belgian cancer registry Cancer Incidence in Belgium 2010 Special issue Cancer in Children and Adolescents Belgian Cancer Registry belgian cancer registry Cancer Incidence in Belgium 2010 Special issue Cancer in Children and Adolescents Belgian Cancer Registry © 2013 Belgian Cancer Registry Stichting Kankerregister - Fondation Registre du Cancer – Stiftung Krebsregister Editorial team: Belgian Cancer Registry: Kris Henau, Nancy Van Damme, Frédéric Calay, Mia Slabbaert, Linda Thibaut, Julie Francart, Karen Vos, Katia Emmerechts, Liesbet Van Eycken BSPHO: Yves Benoit, An Van Damme, Christophe Chantrain, Anne Uyttebroeck Responsible editor: Liesbet Van Eycken, Koningsstraat 215, 1210 Brussels Design: www.magelaan.be D/2013/11.846/1 Use of data The information in this publication may be used freely on condition of correct quotation of the source and reference. Recommended reference: Cancer in Children and Adolescents, Belgian Cancer Registry, Brussels, 2013 Additional information can be requested at: Tel. 0032-2-250 10 10 Fax 0032-2-250 10 11 e-mail: info@kankerregister.org info@registreducancer.org This publication was realized with the specific financial support of The Belgian Cancer Registry receives financial support of: Met steun van de Vlaamse overheid belgian cancer registry Abbreviations...........................................................................................................................................................................4 Foreword..................................................................................................................................................................................... 5 Methodology............................................................................................................................................................................6 Notif ication and submission to the Cancer Registry .................................................................................... 7 Quality of incidence data .....................................................................................................................................8 Calculation of incidence, mortality and survival ..........................................................................................10 Childhood cancer in Belgium. ..................................................................................................................................... 12 I-XII All cancers ....................................................................................................................................................13 I Leukaemias, myeloproliferative and myelodysplastic................................................................................... 18 diseases........................................................................................................................................................ 18 II Lymphomas and reticuloendothelial neoplasms ..............................................................................22 III Central nervous system tumours (CNS) and ......................................................................................27 IV Sympathetic nervous system tumours ................................................................................................32 V Retinoblastoma .........................................................................................................................................34 VI Renal tumours ............................................................................................................................................35 VII Hepatic tumours........................................................................................................................................ 37 VIII Bone tumours.............................................................................................................................................38 miscellaneous intracranial and intraspinal neoplasms.................................................................................. 27 IX Soft tissue sarcoma...................................................................................................................................42 X Germ cell, trophoblastic and other gonadal neoplasms ................................................................................46 XI Carcinomas and other malignant epithelial neoplasms...............................................................................51 Cancer in Infants.................................................................................................................................................. 59 Reference list.........................................................................................................................................................................60 Appendix.................................................................................................................................................................................. 63 Appendix 1: Notifications by source type in children and in adolescents, Belgium 2004-2009 ..... 64 Appendix 2: Cancer incidence in children and adolescents, Belgium 2004-2009.............................. 68 Cancer in Belgium, 2010................................................................................................................................................. 87 3 introduction Contents Abbreviations ALL Acutelymphoidleukaemia BSPHO BelgianSocietyofPaediatricHaematologyOncology AML CBSS CNS Acutemyeloidleukaemia CrossroadsBankforSocialSecurity Centralnervoussystem GCT Germcelltumours ICCC-3 InternationalClassificationofChildhoodCancer(3rdedition) GCTOG ICD10 ICD-O3 Germcelltumours,trophoblasticandothergonadalneoplasms InternationalClassificationofDiseases(10thedition) InternationalClassificationofDiseasesforOncology(3rdedition) MOC MultidisciplinaryOncologicalConsult NNSS NationalNumberforSocialSecurity NHL Non-Hodgkinlymphoma Non-RMS Non-rhabdomyosarcoma PNET RMS Primitiveneuroectodermaltumours Rhabdomyosarcoma SNS Sympatheticnervoussystem WSR WorldStandardisedincidenceRates STS Softtissuesarcomas a fruitful collaboration between the Belgian Cancer Registry and the Belgian Society of belgian cancer registry Minister Onkelinx in 2008, initiatives were taken to establish a national coordination cell 5 theBSPHO.Thefoundationofthisnationalcellhasfavoredthesetupofasupplementary introduction Foreword The special issue ‘Cancer in Children and Adolescents’ in this publication is the result of Paediatric Haematology Oncology (BSPHO). With the introduction of the Cancer Plan of for clinical and scientific research in paediatric haemato- oncology under the umbrella of childhoodcancerregistrationnetworkwithallthe8Belgianpaediatrichaemato-oncology centresbesidestheclassiccancerregistrationincludingthepathologyandclinicalregistration pathways. The specific data has been collected from the incidence year 2004 onwards. IncidenceandsurvivaldataforchildrenandadolescentsarepresentedforBelgium(5years) andforFlanders(10years). Inaddition,thecancerincidencetables2010forallagesareprintedforBelgiumandforthe threeregions.Theincidencedataareregularlyupdatedandcanbefoundonthewebsiteof theBelgianCancerRegistry(http://www.kankerregister.org/Statistieken http://www.registreducancer.org/Statistiques). Apublicationisalsoanoutstandingmomenttosincerelythankallthephysicians,pathologists anddatamanagersinthehospitalsfortheirintensivecommitmentandsustainedeffortsin registration. Aspecialissueisdevotedtothissubjectbecausecancerinchildrenandadolescentsstrongly differsfromtheadultmalignancies.Itis,allthemorethaninadults,anemotionallyloaded subjectandthecoverwaschosenforthisreason.Childrenandadolescentsstandforfuture, initiatives,dreams,hope…andeverynewcancerdiagnosiscanmakeayounglifeassensitive asabubble. Eachyearabout320children(<15years)and180adolescents(15-19years)facethediagnosis and treatment of cancer. Malignant diseases are rare under the age of 20 years when compared to adults, where cancer accounts for more than 99% of the total cancer burden. Everyyear,approximately70patientsyoungerthan20yearsdiefromcancer. Since the nineteen sixties, mortality rates have dramatically declined for most childhood cancers. This decrease in mortality reflects an improved cancer survival rate for children. Survivalincreasedforallchildhoodcancers,butbyvaryingamountsandatdifferentpoints intime.Theprogressisnotonlylinkedtomoreeffectivedrugs.Mostoftheseimprovements canbeattributedtotheaccurateuseofalreadyexistingdrugsandeffectivecombinationsof them,tobetterinsightsinthenaturalbehaviorofthedisease,tobetterdiagnosticmethods, tobettersurgeryandradiotherapyandtoabetteridentificationofprognosticfactors. Wehopethatthisworkcanbeanassetforyourdailypracticeandforfurthercollaborations inordertostrengthenscientificpopulationbasedcancerresearch. Brussels,February2013 Anne Uyttebroeck President BSPHO Liesbet Van Eycken Director BCR Methodology Notif ication and submission to the Cancer Registry Newlegislationinitiativessince2003andthefoundationoftheBelgianCancerRegistryin 2005,forcedabreakthroughintheBelgiancancerregistration.EspeciallytheRoyalDecree on the oncological care programs in 2003 with the reimbursement of the multidiscipli- naryoncologicalconsult(MOC)andthecreationofthespecificlawontheCancerRegistry in2006providedafirmlegalbasisforcancerregistrationinBelgium.(1)(2)Thislegislation makescancerregistrationcompulsoryfortheoncologicalcareprogramsandforthelabo- ratoriesforpathologicalanatomy.Furthermore,thelawauthorizestheuseofthenational activefollowuponvitalstatusanddateofdeathofthepatients. A complete description of the data registration and data collection related to hospitals andpathologylaboratorieswasreportedinthepublication‘CancerIncidenceinBelgium, 2008’(3).Asoftheyearofincidence2004,Belgiancancerincidencedataareavailable.The generaldataflow(Figure1)reliesonallinformation(notifications)comingfromtheonco- logicalcareprograms(clinicalnetwork)andallpathologicalanatomylaboratories(pathologynetwork). Figure 1 Belgian Cancer Registry: dataflow oncological.care programs paediatric centres for haemato-oncology MOC health.insurance. companies MOC+ not MOC laboratories.for. pathological.anatomy/ haematology vital status/ date of death Belgian Cancer Registry MOC: Multidisciplinary Oncological Consult CBSS: Crossroads Bank for Social Security CBSS 7 cancer incidence in belgium 2010 linkagewithothermedicaland/oradministrativedata.Furthermore,throughlinkagewith theCrossroadsBankforSocialSecurity(CBSS),theNNSSenablestheRegistrytoperform belgian cancer registry numberforsocialsecurity(NNSS)astheuniqueidentifierofthepatient.TheNNSSfavours In2009,aspecificcollaborationhasbeensetupwithallthe8Belgianpaediatriccentresfor haemato-oncology.Datahasbeencollectedfromtheincidenceyear2004onwards(Table1). Table 1 Overview paediatric centres for haemato-oncology in Belgium Universitair Ziekenhuis Gent ZNA Koningin Paola Kinderziekenhuis, Antwerpen Universitair Ziekenhuis Leuven Universitair Ziekenhuis Brussel Hôpital Universitaire des Enfants Reine Fabiola, Bruxelles belgian cancer registry Cliniques Universitaires Saint-Luc, Bruxelles 8 CHR de la Citadelle, Liège CHC Les Cliniques Saint-Joseph Montegnée, Liège Quality of incidence data Completeness of the cancer registry (degree of coverage) CompletenessistheextenttowhichallincidentcancersintheBelgianpopulationarein- cludedintheCancerRegistry.Incidencerateswillbeclosetotheirtruevalueifmaximum completenessincasefindingprocedurescanbeachieved. Thenumberofnotificationsanddatasourcespertumourisarawindicatorofcomplete- ness.Thehighertheaverage,themorecompletetheregistrationprocess.Linkageofdata fromdifferentsourcesandsourcetypesleadstoinformationthatismorecomplete,preciseandreliable. Number of notifications from paediatric centres for haemato-oncology InBelgium,between2004and2009,atotalnumberof2,973cancersarediagnosedinchil- drenandadolescents(0-19years).Theregistrationforthesetumoursoriginatedfrom7,741 notificationsi(onaverage2.6notificationspertumour[range1-8]).In35%ofthecases,a notificationwasreceivedfromthreedifferentpathways(clinicaloncology+pathological+ paediatriccentre).Duetothelowernumberofadolescentcancersdiagnosedbypaediatric centres(Figure2),theaveragenumberofnotificationsinthisagegroupislower(2.2)when comparedtochildrenintheagegroup0-14years(2.8). Sixtypercentofthe2,973cancersrecordedinchildrenandadolescentswasregisteredby a paediatric centre for haemato-oncology. Especially under the age of 12 years, the con- tributionofthepaediatriccentresissubstantial.Inthisagegroup,anotificationfroma paediatriccentreisreceivedinalmost90percentofthediagnoses.Thenotificationofthe other10%(registrationbymultidisciplinaryconsult,registrationbypathologyonly,…)are mostlybraintumours,epithelialneoplasms,lymphomasandleukaemias.Butthisdoes notautomaticallyimplythatthepaediatriccentresforhaematology-oncologywerenot involvedinthediagnosticandtherapeuticsettingforthepatient.Aftertheageof16years, notificationsfrompaediatriccentresarerarebutthisisinlinewithagegroupstreatedin paediatriccentres. i. Only.unique.notifications.from.1.source.were.included..If.the.same.source.registered.the.same.diagnosis.more.than.once,.. this.is.counted.as.1.notification. Figure 2 Notifications of paediatric centres for haemato-oncology by age at diagnosis, Belgium 2004-2009 Notification of paediatric source No notification of paediatric source 100% 90% 80% 70% 60% 50% 40% 30% belgian cancer registry 20% 10% 0% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis Number of notifications from paediatric centres for haemato-oncology by tumour type cancer incidence in belgium 2010 9 Undertheageof15years,morethan90%ofallleukaemias(I),neuroblastomas(IV),retino- blastomas(V),renal(VI),hepatic(VII)andbonetumours(VIII)areregisteredbyapaediat- riccentre(Table2).Lymphomas(II),softtissuesarcomas(IX)andgermcelltumours(X)are notifiedinmorethan80%ofallcasesbyapaediatriccentre.Forbraintumours(III),this isonly75%.Epithelialneoplasms(XI)arelessfrequentlyregisteredbyapaediatriccentre. Themajorityofthesetumourtypesareregisteredbypathologylaboratories(Appendix 1)andarenotnotifiedbyanyothersourcetype.Specialattentionshouldbemadeforthe clinicalregistrationofthesecases. Table 2 Notifications from paediatric centres for haemato-oncology by tumour type, Belgium 2004-2009 ICCC-3 Classification 0-14 years Total 15-19 years Paediatric notification N N Total 0-19 years Paediatric notification % N N Total Paediatric notification % N N % I-XII All tumours 1,913 1,604 83.8% 1,060 157 14.8% 2,973 1,761 59.2% I Leukaemias, myeloproliferative and myelodysplastic diseases 500 480 96.0% 125 32 25.6% 625 512 81.9% II Lymphomas and reticuloendothelial neoplasms 238 211 88.7% 264 32 12.1% 502 243 48.4% III CNS and miscellaneous intracranial and intraspinal neoplasms 475 356 74.9% 146 25 17.1% 621 381 61.4% IV Neuroblastomas and other peripheral nervous cell tumours 128 124 96.9% 2 - - 130 124 95.4% V Retinoblastomas 64 59 92.2% - - - 64 59 92.2% VI Renal Tumours 102 97 95.1% 6 3 50.0% 108 100 92.6% VII Hepatic tumours 11 10 90.9% 1 - - 12 10 83.3% VIII Malignant bone tumours 99 90 90.9% 77 30 39.0% 176 120 68.2% IX Soft tissue and other extraosseous sarcomas 105 90 85.7% 83 17 20.5% 188 107 56.9% X Germ cell tumours, trophoblastic tumours and neoplasms of gonads 59 48 81.4% 112 11 9.8% 171 59 34.5% XI Other malignant epithelial neoplasms and malignant melanomas 127 38 29.9% 239 7 2.9% 366 45 12.3% XII Other and unspecified malignant neoplasms 5 1 20.0% 5 - - 10 1 10.0% Number of notifications by data source A total of 926 tumours (48%) diagnosed in children (0-14 years of age) are notified by the three main source types (paediatric centres, laboratories for pathological anatomy/clinical biologyandhospitals/healthinsurancecompanies)(Figure3). Intotal,1,610(84%)ofalldiagnosesaredeliveredbymorethanonesourcetype. Theremaining303tumoursareonlyregisteredbyonesourcetypeofwhich83tumours(4.3%) arenotifiedbyapaediatriccentreonly.Thesetumoursmainlyconcernbraintumours(N=28), leukaemias(N=17)andlymphomas(N=10).Leukaemiasarenotexpectedtobereportedby thepathologicalpathway.Anotherimportantpartofthesetumoursareonlydiagnosedon belgian cancer registry clinicalbasisandnotconfirmedmicroscopically.The147diagnoses(7.7%)onlyreceivedfrom 10 a laboratory were submitted to an individual and thorough quality control to confirm the