2           1            1            4        3           21           0.8      0.4       Registrations   F
   .               .            .            .           1        1            2           0.1      0.0       Deaths

   .               1            .            .           2        .            7           0.3      0.2       Registrations   M     Other and unspecified
   .               .            .            .            .       .             .            .        .       Deaths                major salivary gland (C08)
   1               .            .           1             .       2            5           0.2      0.1       Registrations   F
   .               .            .            .            .       .             .            .        .       Deaths

   3               5           3            1             .       2           33           1.3      1.0       Registrations   M     Tonsil (C09)
   1               6           3             .           3        .           20           0.8      0.5       Deaths
   3               6           3            1            1        .           21           0.8      0.5       Registrations   F
   .               1            .            .            .       .            6           0.2      0.2       Deaths

   4               2           4            1            1        .           16           0.6      0.4       Registrations   M     Oropharynx (C10)
   1               1           1             .           1        .            6           0.2      0.2       Deaths
   1               2           1             .           1        .            8           0.3      0.2       Registrations   F
   2               .            .           1            1        1            5           0.2      0.1       Deaths

   2               3           1            1             .        .          14           0.6      0.4       Registrations   M     Nasopharynx (C11)
   .               2            .           1             .        .           4           0.2      0.1       Deaths
   1               1           2            2            1         .           9           0.3      0.2       Registrations   F
   1               .           2             .            .        .           3           0.1      0.1       Deaths

   4               5           2            2            3        2           26           1.0      0.7       Registrations   M     Pyriform sinus (C12)
   6               .            .            .            .       1           11           0.4      0.4       Deaths
   4               1            .           1             .       1            8           0.3      0.2       Registrations   F
   .               1            .           1             .       .            2           0.1      0.0       Deaths

   1               5           2            1             .       .           17           0.7      0.5       Registrations   M     Hypopharynx (C13)
   .               1           2             .            .       .            6           0.2      0.2       Deaths
   3               1           6            3            1        1           16           0.6      0.3       Registrations   F
   .               2            .           2             .       1            5           0.2      0.1       Deaths

   8               7           2            3             .       2           30           1.2      0.9       Registrations   M     Other and ill-defined sites
   5               5           1            3            2        .           21           0.8      0.6       Deaths                in the lip, oral cavity
   1               2           1            1            2        2           12           0.5      0.2       Registrations   F     and pharynx (C14)
   3               1           1            2            2        1           11           0.4      0.2       Deaths

  70             91           91           60           46        23         490          19.7     12.8       Registrations   M     Oesophagus (C15)
  54             83           81           54           53        14         421          16.9     10.7       Deaths
  22             46           63           67           63        47         350          13.2      5.7       Registrations   F
  26             35           51           68           50        46         302          11.4      4.7       Deaths

  83             84          113           84           80        46         587          23.6     14.6       Registrations   M     Stomach (C16)
  50             56           77           54           58        39         386          15.5      9.4       Deaths
  36             63           53           73           60        69         406          15.4      6.9       Registrations   F
  20             42           40           54           56        68         313          11.8      4.9       Deaths


        [ for Notes please see final page of table ]                                                                                         / continued



                                                                                                                                                                    85
                         Morbidity and Mortality
                         CANCER

C 9.7                    Cancer incidence and mortality
continued                by site / type of cancer, sex, and age; year of diagnosis / registration of death : 1996 1,2,3

                         numbers of registrations and deaths together with crude and age-standardised incidence and mortality rates per 100,000
                         person-years at risk (rates standardised to the World standard population)


Cancer site / type (ICD-10) 4         Sex                       0-4   5-9   10-14   15-19   20-24   25-29   30-34   35-39   40-44   45-49   50-54   55-59


Small intestine (C17)                   M      Registrations      .     .       .       .      1       1        .      2        .      3       2       3
                                               Deaths             .     .       .       .      .       .        .      1        .      .       2       .
                                        F      Registrations      .     .       .       .      .       .        .       .       .      2       2       1
                                               Deaths             .     .       .       .      .       .        .       .      1       1       .       2
Colon (C18)                             M      Registrations      .     .       .      1       2       2       3       10     15      29      42      95
                                               Deaths             .     .       .      .       .       .       5        2      6      10      22      27
                                        F      Registrations      .     .       .      .       .       2       4        5     25      32      49      69
                                               Deaths             .     .       .      .       .       .       1        1      3      16      11      23
Rectosigmoid junction (C19)             M      Registrations      .     .       .       .       .       .       .       .       .      3      12      15
                                               Deaths             .     .       .       .       .       .       .       .       .      1       6       5
                                        F      Registrations      .     .       .       .       .       .       .       .      1       1       7       5
                                               Deaths             .     .       .       .       .       .       .       .      2       2       3       3
Rectum (C20)                            M      Registrations      .     .       .       .       .      .       1       3      11      14      39      42
                                               Deaths             .     .       .       .       .      .        .       .      3       7      12      18
                                        F      Registrations      .     .       .       .       .      1       2       2       4       7      18      24
                                               Deaths             .     .       .       .       .      .        .      2       1       1       3      11

Anus and anal canal (C21)               M      Registrations      .     .       .       .       .       .       .       .       .      2       .       2
                                               Deaths             .     .       .       .       .       .       .       .       .      .       2       2
                                        F      Registrations      .     .       .       .       .       .       .      1       4       3       1       4
                                               Deaths             .     .       .       .       .       .       .       .      1       1       2       .
Liver and intrahepatic                  M      Registrations     3      .       .       .       .      .        .      2       3       6       3      16
bile ducts (C22)                               Deaths            1      .       .       .       .      1        .      1       3       3       1      18
                                        F      Registrations     2      .       .       .       .      .        .       .      1       3       5      10
                                               Deaths            .      .       .       .       .      .        .      1        .      1       3      12
Gall bladder (C23)                      M      Registrations      .     .       .       .       .       .       .       .       .      1       1       1
                                               Deaths             .     .       .       .       .       .       .       .       .      .       1       .
                                        F      Registrations      .     .       .       .       .       .       .      1        .      .       1       4
                                               Deaths             .     .       .       .       .       .       .       .       .      3       .       .
Other and unspecified parts of          M      Registrations      .     .       .       .       .       .       .       .       .      3       2       4
biliary tract (C24)                            Deaths             .     .       .       .       .       .       .       .       .      1       1       1
                                        F      Registrations      .     .       .       .       .       .       .      1        .      1       5       2
                                               Deaths             .     .       .       .       .       .       .       .       .      .       .       1
Pancreas (C25)                          M      Registrations     1     .        .       .      1       2        .      3       4      10      18      35
                                               Deaths            .     .        .       .      .       1       1       1       3       7      18      30
                                        F      Registrations     .     1        .       .      .       .        .      1       3       9       8      23
                                               Deaths            .     .        .       .      .       .       1        .      5       7      10      14

