Malaysia Cancer Statistics 2006

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

National Cancer Registry

Ministry of Health Malaysia

@ National Cancer Registry, Malaysia ISBN 978978-983983-34333433-5151-3

Published by: National Cancer Registry, Ministry of Health Malaysia

Editors : Dr. Zainal Ariffin Omar, MD, MPH, MSc(Epid) Dr. Zainudin Mohd. Ali, MD, MPH, MPH(Epid) Dr. Nor Saleha Ibrahim Tamin, MD, MPH(Occ. Health) This report is copyright. However it may be reproduced freely without NCR permission. Acknowledgement would be appreciated.

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

CONTENTS

Page ACKNOWLEDGEMENTS

iii

PARTICIPATING CENTRES

iv

LIST OF TABLES

x

LIST OF FIGURES

xix

1.

INTRODUCTION

1

2.

BACKGROUND

1

2.1 2.2 2.3.

1 2 4

Geography Population Health Status

3.

METHODS

5

4.

REPORT SUMMARY 4.1 Overall Cancer Incidence And Burden 4.2 Variation In Cancer Incidence By Sex ,Age And Ethnicity 4.3 Selected Cancer Sites 4.3.1. Female Breast Cancer 4.3.2. Colorectal Cancer 4.3.3. Lung Cancer 4.3.4. Cervical Cancer 4.3.5. Nasopharyngeal Cancer 4.3.6. Liver Cancer 4.3.7. Prostate Cancer

8 8 8 8 9 9 9 9 9 10 10

5

CANCER INCIDENCE IN PENINSULAR MALAYSIA 2006 5.1 Overall cancer incidence 5.2 Cancer incidence by site 5.2.1. Sex differences in cancer incidence by site 5.2.2. Ethnic variation in cancer incidence by site 5.2.3. Age variation in cancer incidence by site

11 11 13 13 21 35

6

SELECTED CANCER SITES 6.1 Tongue 6.2 Salivary Gland 6.3 Mouth 6.4 Nasopharynx 6.5 Oesophagus 6.6 Stomach 6.7 Colorectal 6.8 Liver 6.9 Gallbladder 6.10 Pancreas 6.11 Nose And Sinuses

46 46 48 50 52 54 56 58 60 62 64 66

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MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

6.12 6.13 6.14 6.15 6.16 6.17 6.18 6.19 6.20 6.21 6.22 6.23 6.24 6.25 6.26 6.27

Larynx Lung Bone Other Skin Melanoma Female Breast Cervix Uteri Corpus Uteri Ovary Prostate Bladder Kidney And Other Urinary Organs Brain And Other Nervous System Thyroid Lymphoma Leukaemia

68 70 72 74 76 78 80 82 84 86 88 90 92 94 96 98

APPENDICES

100

Appendix 1

New cases of cancer and percentage of total number of cases, by site, age and sex, Peninsular Malaysia 2006

100

Appendix 2

Age Specific Cancer Incidence per 100,000 population, Age standardized incidence and Cumulative risk, by site, age and sex, Peninsular Malaysia 2006

106

Appendix 3

The world standard population

112

ii

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

ACKNOWLEDGEMENTS

The National Cancer Registry under the Public Health Department , Ministry of Health Malaysia, for this NCR 2006 report would like to extend its appreciation to all individuals, organizations that had directly and indirectly made the contribution, that made this NCR 2006 report possible. We would like to thank especially the following: 1. 2. 3. 4. 5. 6. 7. 8. 9.

10. 11. 12.

The Honourable Minister of Health Malaysia, Y.B. Dato’ Chua Soi Lek. Director General of Health Malaysia, Tan Sri Dato’ Seri Dr. Hj Mohd Ismail Bin Merican Deputy Director General of Health Malaysia (Public Health) Dato’ Dr. Hj Ramlee bin Rahmat. Deputy Director General of Health Malaysia (Medical) Dato’ Dr Noorimi bt Morad. Director of Disease Control Division, Ministry of Health Malaysia, Dato’ Dr. Hasan bin Abdul Rahman. Deputy Director of the Information and Documentation System (IDS) Unit of MOH, and all medical record departments from all participating hospitals. State Directors, State Epidemiologists and their staff from all the states involved for their continuous commitment and support. Head of Department, Oncology Department, HKL, Dr.Gerard Lim Chin Chye for his continuous support. Oncologists, pathologists, other discipline specialists, palliative care professionals, and all other members of the medical profession from various government, universities, non-governmental and private centres, upon whose commitment, hard work, and timely data submission, this report ultimately depended on. Director of National Registration Department and NRD staff for their assistance and support. MAKNA (National Cancer Council) Malaysia and their committed staff for their continuous support. All other individuals and organizations, those who are not mention here, whom we deeply appreciate and humbly we would like to thank them, for without their continuous support and contributions, this report may not possible to be published.

iii

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

STAFF OF THE NATIONAL CANCER REGISTRY (2006) Cancer Registry Manager Data Coordinator Clinical Registry Associate Clinical Registry Associate Clinical Registry Associate

Ms. Tom Asiah Mohd Ali Ms. Yogespriya Sheeraman Ms. Nurul Huda Abdullah Ms. Nora Mohd Jelas Ms. Sharmila Saari

iv

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

NATIONAL CANCER REGISTRY PARTICIPATING CENTRES 2006 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44.

Arunamari Specialist Medical Centre, Klang Advanced Medical And Dental Institute, Universiti Sains Malaysia AusHealth Gleneagles Oncology Centre, Kuala Lumpur Bala Sugical Specialist Centre, Petaling Jaya Ballan Surgical Specialist Centre, Johor Specialist Hospital BP Clinical Lab Sdn.Bhd., Kuala Lumpur BP Clinical Lab Sdn.Bhd. Penang Breast & Endocrine Surgery Department, Hospital Putrajaya Breast Clinic, Surgery Department, Hospital Melaka Breast Surgery Department, Hospital Kuala Lumpur Breast Surgery Department, Universiti Malaya Medical Centre Buddhist Tzu Chi Palliative Home Penang Cancer Research Centre, Stomatology Unit, Institute for Medical Research Cancer Treatment Centre, National Cancer Society of Malaysia Cancerlink Faoundation, Kuala Lumpur Cancerlink Foundation, Penang Cancerlink Society of Malaysia, Kuantan Branch Chest Clinic, Hospital Ipoh Chest Clinic, Hospital Melaka Clinipath Malaysia Sdn.Bhd. Kuala Lumpur Dermatology , Hospital Kuala Lumpur Diagnostic Imaging Deparment, Hospital Melaka Diagnostic Imaging Department, Hospital Melaka Chang Surgical Clinic, Gleneagles Intan Medical Centre Kuala Lumpur Ng Surgical Clinic, Gleneagles Intan Medical Centre Kuala Lumpur Ear Nose Throat Head & Neck Surgery Clinic, Taiping Medical Centre Endoscopy Clinic, Lam Wah Ee Hospital, Pulau Pinang ENT, Head & Neck Surgery Clinic, Public Specialist Centre, Pulau Pinang ENT, Head & Neck Surgery Clinic, Hospital Serdang ENT, Head & Neck Surgery Clinic, Hospital Ipoh Gastro Centre, Ipoh Gastroenterology Clinic, Pantai Ayer Keroh Hospital Gastroenterology Unit, Hospital Sultanah Aminah, Johor Bahru Gastroenterology Unit, Hospital Tuanku Jaafar, Seremban Gastroenterology Unit, Medical Department. Hospital Kuala Lumpur Gastrointestinal Endoscopy Unit, Universiti Malaya Medical Centre General Surgery Department , Hospital Queen Elizabeth , Kota Kinabalu General Surgery Department , Hospital Sultan Ismail Johor Bahru General Surgery Clinic, Taiping Medical Centre General Surgery Clinic, Johor Specialist Hospital General Surgery Department, Kuantan Specialist Hospital Sdn.Bhd. General Surgery Clinic, Pantai Cheras Medical Centre, Kuala Lumpur General Surgery Clinic, Pantai Medical Centre, Kuala Lumpur General Surgery Clinic, Penang Adventist Hospital

v

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86.

General Surgery Department, Hospital Sultanah Nur Zahirah, Kuala Terengganu General Surgery Department, Hospital Melaka General Surgery Department, Hospital Pakar Sultanah Fatimah, Muar General Surgery Department, Hospital Pulau Pinang General Surgery Department, Hospital Tuanku Jaafar, Seremban General Surgery Department, Hospital Sultanah Aminah, Johor Bahru General Surgery Department, Hospital Sultan Abdul Halim, Sungai Petani General Surgery Department, Hospital Tengku Ampuan Afzan, Kuantan Gribbles Pathology (M) Sdn.Bhd. Ipoh Gribbles Pathology (M) Sdn.Bhd. Melaka Gribbles Pathology (M) Sdn.Bhd. Pulau Pinang Gribbles Pathology (M) Sdn.Bhd. Petaling Jaya Gynae-Oncology Clinic, O & G Department, Hospital Alor Setar Haematology Clinic, Medical Department , Hospital Melaka Haematology Clinic, Medical Department , Hospital Pulau Pinang Haematology Clinic, Medical Department , Hospital Queen Elizabeth, Kota Kinabalu Haematology Department, Hospital Ampang Puteri Specialist Haematology Department, Hospital Ampang Haematology Department, Hospital Kuala Lumpur Haematology Department, Hospital Universiti Kebangsaan Malaysia Haematology Unit, Gribbles Pathology (M) Sdn.Bhd. Petaling Jaya Haematology Unit, Hospital Ipoh Haematology Unit, Mahkota Medical Centre, Melaka Haematology Unit, Medical Department, Hospital Sultanah Aminah, Johor Bahru Haematology Unit, Pathology Department, Hospital Universiti Sains Malaysia Haematolo-Oncology Centre, Gleneagles Medical Centre, Penang Haematology Department, Pulau Pinang Hepatobiliary Surgery Department, Hospital Selayang Hospis Association, Sandakan Hospis Association, Tawau Hospis, Malacca Hospis Malaysia, Kuala Lumpur Hospis, Klang Institute of Respiratory Medicine, Kuala Lumpur IPR, Hospital Ipoh Jabatan Pengimejan Diagnostik, Hospital Kuala Lumpur Jabatan Kesihatan Negeri Sabah Jabatan Pengimejan Diagnostik, Hospital Putrajaya Jabatan Pengimejan Diagnostik, Hospital Tengku Ampuan Afzan, Kuantan LabLink (M) Sdn.Bhd. Ipoh Lab H.K. Terengganu LabLink (M) Sdn.Bhd. Kuala Lumpur

vi

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

87. 88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100. 101. 102. 103. 104. 105. 106. 107. 108. 109. 110. 111. 112. 113. 114. 115. 116. 117. 118. 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. 129.

Lum Specialist Surgical Clinic, Kajang Mahendra Mano Specialist Surgical Clinic Sdn.Bhd. Ipoh MD Clinic and Specialist Laboratory, Kuching Medical Record Department, Island Hospital Pulau Pinang Medical Record Department, Penang Adventist Hospital Neurosurgery Clinic, Lam Wah Ee Hospital, Pulau Pinang Neurosurgery Clinic, Pantai Medical Centre, Kuala Lumpur Neurosurgery, UiTM Neurosurgery Department, Hospital Kuala Lumpur Neurosurgery Department, Hospital Umum Sarawak Neurosurgery Department, Hospital Pulau Pinang NCI Cancer Hospital, Nilai Nuclear Medicine Radiotheraphy & Oncology Department, Hospital Universiti Sains Malaysia Obstetrics & Gynaecology Department, Hospital Tuanku Jaafar, Seremban Obstetrics & Gynaecology Department, Hospital Kuala Lumpur Obstetrics & Gynaecology Department, Hospital Ipoh Obstetrics & Gynaecology Department, Hospital Sultan Ismail Obstetrics & Gynaecology Department, Hospital Kuala Pilah Oral Pathology, Oral Medicine and Periodontology Department, Universiti Malaya Otorhinolaryngology Department, Hospital Serdang Otorhinolaryngology-Head & Neck Surgery, Seremban Specialist Hospital Otorhinolaryngology Department, Hospital Kuala Lumpur Orthophedic, Hospital Kuala Lumpur Orthopedic Hospital Ipoh Orthopedic Hospital Tengku Abdul Rahman Ophthalmology Hospital Kuala Lumpur Paediatric Oncology Department, Hospital Kuala Lumpur Paediatric Oncology Department, Hospital Universiti Sains Malaysia Paediatric Oncology Department, Universiti Malaya Medical Centre Paediatric Oncology Unit, Hospital Umum Sarawak Paediatric Oncology Department Department Hospital Universiti Kebangsaan Malaysia Paediatric Oncology Unit, Hospital Pulau Pinang Paediatric Oncology Unit Hospital Kuala Lumpur Palliative Care Association, Kota Kinabalu Palliative Care Clinic, Hospital Seri Manjung Palliative Care Unit, Hospital Batu Pahat Palliative Care Unit, Hospital Bentong Palliative Care Unit, Hospital Bukit Murtajam Palliative Care Unit, Hospital Jitra Palliative Care Unit, Hospital Kota Belud Palliative Care Unit, Hospital Sultanah Nur Zahirah, Kuala Terengganu Palliative Care Unit, Hospital Kudat Palliative Care Unit, Hospital Pantai Putri, Ipoh

vii

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

130. 131. 132. 133. 134. 135. 136. 137. 138. 139. 140. 141. 142. 143. 144. 145. 146. 147. 148. 149. 150. 151. 152. 153. 154. 155. 156. 157. 158. 159. 160. 161. 162. 163. 164. 165. 166. 167. 168. 169. 170. 171. 172. 173. 174.

Palliative Care Unit, Hospital Pulau Pinang Palliative Care Unit, Hospital Queen Elizabeth , Kota Kinabalu Palliative Care Unit, Hospital Tuanku Jaafar Palliative Care Unit, Hospital Sipitang Palliative Care Unit, Hospital Tawau Palliative Care Unit, Hospital Tengku Ampuan Afzan, Kuantan Palliative Care Unit, Metro Specialist Hospital, Sungai Petani Pantai Premier Pathology Sdn.Bhd. Kuala Lumpur Pathology & Clinical Laboratory (M) Sdn.Bhd. Johor Bahru Pathology & Clinical Laboratory (M) Sdn.Bhd. Petaling Jaya Pathology UMMC Pathology Department, 94 Hospital Angkatan Tentera Kem Terendak, Melaka Pathology Department, 96 Hospital Angkatan Tentera Kem Lumut Pathology Department, Assunta Hospital Petaling Jaya Pathology Department, Gleneagles Intan Medical Centre, Kuala Lumpur Pathology Department, Hospital Alor Setar Pathology Department, Hospital Batu Pahat Pathology HPSF Muar Pathology Department, Hospital Ipoh Pathology Department, Hospital Kajang Pathology Department, Hospital Kangar Pathology Department, Hospital Raja Perempuan Zainab II Kota Bharu Pathology Department, Hospital Kuala Lumpur Pathology Department, Hospital Tuanku Ampuan Najihah, Kuala Pilah Pathology Department, Hospital Sultanah Nur Zahirah, Kuala Terengganu Pathology Department, Hospital Melaka Pathology Department, Hospital Pakar Sultanah Fatimah, Muar Pathology Department, Hospital Pulau Pinang Pathology Department, Hospital Putrajaya Pathology Department, Hospital Queen Elizabeth, Kota Kinabalu Pathology Department, Hospital Selayang Pathology Department, Hospital Serdang Pathology Department, Hospital Tuanku Jaafar, Seremban Pathology Department, Hospital Tuanku Ampuan Najihah, Kuala Pilah Pathology Department, Hospital Sultanah Aminah, Johor Bahru Pathology Department, Hospital Sultan Abdul Halim, Sungai Petani Pathology Department, Hospital Taiping Pathology Department, Hospital Teluk Intan Pathology Department, Hospital Tengku Ampuan Afzan , Kuantan (HTAA) Pathology Department, Hospital Tengku Ampuan Rahimah, Klang Pathology Department, Hospital Umum Sarawak Pathology Department, Hospital Universiti Kebangsaan Malaysia Pathology Department, Hospital Kota Bharu Pathology Department, Lam Wah Ee Hospital, Pulau Pinang Pathology Department, Hospital Pulau Pinang

viii

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

175. 176. 177. 178. 179. 180. 181. 182. 183. 184. 185. 186. 187. 188. 189. 190. 191. 192. 193. 194. 195. 196. 197. 198. 199. 200. 201. 202. 203. 204. 205. 206. 207. 208. 209. 210. 211. 212. 213. 214.

Pathology Department, Hospital Sungai Buloh Pathology Department, Hospital Seberang Jaya Pathology Department, Sri Kota Medical Centre, Klang Pathology Department,University Malaya Medical Centre Pathology Department, Hospital Universiti Sains Malaysia Patient Administration Department, Subang Jaya Medical Centre Perak Palliative Care Society Plastic, Recostructive and Burn Surgery Unit, Hospital Universiti Sains Malaysia Pusat Darah Negara, Kuala Lumpur UMMC Radiology Radiology Department, Megah Medical Specialist Group Sdn.Bhd., Petaling Jaya Radiotherapy & Oncology Department, Damansara Specialist Hospital Radiotherapy & Oncology Department, Hospital Kuala Lumpur Radiotherapy & Oncology Department, Hospital Pulau Pinang Radiotherapy & Oncology Department, Hospital Umum Sarawak Radiotherapy & Oncology Department, Hospital Universiti Kebangsaan Malaysia Radiotherapy & Oncology Department, Ipoh Specialist Hospital Radiotherapy & Oncology Department, Johor Specialist Hospital Radiotherapy & Oncology Department, Mahkota Medical Centre, Melaka Radiotherapy & Oncology Department, Mount Miriam Hospital, Pulau Pinang Radiotherapy & Oncology Department, Pantai Ayer Keroh Hospital Radiotherapy & Oncology Department, Pantai Medical Centre, Kuala Lumpur Radiotherapy & Oncology Department, Pantai Mutiara Hospital, Pulau Pinang Radiotherapy & Oncology Department, Sabah Medical Centre Radiotherapy & Oncology Department, Sri Kota Medical Centre, Klang Radiotherapy & Oncology Department, Sunway Medical Centre Clinical Oncology Unit, University Malaya Medical Centre Respiratory Clinic, Hospital Pulau Pinang Respiratory Medicine Department, Hospital Alor Setar Rotary Hospis Programme, Johor Bahru Shan Surgical Specialist, Puteri Specialist Hospital Johor Bahru Surgery Department, Hospital Alor Setar Surgery Department, Hospital Kangar Surgery Department, Hospital Selayang Surgery Department, Hospital Putrajaya, UMMC Surgical Clinic, Tung Shun Hospital Kuala Lumpur IMU, Surgery Department The Breast Centre, Gleneagles Intan Medical Centre, ,Kuala Lumpur Thomas Klinik Pakar Surgery, Tawau TMC, General Surgery Hospital Pulau Pinang

ix

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

215. 216. 217. 218. 219. 220.

MMC Urology Urology Department , Hospital Kuala Lumpur Urology Department, H SAJB, Hospital Sultanah Aminah, Johor Bahru V.S. Loo Surgical Clinic Sdn.Bhd. Ipoh Y.L. Yeap Surgery Sdn.Bhd., Hospital Fatimah Ipoh Y.L. Cheong Surgical Specialist Clinic, Ipoh.