diagnoses.Thisspecificcontrolincludedareviewofthewrittenprotocolsandifnecessary, thepathologistwascontactedforadditionalinformationaboutthediagnosis.For73tumours (3.8%)onlyaregistrationfromanoncologicalcareprogramwasreceived.Alsoherethismain- ly concerns brain tumours (N=35) and leukaemias (N=12). But, this does not automatically implythatthepeadiatriccentresforhematology-oncologywerenotinvolved. Figure 3 Notifications for childhood cancer by source type, Belgium 2004-2009 All tumours: notifications by source type (N = 1,913) Paediatric centres: N = 1,604 (83.8%) N = 83 (4.3%) N = 439 (22.9%) N = 156 (8.2%) N = 926 (48.4%) N = 73 (3.8%) N = 147 (7.7%) Pathology/Clinical Biology: N = 1,318 (68.9%) N = 89 (4.7%) Hospitals/Health insurance: N = 1,527 (79.8%) Calculation of incidence, mortality and survival Description of the dataset TheincidencedatapresentedinthisreportarebasedonthecancerrecordsforBelgianresidentsthatwereavailableattheCancerRegistryinJanuary2012. Forreportingpurposes,thesetumoursareclassifiedaccordingtotheInternationalClassifica- tionofChildhoodCancer(ICCC-3)(4). Mortalitystatistics,usedinthefirstchapter,arerepresentedintheICD-10classification(5). PopulationdatawereobtainedfromtheDirectorate-GeneralStatisticsBelgium(6). Thedifferentchaptersincludedinthisdocumentarebasedonthemaintumourtypesasde- scribedintheICCC-3classification.Foreverytumourtype,generalincidenceandsurvivalresults arepresented.Whenpossible,amoredetailedanalysisbyagegroup,histologyorprimarysite (ICD-O3(7))iscarriedout.Additionally,aseparatechapterisdedicatedoncancerininfants(<1year). Ascancerisararediseaseinchildrenandadolescents,analysesarebasedonsmallnumbers. Therefore, the data collected over six years are grouped for the calculation of Belgian inci- denceandsurvivaldata.Theincidenceratesforbothsexesarepresentedseparatelywheneverpossible.Otherwise,dataforboysandgirlsareaggregated. Incidenceandsurvivalratesalwaysincludechildrenandadolescents,unlessotherwisespecified.Resultsaboutchildrenonlyincludediagnosesintheagegroup0-14yearsofage.Ado- lescentdiagnosesaretumoursregisteredinpatientsof15-19yearsofage.Cancerininfants representdiagnosesforpatientsyoungerthan1yearofage. Incidence and mortality Incidenceisthenumberofnewcasesoccurringinagiventimeperiodinaspecificpopula- tion.Itprovidesadirectestimateoftheprobabilityorriskofillness,andcanbeexpressedin differentways: 11 Thecrudeincidencerateiscalculatedbydividingthenumberofnewcasesobservedduring agiventimeperiodbythecorrespondingnumberofpeopleinthepopulationatrisk.The cruderateisexpressedasthenumberofnewcasesper1,000,000personsperyear. 11 The age-specific incidence rate is the number of newly diagnosed cases in a particular 5-yearagegroupoveraspecifiedtimeperiodandexpressedper1,000,000personsperyear. ardPopulation).Sinceagehasapowerfulinfluenceontheriskofcancer,thisstandardisa- tionisnecessarywhencomparingseveralpopulationsthatdifferwithrespecttotheirage structure. In this publication, the World Standard Population is used for standardisation and consequently World Standardised incidence Rates (WSR) are reported. These are ex- pressedasthenumberofnewcasesper1,000,000personsperyear. 11 Male/Female(M/F)ratiosarecalculatedbydividingthecorrespondingagestandardised incidencerates(WSR). Accordingtointernationalguidelines,incidenceratesforchildrenandadolescentsareexpressed per1,000,000personyears.Inadults,incidenceratesareexpressedper100,000personyears. Thesameprinciplesareappliedtocalculatemortalitydata. Trends in incidence OnlysixconsecutiveyearsofincidencedataareavailableforBelgium.Moreover,cancerin childrenisveryrare.Analysisoftrendsandtheinterpretationofresultsiscomplicatedbythe lownumberofyearlydiagnoses,leadingtoimportantannualfluctuationinincidencerates. For the Flemish Region, the Belgian Cancer Registry disposes of 11 years of incidence data. Incidencerateswereaggregatedoverfiveyearandarepresentedasthreemovingaverages (1999-2003,2002-2006,and2005-2009). Survival TheBelgianCancerRegistryperformsactivefollowuponvitalstatusforallpatients.Dataon vitalstatusisobtainedfromtheCrossroadsBankforSocialSecurity(CBSS)(8),bymeansofthe nationalnumberforsocialsecurity(NNSS). Forthispublication,patientsarefollowedupuntil01/01/2012.Between2004and2009atotal of83patientsarelosttofollowup(2.8%).Atotalof64patients,outofthe83patients,arelost to follow up due to a missing national number. These patients are excluded from survival analysis.Theremaining19patientsarecensoredonthelastdatethepatientswereknownto bealive.Thesepatientsareincludedinthesurvivalanalysis. ObservedsurvivalratesarecalculatedandpresentedasKaplanMeier(9)survivalcurves.Publishedtablesinappendixwith5or10yearsurvivalratesareaccompaniedwith95%confi- denceintervals,whicharecalculatedusingtheRothmanmethod.(10)Calculationofsurvival ratesisonlyperformedforthefirsttumourknownattheregistry.Consequently,theabsolute numbersusedinthesurvivalanalyseswillbeslightlydifferentfromthosereportedwithin theframeworkofincidencerates.Whendeterminingthetumoursequence,alltumoursfol- lowingtheICCC-3classificationareincluded.Sincecancerinchildrenandadolescentsisrare, thesesurvivalanalysesareoftenbasedonaverylownumberofpatients.Whenthenumbers ofpatientsatriskdroppedtolessthan10cases,thesurvivaldataarenotpresented. ForBelgium,5-yearsurvivalratesarecalculatedforallpatientsdiagnosedbetween2004and 2009.Occasionally,10-yearsurvivalratesfortheFlemishRegion(diagnoses1999-2009)are presented. 11 cancer incidence in belgium 2010 ratesusinganexternalstandardpopulation.Itistheincidencethatwouldbeobservedif thepopulationhadtheagestructureofthestandardpopulation(EuropeanorWorldStand- belgian cancer registry 11 The age-standardised incidence rate is a weighted average of the individual age-specific Childhood cancer in Belgium I-XII All cancers Incidence Cancerisararediseaseinchildren.ComparedtothetotalcancerburdeninBelgium,child- hoodcancercompriseslessthan1%.Everyyear,about320children(0-14years)and175ado- lescents(15-19years)arediagnosedwithcancer(Table3).Allsitescombined,morediagnoses Age group 0-14 Boys 2004 Age group 15-19 Girls Boys Age group 0-19 Girls Boys Girls N WSR N WSR N WSR N WSR N WSR N WSR 181 205.0 133 158.4 87 278.9 76 254.1 268 221.7 209 180.0 2005 191 214.4 159 187.2 88 278.3 86 283.8 279 228.8 245 208.9 2006 164 183.3 154 177.6 98 303.3 79 255.3 262 210.3 233 195.1 2007 151 168.4 134 155.7 100 304.6 86 272.9 251 199.1 220 182.1 2008 168 184.6 144 165.8 101 303.4 77 241.0 269 211.4 221 182.7 2009 198 219.1 136 154.6 101 302.8 81 252.7 299 238.0 217 176.7 WSR: age-standardised rate, using the World Standard Population (N/1,000,000 person years) Age specific incidence rates (Figure 4) are higher for the youngest and oldest age groups when compared to children between 5 and 10 year. Although incidence rates for children between0-4yearsandthoseaged15-19yearsaresimilar,majordifferencesintumourtypes canbeobservedbetweentheseagegroups. Age specific incidence (N / 1,000,000) Figure 4 Cancer in children and adolescents: age specific incidence rates by sex, Belgium 2004-2009 400.0 Boys Girls 350.0 300.0 250.0 200.0 150.0 100.0 50.0 0.0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis 13 cancer incidence in belgium 2010 Table 3 Cancer in children and adolescents by sex, Belgium 2004-2009 belgian cancer registry areregisteredinboys(55%)thaningirls(45%),correspondingwithamale/femaleratioof1.35. Leukaemias, brain tumours, lymphomas and carcinomas are the most frequent malignan- ciesinchildrenandadolescents(Figure5,Figure6).However,theirimportancevariesbyage group.Intheagegroup0-4years,leukaemiascomprise31%ofalltumourdiagnoses.Thehigh- estincidenceratesareobservedattheageof2-3years(Figure7).Afterthisage,theincidence ofleukaemiadecreases.Inadolescents,only12%ofallcancerdiagnosesareleukaemias.Lym- phomas(25%)andcarcinomas(23%)arethemostcommontumoursinadolescents(Figure 6)andarelesscommonatyoungerage(4%and1%respectivelyintheagegroup0-4years). belgian cancer registry Figure 5 Cancer in children and adolescents: new diagnoses by tumour type and age group, Belgium 2004-2009 <1 1-4 5-9 10-14 15-19 Leukaemia - I Lymphoma - II Brain/CNS - III Sympathetic Nerv. - IV Retinoblastoma - V Renal - VI 14 Hepatic - VII Bone - VIII Soft tissue - IX Germ cell - X Carcinomas - XI Other - XII 0 100 200 300 400 500 600 700 800 Number of diagnoses (N) Figure 6 Cancer in children and adolescents by tumour type, Belgium 2004-2009 Children (0-14 years) X; 3% Adolescents (15-19 years) XI; 7% IX; 6% XII; 0% I; 26% I; 12% XI; 22% VIII; 5% VII; 1% VI; 5% II; 25% V; 3% X; 11% II; 12% IV; 7% IX; 8% III; 25% VIII; 7% IV; 0% VII; 0% VI; 1% III; 14% Thehighestincidenceratesforneuroblastomasandotherperipheralnervecelltumours(IV), retinoblastomas(V),renaltumours(VI)andhepatictumours(VII)arefoundininfants(age <1year).Thesetumoursareseldomdiagnosedinpatientsolderthan9yearsofage. Germcelltumours(X)andsofttissuesarcomas(IX)arefrequentlydiagnosedinveryyoung childrenandinadolescents.Theyarelessfrequentinchildrenintheagegroup5-15years. Bonetumours(VIII)arelessfrequentundertheageof10years.Theirincidenceratesarethe highestbetweentheageof10to19years. Leukaemia - I Brain/CNS - III 120.0 Lymphoma - II Carcinoma - XI 100.0 80.0 40.0 20.0 Age specific incidence (N / 1,000,000) 0.0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis Sympathetic Nerv. - IV Renal - VI 80.0 Retinoblastoma - V Hepatic - VII 70.0 60.0 50.0 40.0 30.0 20.0 10.0 Age specific incidence (N / 1,000,000) 0.0 0 1 2 3 4 5 6 7 8 Bone - VIII 50.0 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis Soft tissue - IX Germ cell - X 45.0 40.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis belgian cancer registry 60.0 15 cancer incidence in belgium 2010 Age specific incidence (N / 1,000,000) Figure 7 Cancer in children and adolescents: age specific incidence rates by tumour type, Belgium 2004-2009 Trends AnalysesfromtheACCIS-project (11)showedanannualincreaseof1.1%inchildhoodcancer incidenceinEurope.Duetothelownumberofnewdiagnoses,itisnotyetpossibletodraw reliableconclusionsontrendsfortheBelgiancancerincidencedata.Incidenceratesbetween 1999and2009remainstableintheFlemishRegion(Figure8). 16 Incidence Figure 9 Cancer in children and adolescents: mortality (WSR) by sex, Belgium 1960-2009 Mortality Boys 250.0 WSR (N / 1,000,000) WSR (N / 1,000,000) belgian cancer registry Figure 8 Cancer in children and adolescents: incidence and mortalityii (WSR), Flemish Region 1999-2009 200.0 150.0 100.0 90.0 80.0 70.0 60.0 50.0 100.0 40.0 50.0 20.0 0.0 Girls 30.0 10.0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Year 0.0 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 Year (aggregated 5 years mortality data (WSR) from WHO 1960-1999 (12) (13), Belgium 2004, 2005, 2006, 2008 and Flemish Region 2000-2003, 2007, 2009) (14) (15) (16) (6). Since the nineteen sixties (Figure 9), mortality rates have dramatically declined for most childhood cancers. This decrease in mortality reflects an improved cancer survival rate for children.Survivalhasincreasedforallchildhoodcancerssincethelate1960s,butbyvarying amountsandatdifferentpointsintime.Theseimprovementsarenotlinkedtomoreeffective drugsalone.Mostoftheseimprovementsarelinkedtotheaccurateuseofalreadyexisting drugs(effectivecombinations),totheknowledgeofnaturalbehaviourofthedisease,tobetter diagnosticmethods,tobettersurgeryandradiotherapyandtoabetteridentificationofprog- nosticfactors.Oneexampleofamajorimprovementinchildhoodcancercareisimproved efficacyofchemotherapeuticagentsforacutelymphocyticleukaemia(17). ii. Incidence.and.mortality.are.reported.in.different.classification.systems..Incidence.is.reported.by.means.of.the.ICCC-3.classification(4),. while.mortality.data.is.classified.according.to.the.ICD10.classification(5)..The.ICCC-3.classification.includes.some.benign.and.borderline. malignancies.that.are.not.included.in.the.mortality.statistics. Survival Childrenandadolescentswithcancerhavearelativelygoodprognosis(Figure10andFigure 11).Five-yearsurvivalratesforgirls(87%)areslightlyhigherthanforboys(84%).Inchildren, 5-yearsurvivalratesforboysandgirlsarealmostthesame,whileinadolescentstheratesfor girlsarehigherthanforboys.SurvivalratesintheFlemishRegionseemtoimproveslightlyin thelastdecade(Figure12)from83%to85%. 90% 80% 70% 60% 50% 90% 80% 70% 60% 50% 17 40% 40% 30% 30% 20% 20% 10% 10% 0% 0 1 2 3 Boys 1023 954 904 718 564 431 Girls 830 773 734 603 476 367 0% 0 1 2 Boys 545 516 485 385 296 216 Girls 458 441 428 345 274 198 4 5 Years after diagnosis N at risk 3 4 5 Years after diagnosis N at risk Figure 12 Cancer in children and adolescents: observed survival, Flemish Region 1999-2003, 2002-2006, 2005-2009 Observed survival (%) Girls Boys 100% belgian cancer registry Girls 100% Observed survival (%) Observed survival (%) Boys Figure 11 Cancer in adolescents (15-19 year): observed survival by sex, Belgium 2004-2009 1999-2003 100% 2002-2006 2005-2009 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0 1 2 3 4 5 6 7 8 9 10 Years after diagnosis 1999-2003 1213 1121 1060 1023 1011 1004 996 989 980 772 2002-2006 1279 1185 1125 1098 1080 1071 828 601 386 183 2005-2009 1275 1200 1137 889 664 464 224 N at risk 585 cancer incidence in belgium 2010 Figure 10 Cancer in children (0-14 year): observed survival by sex, Belgium 2004-2009 I Leukaemias, myeloproliferative and myelodysplastic diseases Incidence Leukaemia(I)isthemostfrequentcancerinchildren.Between2004and2009atotalnumber of625newdiagnosesareregisteredinchildren(N=500)andadolescents(N=125)inBelgium (Table4).Moreboysarediagnosedwithleukaemiathangirls(M/Fratio=1.3). Therelativefrequencyofleukaemia(Figure13)tothetotalchildhoodcancerburdenvaries withage.Itincreasesfrom10%atbirthto40%aroundtheageof2-3year.Afterwardsthe belgian cancer registry relativeproportionofleukaemiadecreaseswithincreasingagetoabout10%foradolescents. 18 Table 4 New diagnoses of leukaemia, Belgium 2004-2009 Boys I Leukaemia Ib Acute myeloid leukaemia Ia Ic-Ie Girls Lymphoid leukaemia 273 236 51 Leukaemia other Leukaemia Ib Acute myeloid leukaemia Ic-Ie 0-14 362 I Ia Total 72 37 20 Total 0-14 15-19 189 162 27 11 10 263 53 Leukaemia other 15-19 31 38 Lymphoid leukaemia 290 21 23 210 37 15 53 16 Figure 13 Relative frequency of leukaemia by age at diagnosis, Belgium 2004-2009 Leukaemia Other malignancies 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis Themostfrequentsubtype,acute lymphoid leukaemiaiii (ALL: Ia),represents74%ofthetotal numberofleukaemiacases.Higherincidenceratesareobservedinboys(M/Fratio=1.4). IninfantsALL(Ia)represents50%ofallleukaemiadiagnoses.Theincidencerates(Figure15)in- creasesdramaticallytoreachapeakincidenceattheageof2-3years,wheretheratesare5times higherthanininfants.Thispeakisfullyduetothepeakageoftheprecursor-BALL.Betweenthe agesof3to9years,incidenceratesdecreaserapidlyandreachtheratesobservedininfants.In thisagegroup(1-9years)ALL(Ia)represents80%ormoreofallleukaemiadiagnoses.Fromtheage of10yearsonwards,theincidenceratesforALL(Ia)remainfairlystable.Therelativeproportion ofALL(Ia)decreasesto73%intheagegroup10-14yearsofageand51%inadolescents(Figure13). iii. Since.the.subgroup.lymphoid.leukaemia.