Other and ill-defined                   M      Registrations      .     .       .       .       .       .       .       .      1       2       1       .
digestive organs (C26)                         Deaths             .     .       .       .       .       .       .       .       .      1       1       2
                                        F      Registrations      .     .       .       .       .       .       .       .       .      .       .       .
                                               Deaths             .     .       .       .       .       .       .       .       .      2       1       1
Nasal cavity and middle ear             M      Registrations      .     .       .       .       .       .       .       .       .      1       .       2
(C30)                                          Deaths             .     .       .       .       .       .       .       .       .      .       .       .
                                        F      Registrations      .     .       .       .       .       .       .       .       .      .       3       2
                                               Deaths             .     .       .       .       .       .       .       .       .      1       .       .
Accessory sinuses (C31)                 M      Registrations      .     .       .       .       .       .       .       .       .      1       .       1
                                               Deaths             .     .       .       .       .       .      1        .       .      .       .       1
                                        F      Registrations      .     .       .       .       .       .       .      1        .      .       3       .
                                               Deaths             .     .       .       .       .       .       .      1       1       .       1       .
Larynx (C32)                            M      Registrations      .     .       .       .       .      .        .       .      4      18      29      36
                                               Deaths             .     .       .       .       .      .        .       .       .      2       9       9
                                        F      Registrations      .     .       .       .       .      1        .       .       .      6      12      13
                                               Deaths             .     .       .       .       .      .        .       .       .      2       .       3
Trachea (C33)                           M      Registrations      .     .       .       .       .       .       .      1        .       .      .       .
                                               Deaths             .     .       .       .       .       .       .       .       .       .      .       .
                                        F      Registrations      .     .       .       .       .       .       .       .      1        .      1       1
                                               Deaths             .     .       .       .       .       .       .       .       .       .      1       1
Bronchus and lung (C34)                 M      Registrations      .     .       .      1        .      1       2       8      15      62     129     260
                                               Deaths             .     .       .      .        .      .       1       4      11      50     101     191
                                        F      Registrations      .     .       .      .        .      1       1       8      20      52      75     145
                                               Deaths             .     .       .      .        .      .       1       3      12      35      68     105
Thymus (C37)                            M      Registrations      .     .       .       .       .       .       .       .       .      .       3        .
                                               Deaths             .     .       .       .       .       .       .       .       .      .       .        .
                                        F      Registrations      .     .       .       .       .       .       .       .       .      1       .        .
                                               Deaths             .     .       .       .       .       .       .       .       .      .       .        .

Heart, mediastinum                      M      Registrations      .    .        .       .       .      2        .       .      1       .       1       1
and pleura (C38)                               Deaths             .    .        .       .       .      .        .       .       .      3       5       4
                                        F      Registrations      .    1        .       .       .      .        .       .       .      .       .       1
                                               Deaths             .    .        .       .       .      .        .       .       .      .       2       1
Other and ill-defined sites             M      Registrations      .     .       .       .       .       .       .       .       .       .       .       .
in the respiratory system                      Deaths             .     .       .       .       .       .       .       .       .       .       .       .
and intrathoracic organs (C39)          F      Registrations      .     .       .       .       .       .       .       .       .       .       .       .
                                               Deaths             .     .       .       .       .       .       .       .       .       .       .       .




                 [ for Notes please see final page of table ]
86
                                                                                                                    Morbidity and Mortality
                                                                                                                                    CANCER

                                                                                    Cancer incidence and mortality                                       C 9.7
                                                                                                                                                1,2,3
                                              by site / type of cancer, sex, and age; year of diagnosis / registration of death : 1996                   continued

numbers of registrations and deaths together with crude and age-standardised incidence and mortality rates per 100,000
                                             person-years at risk (rates standardised to the World standard population)


                                                                                                        9
60-64     65-69        70-74        75-79         80-84          85        All         Crude    WASR                        Sex   Cancer site / type (ICD-10) 4
                                                             & over      ages            rate
   2           7            4            3              2        2            32          1.3     0.9       Registrations   M     Small intestine (C17)
   .           1            5            5               .       .            14          0.6     0.3       Deaths
   2           5             .           5              1        5            23          0.9     0.4       Registrations   F
   1           2            1            2              1        2            13          0.5     0.3       Deaths

 113        173          240          195           142         90       1 152           46.3    28.2       Registrations   M     Colon (C18)
  53         82          104           99            89         52         551           22.2    13.1       Deaths
 103        141          204          206           207        196       1 243           47.0    21.0       Registrations   F
  44         67          106          101           109        156         638           24.1     9.5       Deaths

  31          29           31           20             15         9          165          6.6     4.3       Registrations   M     Rectosigmoid junction (C19)
   8           4           12           16              6        14           72          2.9     1.8       Deaths
  11          16           23           13             20        15          112          4.2     1.9       Registrations   F
   9           8            5            9             11         9           61          2.3     1.1       Deaths

  69          82         103            72             45        30          511         20.6    13.2       Registrations   M     Rectum (C20)
  19          29          61            38             25        30          242          9.7     5.9       Deaths
  42          62          67            42             51        62          384         14.5     7.0       Registrations   F
  12          23          23            23             29        37          165          6.2     2.6       Deaths

   3           5            3            5              1        3            24          1.0     0.6       Registrations   M     Anus and anal canal (C21)
   .           3            2            1               .       .            10          0.4     0.3       Deaths
   1           1           10            5              6        2            38          1.4     0.8       Registrations   F
   1           2            1            2              1        .            11          0.4     0.3       Deaths

  26          26           27           27              9         2          150          6.0     4.0       Registrations   M     Liver and intrahepatic
  16          22           21           30             12         5          134          5.4     3.4       Deaths                bile ducts (C22)
   7          13           12           18             17        14          102          3.9     1.9       Registrations   F
   7          14           12           14             22        16          102          3.9     1.7       Deaths