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MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

LIST OF TABLES

Title

Page

Table 1

Ethnicity and sex status for Malaysia, 2006

3

Table 2

Proportion of citizens and non-citizens in Malaysia, 2006

3

Table 3

Age, sex and ethnic distribution of the population of Peninsular Malaysia 2006

4

Table 4

10 Principle Cause of Deaths in Ministry of Health, Malaysia (MOH) Hospitals, 2006

4

Table 5

Cancer Incidence per 100,000 population (CR) and Agestandardized incidence (ASR), by sex, Peninsular Malaysia 2006

11

Table 6

Cancer Incidence per 100,000 population (CR) by age and sex, Peninsular Malaysia 2006

11

Table 7

Cancer Incidence per 100,000 population (CR) and Agestandardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

11

Table 8

Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

11

Table 9

Cancer Incidence per 100,000 population (CR) and Agestandardized incidence (ASR), by site and sex, Peninsular Malaysia 2006

13

Table 10

Cancer Incidence per 100,000 population (CR) and Agestandardized incidence (ASR), by site, ethnicity and sex, Peninsular Malaysia 2006 : Malay

21

Table 11

Cancer Incidence per 100,000 population (CR) and Agestandardized incidence (ASR), by site, ethnicity and sex, Peninsular Malaysia 2006 : Chinese

25

Table 12

Cancer Incidence per 100,000 population (CR) and Agestandardized incidence (ASR), by site, ethnicity and sex, Peninsular Malaysia 2006 : Indian

29

Table 13

Cancer Incidence per 100,000 population (CR) and Agestandardized incidence (ASR), by site, age and sex, Peninsular Malaysia 2006

35

Table 14

Tongue Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

46

xi

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

Title

Page

Table 15

Tongue Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

46

Table 16

Tongue Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

47

Table 17

Tongue Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

47

Table 18

Salivary Gland Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

48

Table 19

Salivary Gland Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

48

Table 20

Salivary Gland Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

49

Table 21

Salivary Gland Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

49

Table 22

Mouth Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

50

Table 23

Mouth Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

50

Table 24

Mouth Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

51

Table 25

Mouth Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

51

Table 26

Nasopharynx Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

52

Table 27

Nasopharynx Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

52

Table 28

Nasopharynx Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

53

xii

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

Title Nasopharynx Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

Page 53

Table 30

Oesophagus Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

54

Table 31

Oesophagus Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

54

Table 32

Oesophagus Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

55

Table 33

Oesophagus Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

55

Table 34

Stomach Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

56

Table 35

Stomach Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

56

Table 36

Stomach Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

57

Table 37

Stomach Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

57

Table 38

Colorectal Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

58

Table 39

Colorectal Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

58

Table 40

Colorectal Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

59

Table 41

Colorectal Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

59

Table 42

Liver Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

60

Table 43

Liver

60

Table 29

Age

specific

Cancer

Incidence

per

100,000

xiii

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

Title population (CR) by sex, Peninsular Malaysia 2006 Table 44

Page

Liver Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Liver Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

61

Table 46

Gallbladder Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

62

Table 47

Gallbladder Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

62

Table 48

Gallbladder Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

63

Table 49

Gallbladder Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

63

Table 50

Pancreas Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

64

Table 51

Pancreas Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

64

Table 52

Pancreas Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

65

Table 53

Pancreas Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

65

Table 54

Nose and Sinuses Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

66

Table 55

Nose and Sinuses Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

Table .45

61

66

Table 56

Nose and Sinuses Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

67

Table 57

Nose and Sinuses Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular

67

xiv

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

Title

Page

Table 58

Larynx Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

68

Table 59

Larynx Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

68

Table 60

Larynx Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

69

Table 61

Larynx Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

69

Table 62

Lung Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

70

Table 63

Lung Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

70

Table 64

Lung Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

71

Table 65

Lung Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

71

Table 66

Bone Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

72

Table 67

Bone Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

72

Table 68

Bone Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

73

Table 69

Bone Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

73

Table 70

Other Skin Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

74

Table 71

Skin

74

Malaysia 2006

Age

specific

Cancer

Incidence

per

100,000

xv

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

Title population (CR) by sex, Peninsular Malaysia 2006

Page

Table 72

Other Skin Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

75

Table 73

Other Skin Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

75

Table 74

Melanoma Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

76

Table 75

Melanoma Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

76

Table 76

Melanoma Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

77

Table 77

Melanoma Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

77

Table 78

Female Breast Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

78

Table 79

Female Breast Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

78

Table 80

Female Breast Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

79

Table 81

Female Breast Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

79

Table 82

Cervix Uteri Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

80

Table 83

Cervix Uteri Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

80

Table 84

Cervix Uteri Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

81

Table 85

Cervix Uteri Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

81

xvi

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

Title

Page

Table 86

Corpus Uteri Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

82

Table 87

Corpus Uteri Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

82

Table 88

Corpus Uteri Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Corpus Uteri Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

83

Table 90

Ovary Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

84

Table 91

Ovary Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

84

Table 92

Ovary Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

85

Table 93

Ovary Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

85

Table 94

Prostate Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

86

Table 95

Prostate Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

86

Table 96

Prostate Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

87

Table 97

Prostate Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

87

Table 98

Bladder Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

88

Table 99

Bladder Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

88

Table 100

Bladder Cancer Incidence per 100,000 population (CR)

89

Table 89

83

xvii

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

Title and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

Page

Table 101

Bladder Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

89

Table 102

Kidney and Other Urinary Organs Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

90

Table 103

Kidney and Other Urinary Organs Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Kidney and Other Urinary Organs Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

90

Table 105

Kidney and Other Urinary Organs Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

91

Table 106

Brain and Other Nervous System Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

92

Table 107

Brain and Other Nervous System Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

92

Table 108

Brain and Other Nervous System Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

93

Table 109

Brain and Other Nervous System Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

93

Table 110

Thyroid Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Thyroid Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

94

Table 112

Thyroid Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

95

Table 113

Thyroid Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

95

Table 104

Table 111

91

94

xviii

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

Title

Page

Table 114

Lymphoma Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

96

Table 115

Lymphoma Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Lymphoma Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

96

Table 117

Lymphoma Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

97

Table 118

Leukaemia Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006

98

Table 119

Leukaemia Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006

98

Table 120

Leukaemia Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006

99

Table 121

Leukaemia Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006

99

Table 116

97

xix

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

LIST OF FIGURES

Title

Page

Figure 1

Map of Malaysia

1

Figure 2

Population Pyramids, Malaysia Population, 2006

2

Figure 3

Ethnicity in Peninsular Malaysia 2006

3

Figure 4

Ten most frequent cancers, Peninsular Malaysia 2006

12

Figure 5

Ten most frequent cancers in males, Peninsular Malaysia 2006

12

Figure 6

12 Ten most frequent cancers in females, Peninsular Malaysia 2006

Figure 7

Ten most frequent cancers in males by ethnic groups, Peninsular Malaysia 2006 : Malay

17

Figure 8

Ten most frequent cancers in males by ethnic groups, Peninsular Malaysia 2006 : Chinese

17

Figure 9

Ten most frequent cancers in males by ethnic groups, Peninsular Malaysia 2006 : Indian

18

Figure 10

Ten most frequent cancers in females by ethnic groups, Peninsular Malaysia 2006 : Malay

19

Figure 11

Ten most frequent cancers in females by ethnic groups, Peninsular Malaysia 2006 : Chinese

19

Figure 12

Ten most frequent cancers in females by ethnic groups, Peninsular Malaysia 2006 : Indian

20

Figure 13

Ten most frequent cancers in males by age groups, Peninsular Malaysia 2006 : Age 0 – 14 years old

33

Figure 14

Ten most frequent cancers in males by age groups, Peninsular Malaysia 2006 : Age 14 - 49 years old

33

Figure 15

Ten most frequent cancers in males by age groups, Peninsular Malaysia 2006 : Age 50 - 69 years old

34

Figure 16

Ten most frequent cancers in males by age groups, Peninsular Malaysia 2006 : Age 70 + years old

34

Figure 17

Tongue Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

46

xx

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

Title

Page

Figure 18

Salivary Gland Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

48

Figure 19

Mouth Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

50

Figure 20

Nasopharynx Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

52

Figure 21

Oesophagus Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

54

Figure 22

Stomach Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

56

Figure 23

Colorectal Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

58

Figure 24

Liver Age specific Cancer Incidence per population by sex, Peninsular Malaysia 2006

100,000

60

Figure 25

Gallbladder Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

62

Figure 26

Pancreas Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

64

Figure 27

Nose and Sinuses Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

66

Figure 28

Larynx Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

68

Figure 29

Lung Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

70

Figure 30

Bone Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

72

Figure 31

Other Skin Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

74

Figure 32

Melanoma Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

76

Figure 33

Female Breast Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

78

xxi

MALAYSIAN CANCER STATISTICS – DATA AND FIFURE PENINSULAR MALAYSIA 2006

Title

Page

Figure 34

Cervix Uteri Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

80

Figure 35

Corpus Uteri Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

82

Figure 36

Ovary Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

84

Figure 37

Prostate Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

86

Figure 38

Bladder Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

88

Figure 39

Kidney and Other Urinary Organs Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

90

Figure 40

Brain and Other Nervous System Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

92

Figure 41

Thyroid Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

94

Figure 42

Lymphoma Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

96

Figure 43

Leukaemia Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006

98

xxii

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

1. INTRODUCTION The data from this report will provide an epidemiological profile of cancer, cancer burden, and high risk group of specific Cancer in Malaysia which is an important in the Cancer Control Programme.

2. BACKGROUND 2.1. Geography Malaysia covers and area of about 329,961 square kilometers, consisting of Peninsular Malaysia and East Malaysia (Sabah and Sarawak). It is separated by the South East China Sea and has its frontier with Thailand, Singapore, Indonesia and Brunei. Peninsular Malaysia covers the area of 35,965 square kilometers and consists of the following states: Negeri Selangor Darul Ehsan, Negeri Perak Darul Ridzuan, Negeri Kedah Darul Aman, Negeri Kelantan Darul Naim, Negeri Perlis, Pulau Pinang, Negeri Terengganu Darul Iman, Negeri Pahang Darul Makmur, Negeri Johor Darul Takzim, Melaka, Negeri Sembilan Darul Khusus and Federal Teritory (Kuala Lumpur and Putrajaya) which is the Capital of Malaysia. Figure 1:

Map of Malaysia

1

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

2.2.

Population

The cencus population of Peninsular Malaysia in 2006 was 24,8 millions. There were 50.6 % male and 49.4% female and the major enthic contribution was 54.3% Malay, followed by Chinese 25.1%, Indian 7.5% and others 13.1% (Department of Statistic Malaysia).

Figure 2: Population Pyramids, Malaysia Population, 2006

-128,800

75

163,500

-125,100 70-74

-189,700

-267,900

-366,900

-492,000

-566,000

-616,500

65-69

203,500

259,200

60-64

55-59

345,400

483,800

50-54

45-49

566,200

631,500

40-44

-661,500

35-39

-685,600

693,500

25-29

-933,500

779,700

20-24

-1,015,400

910,100

15-19

-1,061,100

971,100

10-14

-1,115,600

994,900

5-9

-988,100

-1,000,000

1,051,300

0-4

-500,000

Female Male

676,700

30-34

-783,800

-1,500,000

146,300

938,400

0

500,000

1,000,000

1,500,000

2

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 1: Ethnicity and sex status for Malaysia, 2006 Year Number

%

Ethnicity Malays

13,475.1

54.3

Chinese Indian

6,219.6 1,858.5

25.1 7.5

3,250.3 24,803.5

13.1 100.0

12,540.4

50.6

12,263.1 24,803.5

49.4 100.0

Others Total Sex Male Female Total Source: Department of Statistics, Malaysia

Figure 3 : Ethnicity in Peninsular Malaysia 2006

Table 2: Proportion of citizens and non-citizens in Malaysia, 2006 Citizenship Malaysian citizen Non-citizen Total

Year Number 24,803.5

% 93.1

1,836.3

6.9

26,640.2

100.0

Source: Department of Statistics, Malaysia

3

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 3 : Age, sex and ethnic distribution of the population of Peninsular Malaysia 2006 Age group,

Malay

Chinese

Indian

All groups

Male

Female

Male

Female

Male

Female

Male

Female

0-4

670,800

637,400

201,600

188,800

81,400

79,000

988,100

938,400

5-9

747,000

705,300

244,000

226,500

93,200

90,000

1,115,600

1,051,300

10-14

720,600

678,400

228,600

208,200

86,900

83,600

1,061,100

994,900

15-19

678,900

653,100

227,600

212,200

87,500

83,500

1,015,400

971,100

20-24

609,000

598,600

221,200

209,700

83,800

81,200

933,500

910,100

25-29

474,800

481,000

208,600

200,100

75,700

77,100

783,800

779,700

30-34

390,700

405,800

200,000

194,100

70,100

73,200

685,600

693,500

35-39

378,000

393,300

199,900

196,900

67,700

70,300

661,500

676,700

40-44

349,000

362,000

193,600

191,200

63,200

65,600

616,500

631,500

45-49

313,200

317,100

185,300

179,300

58,300

60,700

566,000

566,200

50-54

266,500

265,600

168,100

159,800

49,900

51,900

492,000

483,800

55-59

193,300

190,400

135,200

124,800

33,400

34,500

366,900

354,400

60-64

136,500

135,800

105,600

97,100

22,400

23,100

267,900

259,200

65-69

95,900

106,300

76,400

76,700

15,000

18,100

189,700

203,500

70-74

63,400

76,500

51,100

55,500

8,900

12,600

125,100

146,300

75+

71,500

87,200

46,100

62,300

9,200

11,600

128,800

163,500

6,159,100

6,093,800

2,692,900

2,583,200

906,600

916,000

9,997,500

9,824,100

years

TOTAL

2.3.

Health Status

Table 4 : 10 Principle Cause of Deaths in Ministry of Health, Malaysia (MOH) Hospitals, 2006 Diseases 1. 2. 3. 4. 5. 6. 7. 8.

Septicaemia Heart Diseases & Diseases of Pulmonary Circulation Malignant Neoplasms Cerebrovascular Diseases Pneumonia Accidents Diseases of the Digestive System Certain Conditions Originating in The Perinatal Period

9. 10.

Nephritis, Nephrotic Syndrrome & Nephrosis Ill-define conditions All causes

Percentage (%) 16.87 15.70 10.59 8.49 5.81 5.59 4.47 4.20 3.83 3.03 100.0 4

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

3.0 METHODS The report was prepared based based on the methodology set by The Cancer Registry Unit in CRC which was established to provide the functional capacity to support the operations of the NCR.

3.1.

Objectives of NCR

The objectives of NCR was to ensure: 1. 2. 3. 4. 3.2.

Complete enumeration of all incidence cases of cancer in the population Validity of the data collected on these cases of cancer Correct and reproducible classification and coding Complete follow-up until migration out of the population or death. Data management process

The objectives mentioned above were accomplished by data management process set by the above mentioned NCR . This includes :  Data reporting by Source Data Providers;  Data entry, review and updates  Edit checks  Data standardisation, review and coding  Deduplication;  Databased lock  Analysis  Data query, site monitoring, active case findings (performed in every steps)  Report writing  Printing and dissemination

3.3.

Description of statistical methods

3.3.1. Crude Incidence Rate (CR) The number of new cancer cases (incidence cases) observed in the population during the defined period, divided by the number of population at risk at the same period. It is usually expressed per 100,000.

5

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

The crude incidence rate (CR) is estimated as follows: A CR =

∑ ri i=1_____

x 100000 A ∑ ni i=1

were ri is the number of cases which have occurred in the ith age class and ni the person-years of observation in the ith age class during the same period of times as cases were counted. The population at risk refers to population of Peninsular Malaysia as provided by Department of Statistics based on its projection. The period of interest is one calendar year (year 2006) 3.3.2. Age-standardised incidence (ASR) Crude Rates are not suitable for use in comparisons between different regions or periods hence, ASR is required for meaningful comparison of 2 populations that differ in their age structure. Since the incidence of cancer depends heavily on the age structure of the population, there is a need for age adjustments. Therefore standardisation is necessary when comparing several populations that differ wth respect to age for it is a powerful influence on the risk of cancer. The age-standardised incidence rate is a summary measure of a rate that a population would have if it had a standard structure. It is calculated by summing the products of the age-specific rates applied to the world standard population; the calculated incidence rate is then called the World Standardised Incidence Rate. It is also expressed in 100,000. A ASR =

∑ aiwi i=1_____ A ∑ wi i=1

where ai is the age-specific rate in the ith age class and wi is the weight from the Standard Population in the ith age class. 6

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

3.3.3. The Cumulative Risk (CumR) The Cumulative Risk is the risk that an individual would have of developing the cancer in question during a certain age span if no other causes of death were in operation. This statistic is more readily understandable than age standardized rate as no arbitrary standard population is used. It can be considered as a directly age standardized rate with the same size of population in each age group. The CumR is estimated as follows: The cumulative rate is estimated by the sum of over each year of the age-specific incidence, taken from birth to age 70+ for the 0-70+ rate.

A Cumulative rate =

∑ aiti i=1

where ai is the age-specific incidence rate in the ith age class which is ti years long. The cumulative risk is estimated as follows: Cum. Risk = 100 x [1-exp (cum. Rate/100]

7

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

4. REPORT SUMMARY 4.1.

OVERALL CANCER INCIDENCE AND BURDEN

A total of 21,773 cancer cases were diagnosed among Malaysians in Peninsular Malaysia in the year 2006 and registered in the National Cancer Registry. It comprises of 9,974 males and 11,799 females. The Agestandardised Incidence Rate (ASR) for all cancers in the year 2006 regardless of sex was 131.3 per 100,000. and the five most common cancer among population of Peninsular Malaysia in 2006 were breast, colorectal, lung, cervix and nasopharynx. 4.2. VARIATION IN CANCER INCIDENCE BY SEX ,AGE AND ETHNICITY The ASR among males in Peninsular Malaysia was 128.6 per 100,000 population and among females was 135.7 per 100,000 population. Cancer seems to be predominant among Chinese as compared to Malay and Indian. The ASR for Chinese male was 148.0 per 100,000 and for Chinese female was 151.5 per 100,000 while for Malay males it was 94.5 per 100,000 and Malay female was 96.4 per 100,000. ASR for cancer among Indian was 97.4 per 100,000 males and 134.7 per 100,000 females. Cancer occurred at all ages. The most frequent cancers in children (0-14 years old) was leukaemia,.while in the group of young adults (15-49 years old), the common cancers in men were nasopharynx, colocrectal, lung, brain and leukaemia , and cancers of the breast, cervix, thyroid gland, ovary and colorectal in women. In older age group (50 years old and above), cancers of the colorectal, lung, nasopharynx, prostate and liver were predominant among men, while cancers of the breast, colorectal, cervix, lung and ovary occurred commonly in women. 4.3.

SELECTED CANCER SITES

4.3.1. FEMALE BREAST CANCER In 2006, breast cancer was the most common cancer among female and also the most important cancer among population regardless of sex in Peninsular Malaysia. There were 3525 female breast cancer cases registered in NCR for that year, accounted for 16.5% of all cancer cases registered. The overall ASR was 39.3 per 100,000 population. The age pattern in 2006 showed a peak Age-specific Incidence Rate at the 50-59 age group. The incidence of breast cancer was highest among Chinese where the ASR was 46.4 per 100,000 population followed by Indian and Malay with the ASR of 38.1 per 100,000 population and 30.4 per 100,000 respectively 8

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

4.3.2. COLORECTAL CANCER Colorectal cancer. was the second most common cancer after breast and the first among male and also second among female in Peninsular Malaysia. A total of 2,866 cases were registered with NCR in 2006 and represent 13.2 % of all cases registered. The incidence of colorectal cancer in Peninsular Malaysia increased with age with the overall ASR was 18.4 per 100,000 population. The incidence was slightly higher among males (ASR 21.6 per 100,000) compared to females (ASR 15.4 per 100,000 population). The incidence was highest among Chinese where the ASR was 21.4 per 100,000 population and were lower in Indian and Malay where the ASR was 11.3 per 100,000 and 9.5 per 100,000 respectively. . 4.3.3. LUNG CANCER There were 2,048 2006 cases of lung cancer registered with NCR, comprising 1,445 of males and 603 of females. Lung cancer is the second most common among males and third most common cancer among populations in Peninsular Malaysia. The ASR for both sexes were 13.3 per 100,000 population and it was more than 2 folds higher among males when compared to females. Chinese were found to have higher incidence rate compared to Malay and Indians. 4.3.4. CERVICAL CANCER Cancer of the cervix was the third most common cancer among women.. There were a total of 1,074 cases of 2006 registered with NCR and the overall ASR was 12.2 per 100,000 population. Cervical cancer incidence rate increased with age after 30 years and has its peak at ages 60-69 years. Compared among the major races, Chinese women had the highest incidence for cervical cancer followed by Indian and Malay. 4.3.5. NASOPHARYNGEAL CANCER Nasopharyngeal cancer was the third most common cancer among men. There were a total of 981 of 2006 nasopharyngeal cancer cases registered with NCR and gave the ASR of 8.5 and 2.6 per 100,000 population for males and females respectively. The incidence rate for Nasopharygeal cancer was highest among Chinese males with the ASR of 15.9 per 100,000 population

9

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

4.3.6.