(Ia).consisted.solely.of.diagnoses.of.acute.lymphoid.leukaemia,.the.abbreviation.ALL.was.used.to. denote.subgroup.Ia. The distinctive shape of the age-specific incidence curve for ALL can be well-described by a mathematical model which assumes that childhood ALL results from two genetic events re- quiredforfullmalignanttransformationwiththefirstoftheseeventsoccurringinutero(18)(19)(20). The2ndmostfrequentsubtype,acute myeloid leukaemia (AML: Ib),accountsfor17%oftheleukaemiadiagnoses.Incidenceratesinboysandgirlsarecomparable(M/Fratio=0.9). The highest proportion of AML (Figure 14) is observed in infants (42%) and in adolescents (29%).IntheotheragegroupsAMLaccountsfor10to16%ofallleukaemiadiagnoses. Theremainingleukaemia subtypes (Ic-e)arerareandrepresentslessthan10%ofallnewleu- Other leukaemia (Ic-Ie) AML (Ib) ALL (Ia) Age specific incidence (N / 1,000,000) 100% Figure 15 Age specific incidence rates for ALL (Ia) and AML (Ib), Belgium 2004-2009 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0 1-4 5-9 10-14 15-19 Age group 100.0 ALL (Ia) AML (Ib) 90.0 19 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis Trends WhencomparingincidencedatafromtheFlemishRegionovertime,theincidencerate(WSR) ofleukaemiaremainsfairlystable(Figure16).Inadolescents,asmalldecreaseinALL(Ia)and anincreaseinAML(Ib)canbeobserved.Adetailedtrendanalysisiscurrentlynotavailable duetothelownumberofdiagnoses. Figure 16 Leukaemia in children and adolescents: age standardised incidence (WSR), Flemish Region 1999-2003, 2002-2006, 2005-2009. WSR (N/1,000,000) 1999-2003 2002-2006 2005-2009 All ages 60.0 0-14 years 15-19 years 50.0 40.0 30.0 20.0 10.0 0.0 Leukaemia (I) ALL (Ia) AML (Ib) Leukaemia (I) ALL (Ia) AML (Ib) Leukaemia (I) ALL (Ia) AML (Ib) cancer incidence in belgium 2010 Figure 14 Leukaemia by age group, Belgium 2004-2009 belgian cancer registry kaemiadiagnosesinchildren. Survival Theprognosisforleukaemiaisgreatlydependentontheleukaemiasubtype.IntheFlemishRe- gion,the10-yearssurvivalrateforALL(Ia)is81%(Figure17).The10-yearssurvivalrateforAML(Ib) isconsiderablylower(61%).Themaindecreaseinthesurvivalratesforbothsubtypesisobserved inthefirstthreeyearsafterdiagnosis.Afterthreeyearsthesurvivalratesare86%forALLand 63%forAML.Thereaftertheratesremainfairlystable. Observed survival (%) belgian cancer registry Figure 17 Leukaemia in children and adolescents: observed survival for ALL (Ia) and AML (Ib), Flemish Region 1999-2009 ALL (Ia) 100% AML (Ib) 90% 80% 70% 60% 20 50% 40% 30% 20% 10% 0% 0 1 2 3 4 5 6 7 8 9 10 Years after diagnosis ALL (Ia) 432 410 384 340 299 265 224 191 154 123 94 AML (Ib) 99 82 69 57 51 46 39 31 28 22 16 N at risk The5-yearsurvivalratesinBelgiumforALL(Figure18)areverycomparablebetweenboys(86%) andgirls(87%).ForAML(Figure19),boysseemtohaveaworseprognosisthangirls(respectively 51%and63%5-yearsurvivalrates). Boys 100% Figure 19 AML (Ib): observed survival by sex, Belgium 2004-2009 Girls Observed survival (%) Observed survival (%) Figure 18 ALL (Ia): observed survival by sex, Belgium 2004-2009 90% 80% 70% 60% 50% 40% Girls 90% 80% 70% 60% 50% 40% 30% 30% 20% 20% 10% 10% 0% Boys 100% 0% 0 1 2 3 4 5 Years after diagnosis Boys 267 251 238 186 141 108 Boys Girls 187 176 167 141 115 89 Girls N at risk 0 1 2 3 4 5 Years after diagnosis 49 38 30 23 20 17 53 42 37 30 22 14 N at risk SurvivalofALL(Ia)variesconsiderablywithage(Figure20).Infantshavetheworstprognosis. Fiveyearsurvivalratesarenotpresentedduetothelownumberofpatientsatrisk.However ofthe12infantsdiagnosedwithALLinBelgiumbetween2004and2009,5diedwithinthe firstsixmonthsafterdiagnosis.Prognosisforadolescents(68%)isworsethanforchildren between1and4years ofage(88%)andchildrenintheagegroup5-9years(93%).Theseobservationsareconsistentwithinternationalfindings.(18)(19)Apossibleexplanationforthedif- ferenceinprognosisbetweentheagegroupsisadifferenceinbiologicalsubtype.(20)(21)(22)(23)(24) TheprognosisforthedifferentagegroupsforAML(Ib)ismorecomparable(Figure21). 90% 80% 70% 60% 50% 100% 1-4 years 15-19 years 90% 80% 70% 60% 50% 21 40% 40% 30% 30% 20% 20% 10% 10% 0% < 1 years 5-14 years belgian cancer registry 100% 1-4 years 15-19 years 0 1 2 3 0% 4 5 Years after diagnosis N at risk 0 1 2 3 4 5 Years after diagnosis N at risk <1y 12 7 5 3 3 3 <1y 10 7 6 4 4 3 1-4 y 193 185 184 155 129 97 1-4 y 24 17 14 13 8 5 5-14 y 187 179 170 135 101 80 5-14 y 34 30 25 19 16 13 15-19 y 62 56 47 35 25 18 15-19 y 34 26 23 18 15 11 cancer incidence in belgium 2010 < 1 years 5-14 years Figure 21 AML (Ib): observed survival by age group, Belgium 2004-2009 Observed survival (%) Observed survival (%) Figure 20 ALL (Ia): observed survival by age group, Belgium 2004-2009 II Lymphomas and reticuloendothelial neoplasms Incidence Between2004and2009,atotalnumberof502newdiagnosesoflymphoma(II)(Table5)are registeredinchildren(N=238)andadolescents(N=264)inBelgium.Moreboysareregistered thangirls(M/Fratio=1.3),adifferencemainlyobservedinchildren(M/Fratio=1.6).Themale/ femaleratioinadolescentsis1.1.Moreboysareregisteredatchildhoodthaninadolescence, belgian cancer registry whileforgirlsthisistheopposite. 22 Table 5 New diagnoses of lymphoma, Belgium 2004-2009 Boys II IIa IIb IIc IId-e Girls II IIa IIb IIc IId-e Lymphomas Total 0-14 15-19 143 56 87 292 Hodgkin Non-Hodgkin 84 Burkitt Other lymphoma Lymphomas Burkitt Total 0-14 15-19 120 34 86 15 88 60 26 14 13 16 Other lymphoma 43 38 210 Non-Hodgkin 41 142 47 18 Hodgkin 150 15 9 3 122 34 1 1 Figure 22 Relative frequency of lymphoma by age at diagnosis, Belgium 2004-2009 Other malignancies Lymphoma 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis Lymphomas(II)arethe3rdmostfrequenttypeofchildhoodcancer(17%).Thepercentageof lymphoma diagnoses increases with age (Figure 22). In children younger than 5 years, the proportionoflymphomavariesbetween3%and6%.Betweentheagesof5and14years,the proportionremainsaround20%.Lymphomaisthemostfrequenttumourtypeinadolescents, accountingfor25%ofalltumours. Hodgkin (IIa) Non-Hodgkin (IIb) 70.0 Burkitt (IIc) Other lymphoma (IId-IIe) Figure 24 Lymphoma by age group, Belgium 2004-2009 100% Non-Hodgkin (IIb) Burkitt (IIc) Other lymphoma (IId-IIe) 90% 60.0 80% 50.0 70% 60% 40.0 50% 30.0 40% 30% 20.0 20% 10.0 0.0 Hodgkin (IIa) 10% 0% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis 0 1-4 5-9 10-14 15-19 Age group belgian cancer registry Age specific incidence (N / 1,000,000) Figure 23 Lymphoma: age specific incidence, Belgium 2004-2009 23 cancer incidence in belgium 2010 Withmorethanhalfofallnewlymphomadiagnosesinchildrenandadolescents,Hodgkin lymphoma (IIa)isthemostfrequentlymphoma-subtype(Figure23andFigure24).Although rareinchildrenyoungerthan10yearsofage,itrepresentsoneofthemostcommonmalignanciesinadolescents. ThemostcommonsubtypeofHodgkinlymphoma(IIa)isnodularsclerosis(Figure25).This histologicalsubtyperepresents56%ofalldiagnosesundertheageof10,increasingto70% inadolescents. Undertheageof5years,only3childrenarediagnosedwithHodgkinlymphoma.Inchildren between5and14yearsofage,amalepredominancecanbeobservedthatdisappearsinado- lescence(Figure26).Themale/femaleratiosare1.9,1.6and1.0fortheagegroups5-9years, 10-14yearsand15-19yearsrespectively.Especiallyinthemixedcellularitysubtype(Figure28), ahigherincidenceinboyscanbeobserved(M/Fratio=2.9,2.4and0.7intheagegroup5-9, 10-14and15-19yearsrespectively).Fornodularsclerosis,theratesbetweenboysandgirlsare morecomparable(Figure27).TheseobservationsareconsistentwithinternationalepidemiologicalfeaturesofHodgkinlymphoma.(25) Figure 25 Hodgkin lymphoma by age group, Belgium 2004-2009 Hodgkin, NOS Lymphocytic predominance Mixed cellularity Nodular sclerosis Age specific incidence (N / 1,000,000) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Figure 26 Hodgkin lymphoma: age specific incidence rates by sex, Belgium 2004-2009 0-9 10-14 15-19 Age group Boys 50.0 Girls 45.0 40.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 0-4 5-9 10-14 15-19 Age group Girls Boys 35.0 Figure 28 Hodgkin lymphoma – mixed cellularity subtype: age specific incidence rates by sex, Belgium 2004-2009 Age specific incidence (N / 1,000,000) Age specific incidence (N / 1,000,000) belgian cancer registry Figure 27 Hodgkin lymphoma – nodular sclerosis subtype: age specific incidence rates by sex, Belgium 2004-2009 30.0 25.0 20.0 15.0 10.0 5.0 0.0 0-4 5-9 24 10-14 Girls 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 15-19 Age group Boys 4.0 0-4 5-9 10-14 15-19 Age group Non-Hodgkin lymphomas (NHL; IIb),the2ndmostfrequentlymphomasubtype,represent29% of the total number of lymphoma diagnoses in children and adolescents. The overall inci- denceratesofNHL(IIb)remainrelativelystableuntiltheageof15years(Figure23).Afterthe ageof15,anincreaseinagespecificincidencerateisobserved. TherelativecontributionofNHL(IIb)remainsratherstable(20-25%)ineveryagegroup(Fig- ure24).However,NHLrepresentaheterogeneousgroupofmalignanttumoursandbetween theagegroupsdifferencescanbeobservedinNHL-subtype(Figure29).Themainsubgroups, precursorcelllymphomas(IIb1),matureB-celllymphomas(IIb2)andmatureT-andNK-cell lymphomas(IIb3)areevenlydistributedundertheageof5years.Intheagegroup5-9years, precursor cell lymphomas (IIb1) and mature T- and NK-cell lymphomas (IIb3) are the most common subtypes. In the age group 10-19 years the most common histological subtype is matureB-celllymphoma(IIb2). Betweenthesexes(Figure30),higherincidenceratescanbeobservedforboysforprecursor cell(IIb1)andmatureB-celllymphomas(IIb2).TheincidenceratesforT-andNK-celllymphomas(IIb3)areequalinbothsexes. Figure 29 Non-Hodgkin lymphoma by age group, Belgium 2004-2009 100% Precursor cell (IIb1) Mature B-cell (IIb2) Mature T-cell and NK-cell (IIb3) Non-Hodgkin, NOS (IIb4) 90% 80% Figure 30 Non-Hodgkin lymphoma: age standardised incidence (WSR) by histology and sex, Belgium 2004-2009 Boys Girls Precursor cell (IIb1) M/F = 1.8 Mature B-cell (IIb2) M/F = 1.3 T- and NK-cell (IIb3) M/F = 1.0 70% 60% 50% 40% 30% 20% 10% 0% 0-4 5-9 10-14 15-19 Age group 0.0 1.0 2.0 3.0 4.0 5.0 6.0 WSR (N/1,000,000) Burkitt lymphomas (IIc) represent the 3rd group with 13% of the total lymphoma incidence. Theyshowamarkedpredominancearoundtheagegroupof5-9years(Figure23).Inthefirst yearsoflifeandaftertheageof15years,theincidenceratesarelow.Theincidenceratein boysisalmostthreetimeshigherthaningirls(M/Fratio=2.7). Theremaininglymphoma subtypes (IId-e) arerare(32cases)andrepresentlessthan10%ofall newlymphomadiagnosesinchildren.Themajority(26cases)oftheselymphomadiagnoses aremalignanthistiocytosis(IId).Thissubtypeismostfrequentlydiagnosedininfants.Inoth- eragegroupstheincidenceratesareverylow.Theremaining6casesarelymphomaNOS(IIe). belgian cancer registry Trends Internationaltrendsshowthatincidenceratesforlymphomas(allsubtypes)increasefaster inadolescentsthaninchildren.(26)WhencomparingtheincidenceratesintheFlemishRegion overtime(Figure31),alowerincidencerateforHodgkin(IIa)andnon-Hodgkinlymphoma (IIb)canbeobservedforadolescentsintheperiod1999-2003whencomparedtotheother time periods. In childhood lymphoma however, the incidence rates rather seem to decline 25 cancer incidence in belgium 2010 slightly. Figure 31 Lymphoma: age standardised incidence (WSR), Flemish Region 1999-2003, 2002-2006 and 2005-2009 2002-2006 WSR (N/1,000,000) 1999-2003 80.0 All ages 2005-2009 0-14 years 15-19 years 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 Lymphoma Hodgkin (II) (IIa) NonHodgkin (IIb) Burkitt Lymphoma Hodgkin (IIc) (II) (IIa) NonHodgkin (IIb) Burkitt Lymphoma Hodgkin (IIc) (II) (IIa) Survival The 5-year survival rates for the different lymphoma subtypes in children (0-14 year) are slightly higher than in adolescents (Figure 32 and Figure 33). The 5-year survival rates for Hodgkinandnon-Hodgkinlymphomaare99%and90%inchildren.Inadolescentstheyare 97%and86%respectively. Burkittlymphoma(IIc)israrelyseeninadolescentsandthenumberofcasesaretoolowfora survivalanalysis.Inchildren,Burkittlymphomahavea5-yearsurvivalrateof94%. NonHodgkin (IIb) Burkitt (IIc) Hodgkin (IIa) Burkitt (IIc) 100% Figure 33 Lymphoma: observed survival in adolescents, Belgium 2004-2009 Non-Hodgkin (IIb) Observed survival (%) Observed survival (%) Figure 32 Lymphoma: observed survival in children, Belgium 2004-2009 90% 80% 70% 60% 50% Non-Hodgkin (IIb) 90% 80% 70% 60% 50% 40% 40% 30% 30% 20% 20% 10% 10% 0% Hodgkin (IIa) 100% 0 1 2 3 0% 4 5 Years after diagnosis N at risk 0 1 2 3 4 5 Years after diagnosis N at risk Hodgkin (IIa) 90 89 88 76 63 54 Hodgkin (IIa) 164 163 163 129 105 78 Non-Hodgkin (IIb) 64 62 60 51 41 30 Non-Hodgkin (IIb) 76 71 68 60 46 36 Burkitt (IIc) 52 49 49 43 28 24 belgian cancer registry 26 III Central nervous system tumours (CNS) and miscellaneous intracranial and intraspinal neoplasms Incidence Tumoursofthecentralnervoussystem(CNS)representthe2ndmostfrequenttumourinchil- drenandadolescents(21%).InBelgium,621newdiagnosesareregisteredbetween2004and 2009(Table6).Slightlymoreboysarediagnosedthangirls(M/Fratio=1.1). CNStumoursoccurquitefrequentlyinallagegroups.Inveryyoungchildren(agegroup0-4 diagnoses). Table 6 New diagnoses of CNS tumours, Belgium 2004-2009 Boys Total 0-14 33 25 III CNS tumours IIIb Astrocytoma 129 IIId-f CNS other 121 III CNS tumours IIIb Astrocytoma IIId-f CNS other IIIa IIIc Girls IIIa IIIc 332 Ependymoma PNET PNET 36 Total 0-14 36 33 224 55 28 29 70% 60% 50% 40% 30% 20% 10% 4 5 6 7 8 3 83 Other malignancies 3 65 29 80% 2 15-19 107 90% 1 5 136 100% 0 8 85 Figure 34 Relative frequency of CNS tumours by age at diagnosis, Belgium 2004-2009 0% 81 32 44 34 CNS 15-19 97 49 289 Ependymoma 251 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis 5 27 cancer incidence in belgium 2010 yearsofage(Figure34),CNStumoursarethemostfrequentmalignancy(26%ofalltumour belgian cancer registry years),CNStumoursaccountfor23%ofalltumourdiagnoses.Inchildrenbetween5and14 TheCNStumoursrepresentaheterogeneouscollectionofmalignancieswithdifferenthistol- ogy,behaviourandprognosis.Thedistributionofthedifferenthistologicalsubtypesdiffers byagegroup(Figure35andFigure36). Ependymomas (IIIa)arethemostimportantCNSsubtypeatinfancy.Theincidenceratesfor thistumourdecreasefastuntiltheageof4(Figure36).Aftertheageof4,ependymomasare veryrare.Slightlymoregirlsarediagnosedthanboys(M/Fratio=0.8).Inveryyoungchildren (0-4year)theincidenceratesingirlsarealmosttwiceashighasinboys(M/Fratio=0.6).In patientsbetween5and19yearsofage,moreboysarediagnosedwithependymomathan girls(M/Fratio=1.6). The ependymoma group (IIIa) contains two subgroups, the ‘real’ ependymoma diagnoses belgian cancer registry (IIIa1)andchoroidplexustumours(IIIa2).Whenconsideringallagegroups,twooutofthree diagnoses are‘real’ ependymoma (IIIa1). The remaining neoplasms are choroid plexus tu- mours(IIIa2).Thelattergroupisalmostsolelydiagnosedatinfancyandinthefirstyearsof life,whileonlyhalfoftheependymoma(IIIa1)groupisdiagnosedinthisagegroup(Table7). Astrocytomas (IIIb)arethemostfrequentCNSsubtype(43%).Intheagegroup5-14yearsthey representhalfofallthediagnosedCNStumours.Theincidenceratesforgirlsaresomewhat 28 higherthanforboys(allagesM/Fratio=0.9). Astrocytoma(IIIb)includesawidevarietyoftumourtypesrangingfromslowlygrowingpilo- cyticastrocytomatoaggressiveglioblastoma.Table7containsaregroupingofthesedifferent tumour types according to the WHO grading system (27). Half of all astrocytomas are diag- nosedasgradeI.Theyaremostfrequentlydiagnosedintheagegroup5-9years,wherethey encompassabout60%oftheastrocytomadiagnoses.ThenumberofgradeIIastrocytomas increaseswithage.InadolescentstheyarealmostasfrequentasgradeIastrocytoma.Grade IIIastrocytomasareuncommon.Mostdiagnosesarefoundbetweentheageof5and14years. GradeIVastrocytomasaremostlydiagnosedaftertheageof10years.For31astrocytomas,a gradecouldnotbeassigned.Thesetumoursareopticnervegliomas(NOS),almostalldiag- nosedinthefirstyearsoflife. Figure 35 CNS tumours by age group, Belgium 2004-2009 Ependymomas (IIIa) Other gliomas (IIId) PNET (IIIc) Other CNS (IIIe-f) Other CNS (IIIe-IIIf) 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Ependymomas (IIIa) PNET (IIIc) Age specific incidence (N / 1,000,000) 100% Astrocytomas (IIIb) Figure 36 CNS tumours: age specific incidence rates by histology, Belgium 2004-2009 0 1-4 5-9 10-14 15-19 Age group Astrocytomas (IIIb) Other gliomas (IIId) 25.0 20.0 15.0 10.0 5.0 0.0 0 1-4 5-9 10-14 15-19 Age (in years) at diagnosis Incidenceratesforprimitive neuroectodermal tumours (IIIc)decreaseslightlywithage.The majorityofthesemalignanciesarediagnosedinchildrenyoungerthan5yearsofage(Table 7).Aftertheageof10year,incidenceratesareverylow(Figure36).Moreboysarediagnosed withPNET(IIIc)thangirls(M/Fratio=1.4).Medulloblastomas(IIIc1)arethemostcommon histologicalsubtype.Theothersubtypesareveryrare. TheremainingCNS tumours (IIId-f)representaverydiversegroupofraretumours(Table7). Table 7 CNS tumours: number of new diagnoses by age group, Belgium 2004-2009 IIIa1 IIIa2 IIIb Ependymomas and choroid plexus tumours Ependymomas Choroid plexus tumours Astrocytomas IIIc2 IIIc3 IIIc4 IIId IIId1 IIId2 IIId3 IIIe IIIe1 IIIe2 IIIe3 IIIe4 IIIe5 IIIf 10-14 15-19 0-19 42 6 10 11 69 21 21 65 136 5 1 17 2 6 Grade unknown Intracranial and intraspinal embryonal tumours Medulloblastomas Primitive neuroectodermal tumours (PNET) 23 34 24 6 2 13 WHO III 3 8 67 42 11 149 72 26 WHO IV IIIc1 5-9 WHO I WHO II IIIc 0-4 190 2 15 3 Medulloepitheliomas 0 0 0 Other gliomas 21 16 23 Mixed and unspecified gliomas 13 14 Other specified intracranial and intraspinal neoplasms 20 Atypical teratoid/rhabdoid tumours 4 2 1 45 24 265 23 64 3 19 621 61 5 20 5 0 26 10 13 11 33 5 6 146 127 16 9 27 10 83 29 16 0 31 8 60 0 0 2 0 7 9 69 15 4 46 21 21 45 107 3 14 5 3 25 Neuronal and mixed neuronal-glial tumours 11 5 6 27 49 Unspecified intracranial and intraspinal neoplasms 8 9 10 28 Oligodendrogliomas Neuroepithelial glial tumours of uncertain origin Pituitary adenomas and carcinomas Tumours of the sellar region (craniopharyngiomas) Pineal parenchymal tumours Meningiomas 7 1 0 1 5 2 0 2 0 0 1 6 2 6 0 4 belgian cancer registry IIIa CNS and miscellaneous intracranial and intraspinal neoplasms cancer incidence in belgium 2010 ICCC-3 classification III 4 1 9 1 5 19 4 17 2 14 Trends Inthelastdecade,anincreaseintheincidenceratesintheFlemishRegioncanbeobserved (Figure37).Thisincreaseismainlyobservedinastrocytomainchildrenandinadolescents. Accordingtointernationaldata(28)(29),incidenceratesforCNStumoursinchildrenandadolescentsannuallyincreasewith1.7%. Figure 37 CNS tumours: age standardised incidence (WSR) by histology, Flemish Region 1999-2003, 2002-2006 and 2005-2009 2002-2006 30 WSR (N/1,000,000) belgian cancer registry 1999-2003 2005-2009 All ages 50.0 0-14 years 15-19 years 45.0 40.