   2           1            4            2               .       2            14          0.6     0.4       Registrations   M     Gall bladder (C23)
   2           .            3            1               .       1             8          0.3     0.2       Deaths
   3           5            4            5              3        4            30          1.1     0.6       Registrations   F
   1           5             .           2              1        2            14          0.5     0.3       Deaths

   6           6            5           10             10        3            49          2.0     1.2       Registrations   M     Other and unspecified parts of
   1           1            3            4              2        3            17          0.7     0.4       Deaths                biliary tract (C24)
   3          10           12           14              9        8            65          2.5     1.1       Registrations   F
   .           1            4            5              3        3            17          0.6     0.2       Deaths

  41          42           54           51             32        18          312         12.6     8.0       Registrations   M     Pancreas (C25)
  33          38           49           48             32        19          280         11.3     7.0       Deaths
  25          50           37           70             55        46          328         12.4     5.5       Registrations   F
  15          42           36           60             43        47          280         10.6     4.5       Deaths

   1           1            4            4               .        2           16          0.6     0.4       Registrations   M     Other and ill-defined
  10           9            7           12             11         5           58          2.3     1.4       Deaths                digestive organs (C26)
   1           1            3            4              3        15           27          1.0     0.3       Registrations   F
   5           7           10           13              8        24           71          2.7     1.0       Deaths

   1           6            2            2               .       .            14          0.6     0.4       Registrations   M     Nasal cavity and middle ear
   .           .             .            .             1        1             2          0.1     0.0       Deaths                (C30)
   1           1            1            1               .       1            10          0.4     0.2       Registrations   F
   .           .             .            .             1        .             2          0.1     0.0       Deaths

   2           4            1            2              1        .            12          0.5     0.3       Registrations   M     Accessory sinuses (C31)
   .           2            1             .              .       1             6          0.2     0.2       Deaths
   .           1             .            .             1        1             7          0.3     0.2       Registrations   F
   .           1             .            .              .       2             6          0.2     0.1       Deaths

  46          41           37           28             15         6          260         10.5     7.2       Registrations   M     Larynx (C32)
  10          13            9            7              5        10           74          3.0     2.0       Deaths
  16          14           10           10              6         3           91          3.4     2.2       Registrations   F
   3           6            4            3              2         2           25          0.9     0.5       Deaths

   .           2            4            2               .       1            10          0.4     0.2       Registrations   M     Trachea (C33)
   .           .            1             .              .       .             1          0.0     0.0       Deaths
   1           1             .           1              1        1             8          0.3     0.2       Registrations   F
   .           .             .            .              .       .             2          0.1     0.1       Deaths

 342        533          596          452           287        133       2   821       113.5     70.4       Registrations   M     Bronchus and lung (C34)
 306        414          545          410           277        135       2   445        98.4     60.1       Deaths
 217        377          399          334           225        131       1   985        75.1     37.5       Registrations   F
 172        319          332          310           199        121       1   677        63.5     30.8       Deaths

   .           .            2             .              .        .            5          0.2     0.1       Registrations   M     Thymus (C37)
   .           .             .           1               .        .            1          0.0     0.0       Deaths
   1           1            1            1               .        .            5          0.2     0.1       Registrations   F
   1           1             .           1               .        .            3          0.1     0.1       Deaths

   2           2            4            1              1        2            17          0.7     0.5       Registrations   M     Heart, mediastinum
   2           7            5            5              6        4            41          1.6     1.0       Deaths                and pleura (C38)
   .           3            7            1               .       3            16          0.6     0.3       Registrations   F
   2           1            3            2              3        1            15          0.6     0.3       Deaths

    .           .            .            .              .        .             .           .       .       Registrations   M     Other and ill-defined sites
    .           .           1             .              .        .            1          0.0     0.0       Deaths                in the respiratory system
    .           .            .            .              .        .             .           .       .       Registrations   F     and intrathoracic organs (C39)
    .           .            .            .              .        .             .           .       .       Deaths




        [ for Notes please see final page of table ]                                                                                             / continued
                                                                                                                                                                   87
                         Morbidity and Mortality
                         CANCER

C 9.7                    Cancer incidence and mortality
continued                by site / type of cancer, sex, and age; year of diagnosis / registration of death : 1996 1,2,3

                         numbers of registrations and deaths together with crude and age-standardised incidence and mortality rates per 100,000
                         person-years at risk (rates standardised to the World standard population)


Cancer site / type (ICD-10) 4         Sex                       0-4   5-9   10-14   15-19   20-24   25-29   30-34   35-39    40-44   45-49   50-54   55-59


Bone and articular                      M      Registrations      .    1       .       4       1       1       1        1        .      1        .      1
cartilage of limbs (C40)                       Deaths             .    .       .       .       1       .        .        .       .      .        .      .
                                        F      Registrations      .    .       2       .       1       1        .        .       .      1        .      .
                                               Deaths             .    .       .       .       .       .        .        .       .      .        .      1
Bone and articular                      M      Registrations      .    1       .        .      1       .       2         .      2       .        .      2
cartilage of other and                         Deaths             .    .       .        .      1       1        .       1        .      .        .      .
unspecified sites (C41)                 F      Registrations      .    .       1        .      1       .        .        .      1       1        .      .
                                               Deaths             .    1       .        .      1       .       2         .       .      1        .      .
Malignant melanoma                      M      Registrations      .     .      .       5       4        6      17      19      18      24      17      31
of skin (C43)                                  Deaths             .     .      .       .       1        .       2       2       2       7       8       9
                                        F      Registrations      .     .      1       3       7       18      29      25      32      34      33      33
                                               Deaths             .     .      .       .       .        1       3        .      3       3       .       6
Other malignant                         M      Registrations     1     1       1       2       3        6      22      42      52     101     142     251
neoplasms of skin (C44)                        Deaths            .     .       .       1       .        .       .        .      1       1       2       2
                                        F      Registrations     1     .       .       4       4       15      19      43      63      99     148     172
                                               Deaths            .     .       .       .       .        .       .       1        .      1       .       3

Basal cell carcinoma                    M      Registrations     .      .      1       2       3        4      21      35      46      88     122     205
of skin 5,6 (C44, ICD-O M-809)          F      Registrations     1      .      .       4       4       14      19      40      57      90     133     158
Squamous cell carcinoma                 M      Registrations      .     .       .       .       .      2       1        6       5      12      18      44
of skin 6 (C44, ICD-O M-807)            F      Registrations      .     .       .       .       .      1        .       3       5       9      12      12
                     7
Mesothelioma (C45)                      M      Registrations      .     .       .       .       .       .       .        .      3       2      13       8
                                        F      Registrations      .     .       .       .       .       .       .        .       .      .       3       5
                           7
Kaposi’s sarcoma (C46)                  M      Registrations      .     .       .       .       .       .      2        1       1        .       .      2
                                        F      Registrations      .     .       .       .       .       .       .        .       .       .       .      .