LIVER CANCER

In 2006, liver cancer ranked 6th overall, 5th among males and 9th among females in Peninsular Malaysia. There were a total of 793 2006 cases registered with NCR and comprises of 568 males and 225 females. The Age Standardised Incidence Rate calculated was 4,9 per 100,000 for both sexes and for males and females were 7.2 and 2.7 per 100,000 population respectively.. 4.3.7. PROSTATE CANCER There was a total of 735 cases reported and registered with NCR making it the 4th most common cancer among males. The overall ASR was 11.0 per 100,000 population and raised sharply after the age of 60. It was highest among the Indians (13.7 per 100,000) followed by Chinese (11.5 per 100,000) and Malay (9.2 per 100,000).

10

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

5. CANCER INCIDENCE IN PENINSULAR MALAYSIA 2006 5.1. Overall cancer incidence Table 5 : Cancer Incidence per 100,000 population (CR) incidence (ASR), by sex, Peninsular Malaysia 2006 No. % CR Sex Peninsular Male 9974 45.8 99.8 Female 11799 54.2 120.1 Both sexes 21773 100 109.8

and Age-standardized ASR

CumR

128.6 135.7 131.3

14.3 14.1 14.1

Table 6 : Cancer Incidence per 100,000 population (CR) by age and sex, Peninsular Malaysia 2006 Male Age, year

No.

%

0-9

85

0.9

10-19

279

2.8

20-29

393

3.9

30-39

668

40-49 50-59 60-69 70+

Female CR

No.

%

CR

4

52

0.4

2.6

13.4

199

1.7

10.1

22.9

523

4.4

31

6.7

49.6

1215

10.3

88.7

1312

13.2

111

2552

21.6

213.1

2135

21.4

248.6

3193

27.1

380.9

2644

26.5

577.8

2243

19

484.8

2458

24.6

968.1

1822

15.4

588.1

Table 7 : Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 4058 46.3 65.9 94.5 4753 46.4 78 96.4 Chinese 4078 46.5 151.4 148 4422 43.2 171.2 151.5 Indian 629 7.2 69.4 97.4 1065 10.4 116.3 134.7 Table 8 : Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year

Male

Malay Chinese

Female

0-

10-

20-

30-

40-

50-

60-

9

19

29

39

49

59

69

4.1

13.1

22.2

41.4

82.9

191.8

420.4

70+

CumR

630.1

10.8

2

9.9

15.8

50

128.3

291.5

662.6

1214

16

Indian

1.1

6.9

15.7

37.7

58.4

181.3

419.8

878.5

11.4

Malay

2.8

9.3

25.5

76

169.8

282.5

336.6

276.7

10.1

Chinese

1.4

7.6

26.8

78.8

219.7

439.9

527

835.3

15.6

Indian

1.8

7.2

19

57.1

168.6

356.5

521.8

834.7

14.8

11

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Figure 4. Ten most frequent cancers, Peninsular Malaysia 2006

16.5

BREAST 13.2

COLORECTA L 9.4

LUNG 4.9

CERVIX UTERI

4.5

NASOP HARYNX

4.1

THYROID GLAND

3.6

LIVER STOM ACH

3.6

PROSTATE GLAND

3.4

LYM PHOM A

3.2 0

5

10

15

20

25

30

P erc ent age o f a ll c a nc ers

Figure 5. Ten most frequent cancers in males, Peninsular Malaysia 2006

16.2

COLORECTA L 14.5

LUNG NA SOP HA RYNX

7.5

P ROSTA TE GLA ND

7.4 5.7

LIVER 4.7

B LA DDER

4.5

STOM A CH

4.2

LYM P HOM A

3.6

LEUKA EM IA

3.6

B RA IN 0

5

10

15

20

25

30

P e rc e nt a ge o f a ll c a nc e rs

Figure 6. Ten most frequent cancers in females, Peninsular Malaysia 2006 29.9

BREA ST 10.6

COLORECTAL 9.1

CERVIX UTERI 5.8

OVA RY

5.7

THYROID GLA ND

5.1

LUNG 3.2

CORP US UTERI

2.7

STOM A CH BRA IN

2.6

LYM P HOM A

2.4 0

5

10

15

20

25

30

P erc ent age o f a ll ca nc e rs

12

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

5.2. Cancer incidence by site 5.2.1. Sex differences in cancer incidence by site Table 9. Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by site and sex, Peninsular Malaysia 2006

Sites COLORECTAL LUNG NASOPHARYNX PROSTATE GLAND LIVER BLADDER STOMACH LYMPHOMA LEUKAEMIA BRAIN, OTHER NERVOUS SYSTEM SKIN OTHER SKIN MELANOMA KIDNEY, OTHER URINARY ORGANS THYROID GLAND OTHER AND ILL-DEFINED SITES

Male No. % CR 1619 16.2 16.2 1445 14.5 14.5 746 7.5 7.5 735 7.4 7.4 568 5.7 5.7 471 4.7 4.7 449 4.5 4.5 416 4.2 4.2 363 3.6 3.6

ASR CumR 21.6 2.7 19.6 2.5 8.5 0.9 11 1.4 7.2 0.9 6.6 0.8 6.1 0.8 4.9 0.6 4 0.4

Sites

Female CR ASR CumR 35.9 39.3 4.2 12.7 15.4 1.8 10.9 12.2 1.4 7 7.6 0.8 6.8 7.2 0.7 6.1 7.6 1 3.8 4.4 0.5 3.3 4 0.5 3.1 3.2 0.3

No. 3525 1247 1074 685 670 603 372 324 303

% 29.9 10.6 9.1 5.8 5.7 5.1 3.2 2.7 2.6

279

2.4

2.8

3.2

0.4

361

3.6

3.6

3.9

0.4

BREAST COLORECTAL CERVIX UTERI OVARY THYROID GLAND LUNG CORPUS UTERI STOMACH BRAIN, OTHER NERVOUS SYSTEM LYMPHOMA

295 261 34 252

3 2.6 0.3 2.5

3 2.6 0.3 2.5

3.9 3.5 0.4 3.2

0.4 0.4 0.1 0.4

SKIN OTHER SKIN MELANOMA NASOPHARYNX

236 210 26 235

2 1.8 0.2 2

2.4 2.1 0.3 2.4

2.9 2.6 0.3 2.6

0.3 0.3 0 0.3

221 198

2.2 2

2.2 2

2.6 2.4

0.3 0.3

LIVER LEUKAEMIA

225 220

1.9 1.9

2.3 2.2

2.7 2.4

0.3 0.2

13

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Sites ESOPHAGUS

No. 191

% 1.9

Male CR ASR CumR 1.9 2.7 0.4

Sites OTHER AND ILL-DEFINED SITES BONES KIDNEY, OTHER URINARY ORGANS MOUTH UTERUS, NOS

No. 144

Female % CR ASR CumR 1.2 1.5 1.6 0.2

LARYNX BONES

183 172

1.8 1.7

1.8 1.7

2.5 2

0.3 0.2

142 131

1.2 1.1

1.4 1.3

1.5 1.6

0.2 0.2

PANCREAS CONNECTIVE, SUBCUTANEOUS AND OTHER SOFT TISSUES TONGUE TESTIS

156 130

1.6 1.3

1.6 1.3

2 1.5

0.2 0.2

127 125

1.1 1.1

1.3 1.3

1.6 1.4

0.2 0.1

124 104

1.2 1

1.2 1

1.6 1.1

0.2 0.1

111 106

0.9 0.9

1.1 1.1

1.4 1.1

0.2 0.1

99 97 86 77 75 46

0.8 0.8 0.7 0.7 0.6 0.4

1 1 0.9 0.8 0.8 0.5

1.3 1.2 1.1 0.8 0.9 0.5

0.1 0.1 0.1 0.1 0.1 0.1

0.1

ESOPHAGUS CONNECTIVE, SUBCUTANEOUS AND OTHER SOFT TISSUES BLADDER PANCREAS TONGUE SALIVARY GLANDS GALLBLADDER RETROPERITONEUM AND PERITONEUM VAGINA

GALLBLADDER NOSE, SINUSES BREAST SALIVARY GLANDS MOUTH EYE AND ADNEXA

83 69 66 65 63 63

0.8 0.7 0.7 0.7 0.6 0.6

0.8 0.7 0.7 0.7 0.6 0.6

1.1 0.8 0.8 0.8 0.8 0.6

0.1 0.1 0.1 0.1 0.1 0

HEART, MEDIASTINUM AND PLEURA OTHER ENDOCRINE GLANDS AND

49

0.5

0.5

0.6

46

0.4

0.5

0.6

0.1

46

0.5

0.5

0.5

0.1

EYE AND ADNEXA

45

0.4

0.5

0.4

0

14

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Sites RELATED STRUCTURES SMALL INTESTINE TONSIL

No.

%

Male CR ASR CumR

34 33

0.3 0.3

0.3 0.3

0.4 0.4

0 0.1

ADRENAL GLAND

31

0.3

0.3

0.3

0

RETROPERITONEUM AND PERITONEUM PENIS HYPOPHARYNX PERIPHERAL NERVES AND AUTONOMIC NERVOUS SYSTEM OROPHARYNX OTHER AND ILL-DEFINED DIGESTIVE ORGANS THYMUS

28

0.3

0.3

0.4

27 18 15

0.3 0.2 0.2

0.3 0.2 0.2

15 14

0.2 0.1

12

OTHER AND

12

Female CR ASR CumR

Sites

No.

%

44 43

0.4 0.4

0.4 0.4

0.5 0.5

0.1 0.1

38

0.3

0.4

0.4

0

0

NOSE, SINUSES HEART, MEDIASTINUM AND PLEURA OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES LARYNX

33

0.3

0.3

0.4

0

0.3 0.2 0.2

0 0 0

VULVA ADRENAL GLAND SMALL INTESTINE

27 23 21

0.2 0.2 0.2

0.3 0.2 0.2

0.3 0.3 0.3

0 0 0

0.2 0.1

0.2 0.2

0 0

LIP TONSIL

20 19

0.2 0.2

0.2 0.2

0.2 0.2

0 0

0.1

0.1

0.1

0

15

0.1

0.2

0.2

0

0.1

0.1

0.2

0

PERIPHERAL NERVES AND AUTONOMIC NERVOUS SYSTEM HYPOPHARYNX

13

0.1

0.1

0.2

0

15

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

No.

%

Male CR ASR CumR

12

0.1

0.1

0.2

0

LIP

8

0.1

0.1

0.1

0

OTHER AND ILL-DEFINED SITES WITHIN RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS OTHER AND UNSPECIFIED MALE GENITAL ORGANS

6

0.1

0.1

0.1

0

6

0.1

0.1

0.1

0

Sites ILL-DEFINED SITES IN LIP, ORAL CAVITY AND PHARYNX PYRIFORM SINUS

Female CR ASR CumR

Sites

No.

%

OTHER AND ILL-DEFINED DIGESTIVE ORGANS OTHER AND ILL-DEFINED SITES IN LIP, ORAL CAVITY AND PHARYNX PLACENTA

13

0.1

0.1

0.1

0

10

0.1

0.1

0.1

0

9

0.1

0.1

0.1

0

OTHER AND ILL-DEFINED SITES WITHIN RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS THYMUS OROPHARYNX

8

0.1

0.1

0.1

0

5 3

0 0

0.1 0

0.1 0

0 0

16

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Figure 7. Ten most frequent cancers in males by ethnic groups, Peninsular Malaysia 2006 : Malay

Malay

15.4

COLORECTA L 13.7

LUNG 7.8

P ROSTA TE GLA ND 6

B LA DDER 5.4

LEUKA EM IA

5.2

LIVER

4.9

LYM P HOM A

4.9

B RA IN

4.7

NA SOP HA RYNX 2.8

THYROID GLA ND 0

5

10

15

20

P e rc e nt a ge o f a ll c a nc e rs

Figure 8. Ten most frequent cancers in males by ethnic groups, Peninsular Malaysia 2006 : Chinese Chines e

18.8

COLORECTAL 16.1

LUNG 10.5

NA SOPHA RYNX 7.2

P ROSTA TE GLAND 6.2

LIVER 5.5

STOM ACH 3.7

B LADDER SKIN

3.5

LYM P HOM A

3.4 2.7

KIDNEY 0

5

10

15

20

P e rc e nt a ge o f a ll c a nc e rs

17

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Figure 9. Ten most frequent cancers in males by ethnic groups, Peninsular Malaysia 2006 : Indian Indian

11.6

COLORECTA L

11.3

PROSTATE GLAND 8.3

LUNG 7.2

STOM ACH 5.2

B LADDER

4.6

TONGUE

4.5

ESOP HA GUS

4.3

LA RYNX LIVER

4.1

KIDNEY

4 0

5

10

15

20

P e rce nta ge o f a ll c a nc ers

18

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Figure 10. Ten most frequent cancers in females by ethnic groups, Peninsular Malaysia 2006 : Malay

Malay

32.4

BREA ST 8.8

COLORECTAL

7.7

THYROID GLA ND CERVIX UTERI

7.4

OVA RY

7.3 3.8

LUNG

3.4

BRA IN CORP US UTERI

2.8

LYM P HOM A

2.7 2.3

LEUKA EM IA 0

5

10

15

20

25

30

35

P erc ent age o f all ca nc e rs

Figure 11. Ten most frequent cancers in females by ethnic groups, Peninsular Malaysia 2006 : Chinese

Chinese

31.1

BREA ST 13.9

COLORECTAL 9.1

CERVIX UTERI 6.4

LUNG OVA RY

3.9

STOM A CH

3.8

CORP US UTERI

3.4

THYROID GLA ND

3.2 2.8

SKIN

2.6

NA SOP HA RYNX 0

5

10

15

20

25

30

35

P erc ent age o f all ca nc e rs

19

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Figure 12. Ten most frequent cancers in females by ethnic groups, Peninsular Malaysia 2006 : Indian

Indian

30

BREA ST 8.2

CERVIX UTERI

7.8

COLORECTAL

7.3

M OUTH 5.1

OVA RY

4.3

THYROID GLA ND

3.6

ESOPHAGUS LUNG

3.3

CORP US UTERI

3.3

STOM A CH

3.1 0

5

10

15

20

25

30

35

P erc ent age o f all ca nc e rs

20

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

5.2.2. Ethnic variation in cancer incidence by site Table 10 : Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by site, ethnicity and sex, Peninsular Malaysia 2006 : Malay

Sites COLORECTAL LUNG PROSTATE GLAND BLADDER LEUKAEMIA LIVER LYMPHOMA

No. 625 557 318 242 220 212 200

Malay Male % CR ASR CumR 15.4 10.1 15.5 2 13.7 9 13.8 1.7 7.8 5.2 9.2 1.2 6 3.9 6.4 0.8 5.4 3.6 4 0.4 5.2 3.4 4.9 0.6 4.9 3.2 4.3 0.5

BRAIN, OTHER NERVOUS SYSTEM NASOPHARYNX THYROID GLAND BONES KIDNEY, OTHER URINARY ORGANS SKIN OTHER SKIN MELANOMA OTHER AND

197

4.9

3.2

3.6

189 112 101 101

4.7 2.8 2.5 2.5

3.1 1.8 1.6 1.6

98 81 17 96

2.4 2 0.4 2.4

1.6 1.3 0.3 1.6

Malay Female % CR ASR CumR 32.4 25.3 30.4 3.2 8.8 6.9 9.5 1.1 7.7 6 6.9 0.7 7.4 5.8 7.3 0.8 7.3 5.7 6.8 0.7 3.8 3 4.2 0.5 3.4 2.7 2.9 0.3

No. 1539 419 364 354 346 182 163

0.3

Sites BREAST COLORECTAL THYROID GLAND CERVIX UTERI OVARY LUNG BRAIN, OTHER NERVOUS SYSTEM CORPUS UTERI

133

2.8

2.2

2.8

0.3

4 2.4 1.9 2.3

0.5 0.3 0.2 0.3

LYMPHOMA LEUKAEMIA LIVER SKIN

130 111 82 68

2.7 2.3 1.7 1.4

2.1 1.8 1.3 1.1

2.6 2 1.8 1.5

0.3 0.2 0.2 0.2

2.3 1.9 0.4 2.1

0.3 0.2 0 0.2

OTHER SKIN MELANOMA BONES NASOPHARYNX

59 9 67 64

1.2 0.2 1.4 1.3

1 0.1 1.1 1.1

1.3 0.2 1.2 1.3

0.2 0 0.1 0.1

21

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Sites ILL-DEFINED SITES STOMACH CONNECTIVE, SUBCUTANEOUS AND OTHER SOFT TISSUES ESOPHAGUS LARYNX

No.

Malay Male % CR ASR CumR

Sites

No.

Malay Female % CR ASR CumR

94 68

2.3 1.7

1.5 1.1

2.3 1.4

0.3 0.1

UTERUS, NOS OTHER AND ILL-DEFINED SITES

60 60

1.3 1.3

1 1

1.2 1.2

0.1 0.1

68 63

1.7 1.6

1.1 1

1.8 1.7

0.2 0.2

57 47

1.2 1

0.9 0.8

1.3 0.9

0.1 0.1

1 0.9

1.4 0.9

0.2 0.1

45 43

0.9 0.9

0.7 0.7

1.1 0.9

0.1 0.1

1.1 1 0.9 0.8 0.7 0.6

0.7 0.6 0.6 0.5 0.5 0.4

1.1 0.7 0.7 0.7 0.7 0.6

0.1 0.1 0.1 0.1 0.1 0.1

41 38 36 34 31 27

0.9 0.8 0.8 0.7 0.7 0.6

0.7 0.6 0.6 0.6 0.5 0.4

0.9 0.7 0.8 0.7 0.7 0.5

0.1 0.1 0.1 0.1 0.1 0.1

24 22

0.6 0.5

0.4 0.4

0.6 0.5

0.1 0.1

27 24

0.6 0.5

0.4 0.4

0.5 0.5

0 0.1

21

0.5

0.3

0.4

0

STOMACH CONNECTIVE, SUBCUTANEOUS AND OTHER SOFT TISSUES ESOPHAGUS KIDNEY, OTHER URINARY ORGANS PANCREAS SALIVARY GLANDS BLADDER TONGUE GALLBLADDER RETROPERITONEUM AND PERITONEUM EYE AND ADNEXA HEART, MEDIASTINUM AND PLEURA NOSE, SINUSES

PANCREAS TESTIS

59 55

1.5 1.4

GALLBLADDER EYE AND ADNEXA SALIVARY GLANDS TONGUE BREAST MOUTH

46 40 35 31 29 24

NOSE, SINUSES HEART, MEDIASTINUM AND PLEURA OTHER ENDOCRINE GLANDS AND

23

0.5

0.4

0.5

0.1

22

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Sites RELATED STRUCTURES ADRENAL GLAND SMALL INTESTINE

No.

Malay Male % CR ASR CumR

Sites

No.