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 CNS (III) Ependymoma (IIIa) Astrocytoma (IIIb) PNET (IIIc) CNS (III) Ependymoma (IIIa) Astrocytoma (IIIb) PNET (IIIc) CNS (III) Ependymoma (IIIa) Astrocytoma (IIIb) PNET (IIIc) Survival Prognosis for CNS tumours is largerly dependent on the histological diagosis. Of the main ICCC-3subgroups,PNET(IIIc)havetheworstprognosiswitha5-yearsurvivalrateof61%.The WHO(27)classifiesthesetumoursashighlymalignant(WHOIV). Ependymomas(IIIa),astrocytomas(IIIb)andothergliomas(IIId)havecomparable5-yearsur- vivalratesof83%,81%and80%respectively(Figure38).However,ependymomas(IIIa)and astrocytomas(IIIb)containdiagnoseswithverydifferentprognosis.Figure39andFigure40 showthesurvivalratesforrespectivelyependymomaandastrocytomabyWHO-grade(27). No deaths are observed for the 15 patients diagnosed with a WHO I ependymoma. WHO II ependymomas still have fairly high survival rates around 90%. The worst prognosis for ependymomasisobservedfortheWHOIIIcaseswitha5-yearsurvivalrateof67%. GradeIastrocytomasalsohaveaverygoodprognosis(95%5-yearsurvival).SurvivalforWHO IIastrocytomasdecreasesto81%.TheprognosisforgradeIII-IVastrocytomaistheworstofall CNStumours.After2years,thesurvivalrateisonly31%. Thegroupofotherandunspecifiedtumours(IIIe-f)consistmainlyoftumourswithagood prognosis.Thiscategoryhasaveryhigh5-yearsurvivalrateof95%(Figure38).Asmallsubset ofraremalignanttumours(mainlymeningiomaandpineoblastoma)inthiscategoryisthe reasonforthe5%lossofpatientsafter1year. Ependymoma (IIIa) PNET (IIIc) CNS other and NOS (IIIe-f) 100% Figure 39 Ependymoma: observed survival by WHO-classification, Belgium 2004-2009 Astrocytoma (IIIb) Other gliomas (IIId) Observed survival (%) 90% 80% 70% 60% 50% 40% WHO II WHO III 90% 80% 70% 60% 50% 30% 30% 20% 10% 10% 0% 0 1 2 3 4 5 Years after diagnosis IIIa 65 59 55 48 38 29 WHO I 15 15 14 12 11 8 IIIb 253 226 211 166 125 96 WHO II 22 20 18 14 13 0 IIIc 82 67 59 44 30 25 WHO III 28 22 20 16 14 10 N at risk 1 2 3 4 5 Years after diagnosis N at risk IIId 64 58 52 38 30 22 IIIe-f 128 122 122 88 71 50 Figure 40 Astrocytomas (IIIb): observed survival by WHO-classification, Belgium 2004-2009 Observed survival (%) 0 WHO I 100% WHO II WHO III-IV 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0 1 2 3 4 5 Years after diagnosis WHO I 121 119 117 93 64 48 WHO II 62 55 49 38 33 24 WHO III-IV 39 22 15 9 6 5 N at risk belgian cancer registry 40% 20% 0% WHO I 100% 31 cancer incidence in belgium 2010 Observed survival (%) Figure 38 CNS tumours: Observed survival by histology, Belgium 2004-2009 IV Sympathetic nervous system tumours Incidence InBelgium,130newdiagnosesofsympatheticnervoussystem(SNS)tumoursareregistered inchildrenandadolescentsbetween2004and2009(Table8).Slightlymoreboysarediagnosedthangirls(M/Fratio=1.3). The majority (98%) are neuroblastomas (IVa) that occur almost exclusively in infants and veryyoungchildren.Ininfants,thistumouristhemostfrequentlydiagnosedcancer(25%). belgian cancer registry Itsoccurrencedecreaseswithageandbecomesveryrareinolderchildrenandadolescents 32 (Figure41andFigure42). TheadrenalglandisthemostcommonprimarylocalisationoftheSNStumours(Figure43). Table 8 New diagnoses of SNS tumours, Belgium 2004-2009 Boys IV IVa SNS tumours Neuroblastoma Other SNS tumours IV SNS tumours IVb Other SNS tumours IVa 0-14 15-19 72 71 1 74 IVb Girls Total 73 2 2 Total 0-14 55 54 56 Neuroblastoma 55 1 1 Figure 41 Relative frequency of SNS tumours by age at diagnosis, Belgium 2004-2009 Sympathetic nervous system tumours Other malignancies 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis 1 0 15-19 1 1 0 Figure 43 SNS tumours: number of new diagnoses (N) by primary site, Belgium 2004-2009 Adrenal gland 70.0 60.0 19 Other sites 50.0 40.0 Central nervous system 30.0 Retroperitoneum 20.0 Mediastinum 10.0 0 74 Autonomic nervous system 12 9 7 5 Soft tissue 4 0% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis 10% 20% Survival 40% 50% 60% 33 Foetalneuroblastomasveryoftendifferentiateintobenignneoplasms.Ininfantsandyoung children,thenumberofpatientsneedingtherapyforanaggressivevariantincreases.Inolder children, neuroblastomas are very frequently aggressive malignancies. (30) (31) Age, dichoto- mizedat18months,isoneimportantparameterindeterminingprognosis.(32) IntheFlemishRegion,10-yearsurvivalrates(Figure44)areveryhighforchildrenupto18 monthsofage(92%).Forpatientsof18monthsofageandolder,prognosisismuchworse (50%10-yearsurvivalrates). Figure 44 SNS tumours: observed survival by age group, Flemish Region 1999-2009 Observed survival (%) 30% belgian cancer registry 80.0 Age < 18 months 100% Age 18 months 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0 1 2 3 4 5 6 7 8 9 10 Years after diagnosis Age < 18 months 50 47 47 41 36 36 32 26 20 15 13 Age > 18 months 66 57 47 35 32 26 22 18 12 8 5 N at risk cancer incidence in belgium 2010 Age specific incidence (N / 1,000,000) Figure 42 SNS tumours: age specific incidence rates, Belgium 2009 V Retinoblastoma Incidence Retinoblastoma is a rare disease. In the period 2004-2009 a total of 64 new diagnoses are registeredinBelgium,39inboysand25ingirls(M/Fratio=1.5).Almostalldiagnosesoccur undertheageof5years(Figure45andFigure46).Theoldestpatientwasnineyearsofage 34 Figure 45 Relative frequency of retinoblastoma by age at diagnosis, Belgium 2004-2009 Retinoblastoma Other malignancies 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Figure 46 Retinoblastoma: age specific incidence rates, Belgium 2004-2009 Age specific incidence (N / 1,000,000) belgian cancer registry atthetimeofdiagnosis.Atinfancyretinoblastomasrepresent11%ofalltumourdiagnoses. 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 0 1 2 3 4 5 6 7 8 9 Age (in years) at diagnosis VI Renal tumours Incidence Renaltumoursareararechildhoodmalignancy.InBelgium,108newdiagnosesareregistered between2004and2009(Table9),55inboysand53ingirls(M/Fratio=1.0).Theyrepresent lessthan4%ofallmalignanciesinchildrenandadolescents.Themajority(94%)oftherenal tumoursarenephroblastomas.Renalcarcinoma,themostfrequenttypeofadultrenalcancer, belgian cancer registry seldomoccursinchildhood. Table 9 New diagnoses of renal tumours, Belgium 2004-2009 VI VIa VIb Renal Tumours VI Renal Tumours VIb Renal carcinomas VIc 15-19 51 47 4 1 0 Renal carcinomas Unspecified renal tumours VIa 0-14 55 Nephroblastomas VIc Girls Total 50 3 2 1 1 Total 0-14 15-19 50 50 0 1 1 0 53 Nephroblastomas 5 52 2 Unspecified renal tumours 1 1 35 1 cancer incidence in belgium 2010 Boys Mostnephroblastomadiagnosesoccurbeforetheageof6years(Figure47):theyrepresent approximately10%ofallchildhoodcancermalignancies.Thehighestincidenceratesareob- served in the first years of life. After the age of 3 years, the incidence rates decline rapidly (Figure48).Aftertheageof5years,renaltumoursareveryrare. Figure 47 Relative frequency of renal tumours by age at diagnosis, Belgium 2004-2009 Renal tumours Other malignancies Age specific incidence (N / 1,000,000) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Figure 48 Renal tumours: age specific incidence rates, Belgium 2004-2009 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis 30.0 25.0 20.0 15.0 10.0 5.0 0.0 0 1 2 3 4 5-9 10-14 15-19 Age (in years) at diagnosis Survival Renaltumourshaveagoodprognosis(Figure49).The5yearsurvivalrateintheFlemishRegionis94%andremainsstablethereafter(92%10yearsurvivalrate). Observed survival (%) belgian cancer registry Figure 49 Observed survival for renal tumours, Flemish Region 1999-2009. 100% 90% 80% 70% 60% 50% 40% 30% 36 20% 10% 0% 0 1 2 3 4 5 6 7 112 109 106 98 91 81 73 60 8 9 10 Years after diagnosis N at risk Renal tumours 53 41 30 VII Hepatic tumours Incidence Hepatictumoursareanextremelyraredisease.Inchildrenandadolescentstheyrepresent 0.4% of all malignancies. In Belgium, there are only 12 new diagnoses registered between 2004 and 2009, 6 boys and 6 girls. Among the hepatic tumours, there are 10 diagnoses of hepatoblastomaand2hepatocellularcarcinoma(Table10).Themajorityofthetumoursare diagnosedinthefirstyearsoflife(Figure50). 1 belgian cancer registry 0 37 0 cancer incidence in belgium 2010 Duetothelowincidencerates,nofurtheranalysesareperformedonhepatictumours. Table 10 New diagnoses of hepatic tumours, Belgium 2004-2009 Boys VII Hepatic tumours VIIb Hepatic carcinomas VIIa Girls 0-14 15-19 5 5 0 Total 0-14 15-19 5 5 0 6 Hepatoblastomas VII Hepatic tumours VIIb Hepatic carcinomas VIIa Total 1 6 Hepatoblastomas 1 5 0 6 1 Age specific incidence (N / 1,000,000) Figure 50 Hepatic tumours: age specific incidence rates, Belgium 2004-2009 8.0 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 0 1-4 5-9 10-14 15-19 Age (in years) at diagnosis 1 VIII Bone tumours Incidence In Belgium, between 2004 and 2009, 176 new diagnoses of bone tumours are registered, whichrepresent6%ofallcancerdiagnosesinchildrenandadolescents(Table11).Moreboys arediagnosedthangirls(M/Fratio=1.3).Theincidenceratesforbonetumoursbetweenthe sexesaremorecomparableinchildren(M/Fratio=1.1)thaninadolescents(M/Fratio=1.5). Bonetumoursarerareinchildrenyoungerthan5yearsofage.Aftertheageof5,theinci- belgian cancer registry dence rates (Figure 52) increase to reach a peak in late childhood (around 15 years of age). Afterwards,inadolescence,incidenceratesseemtodeclineslightly.Thistrendisalreadyob- servedininternationalstudies.(33)Intheagegroup10-14yearsbonetumoursrepresent10-15% ofallchildhoodcancerdiagnoses(Figure51). Table 11 New diagnoses of bone tumours, Belgium 2004-2009 Boys 38 Total 0-14 15-19 50 23 27 42 27 15 Total 0-14 15-19 Osteosarcomas 36 22 14 Ewing tumours 33 VIII Bone tumours VIIIb Chondrosarcomas VIIIa VIIIc 100 Osteosarcomas 4 Ewing tumours VIIId-e Other bone tumours Girls VIII Bone tumours VIIIb Chondrosarcomas VIIIa VIIIc 4 76 3 VIIId-e Other bone tumours 4 53 0 3 46 0 23 1 Figure 51 Relative frequency of bone tumours by age at diagnosis, Belgium 2004-2009 Bone tumours Other malignancies 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis 47 4 1 30 3 10 3 Figure 52 Bone tumours: age specific incidence rates by histology, Belgium 2004-2009 Ewing sarcoma (VIIIc) Other bone tumours (VIIIb, VIIId, VIIIe) 100% Chondrosarcoma (VIIIb) Ewing sarcoma (VIIIc) Other sarcoma (VIIId-VIIIe) 90% 10.0 80% 70% 8.0 60% 6.0 50% 30% 20% 2.0 10% 0-4 5-9 0% 10-14 15-19 Age (in years) at diagnosis 0-4 5-9 Ewing sarcoma (43%) and osteosarcoma (49%) are the predominant histological subtypes. Theincidenceratesforbothtumoursincreasedwithage,butwithasomewhatdifferentagepattern(Figure53). Bonetumoursareveryrareundertheageof5yearsandalmostalldiagnosesareEwingsar- comas(VIIIc).ThehighestincidencerateofEwingsarcoma(VIIIc)isobservedintheagegroup 10-14years.Osteosarcomas(VIIIa)arerareundertheageof10years.Withtheonsetofado- lescence,incidenceratesincreaseandaftertheageof10,theybecomethedominantbone tumourdiagnosis. Osteosarcoma(VIIIa)andEwingsarcoma(VIIIc)alsodifferinsitedistribution(Figure54).The longbonesofthelowerlimbsarethepredominantprimarysiteforbonetumours(93diagno- ses).Threeoutoffourtumoursatthislocalisationareosteosarcoma(VIIIa).Themostfrequent primarysiteforEwingsarcoma(VIIIc)isthecentralaxis(spinalcolumn-rib-sternum-pelvic bones-sacrum-coccyx),followedbythelongbonesofthelowerlimbs. Figure 54 Bone tumours: incidence by primary site and histology, Belgium 2004-2009 Osteosarcoma (VIIIa) Long bones lower limbs Ewing sarcoma (VIIIc) 23 70 Central axis 29 5 Long bones upper limbs 10 11 Other 0 Short bones 0 4 Skull or face 0 3 100% 80% 60% 40% 20% 0% 6 20% 40% 60% 80% 100% 10-14 15-19 Age group belgian cancer registry 40% 4.0 0.0 Osteosarcoma (VIIIa) 39 cancer incidence in belgium 2010 Age specific incidence (N / 1,000,000) Osteosarcoma (VIIIa) 12.0 Figure 53 Bone tumours by age group, Belgium 2004-2009 Trends Internationalstudiesshowlittleevidenceofconsistentchangesinbonetumourincidence inchildrenandadolescents.(33)IntheFlemishRegion,incidenceratesinchildrenseemtoin- creaseslightlyinthelastdecade.Inadolescents,lowerincidenceratesareobservedbetween 2005and2009whencomparedtotheothertimeperiods(Figure55). Figure 55 Bone tumours: age standardised incidence (WSR) by histology, Flemish Region 1999-2003, 2002-2006 and 2005-2009 40 WSR (N/1,000,000) belgian cancer registry 1999-2003 2002-2006 2005-2009 All ages 30.0 0-14 years 15-19 years 25.0 20.0 15.0 10.0 5.0 0.0 Bone tumours (VIII) Osteosarcoma (VIIIa) Ewing sarcoma (VIIIc) Bone tumours (VIII) Osteosarcoma (VIIIa) Ewing sarcoma (VIIIc) Bone tumours (VIII) Osteosarcoma (VIIIa) Ewing sarcoma (VIIIc) Survival The 5-year survival rates for children in Belgium by histology show no difference in prog- nosis between osteosarcoma (VIIIa) (73%) and Ewing sarcoma (VIIIc) (75%) (Figure 56). For adolescents(Figure57),prognosisforEwingsarcoma(VIIIc)seemslessthanforosteosarcoma (VIIIa).Forosteosarcomathe5-yearsurvivalratesare70%,forEwingsarcomathenumbersat riskarelessthan10andthereforeno5-yearsurvivalrateiscalculated. PrognosisforEwingsarcoma(VIIIc)dependsontheprimarylocalisation(Figure58):primary tumoursofthecentralaxishaveaworseprognosisthantumoursonothersites. Osteosarcoma (VIIIa) 100% Figure 57 Bone tumours in adolescents: observed survival by histology, Belgium 2004-2009 Ewing sarcoma (VIIIc) Observed survival (%) 90% 80% 70% 60% 50% 90% 80% 70% 60% 50% 30% 20% 10% 10% 0% 1 2 3 Osteosarcoma (VIIIa) 44 42 36 30 24 16 Ewing sarcoma (VIIIc) 49 46 42 34 28 20 N at risk 1 2 3 4 5 Years after diagnosis Osteosarcoma (VIIIa) 38 35 32 29 25 19 Ewing sarcoma (VIIIc) 24 23 19 13 9 6 N at risk Figure 58 Ewing sarcoma (VIIIc): observed survival by primary site, Belgium 2004-2009 Observed survival (%) 0 4 5 Years after diagnosis Central axis 100% Other localisations 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0 1 2 3 4 5 Years after diagnosis 29 27 21 15 11 9 Other 44 localisations 42 40 32 26 17 N at risk belgian cancer registry 30% 20% 0 Central axis Ewing sarcoma (VIIIc) 40% 40% 0% Osteosarcoma (VIIIa) 100% 41 cancer incidence in belgium 2010 Observed survival (%) Figure 56 Bone tumours in children: observed survival by histology, Belgium 2004-2009 IX Soft tissue sarcoma Incidence Softtissuesarcomas(STS)areaheterogeneousgroupofneoplasms.Thesetumoursrepresent 6%ofallchildhoodandadolescentcancerdiagnoses.TherelativefrequencyofSTSbyageat diagnosisisevenlydistributedaround6%(Figure59).AllSTScombined;moreboysarediag- nosedthangirls(M/Fratio=1.3). Softtissuesarcomasareclassifiedin2broadcategories:rhabdomyosarcoma(RMS)andnon- belgian cancer registry rhabdomyosarcoma(Non-RMS). Table 12 New diagnoses of soft tissue sarcoma, Belgium 2004-2009 Boys IX IXa IXb-e Girls 42 IX IXa IXb-e Soft tissue sarcoma Total 0-14 44 34 106 Rhabdomyosarcoma Non-rhabdomyosarcoma 62 Soft tissue sarcoma Non-rhabdomyosarcoma 32 Total 0-14 24 21 82 Rhabdomyosarcoma 66 58 39 18 Figure 59 Soft tissue sarcoma: relative frequency by age at diagnosis, Belgium 2004-2009 Soft tissue sarcoma Other malignancies 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis 15-19 40 10 30 15-19 43 3 40 RMS (IXa) 20.0 Non-RMS (IXb-e) Figure 61 STS by age group, Belgium 2004-2009 100% 18.0 90% 16.0 80% 14.0 70% 12.0 60% 10.0 50% 8.0 40% 6.0 30% 4.0 20% 2.0 10% 0.0 0 1-4 5-9 10-14 15-19 Age (in years) at diagnosis 0% RMS (IXa) 0 Non-RMS (IXb-e) 1-4 5-9 10-14 15-19 Age group 43 Rhabdomyosarcoma (IXa) are the most important sarcoma in children under the age of 10 cancer incidence in belgium 2010 years(Figure60andFigure61).AlmosttwiceasmanyboysareregisteredwithRMSthangirls (M/Fratio=1.7)(Table12). Two main histological types of rhabdomyosarcoma exist. Embryonal RMS is the most fre- quentlydiagnosedsubtype(66%ofRMS)andprimarilytargetsinfantsandyoungchildren. AlveolarRMS(19%ofRMS)becomesmorefrequentinolderchildrenandadolescents(Figure 62).Theremaining10RMSdiagnoses(15%),consistsof6unspecifiedRMS,1pleomorphicRMS and3spindlecellRMS. RMSoccuratvarioussitesinthebody.Themostcommonsitesinourdatasetareheadand neck(29%)andthegenito-urinarytract(28%).EmbryonalRMSaccountsforabout70%ofthe diagnosesforeverysite,withexceptionofthelimbs(Figure63).Thisresultmustbeinter- pretedwithcare,sincethereareonly6diagnosesofRMSregisteredatthelimbs.However, thisobservationiscomparablewithresultsobtainedintheACCISstudy.