Peripheral nerves and autonomic         M      Registrations     3     .       2       .       2       1       5        1       2      12       8       7
nervous system, and other                      Deaths            .     .       1       .       .       .        .       1       2       2       1       2
connective and soft tissue              F      Registrations     1     1       1       1       1       2       1         .      4       3       1       5
(C47+C49)                                      Deaths            .     2       .       2       .       .       2        2       1       3       1       1
Retroperitoneum and                     M      Registrations      .     .       .       .       .      .       1        3       1       1       .       .
peritoneum (C48)                               Deaths             .     .       .       .       .      .       2         .       .      .       .       .
                                        F      Registrations      .     .       .       .       .      1        .        .       .      1       2       .
                                               Deaths             .     .       .       .       .      .        .        .       .      .       1       2
Breast (C50)                            M      Registrations      .     .       .       .      .        .       .      1        .       .       .       1
                                               Deaths             .     .       .       .      .        .       .       .       .       .       1       .
                                        F      Registrations      .     .       .       .      2       12      61    108      192     337     432     355
                                               Deaths             .     .       .       .      .        4      10     26       39      63      92     107
Vulva (C51)                             F      Registrations      .     .       .       .       .       .      2        4        .      1       3       7
                                               Deaths             .     .       .       .       .       .       .        .       .      .       .       .
Vagina (C52)                            F      Registrations      .     .       .       .       .       .      1        2        .      2       1       4
                                               Deaths             .     .       .       .       .       .       .        .       .      .       1       .
Cervix uteri (C53)                      F      Registrations      .     .       .       .      4       29      33      45      36      34      32      24
                                               Deaths             .     .       .       .      .        2       9      10       8       9       9      10

Corpus uteri (C54)                      F      Registrations      .     .       .       .       .       .      1       10       2      24      43      67
                                               Deaths             .     .       .       .       .       .       .       .        .      .       4       7
Uterus, part unspecified (C55)          F      Registrations      .     .       .       .       .       .       .       2       1       3        .      8
                                               Deaths             .     .       .       .       .       .       .        .       .      2        .      1
Ovary (C56)                             F      Registrations      .     .       .      1       3       5       10      12      20      37      51      47
                                               Deaths             .     .       .      1       .       1        2       5       4      22      21      37
Other and unspecified female            F      Registrations      .     .       .       .       .       .       .        .       .      .       1       2
genital organs (C57)                           Deaths             .     .       .       .       .       .       .        .       .      1       1       1

Placenta (C58)                          F      Registrations      .     .       .       .      2        .      2         .       .       .       .       .
                                               Deaths             .     .       .       .      .        .       .        .       .       .       .       .
Penis (C60)                             M      Registrations      .     .       .       .       .      1        .       2       2       3       7       6
                                               Deaths             .     .       .       .       .      .        .        .       .      2       1       2
Prostate (C61)                          M      Registrations     1      .       .       .       .       .       .        .       .      8      38      93
                                               Deaths            .      .       .       .       .       .       .        .       .      5       7      19
Testis (C62)                            M      Registrations     2      .      1       4       12      31      41      31      15      14       6       4
                                               Deaths            .      .      .       .        1       3       .       2       .       2       .       .

Other and unspecified male              M      Registrations     1      .       .       .       .       .       .        .       .      1        .      1
genital organs (C63)                           Deaths            .      .       .       .       .       .       .        .       .      .        .      .
Kidney, except                          M      Registrations     3     .        .       .      .       1        .       7       7      19      16      28
renal pelvis (C64)                             Deaths            .     2        .       .      .       .        .       1       4       8      13      14
                                        F      Registrations     5     .        .       .      1       .       2        2       5       9      10      19
                                               Deaths            .     .        .       .      .       .       1         .       .      2       4       6
Renal pelvis (C65)                      M      Registrations      .     .       .       .       .       .       .        .       .       .      1       1
                                               Deaths             .     .       .       .       .       .       .        .       .       .      .       .
                                        F      Registrations      .     .       .       .       .       .       .        .       .       .      1       .
                                               Deaths             .     .       .       .       .       .       .        .       .       .      .       .




                 [ for Notes please see final page of table ]
88
                                                                                                                    Morbidity and Mortality
                                                                                                                                  CANCER

                                                                                 Cancer incidence and mortality                                        C 9.7
                                                                                                                                             1,2,3
                                              by site / type of cancer, sex, and age; year of diagnosis / registration of death : 1996                 continued

numbers of registrations and deaths together with crude and age-standardised incidence and mortality rates per 100,000
                                             person-years at risk (rates standardised to the World standard population)


                                                                                                       9
60-64     65-69        70-74        75-79         80-84         85         All       Crude    WASR                         Sex   Cancer site / type (ICD-10) 4
                                                            & over       ages          rate
   1           .            1             .             .       1          14           0.6      0.6       Registrations   M     Bone and articular
   .           .             .            .             .       .           1           0.0      0.0       Deaths                cartilage of limbs (C40)
   .           2             .            .             .       .           7           0.3      0.3       Registrations   F
   .           1             .            .             .       1           3           0.1      0.1       Deaths

   .           2             .           2              .       .          12           0.5      0.4       Registrations   M     Bone and articular
   2           2            1             .             .       1           9           0.4      0.3       Deaths                cartilage of other and
   2           .            1            2             2        1          12           0.5      0.3       Registrations   F     unspecified sites (C41)
   .           1            1            1              .       1           9           0.3      0.3       Deaths

  27          34           30           16             16       12        276          11.1      8.1       Registrations   M     Malignant melanoma
   5           8            9            2              6        2         63           2.5      1.8       Deaths                of skin (C43)
  41          32           42           31             28       23        412          15.6     10.6       Registrations   F
   5           6            5            5              8       11         56           2.1      1.1       Deaths

 336        400          524          495           382       283        3 044        122.5     75.9       Registrations   M     Other malignant
   2          2            4            2             7         3           27          1.1      0.7       Deaths                neoplasms of skin (C44)
 240        334          401          414           414       503        2 874        108.8     51.6       Registrations   F
   2          1             .           5             6        12           31          1.2      0.4       Deaths