Malay Female % CR ASR CumR

19 16

0.5 0.4

0.3 0.3

0.3 0.3

0 0

19 17

0.4 0.4

0.3 0.3

0.4 0.3

0 0

0 0

MOUTH OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES VAGINA LARYNX

TONSIL RETROPERITONEUM AND PERITONEUM PERIPHERAL NERVES AND AUTONOMIC NERVOUS SYSTEM THYMUS OTHER AND ILL-DEFINED SITES IN LIP, ORAL CAVITY AND PHARYNX PYRIFORM SINUS PENIS

13 12

0.3 0.3

0.2 0.2

0.3 0.3

16 16

0.3 0.3

0.3 0.3

0.4 0.4

0 0

9

0.2

0.1

0.2

0

ADRENAL GLAND

14

0.3

0.2

0.3

0

7 5

0.2 0.1

0.1 0.1

0.1 0.1

0 0

VULVA SMALL INTESTINE

12 9

0.3 0.2

0.2 0.1

0.3 0.2

0 0

5 5

0.1 0.1

0.1 0.1

0.1 0.1

0 0

9 6

0.2 0.1

0.1 0.1

0.2 0.1

0 0

0.1 0.1

0.1 0.1

0.1 0.1

0 0

LIP PERIPHERAL NERVES AND AUTONOMIC NERVOUS SYSTEM PLACENTA OTHER AND

OROPHARYNX LIP

4 4

5 4

0.1 0.1

0.1 0.1

0.1 0.1

0 0

23

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Sites

No.

Malay Male % CR ASR CumR

OTHER AND UNSPECIFIED MALE GENITAL ORGANS OTHER AND ILL-DEFINED SITES WITHIN RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS HYPOPHARYNX

4

0.1

0.1

0.1

0

3

0.1

0

0.1

0

3

0.1

0

0.1

0

OTHER AND ILL-DEFINED DIGESTIVE ORGANS

2

0

0

0.1

0

Malay Female % CR ASR CumR

Sites ILL-DEFINED SITES IN LIP, ORAL CAVITY AND PHARYNX HYPOPHARYNX

No.

4

0.1

0.1

0.1

0

OTHER AND ILL-DEFINED SITES WITHIN RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS OTHER AND ILL-DEFINED DIGESTIVE ORGANS OROPHARYNX

3

0.1

0

0.1

0

2

0

0

0

0

1

0

0

0

0

TONSIL

1

0

0

0

0

24

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 11 : Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by site, ethnicity and sex, Peninsular Malaysia 2006 : Chinese

COLORECTAL LUNG NASOPHARYNX PROSTATE GLAND LIVER STOMACH BLADDER SKIN OTHER SKIN MELANOMA LYMPHOMA KIDNEY, OTHER URINARY ORGANS BRAIN, OTHER NERVOUS SYSTEM LEUKAEMIA LARYNX ESOPHAGUS THYROID GLAND

No. 767 657 427 295 254 224 151 142 133 9 138 110

Chinese Male % CR ASR CumR 18.8 28.5 28 3.4 16.1 24.4 24.5 3.1 10.5 15.9 14 1.5 7.2 11 11.5 1.4 6.2 9.4 9 1.1 5.5 8.3 8.4 1 3.7 5.6 5.6 0.6 3.5 5.3 5.3 0.5 3.3 4.9 5 0.5 0.2 0.3 0.3 0 3.4 5.1 4.9 0.5 2.7 4.1 4 0.5

BREAST COLORECTAL CERVIX UTERI LUNG OVARY STOMACH CORPUS UTERI THYROID GLAND SKIN OTHER SKIN MELANOMA NASOPHARYNX

No. 1375 615 402 281 172 170 152 142 124 114 10 115

Chinese Female % CR ASR CumR 31.1 53.2 46.4 5 13.9 23.8 21.4 2.4 9.1 15.6 13.6 1.5 6.4 10.9 9.8 1.3 3.9 6.7 5.8 0.6 3.8 6.6 5.8 0.6 3.4 5.9 5.2 0.6 3.2 5.5 4.9 0.5 2.8 4.8 4.3 0.5 2.6 4.4 3.9 0.4 0.2 0.4 0.4 0.1 2.6 4.5 3.8 0.4

97

2.4

3.6

3.3

0.3

LYMPHOMA

105

2.4

4.1

3.6

0.4

86 77

2.1 1.9

3.2 2.9

3.3 2.9

0.3 0.4

88 86

2 1.9

3.4 3.3

3.1 3

0.4 0.3

76 69

1.9 1.7

2.8 2.6

2.8 2.4

0.4 0.3

LIVER BRAIN, OTHER NERVOUS SYSTEM LEUKAEMIA KIDNEY, OTHER URINARY ORGANS

72 61

1.6 1.4

2.8 2.4

2.6 2.1

0.2 0.2

25

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

No. 69 65

Chinese Male % CR ASR CumR 1.7 2.6 2.5 0.3 1.6 2.4 2.3 0.3

41 34 33

1 0.8 0.8

1.5 1.3 1.2

1.5 1.2 1.2

0.2 0.1 0.1

33

0.8

1.2

1.2

0.1

GALLBLADDER TESTIS BREAST HEART, MEDIASTINUM AND PLEURA OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES MOUTH SMALL INTESTINE

26 24 23 21

0.6 0.6 0.6 0.5

1 0.9 0.9 0.8

1 0.8 0.8 0.8

18

0.4

0.7

16 15

0.4 0.4

RETROPERITONEUM

12

0.3

PANCREAS OTHER AND ILL-DEFINED SITES BONES NOSE, SINUSES CONNECTIVE, SUBCUTANEOUS AND OTHER SOFT TISSUES TONGUE

No. 49 46

Chinese Female % CR ASR CumR 1.1 1.9 1.7 0.2 1 1.8 1.6 0.2

44 39 38

1 0.9 0.9

1.7 1.5 1.5

1.6 1.3 1.4

0.2 0.1 0.2

29

0.7

1.1

1

0.1

0.1 0.1 0.1 0.1

CONNECTIVE, SUBCUTANEOUS AND OTHER SOFT TISSUES GALLBLADDER VAGINA ESOPHAGUS TONGUE

26 21 18 18

0.6 0.5 0.4 0.4

1 0.8 0.7 0.7

0.9 0.7 0.6 0.7

0.1 0.1 0.1 0.1

0.6

0.1

SALIVARY GLANDS

17

0.4

0.7

0.6

0.1

0.6 0.6

0.6 0.6

0.1 0.1

15 13

0.3 0.3

0.6 0.5

0.5 0.4

0.1 0.1

0.4

0.5

0

NOSE, SINUSES RETROPERITONEUM AND PERITONEUM HEART, MEDIASTINUM

13

0.3

0.5

0.4

0.1

BLADDER OTHER AND ILL-DEFINED SITES BONES UTERUS, NOS PANCREAS

26

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

No. AND PERITONEUM TONSIL

Chinese Male % CR ASR CumR

11

0.3

0.4

0.4

0.1

SALIVARY GLANDS HYPOPHARYNX EYE AND ADNEXA ADRENAL GLAND OTHER AND ILL-DEFINED DIGESTIVE ORGANS PYRIFORM SINUS

11 8 8 7 7

0.3 0.2 0.2 0.2 0.2

0.4 0.3 0.3 0.3 0.3

0.4 0.3 0.3 0.2 0.3

0 0 0 0 0

6

0.1

0.2

0.2

0

PENIS LIP THYMUS OROPHARYNX OTHER AND ILL-DEFINED SITES IN LIP, ORAL CAVITY AND PHARYNX PERIPHERAL NERVES

4 4 4 3 3

0.1 0.1 0.1 0.1 0.1

0.1 0.1 0.1 0.1 0.1

0.1 0.1 0.1 0.1 0.1

0 0 0 0 0

2

0

0.1

0.1

0

No.

Chinese Female % CR ASR CumR

11

0.2

0.4

0.4

0

9 8 8 7 7

0.2 0.2 0.2 0.2 0.2

0.3 0.3 0.3 0.3 0.3

0.3 0.3 0.3 0.2 0.2

0 0 0.1 0 0

OTHER AND ILL-DEFINED DIGESTIVE ORGANS LARYNX THYMUS LIP ADRENAL GLAND PERIPHERAL NERVES AND AUTONOMIC NERVOUS SYSTEM

6

0.1

0.2

0.2

0

6 4 3 3 2

0.1 0.1 0.1 0.1 0

0.2 0.2 0.1 0.1 0.1

0.2 0.1 0.1 0.1 0.1

0 0 0 . 0

PLACENTA

1

0

0

0

0

AND PLEURA OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES SMALL INTESTINE TONSIL VULVA EYE AND ADNEXA MOUTH

27

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

No.

Chinese Male % CR ASR CumR

No.

Chinese Female % CR ASR CumR

AND AUTONOMIC NERVOUS SYSTEM OTHER AND ILL-DEFINED SITES WITHIN RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS

1

0

0

0

0

28

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 12 : Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by site, ethnicity and sex, Peninsular Malaysia 2006 : Indian

COLORECTAL PROSTATE GLAND LUNG STOMACH BLADDER TONGUE ESOPHAGUS LARYNX LIVER KIDNEY, OTHER URINARY ORGANS LYMPHOMA BRAIN, OTHER NERVOUS SYSTEM LEUKAEMIA MOUTH THYROID GLAND SKIN OTHER SKIN MELANOMA

No. 73 71 52 45 33 29 28 27 26 25

Indian Male % CR ASR CumR 11.6 8.1 12.4 1.8 11.3 7.8 13.7 1.6 8.3 5.7 7.8 0.9 7.2 5 6.7 0.8 5.2 3.6 5.4 0.7 4.6 3.2 4.5 0.6 4.5 3.1 4.5 0.6 4.3 3 4.4 0.5 4.1 2.9 4.1 0.5 4 2.8 3.5 0.4

24 23

3.8 3.7

2.6 2.5

3.2 2.8

0.4 0.3

18 16 14 13 8 5

2.9 2.5 2.2 2.1 1.3 0.8

2 1.8 1.5 1.4 0.9 0.6

2.2 2.4 1.9 2.1 1.4 0.7

0.3 0.2 0.3 0.2 0.2 0.1

BREAST CERVIX UTERI COLORECTAL MOUTH OVARY THYROID GLAND ESOPHAGUS CORPUS UTERI LUNG STOMACH TONGUE BRAIN, OTHER NERVOUS SYSTEM LIVER LEUKAEMIA SKIN OTHER SKIN MELANOMA KIDNEY, OTHER

No. 320 87 83 78 54 46 38 35 35 33

Indian Female % CR ASR CumR 30 34.9 38.1 4.3 8.2 9.5 11.3 1.5 7.8 9.1 11.3 1.3 7.3 8.5 11.5 1.5 5.1 5.9 6.4 0.7 4.3 5 4.8 0.5 3.6 4.1 5.5 0.7 3.3 3.8 4.7 0.7 3.3 3.8 4.6 0.6 3.1 3.6 4.4 0.6

26 20

2.4 1.9

2.8 2.2

3.6 2.2

0.5 0.2

20 17 16 13 3 15

1.9 1.6 1.5 1.2 0.3 1.4

2.2 1.9 1.7 1.4 0.3 1.6

2.9 1.9 2.1 1.8 0.4 1.8

0.2 0.1 0.2 0.2 0 0.2

29

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

No. OTHER AND ILL-DEFINED SITES PANCREAS CONNECTIVE, SUBCUTANEOUS AND OTHER SOFT TISSUES BONES NASOPHARYNX TESTIS SALIVARY GLANDS PENIS OROPHARYNX OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES EYE AND ADNEXA

HYPOPHARYNX TONSIL NOSE, SINUSES

Indian Male % CR ASR CumR

11

1.7

1.2

1.6

0.1

10 9

1.6 1.4

1.1 1

1.1 1.2

0.1 0.1

9 7 6 6 6 6 6

1.4 1.1 1 1 1 1 1

1 0.8 0.7 0.7 0.7 0.7 0.7

1.3 1 0.7 0.8 1.1 0.9 0.8

0.1 0.1 0.1 0.1 0.2 0.1 0.1

6

1

0.7

0.6

0

5 5 4

0.8 0.8 0.6

0.6 0.6 0.4

0.8 0.8 0.6

0.1 0.2 0

URINARY ORGANS OTHER AND ILL-DEFINED SITES UTERUS, NOS CONNECTIVE, SUBCUTANEOUS AND OTHER SOFT TISSUES LYMPHOMA BONES LARYNX PANCREAS BLADDER VAGINA HYPOPHARYNX

OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES SALIVARY GLANDS LIP RETROPERITONEUM

No.

Indian Female % CR ASR CumR

15

1.4

1.6

1.9

0.3

14 13

1.3 1.2

1.5 1.4

1.6 1.6

0.2 0.2

12 12 8 7 6 6 6

1.1 1.1 0.8 0.7 0.6 0.6 0.6

1.3 1.3 0.9 0.8 0.7 0.7 0.7

1.4 1.2 1.2 0.7 0.7 0.8 0.8

0.2 0.1 0.1 0.1 0.1 0.1 0.1

5

0.5

0.5

0.5

0

5 4 3

0.5 0.4 0.3

0.5 0.4 0.3

0.7 0.5 0.4

0.1 0.1 0

30

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

No.

Indian Male % CR ASR CumR

OTHER AND ILL-DEFINED SITES IN LIP, ORAL CAVITY AND PHARYNX PERIPHERAL NERVES AND AUTONOMIC NERVOUS SYSTEM

4

0.6

0.4

0.6

0.1

3

0.5

0.3

0.4

0

HEART, MEDIASTINUM AND PLEURA ADRENAL GLAND OTHER AND ILL-DEFINED DIGESTIVE ORGANS OTHER AND UNSPECIFIED MALE GENITAL ORGANS BREAST RETROPERITONEUM AND PERITONEUM

3

0.5

0.3

0.5

0.1

2 1

0.3 0.2

0.2 0.1

0.2 0.2

1

0.2

0.1

1 1

0.2 0.2

0.1 0.1

No. AND PERITONEUM TONSIL

Indian Female % CR ASR CumR

3

0.3

0.3

0.4

0.1

OTHER AND ILL-DEFINED SITES IN LIP, ORAL CAVITY AND PHARYNX ADRENAL GLAND

3

0.3

0.3

0.5

0.1

3

0.3

0.3

0.4

0

0 0

NASOPHARYNX GALLBLADDER

2 2

0.2 0.2

0.2 0.2

0.2 0.3

0 0

0.2

0

OROPHARYNX

2

0.2

0.2

0.3

0.1

0.2 0.1

0.1 0

SMALL INTESTINE PERIPHERAL NERVES AND AUTONOMIC NERVOUS SYSTEM HEART, MEDIASTINUM AND PLEURA

2 2

0.2 0.2

0.2 0.2

0.2 0.2

0 0

2

0.2

0.2

0.3

0.1

31

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

No.

Indian Male % CR ASR CumR VULVA EYE AND ADNEXA PLACENTA NOSE, SINUSES

No. 2 1 1 1

Indian Female % CR ASR CumR 0.2 0.2 0.3 0 0.1 0.1 0.1 0 0.1 0.1 0.1 0 0.1 0.1 0.1 0

32

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Figure 13. Ten most frequent cancers in males by age groups, Peninsular Malaysia 2006 : Age 0 – 14 years old Age 0-14

38.8

LEUKA EM IA 7.6

B ONES

7.6

B RA IN

7.1

LYM PHOM A

6.5

CONNECTIVE TISSUES etc

5.3

EYE A ND ADNEXA

4.1

KIDNEY

2.9

OTHER ILL-DEFINED SITES

2.9

TESTIS

2.4

LIVER 0

5

10

15

20

25

30

35

40

P e rce nta ge o f a ll c a nc ers

Figure 14. : Ten most frequent cancers in males by age groups, Peninsular Malaysia 2006 : Age 14 - 49 years old Age 15-49

12.8

NA SOP HA RYNX 11.1

COLORECTAL 8.9

LUNG

8.3

BRA IN LEUKA EM IA

6.4

LYM P HOM A

6.2 5.2

LIVER 3.7

THYROID GLA ND

3.4

STOM A CH

2.9

TESTIS 0

5

10

15

20

25

30

35

40

P erc ent age o f all ca nc e rs

33

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Figure 15 : Ten most frequent cancers in males by age groups, Peninsular Malaysia 2006 : Age 50 - 69 years old Age 50-69

18.2

COLORECTA L

16.9

LUNG 7.2

NASOP HARYNX

6.8

LIVER

6.8

PROSTATE GLAND

5.5

B LADDER

4.5

STOM ACH

3.9

LYM PHOM A SKIN

2.7

KIDNEY

2.7 0

5

10

15

20

25

30

35

40

P e rce nta ge o f a ll c a nc ers

Figure 16 : Ten most frequent cancers in males by age groups, Peninsular Malaysia 2006 : Age 70 + years old

Age 70+

18.9

COLORECTA L 16.6

LUNG

16.4

PROSTATE GLAND 6.4

B LADDER

5.9

STOM ACH 4.4

LIVER

3.8

SKIN

2.8

NASOP HARYNX

2.8

ESOP HA GUS

2.5

LYM PHOM A 0

5

10

15

20

25

30

35

40

P e rce nta ge o f a ll c a nc ers

34

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

5.2.3. Age variation in cancer incidence by site Table 13 : Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by site, age and sex, Peninsular Malaysia 2006 Male, Age 0-14

Female, Age 0-14

Site

No.

%

CR

Site

No.

%

CR

LEUKAEMIA

66

38.8

2.1

LEUKAEMIA

33

32

1.1

BONES

13

7.6

0.4

BRAIN, OTHER NERVOUS SYSTEM

15

14.6

0.5

BRAIN, OTHER NERVOUS SYSTEM

13

7.6

0.4

BONES

10

9.7

0.3

LYMPHOMA

12

7.1

0.4

OVARY

9

8.7

0.3

CONNECTIVE, SUBCUTANEOUS

11

6.5

0.3

LYMPHOMA

6

5.8

0.2

EYE AND ADNEXA

9

5.3

0.3

KIDNEY, OTHER URINARY ORGANS

5

4.9

0.2

KIDNEY, OTHER URINARY ORGANS

7

4.1

0.2

CONNECTIVE, SUBCUTANEOUS

3

2.9

0.1

TESTIS

5

2.9

0.2

ADRENAL GLAND

3

2.9

0.1

OTHER AND ILL-DEFINED SITES

5

2.9

0.2

SKIN

2

1.9

0.1

LIVER

4

2.4

0.1

OTHER SKIN

2

1.9

0.1

OTHER ENDOCRINE GLANDS AND

4

2.4

0.1

OTHER AND ILL-DEFINED SITES

2

1.9

0.1

ADRENAL GLAND

3

1.8

0.1

SALIVARY GLANDS

2

1.9

0.1

SKIN

3

1.8

0.1

EYE AND ADNEXA

2

1.9

0.1

OTHER SKIN

3

1.8

0.1

NOSE, SINUSES

1

1

0

THYROID GLAND

3

1.8

0.1

BREAST

1

1

0

OTHER AND ILL-DEFINED SITES

3

1.8

0.1

OTHER AND ILL-DEFINED SITES IN

1

1

0

AND OTHER SOFT TISSUES

AND OTHER SOFT TISSUES

RELATED STRUCTURES

35

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Male, Age 0-14 Site

No.

%

Female, Age 0-14 CR

WITHIN RESPIRATORY SYSTEM

Site

No.