(35) Figure 62 Rhabdomyosarcoma by histology, Belgium 2004-2009 100% Embryonal RMS Alveolar RMS RMS: other and NOS Figure 63 Rhabdomyosarcoma by primary site, Belgium 2004-2009 Embryonal RMS 90% 80% 80% 70% RMS: other and NOS 70% 60% 60% 50% 50% 40% 40% 30% 30% 20% 20% 10% 0% Alveolar RMS 100% 90% 10% 0-4 5-9 10-14 15-19 Age group 0% Genitourinary Head & Neck Limbs belgian cancer registry Age specific incidence (N / 1,000,000) Figure 60 STS: age specific incidence rates by histology, Belgium 2004-2009 Pelvis Other All sites and NOS Non-rhabdomyosarcoma (IXb-e)aremorefrequentlydiagnosedaftertheageof10years(Fig- ure60).Inadolescents,theyaccountfor84%ofallSTSdiagnoses.Thisgroupcontainsawide varietyofdifferenthistologicalsubtypes(Table13).ThemajorityoftheNon-RMSdiagnoses arefibrohistiocytictumours(23%),synovialsarcomas(15%)andfibrosarcomas(14%).Theremainingsubtypeseachencompasslessthan10%oftheNon-RMS. Table 13 Non-rhabdomyosarcoma by histology, Belgium 2004-2009 New diagnoses (N) belgian cancer registry ICCC-3 Classification 44 IXb-e Non-rhabdomyosarcomas IXb Fibrosarcomas Total IXb1 Fibroblastic and myofibroblastic tumours IXb2 Nerve sheath tumours % 00- 120 100,0% 05- 10- 15- 13 7 30 70 17 14,2% 4 0 5 8 7 5,8% 3 0 2 2 10 8,3% 1 0 3 6 IXb3 Other fibromatous neoplasms 0 0,0% 0 0 0 0 IXc Kaposi sarcomas 1 0,8% 0 0 1 0 IXd Other specified soft tissue sarcomas 93 77,5% 9 6 22 56 IXd1 Ewing tumours and Askin tumours of soft tissue 12 10,0% 1 1 1 9 IXd2 PNET of soft tissue 1 0,8% 0 0 1 0 IXd3 Extrarenal rhabdoid tumours 0 0,0% 0 0 0 0 IXd4 Liposarcomas 4 3,3% 0 0 0 4 28 23,3% 2 2 7 17 6 5,0% 0 0 2 4 IXd5 Fibrohistiocytic tumours IXd6 Leiomyosarcomas IXd7 Synovial sarcomas 18 15,0% 1 1 5 11 IXd8 Blood vessel tumours 10 8,3% 4 0 0 6 IXd9 Osseous and chondromatous neoplasms of soft tissue 4 3,3% 0 0 3 1 IXd10 Alveolar soft parts sarcomas 2 1,7% 0 0 0 2 IXd11 Miscellaneous soft tissue sarcomas 8 6,7% 1 2 3 2 Trends Europeandatashowanannualincreaseof1.8%intheincidenceofsofttissuesarcoma. (35) However,inWesternEuropethistrendcouldnotbeobserved.Theobservedincidenceratesin theFlemishRegionratherseemtodecreaseslightly(Figure64),mainlyinchildren.Thelow numberofnewdiagnosesdidnotallowamoredetailedtrendanalysis. Figure 64 Soft tissue sarcoma: age standardized incidence (WSR) by histology, Flemish Region 1999-2003, 2002-2006, 2005-2009 WSR (N/1,000,000) 1999-2003 2002-2006 2005-2009 All ages 25.0 0-14 years 15-19 years 20.0 15.0 10.0 5.0 0.0 Sarcoma (IX) RMS (IXa) Non- RMS (IXb-e) Sarcoma (IX) RMS (IXa) Non- RMS (IXb-e) Sarcoma (IX) RMS (IXa) Non- RMS (IXb-e) Survival Histologyisconsideredasanimportantfactorinprognosis.(34)Inourdata,littledifference insurvivalisobservedinRMS(82%)versusnon-RMSdiagnoses(76%)(Figure65).Although basedonsmallnumbers,alargerdifferenceinsurvivalratesisobservedwithinthedifferent RMSsubtypes,withhighersurvivalratesforembryonalRMSthanforotherhistologicalRMS subtypes(Figure66).AlveolarRMSismainlyresponsibleforthelowersurvivalrates.Ofthe 12childrenwithalveolarRMSincludedinthesurvivalanalysisinBelgium(2004-2009),5did Non-RMS (IXb-e) 90% 80% 70% 60% 50% 40% Other RMS 90% 80% 45 70% 60% 50% 40% 30% 30% 20% 20% 10% 10% 0% Embryonal RMS 100% 0 1 2 3 0% 4 5 Years after diagnosis N at risk 0 1 2 3 4 5 Years after diagnosis N at risk RMS (IXa) 66 61 54 46 36 23 Embryonal RMS 45 43 40 36 31 22 Non-RMS (IXb-e) 117 111 103 78 57 43 Other RMS 21 19 15 11 6 2 cancer incidence in belgium 2010 RMS (IXa) 100% Figure 66 RMS in children and adolescents: observed survival by histology, Belgium 2004-2009 Observed survival (%) Observed survival (%) Figure 65 STS in children and adolescents: observed survival by histology, Belgium 2004-2009 belgian cancer registry notsurvivemorethan2years. X Germ cell, trophoblastic and other gonadal neoplasms Incidence Germcelltumours,trophoblasticandothergonadalneoplasms(GCTOG)represent6%ofall tumoursinchildrenandadolescents.Themajorityofthetumoursarefoundinadolescents wheretheyaccountfor11%ofalltumourdiagnoses. InBelgium,171newdiagnosesareregisteredbetween2004and2009(Table14).Almosttwice asmanyboysarediagnosedthangirls(M/Fratio=1.7).Inadolescentsthenumberofnew belgian cancer registry diagnoses in boys is five-foldthenumberingirls,correspondingwithamale/femaleratio 46 of5.4.However,inchildren(M/Fratio=0.5),theoppositeisobservedwithtwotimesmore diagnosesingirlsthaninboys. Table 14 New diagnoses of GCTOG, Belgium 2004-2009 Boys X GCTOG Xb Extra-cranial / -gonadal GCT Xa Xc Xd Xe Girls Other and unspecified 10 12 Gonadal GCT Other and unspecified 5 1 81 Total 0-14 15-19 5 4 1 0 39 21 20 4 0 24 Gonadal carcinoma 5 95 0 56 Intra-cranial / -spinal GCT 20 0 1 Extra-cranial / -gonadal GCT Xe 22 86 Gonadal carcinoma Xb Xd 15-19 6 Gonadal GCT GCTOG Xc 0-14 115 Intra-cranial / -spinal GCT X Xa Total 2 0 1 17 1 14 10 1 1 4 Figure 67 GCTOG: relative frequency by age at diagnosis, Belgium 2004-2009 Other malignancies Germ cell tumours 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis Atinfancy,GCTOGrepresent8%ofallcancerdiagnoses(Figure67).Inchildrenbetweenthe ageof1and13year,theincidenceratesareverylow.Aroundtheageof14-15yearincidence ratesincreaserapidlywithage,especiallyinboys(Figure68). 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 40.0 35.0 30.0 25.0 20.0 15.0 10.0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis 5.0 0.0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis GCTOGaresubdividedinfivemaingroupsaccordingtothecellsoforigin(germcells(Xa-c), trophoblasticcells(Xd)orothercells(Xe)).Thegermcelltumours(GCT)arefurtherseparated bysiteoforigin(gonads(Xc),centralnervoussystem(Xa)orelsewhere(Xb)). Themajority(64%)ofGCTOGtumours,occurringamongchildrenyoungerthan20yearsof age,aregonadalgermcelltumours(Xc).However,whenonlychildrenyoungerthan15years ofageareconsidered,non-gonadalgermcelltumours(XaandXb)aremorecommonthan gonadal(Xc)germcelltumours(Table14,Figure69andFigure70). Figure 70 GCTOG by age group, Belgium 2004-2009 100% Intra-cranial / -spinal GCT (Xa) Gonadal GCT (Xc) Extra-cranial / -gonadal GCT (Xb) Other GCTOG (Xd-e) 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0-4 5-9 10-14 15-19 Age group Intracranial and intraspinal GCT (Xa)aremorefrequentlydiagnosedinolderchildrenandado- lescents.Intheagegroup5-9yearsGCTOGareveryrare(9diagnosesinBelgiumbetween 2004and2009).Inthisagegroup,intracranialandintraspinalGCT(Xa),with5diagnosesin Belgiumbetween2004and2009,arethemostfrequentGCTOGsubtype(Figure70). belgian cancer registry Girls Intra-cranial / -spinal GCT (Xa) Extra-cranial / -gonadal GCT (Xb) Gonadal GCT (Xc) 47 cancer incidence in belgium 2010 Boys 90.0 Figure 69 GCT: age specific incidence rates by primary site, Belgium 2004-2009 Age specific incidence (N / 1,000,000) Age specific incidence (N / 1,000,000) Figure 68 GCTOG: age specific incidence rates by sex, Belgium 2004-2009 Almostallintra-cranial/-spinalGCT(Xa)arediagnosedinboys(81%).Themale/femaleratio is4.1. IntracranialGCTarefrequentlydiagnosedinendocrineglands(Table15).Sixdiagnosesare registeredinthepituitaryglandandeightinthepinealgland.Theremaining13diagnoses areregisteredasprimarybraintumours. Themostfrequentlydiagnosedhistologicalsubtype(Figure71)inboysandgirlsaregermino- mas(Xa1)(81%,bothsexescombined).Theremainingtumoursareteratomas(Xa2)ormixed belgian cancer registry germcelltumours(Xa6). 48 Table 15 Intracranial and intraspinal GCT (Xa) in children and adolescents by primary site, Belgium 2004-2009 Primary localisation N Cerebrum 2 Cerebral ventricle 3 Brain stem 1 Brain, NOS 7 Pituitary gland 6 Pineal gland 8 Extracranial and extragonadal GCT (Xb) are most frequently diagnosed in infants and very youngchildren(Figure70).Ofthe27diagnoses,22areregisteredinchildrenyoungerthan3 yearsofage. IncontrastwiththeotherGCT(XaandXc),wherefarmoreboysarediagnosed,themajority ofextracranialandextragonadalGCT(Xb)arediagnosedingirls(M/Fratio=0.3). ExtracranialandextragonadalGCT(Xb)aremostfrequentlydiagnosedinthepelvicregion (67%). The most frequent histological subtypes are teratomas (Xb2) and yolk sac tumours (Xb4),respectively44%and30%whenbothsexesarecombined(Figure71). Gonadal GCT (Xc)arebyfarthemostfrequentdiagnosedGCTOG(64%).Inadolescence,more boys(testicularGCT)arediagnosedthangirls(ovarianGCT),whileinchildhoodtheopposite isobserved(Table14).Themale/femaleratiois0.4inchildrenand7.8inadolescents. The majority of testicular GCT (Figure 71) are of mixed origin (Xc6; 31%), embryonal carci- noma(Xc3;24%)andteratoma(Xc2;23%).94%ofgonadalGCTarediagnosedinadolescents. Inchildren,onlyfivetesticularGCTarediagnosed,threeyolksactumoursandtwoimmature teratomas. DiagnosesofovarianGCT(Figure71)arepredominantlyteratoma(Xc2;50%).Twooutofthree ovarianteratomadiagnosesoccurredinchildren. Figure 71 Germ cell tumours (Xa-c) by histology and sex, Belgium 2004-2009 100% Embryonal carcinomas Germinomas Mixed germ cell tumour Teratomas Yolk sac tumours Choriocarcinomas 90% 80% 70% 60% 50% 40% 30% belgian cancer registry 20% 10% 0% Boys Girls Intra-cranial/-spinal GCT (Xa) Boys Girls Extra-cranial/-gonadal GCT (Xb) Boys Gonadal GCT (Xc) Girls Gonadal carcinomas (Xd)areararemalignancyinchildrenandadolescents.InBelgium,between 2004and2009,only4adolescentgirlsarediagnosedwithanovariangonadalcarcinoma. cancer incidence in belgium 2010 49 TheremainingGCTOGdiagnoses,other and unspecified malignant gonadal tumours (Xe),are veryrare.OnlythreediagnosesofSertoli-Leydigcelltumourareregisteredinthiscategoryin Belgiumbetween2004and2009. Trends When comparing the incidence data over time in the Flemish Region, an increase in age standardisedincidence(WSR)canbeobserved.Thisincreasecanalmostentirelybeattribut- edtoanincreaseintesticularcancer(Xc)inadolescents.Theincreaseinincidenceofadoles- centtesticulargermcelltumoursiscomparabletotheincreaseintesticularcancerobserved inyoungadultmales.(3)Inchildren,incidenceratesforGCTOG(X)seemtodecreaseslightly (Figure72),butduetothelowincidencerates,analysesontrendsarenotpossible. Figure 72 GCTOG in boys: age standardised incidence (WSR) by age group and primary localisation, Flemish Region 1999-2003, 2002-2006, 2005-2009 2002-2006 WSR (N/1,000,000) 1999-2003 2005-2009 All ages 60.0 0-14 years 15-19 years 50.0 40.0 30.0 20.0 10.0 0.0 GCTOG (X) Intracranial/ -spinal GCT (Xa) Extracranial/ -gonadal GCT (Xb) Gonadal GCT (Xc) GCTOG (X) Intracranial/ -spinal GCT (Xa) Extracranial/ -gonadal GCT (Xb) Gonadal GCT (Xc) GCTOG (X) Intracranial/ -spinal GCT (Xa) Extracranial/ -gonadal GCT (Xb) Gonadal GCT (Xc) Ingirls,duetothelownumberofnewdiagnoses,trendsforGCTOG(X)arenotclear(Figure73). Figure 73 GCTOG in girls: age standardised incidence (WSR) by age group and primary localisation, Flemish Region 1999-2003, 2002-2006, 2005-2009 2002-2006 WSR (N/1,000,000) 1999-2003 2005-2009 All ages 12.0 0-14 years 15-19 years 10.0 8.0 belgian cancer registry 6.0 50 4.0 2.0 0.0 GCTOG (X) Intracranial/ -spinal GCT (Xa) Extracranial/ -gonadal GCT (Xb) Gonadal GCT (Xc) GCTOG (X) Intracranial/ -spinal GCT (Xa) Extracranial/ -gonadal GCT (Xb) Gonadal GCT (Xc) GCTOG (X) Intracranial/ -spinal GCT (Xa) Extracranial/ -gonadal GCT (Xb) Gonadal GCT (Xc) XI Carcinomas and other malignant epithelial neoplasms Incidence Carcinomasarethemostcommonhistologicalcancertypeinadults.Nevertheless,avariety ofmalignantepithelialneoplasmsdooccurinchildrenandadolescents.InBelgium,between 2004and2009,127childrenand239adolescentsarediagnosedwithanmalignantepithe- lialneoplasm.Almosttwooutofthreecarcinomasarediagnosedingirls(Table16).Forall tumoursites,withtheexceptionoflung(XIf4),colonandrectum(XIf2)andnasopharyngeal combined,themale/femaleratiois0.6. Table 16 New diagnoses of malignant epithelial neoplasms, Belgium 2004-2009 XI XIa XIb XIc XId XIe XIf1 XIf2 XIf3 XIf4 XIf10-11 Girls XI XIa Malignant epithelial neoplasms Adrenocortical carcinomas Total 0-14 1 1 144 54 15-19 90 0 Thyroid 21 6 15 Malignant melanomas 36 13 23 3 3 0 Nasopharyngeal carcinomas Skin (non melanoma) Salivary glands Colon and rectum Appendix Lung Other and unspecified Malignant epithelial neoplasms Adrenocortical carcinomas 5 19 7 4 6 2 39 16 5 1 8 2 Total 0-14 1 0 222 73 1 51 13 cancer incidence in belgium 2010 Boys 5 23 6 4 15-19 149 1 XIb Thyroid 41 12 29 XId Malignant melanomas 54 12 42 XIf1 Salivary glands XIc XIe XIf2 XIf3 XIf4 XIf6 XIf7 XIf10-11 Nasopharyngeal carcinomas Skin (non melanoma) Colon and rectum Appendix Lung Breast Cervix uteri Other and unspecified 3 2 38 20 4 0 9 4 1 18 5 4 55 21 34 3 0 3 6 1 7 1 0 1 belgian cancer registry carcinomas(XIc),incidenceratesforgirlsarehigherthanforboys(Figure74).Allcarcinomas 5 1 6 Figure 74 Malignant epithelial neoplasms: age standardised incidence (WSR) by primary localisation and sex, Belgium 2004-2009 belgian cancer registry Boys Girls Appendix (XIf3) M/F = 0.7 Malignant melanomas (XId) M/F = 0.7 Thyroid (XIb) M/F = 0.5 Skin (non melanoma) (XIe) M/F = 0.5 Lung (XIf4) M/F = 1.3 Salivary glands (XIf1) M/F = 0.3 Colon and rectum (XIf2) M/F = 1.7 Other specified sites (XIf10) M/F = 0.8 Nasopharyngeal carcinomas (XIc) M/F = 1.5 Breast (XIf6) 52 M/F = NA* Unspecified site (XIf11) M/F = 0.4 Adrenocortical carcinomas (XIa) M/F = 1.0 Cervix uteri (XIf7) M/F = NA* 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 WSR (N/1,000,000) *NA = M/F ratio not applicable due to zero cases in either sex Thisdiversegroupofmalignantepithelialneoplasmsisthe5thmostfrequenttumourinchil- drenandthe2ndmostfrequentinadolescents.Inyoungchildrencarcinomasareveryrare.In latechildhood,theincidenceratesincreasesharplywithage.Inadolescents,theyaccountfor 23%ofallmalignancies(Figure75andFigure76). Figure 75 Malignant epithelial neoplasms: relative frequency by age at diagnosis, Belgium 2004-2009 Epithelial neoplasms Other malignancies Age specific incidence (N / 1,000,000) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Figure 76 Malignant epithelial neoplasms: age specific incidence rates by sex, Belgium 2004-2009 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis 120.0 Boys Girls 100.0 80.0 60.0 40.0 20.0 0.0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age (in years) at diagnosis Themostfrequentmalignantepithelialneoplasmsareendocrinetumours(carcinoids)ofthe appendix (XIf3). Thistumourismostcommonlydiscoveredbycoincidenceduringroutineap- pendectomy,wheretheyarefoundin0.3-0.9%ofpatients. (36)(37)Between2004and2009,a totalof94diagnosesareregisteredinBelgium,39inboysand55ingirls(M/Fratio=0.7).Car- cinoidsoftheappendix(XIf3)areveryrareinchildrenyoungerthe10yearsofage.Intheage group5-9yearsofage,only8carcinoidtumoursoftheappendix(XIf3)arediagnosed,6boys and2girls(M/Fratio=2.8).Theincidenceratesincreasewithage(Figure77).Aftertheageof 10years,moregirlsarediagnosedthanboys(M/Fratiois0.5fortheagegroup10-14yearsand Boys 20.0 Girls 18.0 16.0 14.0 53 12.0 10.0 8.0 6.0 4.0 2.0 0.0 0-4 5-9 10-14 15-19 Age group Worldwide,registrationpracticesforcarcinoidtumoursoftheappendixvarybetweenregis- tries.Thisvariationisconsideredapotentialsourceofartifactwhencomparingdatabetween regions.(37)TheBelgianCancerRegistryincludesallcarcinoidsoftheappendix,regardlessof size.RecentupdatesintheICD-O3classification(7)publishedbytheWHO(38),includeanycar- cinoidoftheappendixinthelistofmalignantneoplasms. Animportantparameterdeterminingprognosisofcarcinoidsisthesizeofthetumour(Figure 78).Informationonsizeisavailablein67cases(27boysand40girls).Themediansizeis7mm (range1.5mm–22mm).In76%,21%and3%ofcasesthediameteris<=10mm,>10mm-20mm and>20mmrespectively.Tumoursdiagnosedingirls(mediansize=7.5mm[range1.5mm– 22mm])areoftenlargerthaninboys(mediansize=7mm[range2mm–15mm]).Ingirls28% ofthecarcinoiddiagnosesingirlsarelargerthan10mm,whileinboysthisisonly19%. cancer incidence in belgium 2010 Age specific incidence (N / 1,000,000) Figure 77 Carcinoid of appendix (XIf3): age specific incidence rates by sex, Belgium 2004-2009 belgian cancer registry 0.6intheagegroup15-19years). Figure 78 Carcinoid of the appendix: number of diagnoses by sex and tumour size (N=67) N Boys Girls 9 8 7 6 5 4 belgian cancer registry 3 2 1 0 0-2 3-4 5-6 7-8 9-10 11-12 13-14 15-16 17-18 19-20 > 20 Tumour size (mm) 54 The2ndmostfrequentmalignantepithelialneoplasmismalignant melanoma (XId). Forthe period2004-2009,atotalof90casesofmelanomaarediagnosedinBelgium(Table16),36 boysand54girls(M/Fratio=0.7).Inchildren,nodifferenceisobservedbetweenthesexes(13 boysand12girls,M/Fratio=1.1)(Figure79).Inadolescentsthediagnosisofmelanomaismade morefrequentlyingirls(N=42)thaninboys(N=23)(M/Fratio=0.5). Age specific incidence (N / 1,000,000) Figure 79 Malignant melanoma (XId): age specific incidence by sex, Belgium 2004-2009 Boys 25.0 Girls Figure 80 Malignant melanoma (XId): distribution by primary site and sex, Belgium 2004-2009 Boys Girls Head Trunk 100% 90% 20.0 80% 15.0 60% 10.0 40% 5.0 20% 70% 50% 30% 10% 0.0 0-4 5-9 10-14 15-19 Age group 0% Arms Legs Unspecified Inboys,melanomamoreoftenoccuronthetrunkandthehead,whileingirlsmoremelanomaarediagnosedontheupperandlowerlimbs(Figure80).Thispreferentialtumourlo- calisationiscomparablewiththesitedistributioninadults.