 256        295          351          333           206       145        2 113         85.0     54.3       Registrations   M     Basal cell carcinoma
 211        275          331          324           322       311        2 294         86.8     43.4       Registrations   F     of skin 5,6 (C44, ICD-O M-809)
  76        101          171          159           171       137         903          36.3     20.8       Registrations   M     Squamous cell carcinoma
  28         53           67           81            84       178         533          20.2      7.5       Registrations   F     of skin 6 (C44, ICD-O M-807)
                                                                                                                                                       7
  14          38           27           16             16       5         142           5.7      3.6       Registrations   M     Mesothelioma (C45)
   2           7            3            3              2       2          27           1.0      0.6       Registrations   F

                                                                                                                                                            7
    .          .             .            .             .        .          6           0.2      0.2       Registrations   M     Kaposi’s sarcoma (C46)
    .          1             .            .             .        .          1           0.0      0.0       Registrations   F

   8           4           13           11             6        7          92           3.7      2.7       Registrations   M     Peripheral nerves and autonomic
   2           1            3            3             1        3          22           0.9      0.6       Deaths                nervous system, and other
   7           8            1            5             8        7          57           2.2      1.4       Registrations   F     connective and soft tissue
   4           5            4            5             5        1          38           1.4      1.0       Deaths                (C47+C49)
   .           .            2            3              .       .          11           0.4      0.3       Registrations   M     Retroperitoneum and
   2           3             .           2              .       .           9           0.4      0.2       Deaths                peritoneum (C48)
   2           5            5            2             1        1          20           0.8      0.4       Registrations   F
   2           .             .           2             1        .           8           0.3      0.2       Deaths

   2          2             .           1              .        1            8          0.3      0.2       Registrations   M     Breast (C50)
   2          1            1            2             2         1           10          0.4      0.2       Deaths
 393        342          330          275           226       230        3 295        124.7     79.8       Registrations   F
 114        124          154          133           154       170        1 190         45.0     23.6       Deaths

   9          15           11           12             14       21         99           3.7      1.7       Registrations   F     Vulva (C51)
   3           4            4           10              4       11         36           1.4      0.5       Deaths

   1           2            5            7             3        7          35           1.3      0.6       Registrations   F     Vagina (C52)
   .           .            2            1             1        4           9           0.3      0.1       Deaths

  25          25           39           26             16       11        379          14.3     10.3       Registrations   F     Cervix uteri (C53)
  12          15           15           15             11       13        138           5.2      3.1       Deaths

  66          77           48           47             18       21        424          16.0      9.9       Registrations   F     Corpus uteri (C54)
  11           7           13           12             12       16         82           3.1      1.4       Deaths

   1           2            5            6             3        4          35           1.3      0.7       Registrations   F     Uterus, part unspecified (C55)
   2           5            4            4             1        4          23           0.9      0.4       Deaths

  69          85           94           79             58       44        615          23.3     13.3       Registrations   F     Ovary (C56)
  43          66           69           51             40       46        408          15.4      8.1       Deaths

   2           2             .            .             .       .           7           0.3      0.2       Registrations   F     Other and unspecified female
   1           .             .            .             .       1           5           0.2      0.1       Deaths                genital organs (C57)

    .           .            .            .             .        .          4           0.2      0.2       Registrations   F     Placenta (C58)
    .           .           1             .             .        .          1           0.0      0.0       Deaths

   3           5            2            4             6        4          45           1.8      1.2       Registrations   M     Penis (C60)
   3           3             .            .            1        2          14           0.6      0.4       Deaths

 181        365          418          415           317       191        2 027         81.5     46.7       Registrations   M     Prostate (C61)
  43         74          133          156           160       146          743         29.9     16.2       Deaths

   5           1            2             .            2         .        171           6.9      5.9       Registrations   M     Testis (C62)
   1           1             .            .            1         .         11           0.4      0.4       Deaths

    .          2            4            1             2         .         12           0.5      0.3       Registrations   M     Other and unspecified male
    .          .             .            .             .        .          .             .        .       Deaths                genital organs (C63)
  40          50           68           38             25       14        316          12.7      8.4       Registrations   M     Kidney, except
  23          26           42           31             17       13        194           7.8      5.0       Deaths                renal pelvis (C64)
  35          37           40           30             22       18        235           8.9      5.1       Registrations   F
  14          19           12           19             21       17        115           4.4      2.0       Deaths

   2           5            2            1             1        1          14           0.6      0.4       Registrations   M     Renal pelvis (C65)
   .           .             .            .            1        .           1           0.0      0.0       Deaths
   3           3            3            1             1        1          13           0.5      0.3       Registrations   F
   1           .             .            .             .       .           1           0.0      0.0       Deaths




                                                                                                                                         / continued

        [ for Notes please see final page of table ]
                                                                                                                                                                  89
                      Morbidity and Mortality
                      CANCER

C 9.7                 Cancer incidence and mortality
continued             by site / type of cancer, sex, and age; year of diagnosis / registration of death : 1996 1,2,3

                      numbers of registrations and deaths together with crude and age-standardised incidence and mortality rates per 100,000
                      person-years at risk (rates standardised to the World standard population)


Cancer site / type (ICD-10) 4         Sex                       0-4   5-9   10-14   15-19   20-24   25-29   30-34   35-39    40-44   45-49   50-54   55-59


Ureter (C66)                             M     Registrations      .     .       .       .       .       .       .        .       .       .      2       6
                                               Deaths             .     .       .       .       .       .       .        .       .       .      .       .
                                         F     Registrations      .     .       .       .       .       .       .       1        .       .      1       1
                                               Deaths             .     .       .       .       .       .       .        .       .       .      .       1
Bladder (C67)                            M     Registrations      .     .       .       .       .      2       1        4       3      31      34      72
                                               Deaths             .     .       .       .       .      .        .       1       1       1       5      13
                                         F     Registrations      .     .       .       .       .      1        .       6       4       8      18      22
                                               Deaths             .     .       .       .       .      .       1        1       1       3       3       7
Other and unspecified                    M     Registrations      .     .       .       .       .       .       .        .      1       1        .       .
urinary organs (C68)                           Deaths             .     .       .       .       .       .       .        .       .      .        .       .
                                         F     Registrations      .     .       .       .       .       .       .        .       .      .        .       .
                                               Deaths             .     .       .       .       .       .       .        .       .      .        .       .
Eye and adnexa (C69)                     M     Registrations     1      .       .       .      .        .      2         .       .      1       3       2
                                               Deaths            .      .       .       .      .        .       .        .       .      .       .       2
                                         F     Registrations     2      .       .       .      3        .      1         .       .      1       .       1
                                               Deaths            .      .       .       .      .        .       .        .      1       .       .       .