%

CR

LIP, ORAL CAVITY AND PHARYNX

AND INTRATHORACIC ORGANS NASOPHARYNX

2

1.2

0.1

PANCREAS

1

1

0

TONGUE

2

1.2

0.1

RETROPERITONEUM AND

1

1

0

HEART, MEDIASTINUM AND

1

0.6

0

LIVER

1

1

0

1

0.6

0

TONGUE

1

1

0

1

0.6

0

LUNG

1

1

0

SALIVARY GLANDS

1

0.6

0

THYROID GLAND

1

1

0

COLORECTAL

1

0.6

0

COLORECTAL

1

1

0

LARYNX

1

1

0

PERITONEUM

PLEURA OTHER AND ILL-DEFINED DIGESTIVE ORGANS PERIPHERAL NERVES AND AUTONOMIC NERVOUS SYSTEM

36

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Male, Age 15-49

Female, Age 15-49

Site

No.

%

CR

Site

No.

%

CR

NASOPHARYNX

329

12.8

6.3

BREAST

1525

34.4

29.2

COLORECTAL

284

11.1

5.4

CERVIX UTERI

429

9.7

8.2

LUNG

229

8.9

4.4

THYROID GLAND

391

8.8

7.5

BRAIN, OTHER NERVOUS SYSTEM

213

8.3

4

OVARY

329

7.4

6.3

LEUKAEMIA

165

6.4

3.1

COLORECTAL

249

5.6

4.8

LYMPHOMA

159

6.2

3

BRAIN, OTHER NERVOUS SYSTEM

172

3.9

3.3

LIVER

133

5.2

2.5

CORPUS UTERI

120

2.7

2.3

THYROID GLAND

95

3.7

1.8

NASOPHARYNX

114

2.6

2.2

STOMACH

87

3.4

1.7

LYMPHOMA

109

2.5

2.1

TESTIS

75

2.9

1.4

LUNG

108

2.4

2.1

BONES

72

2.8

1.4

LEUKAEMIA

105

2.4

2

OTHER AND ILL-DEFINED SITES

69

2.7

1.3

BONES

80

1.8

1.5

KIDNEY, OTHER URINARY ORGANS

69

2.7

1.3

STOMACH

67

1.5

1.3

SKIN

68

2.6

1.3

LIVER

66

1.5

1.3

OTHER SKIN

55

2.1

1

UTERUS, NOS

56

1.3

1.1

MELANOMA

13

0.5

0.2

OTHER AND ILL-DEFINED SITES

55

1.2

1.1

CONNECTIVE, SUBCUTANEOUS

62

2.4

1.2

CONNECTIVE, SUBCUTANEOUS

52

1.2

1

AND OTHER SOFT TISSUES

AND OTHER SOFT TISSUES

BLADDER

49

1.9

0.9

SKIN

51

1.1

1

EYE AND ADNEXA

47

1.8

0.9

OTHER SKIN

41

0.9

0.8

PANCREAS

36

1.4

0.7

MELANOMA

10

0.2

0.2

SALIVARY GLANDS

31

1.2

0.6

KIDNEY, OTHER URINARY ORGANS

42

0.9

0.8

TONGUE

27

1.1

0.5

SALIVARY GLANDS

42

0.9

0.8

37

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Male, Age 15-49

Female, Age 15-49

Site

No.

%

CR

Site

No.

%

CR

ADRENAL GLAND

25

1

0.5

EYE AND ADNEXA

38

0.9

0.7

GALLBLADDER

25

1

0.5

TONGUE

24

0.5

0.5

OTHER ENDOCRINE GLANDS AND

24

0.9

0.5

OTHER ENDOCRINE GLANDS AND

23

0.5

0.4

RELATED STRUCTURES

RELATED STRUCTURES

LARYNX

23

0.9

0.4

NOSE, SINUSES

18

0.4

0.3

BREAST

22

0.9

0.4

BLADDER

16

0.4

0.3

ESOPHAGUS

22

0.9

0.4

ESOPHAGUS

15

0.3

0.3

NOSE, SINUSES

19

0.7

0.4

HEART, MEDIASTINUM AND

14

0.3

0.3

MOUTH

12

0.5

0.2

PANCREAS

13

0.3

0.2

HEART, MEDIASTINUM AND

12

0.5

0.2

GALLBLADDER

12

0.3

0.2

SMALL INTESTINE

11

0.4

0.2

RETROPERITONEUM AND

12

0.3

0.2

PENIS

11

0.4

0.2

MOUTH

12

0.3

0.2

PROSTATE GLAND

10

0.4

0.2

ADRENAL GLAND

12

0.3

0.2

THYMUS

9

0.4

0.2

PLACENTA

9

0.2

0.2

TONSIL

9

0.4

0.2

TONSIL

9

0.2

0.2

PERIPHERAL NERVES AND

7

0.3

0.1

VAGINA

8

0.2

0.2

5

0.2

0.1

PERIPHERAL NERVES AND

6

0.1

0.1

5

0.1

0.1

PLEURA

PLEURA

PERITONEUM

AUTONOMIC NERVOUS SYSTEM RETROPERITONEUM AND PERITONEUM OTHER AND ILL-DEFINED

AUTONOMIC NERVOUS SYSTEM 5

0.2

0.1

LIP

DIGESTIVE ORGANS

38

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Male, Age 15-49

Female, Age 15-49

Site

No.

%

CR

Site

LIP

3

0.1

0.1

OTHER AND ILL-DEFINED SITES

No.

%

CR

5

0.1

0.1

WITHIN RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS OTHER AND ILL-DEFINED SITES IN

3

0.1

0.1

LARYNX

5

0.1

0.1

PYRIFORM SINUS

3

0.1

0.1

VULVA

4

0.1

0.1

OTHER AND UNSPECIFIED MALE

3

0.1

0.1

HYPOPHARYNX

4

0.1

0.1

2

0.1

0

OTHER AND ILL-DEFINED

4

0.1

0.1

LIP, ORAL CAVITY AND PHARYNX

GENITAL ORGANS OROPHARYNX

DIGESTIVE ORGANS HYPOPHARYNX

2

0.1

0

SMALL INTESTINE

3

0.1

0.1

OTHER AND ILL-DEFINED SITES

1

0

0

THYMUS

2

0

0

OTHER AND ILL-DEFINED SITES IN

2

0

0

1

0

0

WITHIN RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS

LIP, ORAL CAVITY AND PHARYNX OROPHARYNX

39

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Male, Age 50-69

Female, Age 50-69

Site

No.

%

CR

Site

No.

%

CR

COLORECTAL

870

18.2

66.1

BREAST

1734

31.9

133.3

LUNG

809

16.9

61.5

COLORECTAL

617

11.4

47.4

NASOPHARYNX

346

7.2

26.3

CERVIX UTERI

504

9.3

38.7

PROSTATE GLAND

323

6.8

24.5

LUNG

346

6.4

26.6

LIVER

323

6.8

24.5

OVARY

302

5.6

23.2

BLADDER

265

5.5

20.1

THYROID GLAND

223

4.1

17.1

STOMACH

216

4.5

16.4

CORPUS UTERI

213

3.9

16.4

LYMPHOMA

184

3.9

14

STOMACH

132

2.4

10.1

SKIN

131

2.7

10

LYMPHOMA

128

2.4

9.8

OTHER SKIN

117

2.4

8.9

NASOPHARYNX

103

1.9

7.9

MELANOMA

14

0.3

1.1

BRAIN, OTHER NERVOUS SYSTEM

102

1.9

7.8

KIDNEY, OTHER URINARY ORGANS

128

2.7

9.7

LIVER

91

1.7

7

BRAIN, OTHER NERVOUS SYSTEM

114

2.4

8.7

SKIN

87

1.6

6.7

LARYNX

110

2.3

8.4

OTHER SKIN

74

1.4

5.7

ESOPHAGUS

101

2.1

7.7

MELANOMA

13

0.2

1

THYROID GLAND

98

2.1

7.4

MOUTH

72

1.3

5.5

LEUKAEMIA

97

2

7.4

LEUKAEMIA

65

1.2

5

PANCREAS

88

1.8

6.7

PANCREAS

63

1.2

4.8

OTHER AND ILL-DEFINED SITES

82

1.7

6.2

UTERUS, NOS

63

1.2

4.8

BONES

64

1.3

4.9

OTHER AND ILL-DEFINED SITES

57

1

4.4

TONGUE

63

1.3

4.8

KIDNEY, OTHER URINARY ORGANS

56

1

4.3

CONNECTIVE, SUBCUTANEOUS

38

0.8

2.9

ESOPHAGUS

53

1

4.1

38

0.8

2.9

TONGUE

43

0.8

3.3

AND OTHER SOFT TISSUES NOSE, SINUSES

40

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Male, Age 50-69

Female, Age 50-69

Site

No.

%

CR

Site

No.

%

CR

GALLBLADDER

34

0.7

2.6

BONES

42

0.8

3.2

BREAST

33

0.7

2.5

BLADDER

40

0.7

3.1

MOUTH

28

0.6

2.1

GALLBLADDER

36

0.7

2.8

HEART, MEDIASTINUM AND

27

0.6

2.1

CONNECTIVE, SUBCUTANEOUS

34

0.6

2.6

24

0.5

1.8

26

0.5

2

PLEURA SALIVARY GLANDS

AND OTHER SOFT TISSUES RETROPERITONEUM AND PERITONEUM

SMALL INTESTINE

19

0.4

1.4

SALIVARY GLANDS

25

0.5

1.9

TONSIL

17

0.4

1.3

VAGINA

22

0.4

1.7

OTHER ENDOCRINE GLANDS AND

15

0.3

1.1

HEART, MEDIASTINUM AND

21

0.4

1.6

RELATED STRUCTURES

PLEURA

TESTIS

15

0.3

1.1

NOSE, SINUSES

21

0.4

1.6

HYPOPHARYNX

12

0.3

0.9

SMALL INTESTINE

16

0.3

1.2

PENIS

12

0.3

0.9

VULVA

15

0.3

1.2

RETROPERITONEUM AND

11

0.2

0.8

LARYNX

15

0.3

1.2

OROPHARYNX

8

0.2

0.6

OTHER ENDOCRINE GLANDS AND

15

0.3

1.2

PERIPHERAL NERVES AND

6

0.1

0.5

LIP

9

0.2

0.7

6

0.1

0.5

TONSIL

8

0.1

0.6

EYE AND ADNEXA

5

0.1

0.4

HYPOPHARYNX

7

0.1

0.5

PYRIFORM SINUS

5

0.1

0.4

PERIPHERAL NERVES AND

6

0.1

0.5

PERITONEUM

RELATED STRUCTURES

AUTONOMIC NERVOUS SYSTEM OTHER AND ILL-DEFINED SITES IN LIP, ORAL CAVITY AND PHARYNX

41

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Male, Age 50-69 Site

No.

%

Female, Age 50-69 CR

Site

No.

%

CR

6

0.1

0.5

AUTONOMIC NERVOUS SYSTEM THYMUS

3

0.1

0.2

OTHER AND ILL-DEFINED SITES IN

ADRENAL GLAND

3

0.1

0.2

ADRENAL GLAND

5

0.1

0.4

OTHER AND ILL-DEFINED

3

0.1

0.2

EYE AND ADNEXA

5

0.1

0.4

2

0

0.2

OTHER AND ILL-DEFINED

4

0.1

0.3

LIP, ORAL CAVITY AND PHARYNX

DIGESTIVE ORGANS LIP

DIGESTIVE ORGANS OTHER AND UNSPECIFIED MALE

2

0

0.2

THYMUS

3

0.1

0.2

1

0

0.1

OTHER AND ILL-DEFINED SITES

1

0

0.1

GENITAL ORGANS OTHER AND ILL-DEFINED SITES WITHIN RESPIRATORY SYSTEM

WITHIN RESPIRATORY SYSTEM

AND INTRATHORACIC ORGANS

AND INTRATHORACIC ORGANS

42

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Male, Age 70+

Fem ale, Age 70+

No.

%

CR

Site

No.

%

CR

COLORECTAL

464

18.9

182.7

COLORECTAL

380

20.9

122.7

LUNG

407

16.6

160.3

BREAST

265

14.5

85.5

PROSTATE GLAND BLADDER

402

16.4

158.3

LUNG

148

8.1

47.8

157

6.4

61.8

CERVIX UTERI

141

7.7

45.5

STOMACH

146

5.9

57.5

STOMACH

125

6.9

40.3

LIVER

108

4.4

42.5

SKIN

96

5.3

31

SKIN

93

3.8

36.6

OTHER SKIN

93

5.1

30

OTHER SKIN

86

3.5

33.9

MELANOMA

3

0.2

1

MELANOMA

7

0.3

2.8

LIVER

67

3.7

21.6

NASOPHARYNX

69

2.8

27.2

THYROID GLAND

55

3

17.8

ESOPHAGUS

68

2.8

26.8

OVARY

45

2.5

14.5

LYMPHOMA

61

2.5

24

ESOPHAGUS

43

2.4

13.9

LARYNX

50

2

19.7

MOUTH

43

2.4

13.9

KIDNEY, OTHER URINARY ORGANS

48

2

18.9

BLADDER

43

2.4

13.9

OTHER AND ILL-DEFINED SITES

42

1.7

16.5

CORPUS UTERI

39

2.1

12.6

LEUKAEMIA

35

1.4

13.8

LYMPHOMA

36

2

11.6

TONGUE

32

1.3

12.6

OTHER AND ILL-DEFINED SITES

30

1.6

9.7

PANCREAS

32

1.3

12.6

KIDNEY, OTHER URINARY ORGANS

28

1.5

9

THYROID GLAND

25

1

9.8

GALLBLADDER

27

1.5

8.7

GALLBLADDER

24

1

9.5

PANCREAS

20

1.1

6.5

MOUTH

23

0.9

9.1

NASOPHARYNX

18

1

5.8

BONES

23

0.9

9.1

TONGUE

18

1

5.8

BRAIN, OTHER NERVOUS SYSTEM

21

0.9

8.3

CONNECTIVE, SUBCUTANEOUS

17

0.9

5.5

AND OTHER SOFT TISSUES

43

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Male, Age 70+

Fem ale, Age 70+

No.

%

CR

Site

No.

%

CR

19

0.8

7.5

LEUKAEMIA

17

0.9

5.5

12

0.5

4.7

VAGINA

16

0.9

5.2

NOSE, SINUSES

12

0.5

4.7

BRAIN, OTHER NERVOUS SYSTEM

14

0.8

4.5

BREAST

11

0.4

4.3

LARYNX

12

0.7

3.9

HEART, MEDIASTINUM AND

9

0.4

3.5

BONES

10

0.5

3.2

9

0.4

3.5

HEART, MEDIASTINUM AND

8

0.4

2.6

CONNECTIVE, SUBCUTANEOUS AND OTHER SOFT TISSUES RETROPERITONEUM AND PERITONEUM

PLEURA SALIVARY GLANDS

PLEURA TESTIS

9

0.4

3.5

VULVA

8

0.4

2.6

TONSIL

7

0.3

2.8

SALIVARY GLANDS

8

0.4

2.6

OROPHARYNX

5

0.2

2

RETROPERITONEUM AND

7

0.4

2.3

OTHER AND ILL-DEFINED

5

0.2

2

UTERUS, NOS

6

0.3

1.9

PENIS

4

0.2

1.6

LIP

6

0.3

1.9

SMALL INTESTINE

4

0.2

1.6

OTHER AND ILL-DEFINED

5

0.3

1.6

PERITONEUM

DIGESTIVE ORGANS

DIGESTIVE ORGANS HYPOPHARYNX

4

0.2

1.6

NOSE, SINUSES

4

0.2

1.3

PYRIFORM SINUS

4

0.2

1.6

PERIPHERAL NERVES AND

3

0.2

1

AUTONOMIC NERVOUS SYSTEM LIP

3

0.1

1.2

ADRENAL GLAND

3

0.2

1

OTHER AND ILL-DEFINED SITES IN

3

0.1

1.2

OROPHARYNX

2

0.1

0.6

44

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Male, Age 70+

Fem ale, Age 70+

No.

%

CR

Site

No.

%

CR

3

0.1

1.2

SMALL INTESTINE

2

0.1

0.6

EYE AND ADNEXA

2

0.1

0.8

TONSIL

2

0.1

0.6

PERIPHERAL NERVES AND

1

0

0.4

OTHER AND ILL-DEFINED SITES

2

0.1

0.6

LIP, ORAL CAVITY AND PHARYNX OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES

AUTONOMIC NERVOUS SYSTEM

WITHIN RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS

OTHER AND ILL-DEFINED SITES

1

0

0.4

HYPOPHARYNX

2

0.1

0.6

1

0

0.4

OTHER AND ILL-DEFINED SITES IN

1

0.1

0.3

WITHIN RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS OTHER AND UNSPECIFIED MALE GENITAL ORGANS

LIP, ORAL CAVITY AND PHARYNX

45

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6. SELECTED CANCER SITES 2006 6.1 TONGUE (ICDO: C01-C02)

Table 14 : Tongue Cancer Incidence per 100,000 population (CR) Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 124 59 1.2 1.6 Female 86 41 0.9 1.1 Both 210 100 1.1 1.3

and

Table 15 : Tongue Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 2 1.6 0.1 0 0 0 10-19 0 0 0 1 1.2 0.1 20-29 1 0.8 0.1 2 2.3 0.1 30-39 7 5.6 0.5 10 11.6 0.7 40-49 19 15.3 1.6 12 14 1 50-59 29 23.4 3.4 16 18.6 1.9 60-69 34 27.4 7.4 27 31.4 5.8 70+ 32 25.8 12.6 18 20.9 5.8

Figure 17 : Tongue Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 14 12 10 8

Male

6

Female

4 2 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

46

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 16 : Tongue Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female No. % CR ASR No. % CR ASR Ethnic group Malay 31 33.3 0.5 0.7 34 43.6 0.6 0.7 Chinese 33 35.5 1.2 1.2 18 23.1 0.7 0.7 Indian 29 31.2 3.2 4.5 26 33.3 2.8 3.6

Table 17 : Tongue Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0 0.1 0.3 0.8 2.2 3 4.4 0.1 Chinese 0 0 0 0.3 1.3 3 6.6 6.2 0.1 Indian 0 0 0 2.2 4.1 7.2 18.7 44.2 0.6 Female Malay 0 0 0.1 1.1 1.3 0.4 3.3 3.1 0.1 Chinese 0 0 0 0 0.5 0.7 4 5.9 0.1 Indian 0 0 0 0.7 0.8 11.6 21.8 20.7 0.5

47

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.2 SALIVARY GLAND (ICDO: C07-C08) Table 18 : Salivary Gland Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 65 45.8 0.7 0.8 Female 77 54.2 0.8 0.8 Both 142 100 0.7 0.8

Table 19 : Salivary Gland Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 0 0 0 0 0 0 10-19 6 9.2 0.3 6 7.8 0.3 20-29 4 6.2 0.2 5 6.5 0.3 30-39 7 10.8 0.5 18 23.4 1.3 40-49 15 23.1 1.3 15 19.5 1.3 50-59 8 12.3 0.9 18 23.4 2.1 60-69 16 24.6 3.5 7 9.1 1.5 70+ 9 13.8 3.5 8 10.4 2.6

Figure 18 : Salivary Gland Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 4

3

Male

2

Female

1

0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

48

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 20 : Salivary Gland Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 35 67.3 0.6 0.7 38 63.3 0.6 0.7 Chinese 11 21.2 0.4 0.4 17 28.3 0.7 0.6 Indian 6 11.5 0.7 0.8 5 8.3 0.5 0.7

Table 21 : Salivary Gland Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0.3 0.3 0.5 1.2 1.1 3 3 0.1 Chinese 0 0 0 0 0.8 1 2.2 1 0 Indian 0 0 0 2.2 0.8 0 5.3 0 0.1 Female Malay 0 0.3 0.3 1.3 1.2 1.8 0.8 1.8 0.1 Chinese 0 0.2 0.2 0.3 1.3 2.1 0.6 1.7 0.1 Indian 0 0 0 0.7 0.8 0 0 12.4 0.1