(3) For the 90 melanoma diagnoses in Belgium, information on stage is available in 72 of the cases.Forregistrationsbetween2004and2009,stageisclassifiedbymeansofthe6thedition oftheUICCTNM.(42)Afterexcision,theextentofmelanomacanbeclassifiedbyapathological assessmentoftheprimarytumour(pT-category).Figure81showsanoverviewofthedistri- butionofcancerswithaknownpT-stage.Themajority(68%)ofthecaseswithknownpatho- logicalT-valueispT1inbothsexes.ThepT2,pT3andpT4melanomadiagnosesaccountfor respectively17%,11%and7%.Betweenboysandgirlsadifferentstagedistributionisobserved (Figure81).Inboys24%ofthediagnosesarepT3-4,whileingirlsthisisonly14%. Stagingoftheprimarytumour(pT)inmelanomareliesoninformationonthetumourthick- nessandulceration. (40)Theexacttumorthickness,alsoknownasBreslowindex,isknown in56ofthemelanomadiagnoses(22boysand34girls)(Figure82).ThemedianBreslowin- dex(bothsexes)is0.67mm(range0.17-6.08mm).Melanomadiagnosedinboysaregenerally thicker in size (median Breslow index = 0.89mm [range 0.17-5mm]) than tumours in girls (medianBreslowindex=0.58mm[range0.22-6.08]). pT2 (> 1-2mm) pT4 (> 4mm) 8 55 Boys 90% 80% 70% 60% 50% Girls 12 6 40% 4 30% 20% 2 10% 0% 10 belgian cancer registry pT3 (> 2-4mm) N 100% pT1 ( 1mm) Figure 82 Malignant melanoma (XId): new diagnoses (N) by Breslow index (mm) and sex, Belgium 2004-2009 (N= 56) Boys Girls 0 0.3mm > 0.3-0.5mm > 0.5-1mm pT1 The 3rd most frequent malignant epithelial neoplasms are thyroid carcinomas (XIb). In Bel- gium,62newcasesarediagnosedbetween2004and2009(Table16).Twotimesmoregirls (N=41)arediagnosedwiththyroidcancerthanboys(N=21).Inchildrenundertheageof10 years,thyroidcancersarerare.Fromtheageof10years,incidenceratesincreaserapidlyin boysandgirls(Figure83). Histologically,fourmaintypesofthyroidcarcinomaaredistinguished(Figure84).Papillary carcinomaarethemostfrequentsubtype(68%).Follicularcarcinomaandmedullarycarci- nomaaccountforrespectively22%and8%ofthethyroidcancers.InBelgium,anaplasticcar- cinoma,thefourthmainthyroidcarcinomatype,isnotobservedinchildrenandadolescents between2004and2009. > 1-2mm pT2 > 2-4mm pT3 > 4mm pT4 cancer incidence in belgium 2010 Figure 81 Malignant melanoma (XId) by sex and pT category, Belgium 2004-2009 (N = 72) Age specific incidence (N / 1,000,000) belgian cancer registry Figure 83 Thyroid cancer (XIb): age specific incidence rates by sex, Belgium 2004-2009 Boys 18 Figure 84 Thyroid cancer (XIb) by histology, Belgium 2004-2009 Unspecified 1 2% Girls Medullary 5 8% 16 14 12 10 Follicular 14 22% 8 6 Papillary 42 68% 4 2 0 0-4 5-9 56 10-14 15-19 Age group Non-melanoma skin cancers (IXe)arethe4thmostfrequentmalignantepithelialneoplasm. Between2004and2009,57newcases(19boysand38girls)areregistered(Table16). Undertheageof10,non-melanomaskincancers(XIe)arerare.Only8newdiagnoses(3boys and5girls,M/Fratio=0.6)areobserved.Inolderchildren(age10-14year),especiallyingirls, anincreaseintheincidenceratesisobserved(Figure85).Intotal,18cases(3boysand15girls, M/Fratio=0.2)areregisteredinthisagegroup.Inadolescents,31newdiagnoses(13boysand 18girls,M/Fratio=0.7)areregistered. The majority of the non-melanoma skin tumours (XIe) are basocellular carcinomas (81%). Squamous cell carcinoma account for 14% (Figure 86). These tumours were subjected to a profoundqualityassessment.Foreveryskincarcinoma,thecorrespondingpathologyreport hasbeenreevaluatedtoensurecorrectdiagnosis. Age specific incidence (N / 1,000,000) Figure 85 Non melanoma skin cancer (IXe): age specific incidence rates by sex, Belgium 2004-2009 Girls Boys 12.0 Figure 86 Non melanoma skin cancer (IXe) by histology, Belgium 2004-2009’ Squamous cell 8 14% 10.0 Other 3 5% 8.0 6.0 4.0 Basocellular 46 81% 2.0 0.0 0-4 5-9 10-14 15-19 Age group Theremainingepithelialneoplasmsareveryrareandnodetailedanalysisisperformedfor thesetumoursites. Trends In children the incidence rates for malignant epithelial neoplasms in the Flemish Region seemtodecreaseslightlyingirls(Figure87).Thedecreaseingirlscanberelatedtothelower incidence rates in thyroid cancer (XIb) and malignantmelanoma(XId)intheperiod2005- 2009.Non-melanomaskincancer(XIe)increasesingirls.Inboys,anincreaseisobservedfor malignantmelanoma(XId). 2002-2006 Boys 14.0 2005-2009 Girls 12.0 10.0 8.0 57 6.0 4.0 2.0 0.0 Epithelial Appendix neoplasms (XI) (XIf3) Malignant melanomas (XId) Thyroid (XIb) Skin (non Epithelial Appendix melanoma) neoplasms (XI) (XIf3) (XIe) Malignant melanomas (XId) Thyroid (XIb) Skin (non melanoma) (XIe) Thyroid (XIb) Skin (non melanoma) (XIe) Themaintrendforallmalignantepithelialneoplasms(XI)inadolescents(Figure88)iscom- parablewiththetrendobservedinchildren.Ingirlstheincidenceratesformalignantepithe- lialneoplasms(XI)seemtodecrease,whilenotrendisobservedinboys.Thyroidcancer(XIb) increasesinboysandgirls. Figure 88 Malignant epithelial neoplasms (XI) in adolescents: age standardized incidence (WSR) by primary localisation and sex, Flemish Region 1999-2003, 2002-2006, 2005-2009 WSR (N/1,000,000) 1999-2003 2002-2006 80.0 Boys 2005-2009 Girls 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 Epithelial Appendix neoplasms (XI) (XIf3) Malignant melanomas (XId) Thyroid (XIb) Skin (non Epithelial Appendix melanoma) neoplasms (XI) (XIf3) (XIe) Malignant melanomas (XId) cancer incidence in belgium 2010 WSR (N/1,000,000) 1999-2003 belgian cancer registry Figure 87 Malignant epithelial neoplasms (XI) in children: age standardized incidence (WSR) by primary localisation and sex, Flemish Region 1999-2003, 2002-2006, 2005-2009 Survival Malignantepithelialneoplasms(XI)haveaverygoodprognosis.Inchildren,(Figure89)the5 yearsurvivalratesinboys(89%)aresignificantlylowerthantheratesobservedingirls(99%). Inadolescents(Figure90),theprognosisforboysandgirlsiscomparablewithrespectively 96%and97%5yearsurvivalrates. Boys 100% Figure 90 Malignant epithelial neoplasms in adolescents: observed survival by sex, Belgium 2004-2009 Girls Observed survival (%) Observed survival (%) belgian cancer registry Figure 89 Malignant epithelial neoplasms in children: observed survival by sex, Belgium 2004-2009 90% 80% 70% 60% 50% 40% 58 Girls 90% 80% 70% 60% 50% 40% 30% 30% 20% 20% 10% 10% 0% Boys 100% 0% 0 1 2 3 4 5 Years after diagnosis Boys 50 48 47 41 35 25 Boys 82 Girls 68 68 67 58 48 36 Girls 142 N at risk 0 1 2 3 4 5 Years after diagnosis 80 80 63 50 34 140 139 111 88 64 N at risk Cancer in Infants Between2004and2009,201tumoursarediagnosedinthefirstyearoflife.Cancerininfants represents11%ofallchildhood(0-14years)cancerdiagnoses. Neuroblastomas (IV; N=49) are the most frequent tumour type. They represent 24% of all tumoursininfants.CNStumours(III;N=40)arethe2ndmostfrequentcanceramonginfants, representing20%.Leukaemia(I;N=24),retinoblastoma(V;N=23)andgermcelltumours(X; N=16)completethefivemostfrequentlyoccurringtumours(Figure91). 0.0 45 40 35 30 25 20 59 15 10 5 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 Age specific incidence (N / 1,000,000) 0 0 1 2 3 4 5 6 7 8 9 10 11 Months About1outofevery5cancerininfantsisdiagnosedinthefirstmonthoflife.Someofthese tumoursarepossiblyalreadydetectedinutero(Figure92). Observed survival (%) Figure 93 All tumours: observed survival by age group, Belgium 2004-2009 Figure 94 Observed survival by histology and age group, Belgium 2004-2009 Infants (< 1 year) Children and adolescents (1-19 year) 100% Infants (< 1 year) 90% 90% 80% 80% 70% 70% 60% 60% 50% 50% 40% 40% 30% 30% 20% 20% 10% 0% Children and adolescents (1-19 year) 100% 10% 0 1 2 3 4 5 Years after diagnosis 191 169 10 130 104 83 2665 2515 2388 1920 1505 1129 0% All tumours Neuroblastoma (I-XII) IV N at risk Infants (<1 year) Children and adolescents (1-19 year) Overall survival for infants (82%) is slightly poorer than for children and adolescents (86%) (Figure93).Prognosisislargelydependentonthehistologicalsubtype(Figure94).Neuroblas- tomahadaverygoodprognosisininfants(96%5yearsurvival),whileforchildrenandadoles- cents5yearsurvivalis61%.Forbraintumours,thesurvivalratesaresomewhatlessfavourable forinfantswhencomparedtootherchildrenandadolescents(respectively69%and82%).In leukaemiathesurvivalratesforinfants(44%)arefarworsethanfortheotherages(83%). 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Appendix Appendix 1: Notifications by source type in children and in adolescents, Belgium 2004-2009 0-14 years 15-19 years Leukaemias, myeloproliferative and myelodysplastic diseases: notifications by source type (N=500) Leukaemias, myeloproliferative and myelodysplastic diseases: notifications by source type (N=125) Paediatric centres: N=480 (96.0%) N=17 (3.4%) Pathology/Clinical Biology: N=218 (43.6%) N=54 (10.8%) N=4 (0.8%) Paediatric centres: N=32 (25.6%) N=0 (0.0%) N=156 (31.2%) N=253 (50.6%) N=4 (0.8%) N=18 (14.4%) Lymphomas and reticuloendothelial neoplasms: notifications by source type (N=238) Hospitals/Health insurance: N=105 (84.0%) N=18 (7.6%) Paediatric centres: N=32 (12.1%) N=1 (0.4%) N=142 (59.7%) N=35 (14.7%) N=6 (2.5%) Pathology/Clinical Biology: N=335 (70.5%) N=138 (52.3%) N=46 (9.7%) Hospitals/Health insurance: N=192 (72.7%) CNS and miscellaneous intracranial and intraspinal neoplasms: notifications by source type (N=146) Paediatric centres: N=25 (17.1%) N=1 (0.7%) N=227 (47.8%) N=77 (16.2%) N=71 (26.9%) N=23 (8.7%) CNS and miscellaneous intracranial and intraspinal neoplasms: notifications by source type (N=475) N=24 (5.1%) N=0 (0.0%) N=5 (1.9%) Hospitals/Health insurance: N=186 (78.2%) N=28 (5.9%) Pathology/Clinical Biology: N=235 (89.0%) N=26 (9.8%) N=3 (1.3%) Paediatric centres: N=356 (74.9%) N=45 (36.0%) Lymphomas and reticuloendothelial neoplasms: notifications by source type (N=264) Pathology/Clinical Biology: N=190 (79.8%) N=24 (10.1%) N=17 (13.6%) N=31 (24.8%) Hospitals/Health insurance: N=425 (85.0%) N=10 (4.2%) N=3 (2.4%) N=11 (8.8%) N=12 (2.4%) Paediatric centres: N=211 (88.7%) Pathology/Clinical Biology: N=76 (60.8%) Pathology/Clinical Biology: N=115 (78.8%) N=2 (1.4%) N=50 (34.2%) N=18 (12.3%) N=38 (8.0%) N=35 (7.4%) Hospitals/Health insurance: N=377 (79.4%) N=4 (2.7%) N=45 (30.8%) N=26 (17.8%) Hospitals/Health insurance: N=93 (63.7%) belgian cancer registry 15-19 years Neuroblastoma and other peripheral nervous cell tumours: notifications by source type (N=128) Neuroblastoma and other peripheral nervous cell tumours: notifications by source type (N=2) Paediatric centres: N=124 (96.9%) Pathology/Clinical Biology: N=118 (92.2%) N=15 (11.7%) N=2 (1.6%) N=2 (1.6%) Paediatric centres: N=0 (0.0%) Pathology/Clinical Biology: N=2 (100.0%) N=0 (0.0%) N=0 (0.0%) N=100 (78.1%) N=7 (5.5%) N=0 (0.0%) N=1 (0.8%) N=0 (0.0%) N=1 (50.0%) N=1 (0.8%) N=0 (0.0%) Hospitals/Health insurance: N=109 (85.2%) Retinoblastoma: notifications by source type (N=64) Hospitals/Health insurance: N=1 (50.0%) Retinoblastoma: notifications by source type (N=0) Paediatric centres: N=59 (92.2%) N=8 (12.5%) Pathology/Clinical Biology: N=22 (34.4%) N=0 (0.0%) N=0 (0.0%) Paediatric centres: N=0 (0.0%) N=0 (0.0%) N=22 (34.4%) N=29 (45.3%) Pathology/Clinical Biology: N=0 (0.0%) N=0 (0.0%) N=0 (0.0%) N=0 (0.0%) N=0 (0.0%) N=0 (0.0%) Hospitals/Health insurance: N=56 (87.5%) Renal Tumours: notifications by source type (N=102) N=4 (3.9%) N=0 (0.0%) N=0 (0.0%) N=5 (7.8%) Paediatric centres: N=97 (95.1%) N=1 (50.0%) Hospitals/Health insurance: N=0 (0.0%) Renal Tumours: notifications by source type (N=6) Pathology/Clinical Biology: N=81 (79.4%) N=10 (9.8%) N=1 (1.0%) Paediatric centres: N=3 (50.0%) N=0 (0.0%) N=69 (67.6%) N=14 (13.7%) Pathology/Clinical Biology: N=6 (100.0%) N=1 (16.7%) N=0 (0.0%) N=2 (33.3%) N=1 (1.0%) N=3 (2.9%) Hospitals/Health insurance: N=87 (85.3%) N=0 (0.0%) N=3 (50.0%) N=0 (0.0%) Hospitals/Health insurance: N=5 (83.3%) 65 appendix 0-14 years 0-14 years 15-19 years Hepatic tumours: notifications by source type (N=11) Hepatic tumours: notifications by source type (N=1) Paediatric centres: N=10 (90.9%) N=0 (0.0%) Pathology/Clinical Biology: N=11 (100.0%) N=2 (18.2%) N=0 (0.0%) Paediatric centres: N=0 (0.0%) N=0 (0.0%) N=8 (72.7%) N=0 (0.0%) Pathology/Clinical Biology: N=1 (100.0%) N=0 (0.0%) N=0 (0.0%) N=1 (9.1%) N=0 (0.0%) N=0 (0.0%) N=1 (100.0%) N=0 (0.0%) Hospitals/Health insurance: N=9 (81.8%) Malignant bone tumours: notifications by source type (N=99) Paediatric centres: N=90 (90.9%) N=3 (3.0%) Hospitals/Health insurance: N=1 (100.0%) Malignant bone tumours: notifications by source type (N=77) Pathology/Clinical Biology: N=94 (94.9%) N=8 (8.1%) N=2 (2.0%) Paediatric centres: N=30 (39.0%) N=0 (0.0%) N=78 (78.8%) N=1 (1.0%) N=6 (6.1%) N=36 (46.8%) Hospitals/Health insurance: N=70 (90.9%) Soft tissue and other extraosseous sarcomas: notifications by source type (N=83) Pathology/Clinical Biology: N=89 (84.8%) N=7 (6.7%) Paediatric centres: N=17 (20.5%) N=1 (1.2%) N=69 (65.7%) N=8 (7.6%) N=7 (9.1%) N=4 (5.2%) Soft tissue and other extraosseous sarcomas: notifications by source type (N=105) N=9 (8.6%) N=0 (0.0%) N=0 (0.0%) Hospitals/Health insurance: N=86 (86.9%) N=4 (3.8%) Pathology/Clinical Biology: N=73 (94.8%) N=30 (39.0%) N=1 (1.0%) Paediatric centres: N=90 (85.7%) N=0 (0.0%) Pathology/Clinical Biology: N=75 (90.4%) N=0 (0.0%) N=25 (30.1%) N=15 (18.1%) N=4 (3.8%) N=4 (3.8%) Hospitals/Health insurance: N=85 (81.0%) N=1 (1.2%) N=35 (42.2%) N=6 (7.2%) Hospitals/Health insurance: N=57 (68.7%) belgian cancer registry 15-19 years Germ cell tumours, trophoblastic tumours and neoplasms of gonads: notifications by source type (N=59) Germ cell tumours, trophoblastic tumours and neoplasms of gonads: notifications by source type (N=112) Paediatric centres: N=48 (81.4%) N=6 (10.2%) Pathology/Clinical Biology: N=39 (66.1%) N=6 (10.2%) N=3 (5.1%) Paediatric centres: N=11 (9.8%) N=1 (0.9%) N=24 (40.7%) N=12 (20.3%) N=6 (10.2%) N=1 (0.9%) Other malignant epithelial neoplasms and malignant melanomas: notifications by source type (N=127) Pathology/Clinical Biology: N=118 (92.9%) N=4 (3.1%) N=68 (60.7%) N=62 (48.8%) Hospitals/Health insurance: N=92 (82.1%) Other malignant epithelial neoplasms and malignant melanomas: notifications by source type (N=239) Paediatric centres: N=7 (2.9%) N=0 (0.0%) N=30 (23.6%) N=3 (2.4%) N=19 (17.0%) N=14 (12.5%) Hospitals/Health insurance: N=44 (74.6%) N=1 (0.8%) N=0 (0.0%) N=9 (8.0%) N=2 (3.4%) Paediatric centres: N=38 (29.9%) Pathology/Clinical Biology: N=96 (85.7%) Pathology/Clinical Biology: N=222 (92.9%) N=2 (0.8%) N=113 (47.3%) N=5 (2.1%) N=22 (17.3%) N=5 (3.9%) Hospitals/Health insurance: N=60 (47.2%) N=0 (0.0%) N=102 (42.7%) N=17 (7.1%) Hospitals/Health insurance: N=124 (51.9%) 67 appendix 0-14 years 15 3 IIe: Unspecified lymphomas 1 69 16 IIIe: Other specified intracranial and intraspinal neoplasms 1 VIc: Unspecified malignant renal tumours - 1 - VIIb: Hepatic carcinomas VIIc: Unspecified malignant hepatic tumours - 2 2 - - 8 8 14 - 26 26 1 2 5 VIIa: Hepatoblastomas 6 3 VII: Hepatic tumours 51 VIa: Nephroblastomas and other nonepithelial renal tumours VIb: Renal carcinomas 55 VI: Renal Tumours 2 39 IVb: Other peripheral nervous cell tumours V: Retinoblastomas 72 IVa: Neuroblastomas and ganglioneuroblastomas IV: Neuroblastomas and other peripheral nervous cell tumours 74 36 IIIf: Unspecified intracranial and intraspinal neoplasms 5 49 IIIc: Intracranial and intraspinal embryonal tumours IIId: Other gliomas 4 6 33 129 IIIa: Ependymomas and choroid plexus tumours 19 - IIIb: Astrocytomas 332 47 IIc: Burkitt lymphomas IId: Miscellaneous lymphoreticular neoplasms III: CNS and miscellaneous intracranial and intraspinal neoplasms - 84 4 1 143 IIa: Hodgkin lymphomas IIb: Non-Hodgkin lymphomas 2 5 3 Ie: Unspecified and other specified leukaemias - 292 21 Id: Myelodysplastic syndromes and other myeloproliferative diseases - 5 51 14 Ib: Acute myeloid leukaemias 7 Ic: Chronic myeloproliferative diseases II: Lymphomas and reticuloendothelial