Meninges (C70)                           M     Registrations      .     .       .      1        .       .       .        .       .       .       .      2
                                               Deaths             .     .       .      .        .       .       .        .       .       .       .      1
                                         F     Registrations      .     .       .      .        .       .       .        .       .       .       .      1
                                               Deaths             .     .       .      .        .       .       .       1       1        .       .      .
Brain (C71)                              M     Registrations     2     3       1       3       5       11      9       15      10      11      18      19
                                               Deaths            2     .       2       2       2        2      4       11       8       7      18      24
                                         F     Registrations     5     1       2       2       1        8      5        7       9       4      12      11
                                               Deaths            3     2       3       1       1        .      3        3       3       3       9      13
Spinal cord, cranial nerves and          M     Registrations     1      .       .       .       .      .        .        .       .      .        .      .
other parts of central nervous                 Deaths            .      .       .       .       .      .       1         .      1       1        .      .
system (C72)                             F     Registrations     .      .       .       .       .      1        .        .       .      .        .      1
                                               Deaths            .      .       .       .       .      .        .       1        .      .        .      .
Thyroid (C73)                            M     Registrations      .    .       1       .       2       1       3        2       2       3       1       4
                                               Deaths             .    .       .       .       .       .        .        .       .      1       1       1
                                         F     Registrations      .    1       .       1       7       9       7        8       5      11      13       9
                                               Deaths             .    .       .       .       .       .        .        .       .      .       2       1
Adrenal gland (C74)                      M     Registrations     .     .        .      .        .      .        .       1        .      1       2       .
                                               Deaths            2     2        .      1        .      .        .       2        .      .       1       .
                                         F     Registrations     .     .        .      1        .      1        .        .       .      .       .       2
                                               Deaths            1     .        .      1        .      .        .        .       .      1       .       1

Other endocrine glands and               M     Registrations      .    .        .       .       .      .       2         .      2        .      1       .
related structures (C75)                       Deaths             .    .        .       .       .      .        .        .      1        .      .       1
                                         F     Registrations      .    1        .       .       .      1        .        .       .       .      .       .
                                               Deaths             .    .        .       .       .      .        .        .       .       .      .       .
Other and ill-defined sites (C76)        M     Registrations      .     .       .      1        .       .       .        .      1       .       .       .
                                               Deaths             .     .       .      .        .       .       .        .      1       1       .       3
                                         F     Registrations      .     .       .      .        .       .       .        .      1       1       2       .
                                               Deaths             .     .       .      .        .       .       .        .      1       .       2       .
                                         M     Registrations      .     .       .       .       .       .       .        .       .      3       4       2
Secondary and unspecified                F     Registrations      .     .       .       .       .       .       .        .       .      .       4       3
malignant neoplasm of lymph
nodes (C77) 8
                                         M     Registrations      .     .       .       .      1       1       1         .      2       7      13      11
Secondary malignant neoplasm             F     Registrations      .     .       .       .      .       .       2        2       4       9      16      16
of respiratory and digestive
systems (C78) 8
                                         M     Registrations      .     .       .       .       .       .       .       1       1       2       7       9
Secondary malignant neoplasm             F     Registrations      .     .       .       .       .       .       .        .       .      2       8       8
of other sites (C79) 8
                                         M     Registrations      .     .       .       .       .      .       1        2       2       5      12       9
Malignant neoplasm without                     Deaths             .     .       .       .       .      1        .        .      3      15      37      41
specification of site (C80)              F     Registrations      .     .       .       .       .      .        .       2       4       4       8      19
                                               Deaths             .     .       .       .       .      .       1        5       8       8      18      30
                                         M     Registrations      .    .        .      8       14      14      6        6       6       6       3       7
Hodgkin’s disease (C81)                        Deaths             .    .        .      1        1       .       .        .      2       .       1       2
                                         F     Registrations      .    2        .      1        7       6      7        5       1       1       1       5
                                               Deaths             .    .        .      .        .       1      1         .      2       1       1       .
                                         M     Registrations     1     1       1       4       7       10      5       17      26      20      31      23
Non-Hodgkin’s lymphoma (C82-                   Deaths            .     1       1       1       2        2      2        4       6      13      17      22
C85)                                     F     Registrations     .     1       2       1       4        3      2        9      16      14      25      36
                                               Deaths            .     .       .       .       3        .       .        .      1       5      10      13
                                         M     Registrations      .     .       .       .       .       .       .        .      1       1        .       .
Malignant immunoproliferative                  Deaths             .     .       .       .       .       .       .        .       .      .        .       .
diseases (C88)                           F     Registrations      .     .       .       .       .       .       .        .       .      .        .       .
                                               Deaths             .     .       .       .       .       .       .        .       .      .        .       .




                 [ for Notes please see final page of table ]
90
                                                                                                                     Morbidity and Mortality
                                                                                                                                   CANCER

                                                                                  Cancer incidence and mortality                                       C 9.7
                                                                                                                                              1,2,3
                                               by site / type of cancer, sex, and age; year of diagnosis / registration of death : 1996                continued

numbers of registrations and deaths together with crude and age-standardised incidence and mortality rates per 100,000
                                             person-years at risk (rates standardised to the World standard population)


                                                                                                        9
60-64     65-69        70-74        75-79          80-84         85         All       Crude    WASR                         Sex   Cancer site / type (ICD-10) 4
                                                             & over       ages          rate
   1            6            7            4             1        3          30           1.2      0.8       Registrations   M       Ureter (C66)
   1            1            1             .             .       .           3           0.1      0.1       Deaths
   2            .            2            2             1        1          11           0.4      0.2       Registrations   F
   1            1            1            1              .       .           5           0.2      0.1       Deaths

 102         170          185          154             135       75        968          38.9     23.6       Registrations   M       Bladder (C67)
  22          52           46           55              65       53        314          12.6      7.1       Deaths
  38          69           89           90              61       67        473          17.9      8.0       Registrations   F
  12          22           31           32              34       44        191           7.2      2.8       Deaths