49

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.3 MOUTH (ICDO: C03-C06) Table 22 : Mouth Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 63 33.2 0.6 0.8 Female 127 66.8 1.3 1.6 Both 190 100 1 1.2

Table 23 : Mouth Age specific Cancer Incidence per 100,000 Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % 0-9 0 0 0 0 0 10-19 0 0 0 2 1.6 20-29 0 0 0 4 3.1 30-39 4 6.3 0.3 1 0.8 40-49 8 12.7 0.7 5 3.9 50-59 13 20.6 1.5 34 26.8 60-69 15 23.8 3.3 38 29.9 70+ 23 36.5 9.1 43 33.9

population (CR) by sex,

CR 0 0.1 0.2 0.1 0.4 4.1 8.2 13.9

Figure 19 : Mouth Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 14 12 10 8

Male Female

6 4 2 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

50

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 24 : Mouth Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 24 42.9 0.4 0.6 19 18.3 0.3 0.4 Chinese 16 28.6 0.6 0.6 7 6.7 0.3 0.2 Indian 16 28.6 1.8 2.4 78 75 8.5 11.5

Table 25 : Mouth Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0 0 0.3 0.8 0.2 2.2 8.2 0.1 Chinese 0 0 0 0 0.3 1 2.7 7.2 0.1 Indian 0 0 0 0.7 0 9.6 10.7 16.6 0.2 Female Malay 0 0.2 0.2 0.1 0.1 0.7 2.1 3.1 0 Chinese 0 0 0.2 0 0.3 1.1 0.6 0.8 0 Indian 0 0 0 0 119. 1.6 26.6 58.3 8 1.5

51

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.4 NASOPHARYNX (ICDO: C11) Table 26 : Nasopharynx Cancer Incidence per 100,000 population Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR Male 746 76 7.5 Female 235 24 2.4 Both 981 100 4.9

(CR) and ASR 8.5 2.6 5.5

Table 27 : Nasopharynx Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 0 0 0 0 0 0 10-19 14 1.9 0.7 3 1.3 0.2 20-29 28 3.8 1.6 10 4.3 0.6 30-39 95 12.7 7.1 46 19.6 3.4 40-49 194 26 16.4 55 23.4 4.6 50-59 224 30 26.1 68 28.9 8.1 60-69 122 16.4 26.7 35 14.9 7.6 70+ 69 9.2 27.2 18 7.7 5.8

Figure 20 : Nasopharynx Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 30 25 20 Male

15

Female

10 5 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

52

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 28 : Nasopharynx Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 189 30.3 3.1 4 64 35.4 1.1 1.3 Chinese 427 68.5 15.9 14 115 63.5 4.5 3.8 Indian 7 1.1 0.8 1 2 1.1 0.2 0.2

Table 29 : Nasopharynx Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0.4 1 2.9 6.6 11.5 12.5 17.8 0.5 Chinese 0 0.7 1.6 15 31.1 45.5 39 30.9 1.5 Indian 0 0 0 2.2 0.8 0 2.7 11 0.1 Female Malay 0 0.2 0.4 1.8 1.9 3.9 4.1 1.8 0.1 Chinese 0 0 1 5.1 8.1 13.7 8.1 6.8 0.4 Indian 0 0 0 0.7 0.8 0 0 0 0

53

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.5 OESOPHAGUS (ICDO: C15) Table 30 : Oesophagus Cancer Incidence per 100,000 population Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR Male 191 63.2 1.9 Female 111 36.8 1.1 Both 302 100 1.5

(CR) and ASR 2.7 1.4 2

Table 31 : Oesophagus Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 0 0 0 0 0 0 10-19 0 0 0 0 0 0 20-29 1 0.5 0.1 1 0.9 0.1 30-39 3 1.6 0.2 2 1.8 0.1 40-49 18 9.4 1.5 12 10.8 1 50-59 37 19.4 4.3 22 19.8 2.6 60-69 64 33.5 14 31 27.9 6.7 70+ 68 35.6 26.8 43 38.7 13.9

Figure 21 : Oesophagus Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 30 25 20 Male 15

Female

10 5 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

54

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 32 : Oesophagus Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 68 39.5 1.1 1.8 45 44.6 0.7 1.1 Chinese 76 44.2 2.8 2.8 18 17.8 0.7 0.6 Indian 28 16.3 3.1 4.5 38 37.6 4.1 5.5

Table 33 : Oesophagus Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0 0.1 0.3 1.2 2 9.9 18.5 0.2 Chinese 0 0 0 0.3 0.8 5.9 15.9 25.7 0.4 Indian 0 0 0 0 4.9 8.4 16 49.7 0.6 Female Malay 0 0 0.1 0.1 0.7 2.4 4.5 9.8 0.1 Chinese 0 0 0 0 0 1.1 1.7 10.2 0.1 Indian 0 0 0 0.7 4 8.1 34 45.5 0.7

55

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.6 STOMACH (ICDO: C16) Table 34 : Stomach Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 449 58.1 4.5 6.1 Female 324 41.9 3.3 4 Both 773 100 3.9 5

Table 35 : Stomach Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 0 0 0 0 0 0 10-19 0 0 0 0 0 0 20-29 10 2.2 0.6 6 1.9 0.4 30-39 24 5.3 1.8 23 7.1 1.7 40-49 53 11.8 4.5 38 11.7 3.2 50-59 77 17.1 9 58 17.9 6.9 60-69 139 31 30.4 74 22.8 16 70+ 146 32.5 57.5 125 38.6 40.3

Figure 22 : Stomach Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 60 50 40 Male 30

Female

20 10 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

56

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 36 : Stomach Cancer Incidence per Age-standardized incidence (ASR), by ethnicity and Male Ethnic group No. % CR ASR Malay 94 25.9 1.5 2.3 Chinese 224 61.7 8.3 8.4 Indian 45 12.4 5 6.7

100,000 population (CR) and sex, Peninsular Malaysia 2006 Female No. % CR ASR 57 21.9 0.9 1.3 170 65.4 6.6 5.8 33 12.7 3.6 4.4

Table 37 : Stomach Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male

Female

Malay Chinese

0 0

0 0

Indian

0

0

Malay Chinese

0 0

0 0

Indian

0

0

0.6

0.8

2.4

3.7

11.2

17

0.3

0.7 0

2.3

4.8

12.2

40.1

86.4

1

0.1

4.4 0.9

5.8 1.6

13.2 2.4

34.8 6.2

44.2 7.3

0.8 0.1

0.2

2

5.7

8.8

20.1

67.9

0.6

1.3

2.8

0

12.7

19.4

33.1

0.6

57

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.7 COLORECTAL (ICDO: C18-C21) Table 38 : Colorectal Cancer Incidence per 100,000 population Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR Male 1619 56.5 16.2 Female 1247 43.5 12.7 Both 2866 100 14.5

(CR) and ASR 21.6 15.4 18.4

Table 39 : Colorectal Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70+

0

0

0

0

0

0

2 26

0.1 1.6

0.1 1.5

4 32

0.3 2.6

0.2 1.9

78 179

4.8 11.1

5.8 15.1

65 149

5.2 11.9

4.7 12.4

399

24.6

46.5

282

22.6

33.6

471 464

29.1 28.7

102.9 182.7

335 380

26.9 30.5

72.4 122.7

Figure 23 : Colorectal Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 200 175 150 125 Male

100

Female

75 50 25 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

58

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 40 : Colorectal Cancer Incidence per Age-standardized incidence (ASR), by ethnicity and Male Ethnic group No. % CR ASR Malay 625 42.7 10.1 15.5 Chinese 767 52.4 28.5 28 Indian 73 5 8.1 12.4

100,000 population (CR) and sex, Peninsular Malaysia 2006 Female No. % CR ASR 419 37.5 6.9 9.5 615 55.1 23.8 21.4 83 7.4 9.1 11.3

Table 41 : Colorectal Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 0Male

Female

10-

20-

30-

40-

50-

60-

70+

CumR

9

19

29

39

49

59

69

Malay

0

0.1

1.2

4.4

12.1

35.7

77.5

113.4

2

Chinese

0

0.2

0.2

5.8

18.7

60.7

127.5

262.3

3.4

Indian

0

0

1.3

2.9

2.5

22.8

50.8

143.6

1.8

Malay

0

0.1

1.7

3.1

10.2

20.8

48.7

56.8

1.1

Chinese

0

0.5

1.7

6.4

14.6

45

93.8

200.3

2.4

Indian

0

0

0.6

3.5

5.5

31.3

38.8

111.6

1.3

59

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.8 LIVER (ICDO: C22) Table 42 : Liver Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 568 71.6 5.7 7.2 Female 225 28.4 2.3 2.7 Both 793 100 4 4.9

Table 43 : Liver Age specific Cancer Incidence per 100,000 Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % 0-9 1 0.2 0 1 0.4 10-19 5 0.9 0.2 2 0.9 20-29 9 1.6 0.5 7 3.1 30-39 27 4.8 2 21 9.3 40-49 95 16.7 8 36 16 50-59 164 28.9 19.1 38 16.9 60-69 159 28 34.7 53 23.6 70+ 108 19 42.5 67 29.8

population (CR) by sex,

CR 0.1 0.1 0.4 1.5 3 4.5 11.5 21.6

Figure 24 : Liver Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 45 40 35 30 25

Male

20

Female

15 10 5 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

60

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 44 : Liver Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 212 43.1 3.4 4.9 82 43.2 1.3 1.8 Chinese 254 51.6 9.4 9 88 46.3 3.4 3.1 Indian 26 5.3 2.9 4.1 20 10.5 2.2 2.9

Table .45 : Liver Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 0Male

20-

30-

40-

50-

60-

70+

CumR

9

19

29

39

49

59

69

0.1

0.2

0.6

1.4

5.9

14.1

22.4

25.2

0.6

0

0.2

0.2

2.5

9

24.7

41.8

58.6

1.1

Indian

0

0.6

0.6

1.5

1.6

7.2

16

44.2

0.5

Malay

0.1

0.2

0.2

1.5

2.4

2.4

6.6

13.4

0.2

Chinese

0

0

1

1.5

3.2

4.6

13.2

25.5

0.4

Indian

0

0

0

0

2.4

4.6

4.9

45.5

0.2

Malay Chinese

Female

10-

61

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.9 GALLBLADDER (ICDO: C23-C24) Table 46 : Gallbladder Cancer Incidence per 100,000 population Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR Male 83 52.5 0.8 Female 75 47.5 0.8 Both 158 100 0.8

(CR) and ASR 1.1 0.9 1

Table 47 : Gallbladder Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 0 0 0 0 0 0 10-19 0 0 0 0 0 0 20-29 2 2.4 0.1 2 2.7 0.1 30-39 6 7.2 0.4 2 2.7 0.1 40-49 17 20.5 1.4 8 10.7 0.7 50-59 15 18.1 1.7 19 25.3 2.3 60-69 19 22.9 4.2 17 22.7 3.7 70+ 24 28.9 9.5 27 36 8.7

Figure 25 : Gallbladder Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 10

8

6

Male Female

4

2

0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

62

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 48 : Gallbladder Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 46 63.9 0.7 1.1 31 52.5 0.5 0.7 Chinese 26 36.1 1 1 26 44.1 1 0.9 Indian 0 0 0 0 2 3.4 0.2 0.3

Table 49 : Gallbladder Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0 0.2 0.3 1.8 2.6 4.3 5.9 0.1 Chinese 0 0 0 0.5 0.8 0.7 2.7 14.4 0.1 Indian 0 0 0 0 0 0 0 0 0 Female Malay 0 0 0 0.3 0.6 3.1 2.1 3.7 0.1 Chinese 0 0 0.5 0 0.3 1.1 4 11 0.1 Indian 0 0 0 0 0 0 2.4 4.1 0

63

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.10

PANCREAS (ICDO: C25)

Table 50: Pancreas Cancer Incidence per 100,000 population (CR) Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 156 61.7 1.6 2 Female 97 38.3 1 1.2 Both 253 100 1.3 1.6

and

Table 51 : Pancreas Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 0 0 0 0 0 0 10-19 0 0 0 1 1 0.1 20-29 4 2.6 0.2 4 4.1 0.2 30-39 12 7.7 0.9 2 2.1 0.1 40-49 20 12.8 1.7 7 7.2 0.6 50-59 42 26.9 4.9 32 33 3.8 60-69 46 29.5 10.1 31 32 6.7 70+ 32 20.5 12.6 20 20.6 6.5

Figure 26 : Pancreas Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 14 12 10 8

Male

6

Female

4 2 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

64

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 52 : Pancreas Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 59 42.8 1 1.4 41 47.7 0.7 0.9 Chinese 69 50 2.6 2.5 38 44.2 1.5 1.4 Indian 10 7.2 1.1 1.1 7 8.1 0.8 0.7

Table 53 : Pancreas Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0 0.2 0.9 1.1 3.7 6.5 8.2 0.2 Chinese 0 0 0 0.5 2.4 5.9 13.2 16.5 0.3 Indian 0 0 0.6 1.5 2.5 3.6 2.7 0 0.1 Female Malay 0 0 0.1 0.3 0.4 3.7 5 3.7 0.1 Chinese 0 0 0.5 0 0.8 2.8 7.5 10.2 0.2 Indian 0 0 0.6 0 0 5.8 0 4.1 0.1

65

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.11 NOSE AND SINUSES (ICDO: C30-C31) Table 54: Nose and Sinuses Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 69 61.1 0.7 0.8 Female 44 38.9 0.4 0.5 Both 113 100 0.6 0.7

Table 55 : Nose and Sinuses Age specific Cancer Incidence (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % 0-9 0 0 0 1 2.3 10-19 2 2.9 0.1 1 2.3 20-29 3 4.3 0.2 4 9.1 30-39 6 8.7 0.4 7 15.9 40-49 8 11.6 0.7 6 13.6 50-59 23 33.3 2.7 7 15.9 60-69 15 21.7 3.3 14 31.8 70+ 12 17.4 4.7 4 9.1

per 100,000 population

CR 0.1 0.1 0.2 0.5 0.5 0.8 3 1.3

Figure 27 : Nose and Sinuses Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 5

4

3 Male Female 2

1

0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

66

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 56 : Nose and Sinuses Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 24 38.7 0.4 0.6 23 59 0.4 0.5 Chinese 34 54.8 1.3 1.2 15 38.5 0.6 0.5 Indian 4 6.5 0.4 0.6 1 2.6 0.1 0.1

Table 57 : Nose and Sinuses Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0.1 0.1 0.1 0.2 2 3 3 0.1 Chinese 0 0.2 0.5 0.8 1.3 3.3 3.3 7.2 0.1 Indian 0 0 0 1.5 0 0 2.7 5.5 0 Female Malay 0.1 0.1 0.3 0.5 0.6 0.4 2.5 1.2 0.1 Chinese 0 0 0 0.8 0 1.1 4 1.7 0.1 Indian 0 0 0 0 0.8 0 0 0 0

67

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.12

LARYNX (ICDO: C32)

Table 58 : Larynx Cancer Incidence per 100,000 population (CR) Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 183 84.7 1.8 2.5 Female 33 15.3 0.3 0.4 Both 216 100 1.1 1.4

and

Table 59 : Larynx Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 0 0 0 1 3 0.1 10-19 0 0 0 0 0 0 20-29 0 0 0 0 0 0 30-39 3 1.6 0.2 2 6.1 0.1 40-49 20 10.9 1.7 3 9.1 0.3 50-59 35 19.1 4.1 10 30.3 1.2 60-69 75 41 16.4 5 15.2 1.1 70+ 50 27.3 19.7 12 36.4 3.9

Figure 28 : Larynx Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 20

15

Male 10

Female

5

0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

68

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 60 : Larynx Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 63 37.7 1 1.7 16 53.3 0.3 0.4 Chinese 77 46.1 2.9 2.9 6 20 0.2 0.2 Indian 27 16.2 3 4.4 8 26.7 0.9 1.2

Table 61 : Larynx Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0 0 0.1 1.7 2.2 11.6 10.4 0.2 Chinese 0 0 0 0.3 1.8 3.6 18.1 25.7 0.4 Indian 0 0 0 0.7 0 12 24.1 38.7 0.5 Female Malay 0.1 0 0 0.1 0.4 0.7 2.1 1.8 0 Chinese 0 0 0 0.3 0 0.7 0 2.5 0 Indian 0 0 0 0 0 3.5 0 20.7 0.1

69

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.13

LUNG (ICDO: C33-C34)

Table 62 : Lung Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 1445 70.6 14.5 19.6 Female 603 29.4 6.1 7.6 Both 2048 100 10.3 13.3

Table 63 : Lung Age specific Cancer Incidence per 100,000 Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % 0-9 0 0 0 0 0 10-19 4 0.3 0.2 1 0.2 20-29 11 0.8 0.6 5 0.8 30-39 41 2.8 3 30 5 40-49 173 12 14.6 73 12.1 50-59 328 22.7 38.2 147 24.4 60-69 481 33.3 105.1 199 33 70+

407

28.2

160.3

148

population (CR) by sex,

CR 0 0.1 0.3 2.2 6.1 17.5 43

24.5

47.8

Figure 29 : Lung Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 180 160 140 120 100

Male Female

80 60 40 20 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

70

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 64 : Lung Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 557 44 9 13.8 182 36.5 3 4.2 Chinese 657 51.9 24.4 24.5 281 56.4 10.9 9.8 Indian 52 4.1 5.7 7.8 35 7 3.8 4.6

Table 65 : Lung Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0.1 0.6 2.9 11.5 35.7 72.7 87.5 1.7 Chinese 0 0.2 0.5 2.5 16.6 37.3 131.3 235.6 3.1 Indian 0 0.6 0 1.5 6.6 20.4 29.4 71.8 0.9 Female Malay 0 0 0.4 1 3.7 11.2 25.6 19.5 0.5 Chinese 0 0 0.2 3.3 8.1 22.8 47.2 76.4 1.3 Indian 0 0 0 0.7 4.8 15 17 33.1 0.6

71

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.14

BONE (ICDO: C40-C41)

Table 66 : Bone Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 172 54.8 1.7 2 Female 142 45.2 1.4 1.5 Both 314 100 1.6 1.7

Table 67 : Bone Age specific Cancer Incidence per 100,000 Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % 0-9 1 0.6 0 5 3.5 10-19 33 19.2 1.6 16 11.3 20-29 20 11.6 1.2 17 12 30-39 15 8.7 1.1 26 18.3 40-49 16 9.3 1.4 26 18.3 50-59 32 18.6 3.7 23 16.2 60-69 32 18.6 7 19 13.4 70+ 23 13.4 9.1 10 7

population (CR) by sex,

CR 0.3 0.8 1 1.9 2.2 2.7 4.1 3.2

Figure 30 : Bone Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 10

8

6 Male Female 4

2

0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

72

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 68 : Bone Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 101 66.9 1.6 1.9 67 54.5 1.1 1.2 Chinese 41 27.2 1.5 1.5 44 35.8 1.7 1.6 Indian 9 6 1 1.3 12 9.8 1.3 1.2

Male

Female

Malay Chinese Indian Malay Chinese Indian

09 0.1 0 0 0.3 0 0.6

1019 1.9 0 1.1 0.8 0.7 0.6

2029 1.2 0.7 0.6 0.8 1 0.6

Age groups, year 30405039 49 59 1.3 1.4 4.3 0.8 1.1 2.3 0 0.8 1.2 1.8 2.1 1.5 1.3 1.3 3.9 2.8 2.4 2.3

6069 6.9 6 5.3 2.5 5.2 0

70+

CumR

3.7 13.4 11 1.2 5.9 0

0.2 0.2 0.1 0.1 0.2 0.1

73

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.15

OTHER SKIN (ICDO: C44)

Table 70 : Other Skin Cancer Incidence per 100,000 population Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR Male 261 55.4 2.6 Female 210 44.6 2.1 Both 471 100 2.4