neoplasms 0 14 273 I: Leukaemias, myeloproliferative and myelodysplastic diseases Ia: Lymphoid leukaemias Tot 362 Belgium: Boys 2004-2009 Belgium: Boys, number of invasive tumours in children and adolescents by tumour type and age in 2004-2009 1 - - 1 1 1 - 10 11 8 - 16 16 2 3 4 1 5 6 21 - 1 - 1 - 2 - - - 6 15 21 2 - - 1 1 - - 6 6 8 - 10 10 1 2 1 7 14 3 28 - 1 - 2 - 3 - 3 - 3 36 42 3 - - - - - - 9 9 5 - 9 9 2 2 1 3 4 3 15 - 1 3 1 - 5 - - - 4 39 43 4 - - - - - - 3 3 2 - 3 3 - 3 2 8 8 - 21 - 1 1 1 1 4 - 2 - - 26 28 5 - - - - - 1 4 5 - 1 4 5 - - 2 2 4 - 8 - - 6 3 3 12 - 1 - 2 13 16 6 - - - - - - 1 1 1 - 1 1 - 5 - 1 9 1 16 - 1 2 5 3 11 - - - - 19 19 7 - - - - - - 1 1 - - 1 1 1 5 - 6 4 - 16 1 1 4 3 1 10 - - 1 2 17 20 8 - - - - - - 1 1 - - - - - 2 3 3 8 2 18 - - 4 4 8 16 - 1 1 1 10 13 9 - - - - - - 1 1 1 - - - - 1 3 - 7 1 12 - - 4 3 1 8 - 4 - - 11 15 - - 1 1 - - 1 1 - - - - - 3 5 5 1 - 14 - 1 4 2 9 16 - - - 2 12 14 10 11 - - - - - 1 - 1 - - - - - 2 2 3 11 2 20 1 - 3 4 1 9 - 2 1 3 8 14 - - - - - - - - - - - - 1 1 2 1 5 - 10 - 1 1 3 7 12 - 1 - - 8 9 12 13 - - - - - - - - - - - - 2 1 6 1 5 1 16 - - 5 3 15 23 - 1 - 2 7 10 - - - - - - 2 2 - 1 1 2 1 6 1 1 6 2 17 1 - 1 5 7 14 - 1 2 1 8 12 14 15 - - - - - - 2 2 - - 1 1 1 8 2 2 7 2 22 - 1 - 9 10 20 - - 3 4 11 18 - - - - - - 1 1 - - - - - 5 - - 10 - 15 - - 2 7 16 25 1 3 1 1 13 19 16 17 - 1 - 1 - - - - - - - - 3 4 - - 3 4 14 - 1 2 7 20 30 - - 2 9 4 15 - - - - - 1 - 1 - - - - 1 5 - 1 7 1 15 - - 3 8 20 31 - - 3 3 7 13 18 - - - - - - 1 1 - - - - - 6 1 2 5 1 15 - 1 2 12 21 36 - 2 - 3 2 7 19 Appendix 2: Cancer incidence in children and adolescents, Belgium 2004-2009 6 2 - 44 10 1 IXa: Rhabdomyosarcomas IXb: Fibrosarcomas, peripheral nerve sheath tumours, and other fibromatous neoplasms 2 1,628 XIIb: Other unspecified malignant tumours I-XII: All tumours 1 3 XII: Other and unspecified malignant neoplasms XIIa: Other specified malignant tumours 19 62 XIe: Skin carcinomas XIf: Other and unspecified carcinomas 108 1 1 2 - - - 5 - - - 36 XIc: Nasopharyngeal carcinomas XId: Malignant melanomas 1 21 XIa: Adrenocortical carcinomas 144 XIb: Thyroid carcinomas XI: Other malignant epithelial neoplasms and malignant melanomas - 1 Xd: Gonadal carcinomas Xe: Other and unspecified malignant gonadal tumours - 3 86 Xc: Malignant gonadal germ cell tumours 1 6 3 22 Xa: Intracranial and intraspinal germ cell tumours Xb: Malignant extracranial and extragonadal germ cell tumours - 9 7 1 42 115 X: Germ cell tumours, trophoblastic tumours and neoplasms of gonads IXe: Unspecified soft tissue sarcomas IXd: Other specified soft tissue sarcomas IXc: Kaposi sarcomas 9 106 IX: Soft tissue and other extraosseous sarcomas - 1 VIIIe: Unspecified malignant bone tumours - 3 2 - - 2 0 VIIId: Other specified malignant bone tumours 42 VIIIc: Ewing tumours and related sarcomas of bone VIIIa: Osteosarcomas 4 50 VIII: Malignant bone tumours VIIIb: Chondrosarcomas Tot 100 Belgium: Boys 2004-2009 Belgium: Boys, number of invasive tumours in children and adolescents by tumour type and age in 2004-2009 90 - - - - - 1 - - - 1 - - 1 - - 1 - - - 1 7 8 - - - - - - 1 105 - - - - - - - - - - - - - 1 - 1 - 2 - - 3 5 - - 1 - - 1 2 92 - - - - - - - - - - - - - - - - - 1 - - 5 6 - - - - - - 3 65 - - - - - 1 - - - 1 - - - - - - - 1 - - 1 2 - 1 - - - 1 4 5 50 - - - 1 - - - - - 1 - - - - - - - - - - 1 1 - - 2 - - 2 51 - - - - - - - - - - - - - - 1 1 - - - - 1 1 - - - - - - 6 7 57 - - - - 1 1 - - - 2 - - - - - - 1 2 - - - 3 1 - 3 - - 4 59 - - - 4 1 2 - 1 - 8 - - - - - - - 1 - - 1 2 - - 1 - - 1 8 50 - - - 3 1 1 - - - 5 - - - - 2 2 - - - - 1 1 - - 2 - 3 5 9 59 - - - 1 1 1 1 - - 4 - - - - - - 1 - - - 2 3 - 1 3 - 2 6 10 60 - - - 1 - - - - - 1 - - - - 2 2 1 2 - 2 1 6 - - 2 - 5 7 11 48 - - - 1 - 1 1 - 1 4 - - 1 - 1 2 - 7 - - 1 8 - - 3 - - 3 12 80 - - - 8 1 1 1 4 - 15 - - - - 1 1 - 1 1 1 1 4 - - 4 - 7 11 13 14 79 - - - 5 1 4 1 1 - 12 - - - 1 2 3 - 2 - 2 3 7 - - 4 - 6 10 1 6 - 137 - belgian cancer registry appendix - - 5 11 2 8 1 9 2 4 3 1 30 15 - - 1 25 20 4 - 1 31 5 1 4 - 20 1 1 1 - 3 - 7 2 5 7 4 11 - 19 10 18 113 - - - 11 2 3 - 4 - 20 - - 18 - 1 19 2 9 - - 2 13 - - - - 2 2 17 114 1 - 1 3 4 4 - 3 - 14 - - 13 - 2 15 1 3 - 1 3 8 - - 6 1 9 16 16 114 97 - - - 5 - 5 - 1 - 11 - - 5 - 5 10 1 1 - - 3 5 - - - 1 7 8 15 69 - 15 3 IId: Miscellaneous lymphoreticular neoplasms 36 69 16 IIIe: Other specified intracranial and intraspinal neoplasms IIIf: Unspecified intracranial and intraspinal neoplasms - - - 1 VIIb: Hepatic carcinomas VIIc: Unspecified malignant hepatic tumours 5.5 5.5 5 VIIa: Hepatoblastomas 6 1 VII: Hepatic tumours - 3 VIb: Renal carcinomas VIc: Unspecified malignant renal tumours - 21.8 21.8 38.2 - 70.9 70.9 2.7 13.6 2.7 5.5 16.4 10.9 51.8 - 51 55 VIa: Nephroblastomas and other nonepithelial renal tumours VI: Renal Tumours 2 39 IVb: Other peripheral nervous cell tumours V: Retinoblastomas 72 IVa: Neuroblastomas and ganglioneuroblastomas 74 49 IIIc: Intracranial and intraspinal embryonal tumours IIId: Other gliomas IV: Neuroblastomas and other peripheral nervous cell tumours 33 129 IIIa: Ependymomas and choroid plexus tumours IIIb: Astrocytomas III: CNS and miscellaneous intracranial and intraspinal neoplasms 332 10.9 47 IIc: Burkitt lymphomas IIe: Unspecified lymphomas - 84 2.7 143 IIa: Hodgkin lymphomas 5.5 - - IIb: Non-Hodgkin lymphomas 3 Ie: Unspecified and other specified leukaemias 19.1 13.6 13.6 21 Id: Myelodysplastic syndromes and other myeloproliferative diseases 0 38.2 292 14 Ic: Chronic myeloproliferative diseases II: Lymphomas and reticuloendothelial neoplasms 51 Ib: Acute myeloid leukaemias 273 I: Leukaemias, myeloproliferative and myelodysplastic diseases Ia: Lymphoid leukaemias Tot 362 Belgium: Boys 2004-2009 - - 2.8 2.8 2.8 - 27.5 30.3 22.0 - 44.0 44.0 5.5 8.3 11.0 2.8 13.8 16.5 57.8 - 2.8 - 2.8 - 5.5 - - - 16.5 41.3 57.8 1 - - 2.8 2.8 - - 16.6 16.6 22.2 - 27.7 27.7 2.8 5.5 2.8 19.4 38.8 8.3 77.6 - 2.8 - 5.5 - 8.3 - 8.3 - 8.3 99.8 116.4 2 - - - - - - 25.1 25.1 13.9 - 25.1 25.1 5.6 5.6 2.8 8.4 11.1 8.4 41.8 - 2.8 8.4 2.8 - 13.9 - - - 11.1 108.6 119.7 3 Belgium: Boys, age-specific incidence rates of cancer in children and adolescents, by tumour type in 2004-2009 (N/1,000,000 person years) 4 - - - - - - 8.4 8.4 5.6 - 8.4 8.4 - 8.4 5.6 22.4 22.4 - 58.7 - 2.8 2.8 2.8 2.8 11.2 - 5.6 - - 72.7 78.3 5 - - - - - 2.8 11.2 14.0 - 2.8 11.2 14.0 - - 5.6 5.6 11.2 - 22.4 - - 16.8 8.4 8.4 33.6 - 2.8 - 5.6 36.4 44.7 6 - - - - - - 2.8 2.8 2.8 - 2.8 2.8 - 13.9 - 2.8 25.0 2.8 44.4 - 2.8 5.6 13.9 8.3 30.6 - - - - 52.8 52.8 7 - - - - - - 2.8 2.8 - - 2.8 2.8 2.8 13.8 - 16.5 11.0 - 44.1 2.8 2.8 11.0 8.3 2.8 27.6 - - 2.8 5.5 46.9 55.2 8 - - - - - - 2.7 2.7 - - - - - 5.5 8.2 8.2 22.0 5.5 49.4 - - 11.0 11.0 22.0 43.9 - 2.7 2.7 2.7 27.5 35.7 9 - - - - - - 2.7 2.7 2.7 - - - - 2.7 8.2 - 19.2 2.7 32.8 - - 10.9 8.2 2.7 21.9 - 10.9 - - 30.1 41.0 10 - - 2.7 2.7 - - 2.7 2.7 - - - - - 8.1 13.5 13.5 2.7 - 37.9 - 2.7 10.8 5.4 24.4 43.3 - - - 5.4 32.5 37.9 11 - - - - - 2.7 - 2.7 - - - - - 5.3 5.3 8.0 29.3 5.3 53.3 2.7 - 8.0 10.7 2.7 24.0 - 5.3 2.7 8.0 21.3 37.3 12 - - - - - - - - - - - - 2.6 2.6 5.2 2.6 13.1 - 26.2 - 2.6 2.6 7.9 18.4 31.5 - 2.6 - - 21.0 23.6 13 - - - - - - - - - - - - 5.2 2.6 15.5 2.6 12.9 2.6 41.4 - - 12.9 7.8 38.8 59.5 - 2.6 - 5.2 18.1 25.9 14 - - - - - - 5.1 5.1 - 2.6 2.6 5.1 2.6 15.4 2.6 2.6 15.4 5.1 43.5 2.6 - 2.6 12.8 17.9 35.8 - 2.6 5.1 2.6 20.5 30.7 15 - - - - - - 5.1 5.1 - - 2.5 2.5 2.5 20.3 5.1 5.1 17.8 5.1 55.9 - 2.5 - 22.9 25.4 50.8 - - 7.6 10.2 28.0 45.8 16 - - - - - - 2.5 2.5 - - - - - 12.7 - - 25.4 - 38.1 - - 5.1 17.8 40.7 63.6 2.5 7.6 2.5 2.5 33.1 48.3 17 - 2.6 - 2.6 - - - - - - - - 7.7 10.2 - - 7.7 10.2 35.8 - 2.6 5.1 17.9 51.1 76.7 - - 5.1 23.0 10.2 38.4 18 - - - - - 2.6 - 2.6 - - - - 2.6 12.9 - 2.6 18.1 2.6 38.8 - - 7.8 20.7 51.8 80.3 - - 7.8 7.8 18.1 33.7 19 - - - - - - 2.6 2.6 - - - - - 15.7 2.6 5.2 13.1 2.6 39.2 - 2.6 5.2 31.4 54.9 94.2 - 5.2 - 7.8 5.2 18.3 0 5.5 - 10 1 2 1,628 XIIb: Other unspecified malignant tumours I-XII: All tumours 1 3 XII: Other and unspecified malignant neoplasms XIIa: Other specified malignant tumours 19 62 XIe: Skin carcinomas XIf: Other and unspecified carcinomas 294.6 2.7 2.7 5.5 - - - - 5 XIc: Nasopharyngeal carcinomas - 36 21 XIb: Thyroid carcinomas XId: Malignant melanomas 1 144 XIa: Adrenocortical carcinomas XI: Other malignant epithelial neoplasms and malignant melanomas - 1 Xd: Gonadal carcinomas Xe: Other and unspecified malignant gonadal tumours - 8.2 86 Xc: Malignant gonadal germ cell tumours 2.7 6 8.2 22 Xa: Intracranial and intraspinal germ cell tumours Xb: Malignant extracranial and extragonadal germ cell tumours - 9 19.1 2.7 42 115 X: Germ cell tumours, trophoblastic tumours and neoplasms of gonads IXe: Unspecified soft tissue sarcomas IXd: Other specified soft tissue sarcomas IXc: Kaposi sarcomas 16.4 44 IXa: Rhabdomyosarcomas IXb: Fibrosarcomas, peripheral nerve sheath tumours, and other fibromatous neoplasms 24.6 1 106 VIIIe: Unspecified malignant bone tumours IX: Soft tissue and other extraosseous sarcomas - 3 5.5 - - 5.5 VIIId: Other specified malignant bone tumours 42 VIIIc: Ewing tumours and related sarcomas of bone VIIIa: Osteosarcomas 4 50 VIII: Malignant bone tumours VIIIb: Chondrosarcomas Tot 100 Belgium: Boys 2004-2009 247.6 - - - - - 2.8 - - - 2.8 - - 2.8 - - 2.8 - - - 2.8 19.3 22.0 - - - - - - 1 291.0 - - - - - - - - - - - - - 2.8 - 2.8 - 5.5 - - 8.3 13.9 - - 2.8 - - 2.8 2 256.1 - - - - - - - - - - - - - - - - - 2.8 - - 13.9 16.7 - - - - - - 3 Belgium: Boys, age-specific incidence rates of cancer in children and adolescents, by tumour type in 2004-2009 (N/1,000,000 person years) 4 181.8 - - - - - 2.8 - - - 2.8 - - - - - - - 2.8 - - 2.8 5.6 - 2.8 - - - 2.8 5 139.8 - - - 2.8 - - - - - 2.8 - - - - - - - - - - 2.8 2.8 - - 5.6 - - 5.6 141.7 - - - - - - - - - - - - - - 2.8 2.8 - - - - 2.8 2.8 - - - - - - 6 7 157.2 - - - - 2.8 2.8 - - - 5.5 - - - - - - 2.8 5.5 - - - 8.3 2.8 - 8.3 - - 11.0 8 162.0 - - - 11.0 2.7 5.5 - 2.7 - 22.0 - - - - - - - 2.7 - - 2.7 5.5 - - 2.7 - - 2.7 9 136.8 - - - 8.2 2.7 2.7 - - - 13.7 - - - - 5.5 5.5 - - - - 2.7 2.7 - - 5.5 - 8.2 13.7 10 159.7 - - - 2.7 2.7 2.7 2.7 - - 10.8 - - - - - - 2.7 - - - 5.4 8.1 - 2.7 8.1 - 5.4 16.2 11 159.8 - - - 2.7 - - - - - 2.7 - - - - 5.3 5.3 2.7 5.3 - 5.3 2.7 16.0 - - 5.3 - 13.3 18.6 12 125.9 - - - 2.6 - 2.6 2.6 - 2.6 10.5 - - 2.6 - 2.6 5.2 - 18.4 - - 2.6 21.0 - - 7.9 - - 7.9 13 207.1 - - - 20.7 2.6 2.6 2.6 10.4 - 38.8 - - - - 2.6 2.6 - 2.6 2.6 2.6 2.6 10.4 - - 10.4 - 18.1 28.5 14 202.3 - - - 12.8 2.6 10.2 2.6 2.6 - 30.7 - - - 2.6 5.1 7.7 - 5.1 - 5.1 7.7 17.9 - - 10.2 - 15.4 25.6 15 16 17 appendix - - - 28.1 5.1 7.7 - 10.2 - 51.1 - - 46.0 - 2.6 48.6 5.1 23.0 - - 5.1 33.2 - - - - 5.1 5.1 291.5 2.5 - 2.5 7.6 10.2 10.2 - 7.6 - 35.6 - - 33.1 - 5.1 38.1 2.5 7.6 - 2.5 7.6 20.3 - - 15.3 2.5 22.9 40.7 289.9 246.6 - - - 12.7 - 12.7 - 2.5 - 28.0 - - 12.7 - 12.7 25.4 2.5 2.5 - - 7.6 12.7 - - - 2.5 17.8 20.3 71 - 358.5 292.7 belgian cancer registry - - 13.1 28.8 5.2 20.7 2.6 23.5 5.2 10.5 38.8 7.8 78.5 - 2.6 - 2.6 65.4 51.8 10.5 - 2.6 81.1 2.6 51.8 10.5 - 12.9 2.6 2.6 2.6 - 7.8 2.6 15.5 18.3 5.2 - - 10.5 12.9 18.1 19 26.2 18 28.5 5 10 Id: Myelodysplastic syndromes and other myeloproliferative diseases - 16 11 3 IIc: Burkitt lymphomas IId: Miscellaneous lymphoreticular neoplasms 33 38 12 IIIe: Other specified intracranial and intraspinal neoplasms IIIf: Unspecified intracranial and intraspinal neoplasms IVa: Neuroblastomas and ganglioneuroblastomas 53 1 - VIIc: Unspecified malignant hepatic tumours - - 3 5 VIIa: Hepatoblastomas VIIb: Hepatic carcinomas 1 3 1 - 7 8 9 1 22 23 - 3 2 2 4 10 21 - 6 VIc: Unspecified malignant renal tumours VII: Hepatic tumours 2 VIb: Renal carcinomas 50 VI: Renal Tumours VIa: Nephroblastomas and other nonepithelial renal tumours 25 1 55 V: Retinoblastomas IVb: Other peripheral nervous cell tumours 56 34 IIIc: Intracranial and intraspinal embryonal tumours IIId: Other gliomas IV: Neuroblastomas and other peripheral nervous cell tumours 36 136 IIIa: Ependymomas and choroid plexus tumours IIIb: Astrocytomas III: CNS and miscellaneous intracranial and intraspinal neoplasms 289 3 60 IIe: Unspecified lymphomas - 120 IIa: Hodgkin lymphomas IIb: Non-Hodgkin lymphomas 1 4 - - - 210 II: Lymphomas and reticuloendothelial neoplasms - 11 Ic: Chronic myeloproliferative diseases Ie: Unspecified and other specified leukaemias 53 5 189 Ib: Acute myeloid leukaemias Ia: Lymphoid leukaemias I: Leukaemias, myeloproliferative and myelodysplastic diseases 0 10 Tot 263 Belgium: Girls 2004-2009 Belgium: Girls, number of invasive tumours in children and adolescents by tumour type and age in 2004-2009 1 - - 2 2 - - 7 7 8 - 9 9 2 - 2 6 3 8 21 - 3 - 1 - 4 - 3 - 5 12 20 2 - - - - - - 9 9 4 - 10 10 - - 2 1 9 2 14 - 1 - - 1 2 - 2 - 1 34 37 3 - 1 - 1 - - 9 9 4 - 2 2 - 1 3 2 6 6 18 - - 2 1 - 3 - - - 5 19 24 4 - - - - - - 4 4 - - 4 4 - 1 3 2 6 - 12 - 1 1 2 1 5 - - - - 16 16 5 - - - - - - 5 5 - - 1 1 - - 1 1 13 1 16 - 1 1 1 1 4 - 1 - 4 17 22 6 - - - - - - - - - - 2 2 - 1 2 3 6 - 12 - - 3 2 1 6 - - - 1 9 10 7 - - - - - - 1 1 - - 1 1 - - 2 - 9 - 11 - - 3 2 1 6 - - - 4 5 9 - - - - - - 2 2 - - 1 1 - 5 2 2 8 - 17 - - 1 1 - 2 - - - - 4 4 8 - - - - - - - - - - 1 1 - 2 1 2 4 1 10 - - 1 2 5 8 - 1 - 3 4 8 9 10 - - - - - - 2 2 - - - - 1 2 - 4 6 - 13 1 1 - 3 3 8 - - 1 2 7 10 - - - - - - 1 1 - - - - 1 1 2 - 7 2 13 1 1 - 1 2 5 - 1 - 4 3 8 11 - - - - - 1 1 2 - - 1 1 - 4 - 1 10 1 16 - - - 3 - 3 - - 1 1 10 12 12 13 - - - - - - 2 2 - - - - 2 1 2 3 11 1 20 - - 1 3 10 14 - - 1 1 8 10 14 - - - - - - - - - - - - 1 - 3 - 5 1 10 - - 2 3 9 14 - - - 1 9 10 15 - - - - - - - - - - - - - 5 1 1 12 - 19 - - 1 8 10 19 - - - 6 6 12 - - - - - - - - - - - - 2 3 - 1 6 1 13 - - - 4 15 19 - - 2 - 7 9 16 - - - - - - - - - - - - 2 1 1 - 5 - 9 - - - 6 18 24 - - 1 3 3 7 17 - - - - - - - - - - - - 1 3 2 3 1 2 12 1 - - 9 17 27 - 1 4 5 5 15 18 19 - - - - - 1 - 1 - - 1 1 - 5 2 - 5 - 12 - - - 7 26 33 - 1 1 2 6 10 - 2 82 24 VIIIe: Unspecified malignant bone tumours IX: Soft tissue and other extraosseous sarcomas - 2 1,345 3 I-XII: All tumours XIIb: Other unspecified malignant tumours 7 4 XIIa: Other specified malignant tumours XII: Other and unspecified malignant neoplasms 93 1 - 1 1 - 38 85 XIe: Skin carcinomas XIf: Other and unspecified carcinomas - - - - 1 - 54 3 XId: Malignant melanomas XIc: Nasopharyngeal carcinomas 1 41 XIb: Thyroid carcinomas XIa: Adrenocortical carcinomas XI: Other malignant epithelial neoplasms and malignant melanomas 222 4 Xe: Other and unspecified malignant gonadal tumours - 24 Xc: Malignant gonadal germ cell tumours Xd: Gonadal carcinomas 9 5 21 Xa: Intracranial and intraspinal germ cell tumours Xb: Malignant extracranial and extragonadal germ cell tumours - 9 - X: Germ cell tumours, trophoblastic tumours and neoplasms of gonads 56 3 51 IXc: Kaposi sarcomas IXd: Other specified soft tissue sarcomas IXe: Unspecified soft tissue sarcomas 1 - - 7 IXb: Fibrosarcomas, peripheral nerve sheath tumours, and other fibromatous neoplasms IXa: Rhabdomyosarcomas 4 2 - 33 VIIIc: Ewing tumours and related sarcomas of bone - - VIIId: Other specified malignant bone tumours 36 VIIIa: Osteosarcomas - 0 3 76 VIII: Malignant bone tumours VIIIb: Chondrosarcomas Tot Belgium: Girls 2004-2009 Belgium: Girls, number of invasive tumours in children and adolescents by tumour type and age in 2004-2009 1 81 - - - - - - - - - - - - - 6 - 6 - - - - 2 2 - - 2 - - 2 82 - - - - - - - - - - - - - 3 - 3 - 1 - - 2 3 - - - - - - 2 69 - - - - 1 1 - - - 2 - - - 1 - 1 - - - - 4 4 - - 1 - - 1 3 44 - - - - - 1 - - - 1 - - - - - - - - - - 2 2 - - - - - - 4 55 - - - 1 1 - - - - 2 - - - - - - - 1 - - 3 4 - - 1 - - 1 5 36 - - - - 1 1 - - - 2 - - 1 1 - 2 - - - - 2 2 - - - - - - 6 34 - - - - - - 1 1 - 2 - - 1 - 1 2 - 1 - - - 1 - - - - 1 1 7 36 - - - 1 1 - - - - 2 - - 1 - 1 2 - 1 - - 2 3 - - 3 - - 3 8 38 1 - 1 2 1 1 - 1 - 5 - - - - - - - - - - 2 2 - - 1 - 2 3 9 48 - - - 1 2 3 - 1 - 7 - - 2 - 1 3 - 1 - - 1 2 - - 1 - 2 3 10 11 50 - - - 5 2 1 1 - - 9 1 - 1 - - 2 - 1 - - 1 2 - - 4 - 6 10 54 - - - 6 2 1 - 1 - 10 - - 2 - - 2 - 1 - - - 1 - - 3 - 4 7 12 70 - - - 4 3 - - 7 - 14 - - 2 - - 2 - 3 - - - 3 - 1 1 - 3 5 13 14 70 1 - 1 6 6 3 - 1 - 16 - - 4 - 1 5 - 4 - - - 4 - - 6 - 4 10 appendix - 2 2 14 2 8 - 4 - 28 1 1 2 - - 4 - 8 - 2 - 10 - - 1 1 1 3 17 87 - - - 7 3 5 - 2 1 18 - 1 4 - 1 6 - 3 - 2 1 6 1 1 1 - 2 5 16 76 97 - - - 12 5 3 1 8 - 29 - - 2 - - 2 - 2 - - 1 3 - - 6 1 6 13 15 73 115 110 belgian cancer registry 1 1 1 1 3 12 5 13 12 14 11 4 38 - 1 1 1 1 36 1 - 3 2 11 10 1 1 1 1 13 - 11 - 2 1 1 - 3 6 4 19 18 14.3 10 Id: Myelodysplastic syndromes