   2            1            3            2             1        .          11           0.4      0.3       Registrations   M       Other and unspecified
   .            .             .           1              .       .           1           0.0      0.0       Deaths                  urinary organs (C68)
   .            .            1             .            1        1           3           0.1      0.0       Registrations   F
   .            .             .           1              .       .           1           0.0      0.0       Deaths

   6            1            1            1             1        1          20           0.8      0.6       Registrations   M       Eye and adnexa (C69)
   .            1             .           1             1        .           5           0.2      0.1       Deaths
   .            2            2            4             3        1          20           0.8      0.5       Registrations   F
   1            1             .           2             1        .           6           0.2      0.1       Deaths

    .           .             .            .             .        .          3           0.1      0.1       Registrations   M       Meninges (C70)
    .           .             .            .             .        .          1           0.0      0.0       Deaths
    .           .             .            .             .        .          1           0.0      0.0       Registrations   F
    .           1             .            .             .        .          3           0.1      0.1       Deaths

  24          22           20           12              8        4         197           7.9      6.2       Registrations   M       Brain (C71)
  21          18           23           10              3        4         161           6.5      4.9       Deaths
  21          19           27            9              7        6         156           5.9      4.3       Registrations   F
   9          16           18            5              7        2         101           3.8      2.8       Deaths

    .           .             .            .             .        .          1           0.0      0.1       Registrations   M       Spinal cord, cranial nerves and
    .           .             .            .             .        .          3           0.1      0.1       Deaths                  other parts of central nervous
    .           .            2            1              .        .          5           0.2      0.1       Registrations   F       system (C72)
    .           .             .            .             .        .          1           0.0      0.0       Deaths

   4            1            4            1              .       .          29           1.2      0.9       Registrations   M       Thyroid (C73)
   1            .            1             .             .       2           7           0.3      0.2       Deaths
   5            8            9            7             5        .         105           4.0      3.1       Registrations   F
   2            7            2            2             6        2          24           0.9      0.4       Deaths

   1            .            2            1              .        .          8           0.3      0.2       Registrations   M       Adrenal gland (C74)
   .            .             .            .             .        .          8           0.3      0.4       Deaths
   .            .             .            .             .        .          4           0.2      0.2       Registrations   F
   .            .             .            .             .        .          4           0.2      0.2       Deaths

   .            .             .            .             .       1           6           0.2      0.2       Registrations   M       Other endocrine glands and
   1            1             .            .            1        .           5           0.2      0.1       Deaths                  related structures (C75)
   .            2             .            .             .       1           5           0.2      0.2       Registrations   F
   .            .            1             .            1        .           2           0.1      0.0       Deaths

   1            3            4            .             4         1         15           0.6      0.4       Registrations   M       Other and ill-defined sites (C76)
   4            7            8           4              9         6         43           1.7      1.0       Deaths
   1            3             .          5              9        10         32           1.2      0.4       Registrations   F
   1            3            2          10             15        17         51           1.9      0.6       Deaths

   4            3            6            2             4        1          29           1.2      0.8       Registrations   M
   4            3            5            6             6        4          35           1.3      0.6       Registrations   F       Secondary and unspecified
                                                                                                                                    malignant neoplasm of lymph
                                                                                                                                    nodes (C77) 8
  33          32           58           48             34        22        263          10.6      6.4       Registrations   M
  26          47           46           48             51        50        317          12.0      5.5       Registrations   F       Secondary malignant neoplasm
                                                                                                                                    of respiratory and digestive
                                                                                                                                    systems (C78) 8
  13          21           15           21             14         5        109           4.4      2.7       Registrations   M
  10          12           20           15             16        11        102           3.9      1.8       Registrations   F       Secondary malignant neoplasm
                                                                                                                                    of other sites (C79) 8
  20          39           45           37              38      26         236           9.5      5.6       Registrations   M
  57         100          147          103              77      52         633          25.5     15.4       Deaths                  Malignant neoplasm without
  16          23           45           42              52      75         290          11.0      4.4       Registrations   F       specification of site (C80)
  45          74           93          118             109     127         636          24.1      9.9       Deaths

   1            5            5            1             1        2          85           3.4      3.1       Registrations   M
   2            1            3            4             3        1          21           0.8      0.6       Deaths                  Hodgkin’s disease (C81)
   3            2            4            4             2        .          51           1.9      1.6       Registrations   F
   1            3             .            .            1        .          11           0.4      0.3       Deaths

  45          38           77           46             36        15        403          16.2     11.2       Registrations   M
  24          30           44           23             22        13        227           9.1      6.1       Deaths                  Non-Hodgkin’s lymphoma (C82-
  29          53           67           60             36        39        397          15.0      8.2       Registrations   F       C85)
  14          24           32           38             33        38        211           8.0      3.5       Deaths

    .           .             .            .             .        .          2           0.1      0.1       Registrations   M
    .           .             .            .             .        .           .            .        .       Deaths                  Malignant immunoproliferative
    .           .             .            .             .        .           .            .        .       Registrations   F       diseases (C88)
    .           .             .            .             .        .           .            .        .       Deaths




                                                                                                                                               / continued
        [ for Notes please see final page of table ]
                                                                                                                                                                  91
                       Morbidity and Mortality
                       CANCER

C 9.7                  Cancer incidence and mortality
continued              by site / type of cancer, sex, and age; year of diagnosis / registration of death : 1996 1,2,3

                       numbers of registrations and deaths together with crude and age-standardised incidence and mortality rates per 100,000
                       person-years at risk (rates standardised to the World standard population)


Cancer site / type (ICD-10) 4         Sex                      0-4     5-9     10-14     15-19     20-24      25-29     30-34     35-39     40-44      45-49     50-54     55-59


                                        M     Registrations        .      .          .         .         .          .         .        2          .         6         9        10
Multiple myeloma and                          Deaths               .      .          .         .         .          .         .        .          .         1         3         4
malignant plasma cell                   F     Registrations        .      .          .         .         .          .         .        .          .         5         7         7
neoplasms (C90)                               Deaths               .      .          .         .         .          .         .        .          .         2         3         6
                                        M     Registrations     13        2         3         2         1          1          .        1         4          6       11         11
                                              Deaths              .       1         2         .          .          .         .        1         .          1        5          4
Lymphoid leukaemia (C91)                F     Registrations      5        1         1         3         3          2         1         1         2          .        3          9
                                              Deaths              .       3         .         2         1          1          .        2         1          .        1          4
                                        M     Registrations        .      .         1         4         2          6         6         4         4        11          7        11
                                              Deaths              1       .         .         1         1          1         1         1         2         3          4         5
Myeloid leukaemia (C92)                 F     Registrations        .      1         1         2         2           .        2         3         2         2          7         6
                                              Deaths               .      .         .         2         1           .        2         1         2         6          2         9
                                        M     Registrations        .      .          .         .         .          .         .        .          .         .         .          .
                                              Deaths               .      .          .         .        1           .         .        .          .         .         .          .
Monocytic leukaemia (C93)               F     Registrations        .      .          .         .         .          .         .        1          .         .         .          .
                                              Deaths               .      .          .         .         .          .         .        .          .         .         .          .