Table 71 : Skin Age specific Cancer Incidence per 100,000 Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % 0-9 3 1.1 0.1 2 1 10-19 3 1.1 0.1 1 0.5 20-29 9 3.4 0.5 14 6.7 30-39 15 5.7 1.1 9 4.3 40-49 28 10.7 2.4 17 8.1 50-59 56 21.5 6.5 38 18.1 60-69 61 23.4 13.3 36 17.1 70+ 86 33 33.9 93 44.3

(CR) and ASR 3.5 2.6 3

: Other population (CR) by sex,

CR 0.1 0.1 0.8 0.7 1.4 4.5 7.8 30

Figure 31 : Other Skin Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 35 30 25 20

Male Female

15 10 5 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

74

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 72 : Other Skin Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 81 36.5 1.3 1.9 59 31.7 1 1.3 Chinese 133 59.9 4.9 5 114 61.3 4.4 3.9 Indian 8 3.6 0.9 1.4 13 7 1.4 1.8

Table 73 : Other Skin Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0.1 0.2 0.3 0.5 1.7 3.9 10.8 11.1 0.2 Chinese 0.2 0 0.9 1.3 2.1 10.6 13.2 60.7 0.5 Indian 0 0 0 0.7 0 1.2 10.7 11 0.2 Female Malay 0.1 0.1 0.4 0.5 1.3 2.2 4.5 11 0.2 Chinese 0 0 1.5 0.8 1.1 6.3 9.8 56 0.4 Indian 0 0 0.6 0 0.8 5.8 12.1 4.1 0.2

75

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.16

MELANOMA (ICDO : C43)

Table 74 : Melanoma Cancer Incidence per 100,000 population Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR Male 34 56.7 0.3 Female 26 43.3 0.3 Both 60 100 0.3

Table 75 : Melanoma Age specific Cancer sex, Peninsular Malaysia 2006 Male Age, year No. % CR 0-9 0 0 0 10-19 1 2.9 0 20-29 3 8.8 0.2 30-39 3 8.8 0.2 40-49 6 17.6 0.5 50-59 5 14.7 0.6 60-69 9 26.5 2 70+ 7 20.6 2.8

(CR) and ASR 0.4 0.3 0.4

Incidence per 100,000 population (CR) by

No. 0 0 1 4 5 7 6 3

Female % 0 0 3.8 15.4 19.2 26.9 23.1 11.5

CR 0 0 0.1 0.3 0.4 0.8 1.3 1

Figure 32 : Melanoma Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 3 2.5 2 Male

1.5

Female

1 0.5 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

76

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 76 : Melanoma Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 17 54.8 0.3 0.4 9 40.9 0.1 0.2 Chinese 9 29 0.3 0.3 10 45.5 0.4 0.4 Indian 5 16.1 0.6 0.7 3 13.6 0.3 0.4

Table 77 : Melanoma Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0 0.1 0.3 0.8 0.4 1.7 2.2 0 Chinese 0 0.2 0.2 0.3 0 0.7 1.1 2.1 0 Indian 0 0 0.6 0 0.8 1.2 2.7 5.5 0.1 Female Malay 0 0 0 0.1 0.1 1.1 0.8 0 0 Chinese 0 0 0.2 0.3 0.5 0.4 1.7 1.7 0.1 Indian 0 0 0 0 0.8 1.2 0 4.1 0

77

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.17

FEMALE BREAST (ICDO: C50)

Table 78 : Female Breast Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Female 3525 100 35.9 39.3

Table 79 : Female Breast Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Female Age, year No. % CR 0-9 1 0 0.1 10-19 6 0.2 0.3 20-29 78 2.2 4.6 30-39 386 11 28.2 40-49 1055 29.9 88.1 50-59 1196 33.9 142.7 60-69 538 15.3 116.3 70+ 265 7.5 85.5

Figure 33 : Female Breast Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 160 140 120 100 80

Female

60 40 20 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

78

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Table 80 : Female Breast Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Female Ethnic group

No.

%

CR

ASR

Malay

1539

47.6

25.3

30.4

Chinese

1375

42.5

53.2

46.4

Indian

320

9.9

34.9

38.1

Table 81 : Female Breast Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 0Female

10-

20-

30-

40-

50-

60-

70+

CumR

9

19

29

39

49

59

69

Malay

0

0.2

3.2

27

73.8

114.7

78.9

43.4

3.2

Chinese

0

0

4.9

26.9

96.6

176.7

143.3

118.8

5

Indian

0

0

3.2

16.7

82.3

111.1

138.3

140.5

4.3

79

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.18

CERVIX UTERI (ICDO: C53)

Table 82 : Cervix Uteri Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex

No.

%

CR

ASR

Female

1074

100

10.9

12.2

Table 83 : Cervix Uteri Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Female Age, year

No.

%

CR

0

0

0

10-19

1

0.1

0.1

20-29

15

1.4

0.9

30-39

113

10.5

8.2

40-49

300

27.9

25

50-59

320

29.8

38.2

60-69

184

17.1

39.8

70+

141

13.1

45.5

0-9

Figure 34 : Cervix Uteri Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 50

40

30 Female 20

10

0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

80

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Table 84 : Cervix Uteri Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Female Ethnic group

No.

%

CR

ASR

Malay

354

42

5.8

7.3

Chinese

402

47.7

15.6

13.6

Indian

87

10.3

9.5

11.3

Table 85: Cervix Uteri Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year

Female

0-

10-

20-

30-

40-

50-

60-

70+

CumR

9

19

29

39

49

59

69

Malay

0

0

0.6

4.9

15.3

22.8

25.6

23.2

0.8

Chinese

0

0.2

1.5

7.9

25.9

42.2

43.2

62

1.5

Indian

0

0

0

2.8

11.9

32.4

55.8

70.2

1.5

81

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.19

CORPUS UTERI (ICDO: C54)

Table 86 : Corpus Uteri Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex

No.

%

CR

ASR

Female

372

100

3.8

4.4

Table 87 : Corpus Uteri Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Female Age, year

No.

%

CR

0-9

0

0

0

10-19

0

0

0

20-29

8

2.2

0.5

30-39

42

11.3

3.1

40-49

70

18.8

5.8

50-59

118

31.7

14.1

60-69

95

25.5

20.5

70+

39

10.5

12.6

Figure 35 : Corpus Uteri Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 25

20

15 Female 10

5

0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

82

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Table 88 : Corpus Uteri Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Female Ethnic group

No.

%

CR

ASR

Malay

133

41.6

2.2

2.8

Chinese

152

47.5

5.9

5.2

Indian

35

10.9

3.8

4.7

Table 89 : Corpus Uteri Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year

Female

0-

10-

20-

30-

40-

50-

60-

70+

CumR

9

19

29

39

49

59

69

Malay

0

0

0.3

1.9

4.7

8.8

13.6

6.1

0.3

Chinese

0

0

0.2

2.3

6.5

20.7

23.6

15.3

0.6

Indian

0

0

0

4.2

1.6

10.4

26.7

28.9

0.7

83

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.20

OVARY (ICDO: C56-C57)

Table 90 : Ovary Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex

No.

%

CR

ASR

Female

685

100

7

7.6

Table

91 : Ovary Age specific Cancer Incidence per 100,000 population (CR) by sex,

Peninsular Malaysia 2006 Female Age, year

No.

%

CR

0-9

2

0.3

0.1

10-19

30

4.4

1.5

20-29

61

8.9

3.6

30-39

64

9.3

4.7

40-49

181

26.4

15.1

50-59

198

28.9

23.6

60-69

104

15.2

22.5

70+

45

6.6

14.5

Figure 36 : Ovary Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 25

20

15 Female 10

5

0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

84

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Table 92 : Ovary Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Female Ethnic group

No.

%

CR

ASR

Malay

346

60.5

5.7

6.8

Chinese

172

30.1

6.7

5.8

Indian

54

9.4

5.9

6.4

Table 93 : Ovary Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 0Female

10-

20-

30-

40-

50-

60-

70+

CumR

9

19

29

39

49

59

69

0.1

1.3

3.1

4

14.1

21.3

22.7

8.6

0.7

Chinese

0

1.2

2.4

2.3

9.7

22.5

13.2

21.2

0.6

Indian

0

0.6

1.3

4.2

11.9

16.2

31.6

12.4

0.7

Malay

85

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.21

PROSTATE (ICDO: C61)

Table 94 : Prostate Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 735 100 7.4 11

Table 95 : Prostate Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Age, year No. % CR 0-9 0 0 0 10-19 0 0 0 20-29 1 0.1 0.1 30-39 1 0.1 0.1 40-49 8 1.1 0.7 50-59 78 10.6 9.1 60-69 245 33.3 53.5 70+ 402 54.7 158.3

Figure 37 : Prostate Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 160 140 120 100 80

Male

60 40 20 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

86

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 96 : Prostate Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Ethnic group No. % CR ASR Malay 318 46.5 5.2 9.2 Chinese 295 43.1 11 11.5 Indian 71 10.4 7.8 13.7

Table 97 : Prostate Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0 0.1 0 0.8 6.3 37 146 1.2 Chinese 0 0 0 0 0.5 10.6 64.8 147.1 1.4 Indian 0 0 0 0 0.8 14.4 56.1 204.4 1.6

87

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.22

BLADDER (ICDO: C67)

Table 98 : Bladder Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 471 82.6 4.7 6.6 Female 99 17.4 1 1.3 Both 570 100 2.9 3.8

Table 99 : Bladder Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 0 0 0 0 0 0 10-19 0 0 0 0 0 0 20-29 4 0.8 0.2 2 2 0.1 30-39 11 2.3 0.8 6 6.1 0.4 40-49 34 7.2 2.9 8 8.1 0.7 50-59 101 21.4 11.8 12 12.1 1.4 60-69 164 34.8 35.8 28 28.3 6.1 70+ 157 33.3 61.8 43 43.4 13.9

Figure 38 : Bladder Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 70 60 50 40

Male Female

30 20 10 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

88

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 100 : Bladder Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 242 56.8 3.9 6.4 36 39.6 0.6 0.8 Chinese 151 35.4 5.6 5.6 49 53.8 1.9 1.7 Indian 33 7.7 3.6 5.4 6 6.6 0.7 0.7

Table 101 : Bladder Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0 0.2 0.8 2.6 11.3 37.9 57.1 0.8 Chinese 0 0 0.2 1 1.8 11.5 26.9 56.6 0.6 Indian 0 0 0 0 3.3 10.8 37.4 33.1 0.7 Female Malay 0 0 0 0.3 0.4 1.5 4.5 7.9 0.1 Chinese 0 0 0.2 0.5 0.8 1.4 8.1 21.2 0.2 Indian 0 0 0.6 0.7 0.8 1.2 0 8.3 0.1

89

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.23 KIDNEY AND OTHER URINARY ORGANS (ICDO: C64, C65, C66, C68) Table 102 : Kidney and Other Urinary Organs Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 252 65.8 2.5 3.2 Female 131 34.2 1.3 1.6 Both 383 100 1.9 2.4

Table 103 : Kidney and Other Urinary Organs Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 6 2.4 0.3 5 3.8 0.3 10-19 2 0.8 0.1 1 0.8 0.1 20-29 8 3.2 0.5 7 5.3 0.4 30-39 19 7.5 1.4 10 7.6 0.7 40-49 41 16.3 3.5 24 18.3 2 50-59 52 20.6 6.1 25 19.1 3 60-69 76 30.2 16.6 31 23.7 6.7 70+ 48 19 18.9 28 21.4 9

Figure 39 : Kidney and Other Urinary Organs Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 20

15

Male 10

Female

5

0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

90

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 104 : Kidney and Other Urinary Organs Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Ethnic group Malay Chinese Indian

No. 101 110 25

Male % CR 42.8 1.6 46.6 4.1 10.6 2.8

ASR 2.3 4 3.5

No. 43 61 15

Female % CR 36.1 0.7 51.3 2.4 12.6 1.6

Table 105 : Kidney and Other Urinary Organs Age specific Cancer 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 01020304050609 19 29 39 49 59 69 Male Malay 0.1 0.1 0.6 1.3 2.1 5.4 12.5 Chinese 0 0 0 0.3 5.8 7.3 20.9 Indian 1.1 0 0.6 4.4 2.5 4.8 10.7 Female Malay 0.3 0.1 0.4 0.5 1.2 1.8 4.5 Chinese 0.2 0 1.3 2.7 3.9 7.5 Indian 0 0 1.3 0 4 4.6 7.3

ASR 0.9 2.1 1.8

Incidence per

70+

CumR

9.6 27.8 27.6 1.8 17.8 4.1

0.3 0.5 0.4 0.1 0.2 0.2

91

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.24

BRAIN AND OTHER NERVOUS SYSTEM (ICDO: C70-C72)

Table 106 : Brain and Other Nervous System Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 361 54.4 3.6 3.9 Female 303 45.6 3.1 3.2 Both 664 100 3.3 3.5

Table 107 : Brain and Other Nervous System Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 4 1.1 0.2 6 2 0.3 10-19 42 11.6 2 32 10.6 1.6 20-29 49 13.6 2.9 35 11.6 2.1 30-39 66 18.3 4.9 56 18.5 4.1 40-49 65 18 5.5 58 19.1 4.8 50-59 71 19.7 8.3 62 20.5 7.4 60-69 43 11.9 9.4 40 13.2 8.6 70+ 21 5.8 8.3 14 4.6 4.5

Figure 40 : Brain and Other Nervous System Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 10

8

6 Male Female 4

2

0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

92

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 108 : Brain and Other Nervous System Cancer population (CR) and Age-standardized incidence (ASR), Peninsular Malaysia 2006 Male Ethnic group No. % CR ASR No. Malay 197 62.1 3.2 3.6 163 Chinese 97 30.6 3.6 3.3 86 Indian 23 7.3 2.5 2.8 20

Incidence per 100,000 by ethnicity and sex, Female % CR 60.6 2.7 32 3.3 7.4 2.2

ASR 2.9 3 2.2

Table 109 : Brain and Other Nervous System Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0.2 2.3 2.8 5.6 4.5 7.2 8.6 4.4 0.3 Chinese 0 1.1 2.3 2.8 4.5 8.9 8.2 12.3 0.3 Indian 0 1.1 1.3 2.9 2.5 8.4 8 11 0.3 Female Malay 0.2 1.7 1.8 4 4.7 7 6.6 4.3 0.3 Chinese 0.5 1.2 1.5 2.8 5.7 6.3 10.4 4.2 0.3 Indian 0 1.8 2.5 2.1 1.6 5.8 7.3 0 0.2

93

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.25 THYROID (ICDO: C73) Table 110 : Thyroid Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR ASR Male 221 24.8 2.2 2.6 Female 670 75.2 6.8 7.2 Both 891 100 4.5 4.9

Table 111 : Thyroid Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 0 0 0 0 0 0 10-19 8 3.6 0.4 18 2.7 0.9 20-29 20 9 1.2 87 13 5.1 30-39 25 11.3 1.9 126 18.8 9.2 40-49 45 20.4 3.8 161 24 13.4 50-59 48 21.7 5.6 138 20.6 16.5 60-69 50 22.6 10.9 85 12.7 18.4 70+ 25 11.3 9.8 55 8.2 17.8

Figure 41 : Thyroid Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 20

15

Male 10

Female

5

0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

94

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 112 : Thyroid Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 112 57.4 1.8 2.4 364 65.9 6 6.9 Chinese 69 35.4 2.6 2.4 142 25.7 5.5 4.9 Indian 14 7.2 1.5 1.9 46 8.3 5 4.8

Table 113 : Thyroid Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0 0.4 1 2.3 3.3 5.4 8.2 8.9 0.3 Chinese 0 0.4 1.4 1.3 3.4 5.3 11 7.2 0.3 Indian 0 0 0.6 1.5 1.6 4.8 8 11 0.3 Female Malay 0 0.9 5.1 8.6 12.2 17.8 17.8 12.8 0.7 Chinese 0 0.5 2.9 6.1 7.3 9.8 15 19.5 0.5 Indian 0 0.6 4.4 7.7 12.7 5.8 7.3 12.4 0.5

95

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.26

LYMPHOMA (ICDO: C77)

Table 114 : Lymphoma Cancer Incidence per 100,000 population Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR Male 416 59.9 4.2 Female 279 40.1 2.8 Both 695 100 3.5

(CR) and ASR 4.9 3.2 4.1

Table 115 : Lymphoma Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 3 0.7 0.1 0 0 0 10-19 37 8.9 1.8 15 5.4 0.8 20-29 35 8.4 2 35 12.5 2.1 30-39 34 8.2 2.5 26 9.3 1.9 40-49 62 14.9 5.2 39 14 3.3 50-59 96 23.1 11.2 66 23.7 7.9 60-69 88 21.2 19.2 62 22.2 13.4 70+ 61 14.7 24 36 12.9 11.6

Figure 42 : Lymphoma Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 25

20

15 Male Female 10

5

0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

96

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 116 : Lymphoma Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 200 55.2 3.2 4.3 130 52.6 2.1 2.6 Chinese 138 38.1 5.1 4.9 105 42.5 4.1 3.6 Indian 24 6.6 2.6 3.2 12 4.9 1.3 1.4

Table 117 : Lymphoma Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 0.2 1.4 2.1 1.7 4.4 9.6 19.8 17 0.5 Chinese 0 1.8 1.4 3.5 5.5 10.2 17.6 26.7 0.5 Indian 0 0.6 0.6 3.6 4.1 6 8 22.1 0.4 Female Malay 0 0.9 2.5 1.3 2.4 5.5 11.2 7.9 0.3 Chinese 0 0.5 1 2 4.6 10.9 14.4 15.3 0.4 Indian 0 0 0.6 0.7 1.6 6.9 2.4 4.1 0.2

97

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

6.27

LEUKAEMIA (ICDO: C42)

Table 118 : Leukaemia Cancer Incidence per 100,000 population Age-standardized incidence (ASR), by sex, Peninsular Malaysia 2006 Sex No. % CR Male 363 62.3 3.6 Female 220 37.7 2.2 Both 583 100 2.9

(CR) and ASR 4 2.4 3.2

Table 119 : Leukaemia Age specific Cancer Incidence per 100,000 population (CR) by sex, Peninsular Malaysia 2006 Male Female Age, year No. % CR No. % CR 0-9 40 11 1.9 21 9.5 1.1 10-19 68 18.7 3.3 34 15.5 1.7 20-29 45 12.4 2.6 25 11.4 1.5 30-39 36 9.9 2.7 22 10 1.6 40-49 42 11.6 3.6 36 16.4 3 50-59 45 12.4 5.2 31 14.1 3.7 60-69 52 14.3 11.4 34 15.5 7.3 70+ 35 9.6 13.8 17 7.7 5.5

Figure 43 : Leukaemia Age specific Cancer Incidence per 100,000 population by sex, Peninsular Malaysia 2006 14 12 10 8

Male

6

Female

4 2 0 0-9

10-19

20-29

30-39

40-49

50-59

60-69

70+

A ge gro up

98

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Table 120 : Leukaemia Cancer Incidence per 100,000 population (CR) and Age-standardized incidence (ASR), by ethnicity and sex, Peninsular Malaysia 2006 Male Female Ethnic group No. % CR ASR No. % CR ASR Malay 220 67.9 3.6 4 111 55.5 1.8 2 Chinese 86 26.5 3.2 3.3 72 36 2.8 2.6 Indian 18 5.6 2 2.2 17 8.5 1.9 1.9

Table 121 : Leukaemia Age specific Cancer Incidence per 100,000 population, by ethnicity and sex, Peninsular Malaysia 2006 Age groups, year 010203040506070+ CumR 9 19 29 39 49 59 69 Male Malay 2 3.7 3 2.5 3.8 5.7 10.8 8.9 0.4 Chinese 1.1 2.6 2.1 1.5 2.1 3.6 9.3 18.5 0.3 Indian 0 0 1.9 2.2 4.1 2.4 10.7 5.5 0.3 Female Malay 1.1 1.7 1.2 1.9 2.7 2 7.4 0.6 0.2 Chinese 0.7 1.4 1.7 1 2.7 6.3 5.8 11.9 0.2 Indian 0.6 3 0.6 0.7 3.2 3.5 0 8.3 0.1

99

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

APPENDICES Appendix 1: New cases of cancer and percentage of total number of cases, by site, age and sex, Peninsular Malaysia 2006 Site

C00

Age groups, year 0-

5-

10-

15-

20-

25-

30-

35-

40-

45-

50-

55-

60-

65-

70-

75+

Total

Tot-%

.

.

.

.

.

.

.

.

.

3

.

.

.

2

1

2

8

0

Lip

Male

Lip

Female

.

.

.

.

.

2

1

.

1

1

3

2

4

.

2

4

20

0.1

Tongue

Male

1

1

.

.

.

1

3

4

8

11

11

18

18

16

13

19

124

0.6

Tongue

Female

.

.

1

.

2

.

4

6

8

4

6

10

13

14

12

6

86

0.4

Mouth

Male

.

.

.

.

.

.

1

3

1

7

6

7

10

5

13

10

63

0.3

Mouth

Female

.

.

.

2

4

.

1

.

3

2

12

22

15

23

21

22

127

0.6

Salivary Glands

Male

.

.

1

5

1

3

4

3

7

8

2

6

9

7

4

5

65

0.3

Salivary Glands

Female

.

.

2

4

3

2

12

6

9

6

11

7

6

1

2

6

77

0.4

Tonsil

Male

.

.

.

1

.

1

1

3

1

2

5

5

3

4

6

1

33

0.2

Tonsil

Female

.

.

.

.

.

.

1

2

.

6

2

.

6

.

2

.

19

0.1

Oropharynx

Male

.

.

.

.

1

.

.

.

.

1

1

2

1

4

1

4

15

0.1

Oropharynx

Female

.

.

.

.

.

.

1

.

.

.

.

.

.

.

2

.

3

0

Nasopharynx

Male

.

.

2

12

13

15

29

66

90

104

116

108

72

50

41

28

746

3.4

Nasopharynx

Female

.

.

.

3

1

9

9

37

20

35

41

27

23

12

12

6

235

1.1

C12

Pyriform Sinus

Male

.

.

.

.

.

.

1

.

.

2

1

2

1

1

1

3

12

0.1

C13

Hypopharynx

Male

.

.

.

.

.

.

.

1

.

1

4

1

4

3

1

3

18

0.1

Hypopharynx

Female

.

.

.

.

.

.

.

.

2

2

3

1

2

1

1

1

13

0.1

Other and Ill-Defined Sites

Male

.

.

.

.

.

.

1

1

.

1

1

1

1

3

2

1

12

0.1

Female

.

.

1

.

.

.

.

.

1

1

3

.

.

3

.

1

10

0

C01-C02

C03-C06

C07-C08

C09

C10

C11

C14

in Lip, Oral Cavity and Pharynx Other and Ill-Defined Sites

100

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Site

Age groups, year 0-

5-

10-

15-

20-

25-

30-

35-

40-

45-

50-

55-

60-

65-

70-

75+

Total

Tot-%

in Lip, Oral Cavity and Pharynx C15

C16

C17

C18-C21

C22

C23-C24

C25

C26

Esophagus

Male

.

.

.

.

.

1

.

3

8

10

15

22

29

35

36

32

191

0.9

Esophagus

Female

.

.

.

.

.

1

1

1

4

8

12

10

15

16

22

21

111

0.5

Stomach

Male

.

.

.

.

2

8

10

14

16

37

39

38

40

99

69

77

449

2.1

Stomach

Female

.

.

.

.

1

5

6

17

18

20

26

32

23

51

50

75

324

1.5

Small Intestine

Male

.

.

.

.

1

.

2

1

2

5

4

3

7

5

1

3

34

0.2

Small Intestine

Female

.

.

.

.

.

.

2

1

.

.

4

6

3

3

1

1

21

0.1

Colorectal

Male

.

.

1

1

5

21

42

36

66

113

176

223

207

264

246

218

1,619

7.4

Colorectal

Female

.

.

1

3

10

22

35

30

57

92

131

151

150

185

151

229

1,247

5.7

Liver

Male

1

.

3

2

6

3

9

18

37

58

75

89

78

81

58

50

568

2.6

Liver

Female

.

1

.

2

4

3

12

9

9

27

17

21

26

27

29

38

225

1

Gallbladder

Male

.

.

.

.

.

2

4

2

5

12

7

8

11

8

14

10

83

0.4

Gallbladder

Female

.

.

.

.

.

2

1

1

1

7

11

8

4

13

13

14

75

0.3

Pancreas

Male

.

.

.

.

.

4

3

9

6

14

23

19

23

23

16

16

156

0.7

Pancreas

Female

.

.

1

.

1

3

1

1

4

3

16

16

12

19

9

11

97

0.4

Other and Ill-Defined

Male

.

.

1

.

.

.

.

.

2

3

1

.

2

.

3

2

14

0.1

Female

.

.

.

1

.

.

1

1

.

1

2

2

.

.

2

3

13

0.1

Nose, Sinuses

Male

.

.

.

2

2

1

4

2

6

2

10

13

4

11

4

8

69

0.3

Nose, Sinuses

Female

1

.

.

1

2

2

4

3

3

3

4

3

5

9

1

3

44

0.2

Larynx

Male

.

.

.

.

.

.

1

2

6

14

16

19

32

43

25

25

183

0.8

Larynx

Female

1

.

.

.

.

.

1

1

.

3

6

4

1

4

4

8

33

0.2

Digestive Organs Other and Ill-Defined Digestive Organs C30-C31

C32

101

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Site

C33-C34

C37

C38

Age groups, year 0-

5-

10-

15-

20-

25-

30-

35-

40-

45-

50-

55-

60-

65-

70-

75+

Total

Tot-%

Lung

Male

.

.

.

4

5

6

9

32

69

104

150

178

215

266

204

203

1,445

6.6

Lung

Female

.

.

1

.

2

3

10

20

24

49

66

81

85

114

81

67

603

2.8

Thymus

Male

.

.

.

1

.

2

.

.

2

4

.

2

.

1

.

.

12

0.1

Thymus

Female

.

.

.

.

.

1

.

.

.

1

2

.

1

.

.

.

5

0

Heart, Mediastinum and

Male

.

.

1

3

2

2

.

2

.

3

3

9

5

10

4

5

49

0.2

Female

.

.

.

1

1

2

1

2

3

4

7

6

4

4

4

4

43

0.2

Male

3

.

.

.

.

.

1

.

.

.

.

1

.

.

.

1

6

0

Female

.

.

.

.

.

3

2

.

.

.

.

.

.

1

1

1

8

0

Bones

Male

1

.

12

21

8

12

3

12

5

11

15

17

20

12

14

9

172

0.8

Bones

Female

4

1

5

11

9

8

15

11

16

10

12

11

9

10

8

2

142

0.7

Leukaemia

Male

31

9

26

42

28

17

17

19

17

25

12

33

26

26

14

21

363

1.7

Leukaemia

Female

16

5

12

22

15

10

12

10

16

20

22

9

17

17

5

12

220

1

SKIN including

Male

3

.

.

4

1

11

6

12

14

20

29

32

35

35

37

56

295

1.4

Female

1

1

.

1

10

5

9

4

9

13

22

23

18

24

41

55

236

1.1

OTHER SKIN

Male

3

.

.

3

.

9

6

9

11

17

27

29

31

30

33

53

261

1.2

OTHER SKIN

Female

1

1

.

1

9

5

6

3

6

11

17

21

16

20

39

54

210

1

Pleura Heart, Mediastinum and Pleura C39

Other and Ill-Defined Sites within Respiratory System and Intrathoracic Organs Other and Ill-Defined Sites within Respiratory System and Intrathoracic Organs

C40-C41

C42

C44

MELANOMA SKIN including MELANOMA

102

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Site

C47

Age groups, year 0-

5-

10-

15-

20-

25-

30-

35-

40-

45-

50-

55-

60-

65-

70-

75+

Total

Tot-%

MELANOMA

Male

.

.

.

1

1

2

.

3

3

3

2

3

4

5

4

3

34

0.2

MELANOMA

Female

.

.

.

.

1

.

3

1

3

2

5

2

2

4

2

1

26

0.1

Peripheral Nerves and

Male

.

.

1

.

.

3

.

1

2

1

.

1

4

1

1

.

15

0.1

Female

.

.

.

1

.

1

.

3

.

1

3

.

3

.

2

1

15

0.1

Male

.

.

.

.

.

.

2

1

1

1

5

3

1

2

4

8

28

0.1

Female

.

1

.

.

1

.

1

1

7

2

10

9

4

3

2

5

46

0.2

Male

6

1

4

5

9

9

10

15

5

9

8

4

10

16

7

12

130

0.6

Female

1

.

2

5

7

6

6

5

16

7

11

16

5

2

11

6

106

0.5

Autonomic Nervous System Peripheral Nerves and Autonomic Nervous System C48

Retroperitoneum and Peritoneum Retroperitoneum and Peritoneum

C49

Connective, Subcutaneous and Other Soft Tissues Connective, Subcutaneous and Other Soft Tissues

C50

Breast

Male

.

.

.

.

1

1

2

1

7

10

7

10

8

8

6

5

66

0.3

Breast

Female

1

.

.

6

29

49

125

261

476

579

661

535

321

217

142

123

3,525

16.2

C51

Vulva

Female

.

.

.

.

1

.

.

3

.

.

3

4

5

3

5

3

27

0.1

C52

Vagina

Female

.

.

.

.

.

.

.

1

3

4

5

8

2

7

7

9

46

0.2

C53

Cervix Uteri

Female

.

.

.

1

5

10

40

73

138

162

176

144

86

98

74

67

1,074

4.9

C54

Corpus Uteri

Female

.

.

.

.

2

6

20

22

30

40

64

54

49

46

27

12

372

1.7

103

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Site

Age groups, year 0-

5-

10-

15-

20-

25-

30-

35-

40-

45-

50-

55-

60-

65-

70-

75+

Total

Tot-%

C55

Uterus, NOS

Female

.

.

.

1

3

3

2

9

13

25

36

13

10

4

3

3

125

0.6

C56-C57

Ovary

Female

1

1

7

23

35

26

32

32

74

107

108

90

58

46

20

25

685

3.1

C58

Placenta

Female

.

.

.

.

1

1

2

2

2

1

.

.

.

.

.

.

9

0

C60

Penis

Male

.

.

.

1

.

.

6

.

3

1

4

3

1

4

1

3

27

0.1

C61

Prostate Gland

Male

.

.

.

.

.

1

.

1

1

7

24

54

103

142

185

217

735

3.4

C62

Testis

Male

1

.

4

11

16

17

11

6

4

10

6

3

3

3

4

5

104

0.5

C63

Other and Unspecified

Male

.

.

.

.

.

.

1

1

.

1

.

.

1

1

.

1

6

0

Male

6

.

1

1

3

5

9

10

17

24

26

26

35

41

23

25

252

1.2

Female

5

.

.

1

2

5

2

8

11

13

13

12

16

15

14

14

131

0.6

Bladder

Male

.

.

.

.

3

1

6

5

9

25

40

61

74

90

64

93

471

2.2

Bladder

Female

.

.

.

.

1

1

2

4

5

3

5

7

13

15

17

26

99

0.5

Eye and Adnexa

Male

8

.

1

2

3

11

12

7

7

5

.

3

1

1

.

2

63

0.3

Eye and Adnexa

Female

2

.

.

2

1

9

9

11

6

.

2

1

2

.

.

.

45

0.2

Brain, Other Nervous

Male

2

2

9

33

24

25

30

36

26

39

40

31

26

17

10

11

361

1.7

Female

4

2

9

23

19

16

19

37

35

23

37

25

22

18

9

5

303

1.4

Thyroid Gland

Male

.

.

3

5

7

13

11

14

25

20

22

26

24

26

11

14

221

1

Thyroid Gland

Female

.

.

1

17

44

43

50

76

90

71

83

55

47

38

33

22

670

3.1

Adrenal Gland

Male

2

1

.

.

1

4

9

3

7

1

1

1

1

.

.

.

31

0.1

Adrenal Gland

Female

2

1

.

.

1

2

5

1

1

2

1

.

2

2

.

3

23

0.1

Male Genital Organs C64, C65,

Kidney, Other Urinary

C66, C68

Organs Kidney, Other Urinary Organs

C67

C69

C70-C72

System Brain, Other Nervous System C73

C74

104

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Site

C75

Age groups, year 0-

5-

10-

15-

20-

25-

30-

35-

40-

45-

50-

55-

60-

65-

70-

75+

Total

Tot-%

Male

1

.

3

3

2

.

2

3

9

5

4

3

3

5

2

1

46

0.2

Female

.

.

.

1

4

2

2

3

9

2

4

8

2

1

.

.

38

0.2

Other and Ill-Defined Sites

Male

2

.

3

7

3

11

10

13

11

14

19

26

16

21

19

23

198

0.9

Other and Ill-Defined Sites

Female

.

.

2

7

3

1

4

11

17

12

19

12

10

16

14

16

144

0.7

Lymphoma

Male

1

2

9

28

16

19

14

20

25

37

48

48

47

41

32

29

416

1.9

Lymphoma

Female

.

.

6

9

17

18

10

16

14

25

30

36

32

30

18

18

279

1.3

Other Endocrine Glands and Related Structures Other Endocrine Glands and Related Structures

C76

C77

105

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________

Appendix 2: Age specific Cancer Incidence per 100,000 population, Age standardized incidence and Cumulative risk, by site, age and sex, Peninsular Malaysia 2006 Site

Age groups, year 0-

C00

Lip

Male

Lip

Female

Tongue

Male

Tongue

Female

Mouth

Male

Mouth

Female

Salivary Glands

Male

Salivary Glands

Female

Tonsil

Male

Tonsil

Female

Oropharynx

Male

Oropharynx

Female

Nasopharynx

Male

Nasopharynx

Female

C12

Pyriform Sinus

Male

C13

Hypopharynx

Male

Hypopharynx

Female

Other and Ill-Defined

Male

C01-C02

C03-C06

C07-C08

C09

C10

C11

C14

5-

10-

15-

20-

25-

30-

35-

40-

45-

50-

55-

60-

0.5

0.1

0.1 0.1

0.3

0.1

0.1

0.4 0.6 0.1

0.2

65-

70-

75+

CR

ASR

CumR

1.1

0.8

1.6

0.1

0.1

0

1.4

2.4

0.2

0.2

0

0.2

0.2

0.6

0.6

1.5

0.6

1.3

1.9

2.2

4.9

6.7

8.4

10.4

14.8

1.2

1.6

0.2

0.9

1.3

0.7

1.2

2.8

5

6.9

8.2

3.7

0.9

1.1

0.1

0.5

0.2

1.2

1.2

1.9

3.7

2.6

10.4

7.8

0.6

0.8

0.1

0.5

0.4

2.5

6.2

5.8

11.3

14.4

13.5

1.3

1.6

0.2

0.2

0.4

0.1

0.5

0.1

0.4

0.6

0.5

1.1

1.4

0.4

1.6

3.4

3.7

3.2

3.9

0.7

0.8

0.1

0.2

0.4

0.3

0.3

1.7

0.9

1.4

1.1

2.3

2

2.3

0.5

1.4

3.7

0.8

0.8

0.1

0.1

0.1

0.5

0.2

0.4

1

1.4

1.1

2.1

4.8

0.8

0.3

0.4

0.1

0.1

0.3

1.1

0.4

0.2

0.2

0.5

0.4

2.1

0.8

0.1

0.1

0.1

2.3

1.4

0.1 0.2

0.2

0.2

0

3.1

0.2

0.2

0

0

0

0

1.2

1.4

1.9

4.2

10

14.6

18.4

23.6

29.4

26.9

26.4

32.8

1.4 21.7

7.5

8.5

0.9

0.3

0.1

1.2

1.3

5.5

3.2

6.2

8.5

7.6

8.9

5.9

8.2

3.7

2.4

2.6

0.3

0.4

0.2

0.5

0.4

0.5

0.8

2.3

0.1

0.2

0

0.2

0.8

0.3

1.5

1.6

0.8

2.3

0.2

0.2

0

0.4

0.6

0.3

0.8

0.5

0.7

0.6

0.1

0.2

0

0.2

0.2

0.3

0.4

1.6

1.6

0.8

0.1

0.2

0

0.2

0.6

0.6

0.1

0.1

0

0.1 0.2 0.3 0.1

0.2

Sites in Lip, Oral Cavity and Pharynx Other and Ill-Defined

Female

0.1

0.2

1.5

Sites in Lip, Oral

106

MALAYSIAN CANCER STATISTICS - DATA AND FIGURE PENINSULAR MALAYSIA 2006

________________________________________________________________________________ Site

Age groups, year 0-

5-

10-

15-

20-

25-

30-

35-

40-

45-

50-

55-

60-

65-

70-

75+

CR

ASR

CumR

0.5

1.3

1.8

3

6

10.8

18.5

28.8

24.8

1.9

2.7

0.4

Cavity and Pharynx C15

C16

C17

C18-C21

C22

C23-C24

C25

C26

Esophagus

Male

0.1

Esophagus

Female

0.1

0.1

0.1

0.6

1.4

2.5

2.8

5.8

7.9

15

12.8

1.1

1.4

0.2

Stomach

Male

0.2

1

1.5

2.1

2.6

6.5

7.9

10.4

14.9

52.2

55.2

59.8

4.5

6.1

0.8

Stomach

Female

0.1

0.6

0.9

2.5

2.9

3.5

5.4

9

8.9

25.1

34.2

45.9

3.3

4

0.5

Small Intestine

Male

0.1

0.3

0.2

0.3

0.9

0.8

0.8

2.6

2.6

0.8

2.3

0.3

0.4

0

Small Intestine

Female

0.3

0.1

0.8

1.7

1.2

1.5

0.7

0.6

0.2

0.3

0

Colorectal

Male

6.1

5.4

10.7

20

35.8

60.8

77.3

139.2

196.6

169.3

16.2

21.6

2.7

Colorectal

Female

Liver

Male

Liver

Female

Gallbladder Gallbladder Pancreas

Male

Pancreas

Female

0.1

Other and Ill-Defined

Male

0.1

0.1

0.1

0.5

2.7

0.1

0.3

1.1

2.8

5

4.4

9

16.2

27.1

42.6

57.9

90.9

103.2

140.1

12.7

15.4

1.8

0.3

0.2

0.6

0.4

1.3

2.7

6

10.2

15.2

24.3

29.1

42.7

46.4

38.8

5.7

7.2

0.9

0.2

0.4

0.4

1.7

1.3

1.4

4.8

3.5

5.9

10

13.3

19.8

23.2

2.3

2.7

0.3

Male

0.3

0.6

0.3

0.8

2.1

1.4

2.2

4.1

4.2

11.2

7.8

0.8

1.1

0.1

Female

0.3

0.1

0.1

0.2

1.2

2.3

2.3

1.5

6.4

8.9

8.6

0.8

0.9

0.1

0.5

0.4

1.4

1

2.5

4.7

5.2

8.6

12.1

12.8

12.4

1.6

2

0.2

0.4

0.1

0.1

0.6

0.5

3.3

4.5

4.6

9.3

6.2

6.7

1

1.2

0.1

0.3

0.5

0.2

2.4

1.6

0.1

0.2

0

0.2

0.4

0.6

1.4

1.8

0.1

0.1

0

5.8

3.2

6.2

0.7

0.8

0.1

0.1 0.1

0.1

0.7

Digestive Organs Other and Ill-Defined

Female

0.1

Nose, Sinuses

Male

0.2

0.2

Nose, Sinuses

Female

0.1

0.2

Larynx

Male

Larynx

Female

Lung

Male

0.1

0.1

0.1

0.6

0.3

1

0.4