                                        M     Registrations        .      .          .         .         .          .         .         .         .         .         .          .
                                              Deaths               .      .          .         .         .          .         .         .         .         .         .          .
Other leukaemias of specified           F     Registrations        .      .          .         .         .          .         .         .         .         .         .          .
cell type (C94)                               Deaths               .      .          .         .         .          .         .         .         .         .         .          .
                                        M     Registrations        .      .         .          .         .          .         .        .         .          1         .         1
                                              Deaths               .      .         .          .         .          .         .        .         .          .         .         1
Leukaemia of unspecified cell           F     Registrations        .      .         1          .         .          .         .        .         1          .         .         .
type (C95)                                    Deaths               .      .         1          .         .          .         .        1         .          .         .         1
                                        M     Registrations        .      .          .         .         .          .         .        1         1          2         1         2
Other and unspecified                         Deaths               .      .          .         .         .          .         .        .         .          .         .         .
malignant neoplasms of                  F     Registrations        .      .          .         .         .          .         .        1         1          .         .         1
lymphoid, haematopoietic and                  Deaths               .      .          .         .         .          .         .        .         .          .         .         .
related tissue (C96)




1   Data extracted 3 December 1999. Cancer registration is a dynamic process. The database is amended and updated on an ongoing basis, making use of additional data received later.
    The data presented in this table may differ from other published data relating to the same time period.
2   'Death Certificate Only' registrations have been included in these figures.
3   '0.0' = < 0.05; '.' = no events.
4   Registration diagnoses have been converted from ICD-9 codes and ICD-O morphology codes to ICD-10. Causes of death have been converted from ICD-9 codes to ICD-10. The ICD-10
    code C97 - malignant neoplasm of independent (primary) multiple sites - is not used by the cancer registry since each independent primary malignant neoplasm is recorded separately.




92
                                                                                                                                     Morbidity and Mortality
                                                                                                                                                      CANCER

                                                                                          Cancer incidence and mortality                                                C 9.7
                                                                                                                                                                1,2,3
                                               by site / type of cancer, sex, and age; year of diagnosis / registration of death : 1996                                 continued

numbers of registrations and deaths together with crude and age-standardised incidence and mortality rates per 100,000
                                             person-years at risk (rates standardised to the World standard population)


                                                                                                                       9
60-64       65-69       70-74        75-79         80-84         85                All           Crude      WASR                            Sex    Cancer site / type (ICD-10) 4
                                                             & over              ages              rate
    14          23          24           29           17           11              145               5.8         3.6        Registrations   M          Multiple myeloma and
     6          13          23           28           13            7               98               3.9         2.2        Deaths                     malignant plasma cell
    18          19          24           25           13           16              134               5.1         2.5        Registrations   F          neoplasms (C90)
     7          16          18           23           12           14              101               3.8         1.7        Deaths

    16          17          22           17           16            8              151               6.1         4.8        Registrations   M
     9          12           6            7            7            6               61               2.5         1.7        Deaths                     Lymphoid leukaemia (C91)
     8           7          17           13           10           17              103               3.9         2.4        Registrations   F
     3           4           4            4            8            9               47               1.8         1.1        Deaths

    11          20          21           16           13            7              144               5.8         4.0        Registrations   M
     8          12          11           13           12            5               81               3.3         2.1        Deaths                     Myeloid leukaemia (C92)
    11          19          17           16           17           20              128               4.8         2.5        Registrations   F
     7           7          16           15           16           16              102               3.9         1.9        Deaths

     .            .           .           1             .            .                1              0.0         0.0        Registrations   M
     .            .           .           .             .            .                1              0.0         0.0        Deaths                     Monocytic leukaemia (C93)
     .            .           .           .             .           1                 2              0.1         0.0        Registrations   F
     .            .           .           .             .            .                .                .           .        Deaths

     .            .           .            .            .            .                .                .           .        Registrations   M
     .            .           .            .            .            .                .                .           .        Deaths                     Other leukaemias of specified
     .            .           .            .            .            .                .                .           .        Registrations   F          cell type (C94)
     .            .           .            .            .           1                 1              0.0         0.0        Deaths

     .           1            2           5            2            4               16               0.6         0.4        Registrations   M
     .           1            4           1             .           4               11               0.4         0.3        Deaths                     Leukaemia of unspecified cell
     1           5            1           4            3            4               20               0.8         0.4        Registrations   F          type (C95)
     1           1            1           4            3            6               19               0.7         0.3        Deaths

     4           2            2           4            1            2               22               0.9         0.6        Registrations   M          Other and unspecified
     .           .            .           .             .            .               .                 .           .        Deaths                     malignant neoplasms of
     1           3            1           2            2            2               14               0.5         0.3        Registrations   F          lymphoid, haematopoietic and
     .           .            1           .             .            .               1               0.0         0.0        Deaths                     related tissue (C96)




5   Only the first basal cell carcinoma occurring in an individual is registered.
6   Deaths are not available separately for basal cell carcinoma and squamous cell carcinoma of skin.
7   Based on their allocated ICD-9 codes, deaths attributed to mesothelioma and Kaposi's sarcoma cannot be identified separately.
8   In accordance with rules for classification in the ninth revision of the International Classification of Diseases (ICD-9), the codes 196, 197 and 198
    (corresponding to ICD-10 codes C77, C78 and C79) are not used by the General Register Office for Scotland to code the underlying cause of death.
9   WASR - rates directly standardised to the World standard population.

Sources :     Registrations - ISD Scotland (Scottish Cancer Registry) : Deaths and estimated populations (for rates) - General Register Office for Scotland.




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