and other myeloproliferative diseases - 16 11 3 IIc: Burkitt lymphomas IId: Miscellaneous lymphoreticular neoplasms 33 38 12 IIIe: Other specified intracranial and intraspinal neoplasms IIIf: Unspecified intracranial and intraspinal neoplasms IVa: Neuroblastomas and ganglioneuroblastomas 53 1 - VIIc: Unspecified malignant hepatic tumours - - 8.6 5 VIIa: Hepatoblastomas VIIb: Hepatic carcinomas 2.9 8.6 1 - 20.0 22.9 25.8 2.9 63.0 65.8 - 8.6 5.7 5.7 11.5 28.6 60.1 - 6 VIc: Unspecified malignant renal tumours VII: Hepatic tumours 2 VIb: Renal carcinomas 50 VI: Renal Tumours VIa: Nephroblastomas and other nonepithelial renal tumours 25 1 55 V: Retinoblastomas IVb: Other peripheral nervous cell tumours 56 34 IIIc: Intracranial and intraspinal embryonal tumours IIId: Other gliomas IV: Neuroblastomas and other peripheral nervous cell tumours 36 136 IIIa: Ependymomas and choroid plexus tumours IIIb: Astrocytomas III: CNS and miscellaneous intracranial and intraspinal neoplasms 289 8.6 60 IIe: Unspecified lymphomas - 120 IIa: Hodgkin lymphomas IIb: Non-Hodgkin lymphomas 2.9 11.5 - - - 210 II: Lymphomas and reticuloendothelial neoplasms - 11 Ic: Chronic myeloproliferative diseases Ie: Unspecified and other specified leukaemias 53 14.3 189 Ib: Acute myeloid leukaemias Ia: Lymphoid leukaemias I: Leukaemias, myeloproliferative and myelodysplastic diseases 0 28.6 Tot 263 Belgium: Girls 2004-2009 - - 5.8 5.8 - - 20.2 20.2 23.0 - 25.9 25.9 5.8 - 5.8 17.3 8.6 23.0 60.5 - 8.6 - 2.9 - 11.5 - 8.6 - 14.4 34.6 57.6 1 - - - - - - 26.1 26.1 11.6 - 29.0 29.0 - - 5.8 2.9 26.1 5.8 40.6 - 2.9 - - 2.9 5.8 - 5.8 - 2.9 98.5 107.2 2 - 2.9 - 2.9 - - 26.2 26.2 11.7 - 5.8 5.8 - 2.9 8.7 5.8 17.5 17.5 52.4 - - 5.8 2.9 - 8.7 - - - 14.6 55.3 69.9 3 Belgium: Girls, age-specific incidence rates of cancer in children and adolescents, by tumour type in 2004-2009 (N/1,000,000 person years) 4 - - - - - - 11.7 11.7 - - 11.7 11.7 - 2.9 8.8 5.8 17.5 - 35.0 - 2.9 2.9 5.8 2.9 14.6 - - - - 46.7 46.7 5 - - - - - - 14.6 14.6 - - 2.9 2.9 - - 2.9 2.9 37.9 2.9 46.7 - 2.9 2.9 2.9 2.9 11.7 - 2.9 - 11.7 49.6 64.2 6 - - - - - - - - - - 5.8 5.8 - 2.9 5.8 8.7 17.4 - 34.8 - - 8.7 5.8 2.9 17.4 - - - 2.9 26.1 29.0 7 - - - - - - 2.9 2.9 - - 2.9 2.9 - - 5.7 - 25.9 - 31.6 - - 8.6 5.7 2.9 17.2 - - - 11.5 14.4 25.9 8 - - - - - - 5.7 5.7 - - 2.9 2.9 - 14.3 5.7 5.7 22.9 - 48.7 - - 2.9 2.9 - 5.7 - - - - 11.5 11.5 9 - - - - - - - - - - 2.9 2.9 - 5.7 2.9 5.7 11.4 2.9 28.6 - - 2.9 5.7 14.3 22.9 - 2.9 - 8.6 11.4 22.9 10 - - - - - - 5.7 5.7 - - - - 2.8 5.7 - 11.3 17.0 - 36.8 2.8 2.8 - 8.5 8.5 22.6 - - 2.8 5.7 19.8 28.3 11 - - - - - - 2.8 2.8 - - - - 2.8 2.8 5.6 - 19.5 5.6 36.2 2.8 2.8 - 2.8 5.6 13.9 - 2.8 - 11.1 8.4 22.3 12 - - - - - 2.7 2.7 5.5 - - 2.7 2.7 - 11.0 - 2.7 27.4 2.7 43.9 - - - 8.2 - 8.2 - - 2.7 2.7 27.4 32.9 13 - - - - - - 5.4 5.4 - - - - 5.4 2.7 5.4 8.1 29.8 2.7 54.2 - - 2.7 8.1 27.1 37.9 - - 2.7 2.7 21.7 27.1 14 - - - - - - - - - - - - 2.7 - 8.0 - 13.4 2.7 26.8 - - 5.4 8.0 24.1 37.5 - - - 2.7 24.1 26.8 15 - - - - - - - - - - - - - 13.3 2.7 2.7 31.9 - 50.5 - - 2.7 21.3 26.6 50.5 - - - 15.9 15.9 31.9 16 - - - - - - - - - - - - 5.3 8.0 - 2.7 16.0 2.7 34.6 - - - 10.6 39.9 50.6 - - 5.3 - 18.6 24.0 17 - - - - - - - - - - - - 5.4 2.7 2.7 - 13.4 - 24.1 - - - 16.1 48.2 64.2 - - 2.7 8.0 8.0 18.7 18 - - - - - - - - - - - - 2.7 8.1 5.4 8.1 2.7 5.4 32.4 2.7 - - 24.3 45.8 72.8 - 2.7 10.8 13.5 13.5 40.4 19 - - - - - 2.7 - 2.7 - - 2.7 2.7 - 13.5 5.4 - 13.5 - 32.4 - - - 18.9 70.2 89.2 - 2.7 2.7 5.4 16.2 27.0 - - 2 2 82 24 VIIIe: Unspecified malignant bone tumours IX: Soft tissue and other extraosseous sarcomas - 2 1,345 3 I-XII: All tumours XIIb: Other unspecified malignant tumours 7 4 XIIa: Other specified malignant tumours XII: Other and unspecified malignant neoplasms 266.2 2.9 - 2.9 2.9 - 38 85 XIe: Skin carcinomas XIf: Other and unspecified carcinomas - - - - 2.9 - 54 3 XId: Malignant melanomas XIc: Nasopharyngeal carcinomas 1 41 XIb: Thyroid carcinomas XIa: Adrenocortical carcinomas XI: Other malignant epithelial neoplasms and malignant melanomas 222 4 Xe: Other and unspecified malignant gonadal tumours - 24 Xc: Malignant gonadal germ cell tumours Xd: Gonadal carcinomas 25.8 5 21 Xa: Intracranial and intraspinal germ cell tumours Xb: Malignant extracranial and extragonadal germ cell tumours - 25.8 - X: Germ cell tumours, trophoblastic tumours and neoplasms of gonads 56 8.6 51 IXc: Kaposi sarcomas IXd: Other specified soft tissue sarcomas IXe: Unspecified soft tissue sarcomas 2.9 - - 7 IXb: Fibrosarcomas, peripheral nerve sheath tumours, and other fibromatous neoplasms IXa: Rhabdomyosarcomas 11.5 33 VIIIc: Ewing tumours and related sarcomas of bone VIIId: Other specified malignant bone tumours - 3 - 36 VIIIb: Chondrosarcomas VIIIa: Osteosarcomas - 76 VIII: Malignant bone tumours 0 Tot Belgium: Girls 2004-2009 233.3 - - - - - - - - - - - - - 17.3 - 17.3 - - - - 5.8 5.8 - - 5.8 - - 5.8 1 237.7 - - - - - - - - - - - - - 8.7 - 8.7 - 2.9 - - 5.8 8.7 - - - - - - 2 201.0 - - - - 2.9 2.9 - - - 5.8 - - - 2.9 - 2.9 - - - - 11.7 11.7 - - 2.9 - - 2.9 3 Belgium: Girls, age-specific incidence rates of cancer in children and adolescents, by tumour type in 2004-2009 (N/1,000,000 person years) 128.5 - - - - - 2.9 - - - 2.9 - - - - - - - - - - 5.8 5.8 - - - - - - 4 5 160.5 - - - 2.9 2.9 - - - - 5.8 - - - - - - - 2.9 - - 8.8 11.7 - - 2.9 - - 2.9 104.4 - - - - 2.9 2.9 - - - 5.8 - - 2.9 2.9 - 5.8 - - - - 5.8 5.8 - - - - - - 6 7 97.7 - - - - - - 2.9 2.9 - 5.7 - - 2.9 - 2.9 5.7 - 2.9 - - - 2.9 - - - - 2.9 2.9 8 103.1 - - - 2.9 2.9 - - - - 5.7 - - 2.9 - 2.9 5.7 - 2.9 - - 5.7 8.6 - - 8.6 - - 8.6 9 108.7 2.9 - 2.9 5.7 2.9 2.9 - 2.9 - 14.3 - - - - - - - - - - 5.7 5.7 - - 2.9 - 5.7 8.6 10 135.8 - - - 2.8 5.7 8.5 - 2.8 - 19.8 - - 5.7 - 2.8 8.5 - 2.8 - - 2.8 5.7 - - 2.8 - 5.7 8.5 11 139.3 - - - 13.9 5.6 2.8 2.8 - - 25.1 2.8 - 2.8 - - 5.6 - 2.8 - - 2.8 5.6 - - 11.1 - 16.7 27.9 12 148.1 - - - 16.5 5.5 2.7 - 2.7 - 27.4 - - 5.5 - - 5.5 - 2.7 - - - 2.7 - - 8.2 - 11.0 19.2 13 189.6 - - - 10.8 8.1 - - 19.0 - 37.9 - - 5.4 - - 5.4 - 8.1 - - - 8.1 - 2.7 2.7 - 8.1 13.5 14 187.7 2.7 - 2.7 16.1 16.1 8.0 - 2.7 - 42.9 - - 10.7 - 2.7 13.4 - 10.7 - - - 10.7 - - 16.1 - 10.7 26.8 15 16 17 appendix - 5.4 5.4 37.5 5.4 21.4 - 10.7 - 75.0 2.7 2.7 5.4 - - 10.7 - 21.4 - 5.4 - 26.8 - - 2.7 2.7 2.7 8.0 232.9 - - - 18.6 8.0 13.3 - 5.3 2.7 47.9 - 2.7 10.6 - 2.7 16.0 - 8.0 - 5.3 2.7 16.0 2.7 2.7 2.7 - 5.3 13.3 202.3 257.9 - - - 31.9 13.3 8.0 2.7 21.3 - 77.1 - - 5.3 - - 5.3 - 5.3 - - 2.7 8.0 - - 15.9 2.7 15.9 34.6 75 310.7 296.6 belgian cancer registry 2.7 2.7 2.7 2.7 8.1 32.4 13.5 35.0 32.4 37.7 29.7 10.8 102.7 - 2.7 2.7 2.7 2.7 97.1 2.7 - 8.1 5.4 29.7 27.0 2.7 2.7 2.7 2.7 - 35.1 5.4 - - - 29.7 2.7 2.7 10.8 19 8.1 18 16.2 16 2 Id: Myelodysplastic syndromes and other myeloproliferative diseases Ie: Unspecified and other specified leukaemias 38 12 3 IIc: Burkitt lymphomas IId: Miscellaneous lymphoreticular neoplasms IIe: Unspecified lymphomas 11 IIIf: Unspecified intracranial and intraspinal neoplasms 5 - VIIa: Hepatoblastomas VIIb: Hepatic carcinomas VIIc: Unspecified malignant hepatic tumours 5 1 VII: Hepatic tumours 0.4 2 VIb: Renal carcinomas VIc: Unspecified malignant renal tumours - - 0.9 0.9 0.2 8.5 9.1 7.1 0.4 12.9 13.2 2.0 7.4 6.0 47 VIa: Nephroblastomas and other nonepithelial renal tumours 50 VI: Renal Tumours 2 39 IVb: Other peripheral nervous cell tumours V: Retinoblastomas 71 IVa: Neuroblastomas and ganglioneuroblastomas 73 41 IIIe: Other specified intracranial and intraspinal neoplasms IV: Neuroblastomas and other peripheral nervous cell tumours 33 IIId: Other gliomas 8.0 17.6 97 44 IIIb: Astrocytomas 4.5 45.5 0.5 2.2 6.9 7.4 10.1 27.2 0.4 2.9 0.9 25 IIIc: Intracranial and intraspinal embryonal tumours IIIa: Ependymomas and choroid plexus tumours 251 41 IIb: Non-Hodgkin lymphomas III: CNS and miscellaneous intracranial and intraspinal neoplasms 56 IIa: Hodgkin lymphomas 150 5 Ic: Chronic myeloproliferative diseases II: Lymphomas and reticuloendothelial neoplasms 31 5.6 42.7 236 Ib: Acute myeloid leukaemias Ia: Lymphoid leukaemias 52.5 290 I: Leukaemias, myeloproliferative and myelodysplastic diseases CR Tot Belgium: 2004-2009 - - 1.0 1.0 0.2 0.3 9.1 9.7 7.8 0.3 14.1 14.4 2.1 7.5 5.9 8.2 17.7 4.8 46.1 0.5 2.3 6.7 7.2 9.5 26.2 0.4 2.9 0.9 5.8 44.2 54.2 ESR - - 1.0 1.0 0.2 0.3 9.6 10.1 8.3 0.3 14.9 15.3 2.1 7.5 5.8 8.3 17.9 4.9 46.5 0.5 2.4 6.6 7.1 9.0 25.5 0.4 2.9 0.8 6.0 45.4 55.5 WSR Boys (0-14 years) - - 0.001 0.001 0.000 0.001 0.013 0.014 0.011 0.001 0.020 0.020 0.003 0.011 0.009 0.012 0.026 0.007 0.068 0.001 0.003 0.010 0.011 0.015 0.040 0.001 0.004 0.001 0.008 0.065 0.079 CRi - 1 5 6 1 1 50 52 25 1 54 55 7 21 27 29 107 33 224 2 11 15 26 34 88 - 8 3 37 162 210 Tot Belgium: age-standardised incidence rates of cancer in children and adolescents, by tumour type and sex in 2004-2009 (N/1,000,000 person years) - 0.2 0.9 1.1 0.2 0.2 9.5 9.8 4.7 0.2 10.2 10.4 1.3 4.0 5.1 5.5 20.3 6.2 42.4 0.4 2.1 2.8 4.9 6.4 16.7 - 1.5 0.6 7.0 30.7 39.8 CR - 0.2 1.1 1.3 0.2 0.2 10.1 10.5 5.3 0.2 11.2 11.4 1.3 3.9 5.2 5.6 20.1 6.7 42.8 0.3 2.2 2.8 4.8 6.1 16.3 - 1.6 0.5 7.1 31.7 41.0 ESR - 0.2 1.1 1.3 0.2 0.2 10.5 10.9 5.6 0.2 11.8 12.0 1.2 3.9 5.3 5.7 19.9 7.0 43.0 0.3 2.3 2.8 4.7 5.8 15.9 - 1.7 0.5 7.3 32.4 41.8 WSR Girls (0-14 years) - 0.000 0.001 0.002 0.000 0.000 0.014 0.015 0.007 0.000 0.016 0.016 0.002 0.006 0.008 0.008 0.030 0.009 0.064 0.001 0.003 0.004 0.007 0.009 0.025 - 0.002 0.001 0.011 0.046 0.060 CRi - 1 5 6 1 3 51 55 39 2 72 74 16 69 36 49 129 33 332 3 15 47 84 143 292 3 21 14 51 273 362 Tot - 0.1 0.7 0.8 0.1 0.4 6.8 7.4 5.2 0.3 9.6 9.9 2.1 9.2 4.8 6.6 17.3 4.4 44.5 0.4 2.0 6.3 11.2 19.2 39.1 0.4 2.8 1.9 6.8 36.6 48.5 CR - 0.1 0.7 0.9 0.2 0.4 7.4 8.0 5.9 0.3 10.8 11.1 2.2 9.1 4.8 6.8 17.4 4.6 45.0 0.4 2.1 6.2 10.8 18.0 37.5 0.4 2.8 1.8 6.9 38.1 50.1 ESR - 0.1 0.8 0.9 0.2 0.4 7.9 8.4 6.4 0.3 11.7 11.9 2.2 9.1 4.8 7.0 17.6 4.7 45.4 0.4 2.2 6.1 10.5 17.0 36.2 0.4 2.8 1.7 6.9 39.4 51.3 WSR Boys (0-19 years) - 0.000 0.001 0.002 0.000 0.001 0.014 0.015 0.011 0.001 0.020 0.020 0.004 0.018 0.010 0.013 0.035 0.009 0.089 0.001 0.004 0.013 0.022 0.037 0.077 0.001 0.006 0.004 0.014 0.074 0.098 CRi - 1 5 6 1 2 50 53 25 1 55 56 12 38 33 34 136 36 289 3 11 16 60 120 210 - 10 11 53 189 263 Tot - 0.1 0.7 0.8 0.1 0.3 7.0 7.4 3.5 0.1 7.7 7.8 1.7 5.3 4.6 4.8 19.0 5.0 40.4 0.4 1.5 2.2 8.4 16.8 29.4 - 1.4 1.5 7.4 26.4 36.8 CR - 0.2 0.8 1.0 0.2 0.3 7.7 8.1 4.0 0.2 8.6 8.8 1.6 5.2 4.7 4.9 19.0 5.5 40.9 0.4 1.7 2.3 8.0 15.7 28.1 - 1.5 1.4 7.5 27.6 38.0 ESR - 0.2 0.9 1.0 0.2 0.2 8.1 8.6 4.3 0.2 9.3 9.4 1.6 5.1 4.8 5.0 18.9 5.8 41.2 0.4 1.8 2.3 7.7 14.8 27.0 - 1.5 1.3 7.6 28.4 38.8 WSR Girls (0-19 years) CRi - 0.000 0.001 0.002 0.000 0.001 0.014 0.015 0.007 0.000 0.016 0.016 0.003 0.011 0.009 0.010 0.038 0.010 0.081 0.001 0.003 0.005 0.016 0.033 0.057 - 0.003 0.003 0.015 0.054 0.074 - Xe: Other and unspecified malignant gonadal tumours 0.2 6 24 2 1 1 XIf: Other and unspecified carcinomas XII: Other and unspecified malignant neoplasms XIIa: Other specified malignant tumours XIIb: Other unspecified malignant tumours 190.7 0.2 2.4 0.7 194.0 0.2 0.2 0.4 4.1 1.0 2.3 0.7 1.0 0.2 9.2 - - 1.0 1.0 1.7 3.7 0.5 3.5 0.2 1.4 6.5 12.1 0.2 0.4 4.7 - 3.9 9.1 ESR CR: crude incidence rate (N/1,000,000 person years) ESR and WSR: age standardised incidence using the European or World standard population (N/1,000,000 person years) CRi: Cumulative Risk, 0-14 year or 0-19 year (%) 1,053 4.3 0.4 13 XId: Malignant melanomas XIe: Skin carcinomas I-XII: All tumours 1.1 4 XIc: Nasopharyngeal carcinomas 1.1 0.2 1 6 XIa: Adrenocortical carcinomas 9.8 - - 0.9 XIb: Thyroid carcinomas 54 5 Xc: Malignant gonadal germ cell tumours Xd: Gonadal carcinomas XI: Other malignant epithelial neoplasms and malignant melanomas 1.8 5 0.9 10 Xa: Intracranial and intraspinal germ cell tumours Xb: Malignant extracranial and extragonadal germ cell tumours 0.5 3 3.6 3.6 0.2 1.4 6.2 12.0 0.2 20 IXe: Unspecified soft tissue sarcomas X: Germ cell tumours, trophoblastic tumours and neoplasms of gonads 4.9 0.4 20 1 IXd: Other specified soft tissue sarcomas 8 IXb: Fibrosarcomas, peripheral nerve sheath tumours, and other fibromatous neoplasms 66 IX: Soft tissue and other extraosseous sarcomas IXc: Kaposi sarcomas 1 VIIIe: Unspecified malignant bone tumours 34 2 VIIId: Other specified malignant bone tumours IXa: Rhabdomyosarcomas 27 VIIIc: Ewing tumours and related sarcomas of bone - 4.2 - 23 VIIIb: Chondrosarcomas VIIIa: Osteosarcomas 9.6 53 VIII: Malignant bone tumours CR Tot Belgium: 2004-2009 195.8 0.2 0.2 0.4 3.9 1.0 2.2 0.6 0.9 0.2 8.8 - - 1.0 1.0 1.7 3.7 0.5 3.4 0.2 1.4 6.6 12.1 0.2 0.4 4.5 - 3.6 8.6 WSR Boys (0-14 years) 0.286 0.000 0.000 0.001 0.006 0.002 0.003 0.001 0.002 0.000 0.014 - - 0.001 0.001 0.003 0.005 0.001 0.005 0.000 0.002 0.009 0.018 0.000 0.001 0.007 - 0.006 0.014 CRi 860 3 - 3 27 20 12 2 12 - 73 1 - 14 20 4 39 - 17 - 1 21 39 - 1 23 - 22 46 Tot Belgium: age-standardised incidence rates of cancer in children and adolescents, by tumour type and sex in 2004-2009 (N/1,000,000 person years) 162.9 0.6 - 0.6 5.1 3.8 2.3 0.4 2.3 - 13.8 0.2 - 2.7 3.8 0.8 7.4 - 3.2 - 0.2 4.0 7.4 - 0.2 4.4 - 4.2 8.7 CR 165.3 0.6 - 0.6 4.8 3.6 2.2 0.4 2.1 - 13.0 0.2 - 2.5 4.2 0.7 7.5 - 3.1 - 0.2 4.1 7.5 - 0.2 4.2 - 3.9 8.2 ESR 166.3 0.6 - 0.6 4.5 3.4 2.1 0.3 2.0 - 12.3 0.2 - 2.3 4.4 0.7 7.6 - 3.1 - 0.2 4.2 7.5 - 0.2 4.0 - 3.6 7.7 WSR Girls (0-14 years) 0.244 0.001 - 0.001 0.007 0.006 0.003 0.001 0.003 - 0.020 0.000 - 0.004 0.006 0.001 0.011 - 0.005 - 0.000 0.006 0.011 - 0.000 0.006 - 0.006 0.013 CRi 1,628 2 1 3 62 19 36 5 21 1 144 1 - 86 6 22 115 9 42 1 10 44 106 1 3 42 4 50 100 Tot 218.0 0.3 0.1 0.4 8.3 2.5 4.8 0.7 2.8 0.1 19.3 0.1 - 11.5 0.8 2.9 15.4 1.2 5.6 0.1 1.3 5.9 14.2 0.1 0.4 5.6 0.5 6.7 13.4 CR 218.5 0.3 0.2 0.4 7.8 2.4 4.6 0.6 2.6 0.1 18.2 0.1 - 10.8 0.9 2.8 14.6 1.1 5.4 0.1 1.3 6.1 14.2 0.1 0.4 5.4 0.5 6.3 12.7 ESR 218.2 0.3 0.2 0.4 7.4 2.3 4.4 0.6 2.5 0.1 17.2 0.1 - 10.1 0.9 2.7 13.8 1.1 5.2 0.1 1.3 6.3 14.0 0.1 0.4 5.2 0.5 5.9 12.1 WSR Boys (0-19 years) 0.433 0.001 0.000 0.001 0.016 0.005 0.009 0.001 0.005 0.000 0.038 0.000 - 0.022 0.002 0.006 0.030 0.002 0.011 0.000 0.003 0.012 0.028 0.000 0.001 0.011 0.001 0.013 0.026 CRi 1,345 3 4 7 85 38 54 3 41 1 222 2 4 24 21 5 56 - 51 - 7 24 82 2 2 33 3 36 76 Tot 188.1 0.4 0.5 0.9 11.1 5.0 7.1 0.4 5.4 0.1 29.1 0.3 0.5 3.2 3.3 0.7 7.9 - 6.8 - 0.9 3.5 11.2 0.3 0.3 4.5 0.4 4.7 10.1 ESR appendix 188.2 0.4 0.6 1.0 11.9 5.3 7.6 0.4 5.7 0.1 31.1 0.3 0.6 3.4 2.9 0.7 7.8 - 7.1 - 1.0 3.4 11.5 0.3 0.3 4.6 0.4 5.0 10.6 CR 187.4 0.4 0.5 0.9 10.5 4.8 6.7 0.4 5.0 0.1 27.5 0.2 0.5 3.0 3.6 0.7 7.9 - 6.5 - 0.9 3.6 11.0 0.2 0.2 4.3 0.4 4.5 9.6 WSR Girls (0-19 years) 77 CRi belgian cancer registry 0.374 0.001 0.001 0.002 0.023 0.010 0.015 0.001 0.011 0.000 0.060 0.001 0.001 0.007 0.006 0.001 0.016 - 0.014 - 0.002 0.007 0.023 0.001 0.001 0.009 0.001 0.010 0.021 - 22 5 IId: Miscellaneous lymphoreticular neoplasms IVa: Neuroblastomas and ganglioneuroblastomas 2 VIc: Unspecified malignant renal tumours - 1 0 VIIb: Hepatic carcinomas VIIc: Unspecified malignant hepatic tumours - 100.0 100.0 - - 96.7 95.8 100.0 - 95.2 95.2 93.8 93.4 91.1 79.2 88.9 89.3 88.5 94.2 10 VIIa: Hepatoblastomas 11 3 VII: Hepatic tumours 91 VIa: Nephroblastomas and other nonepithelial renal tumours 96 VI: Renal Tumours VIb: Renal carcinomas 57 2 124 V: Retinoblastomas IVb: Other peripheral nervous cell tumours 126 61 16 IIIe: Other specified intracranial and intraspinal neoplasms IIIf: Unspecified intracranial and intraspinal neoplasms IV: Neuroblastomas and other peripheral nervous cell tumours 72 56 IIIc: Intracranial and intraspinal embryonal tumours IIId: Other gliomas 56 199 IIIa: Ependymomas and choroid plexus tumours IIIb: Astrocytomas III: CNS and miscellaneous intracranial and intraspinal neoplasms 460 52 IIc: Burkitt lymphomas IIe: Unspecified lymphomas 90.9 64 96.9 100.0 90 IIa: Hodgkin lymphomas IIb: Non-Hodgkin lymphomas 96.6 2 Ie: Unspecified and other specified leukaemias 95.2 - 79.4 94.6 92.3 - - - - - - 95.6 94.7 98.2 - 79.2 79.5 - 93.4 80.2 66.2 83.4 82.1 81.8 - 85.9 94.2 92.1 98.9 94.3 - 90.5 - 61.5 90.2 86.1 3 yr OS - - - - - - 94.2 93.5 98.2 - 74.2 74.7 - 93.4 80.2 59.9 81.1 80.0 79.5 - - 94.2 90.3 98.9 93.8 - - - 55.1 89.2 84.0 5 yr OS Boys & Girls (0-14 years) 1 yr OS 233 21 Id: Myelodysplastic syndromes and other myeloproliferative diseases II: Lymphomas and reticuloendothelial neoplasms 8 68 Ib: Acute myeloid leukaemias Ic: Chronic myeloproliferative diseases 392 491 N at risk Ia: Lymphoid leukaemias I: Leukaemias, myeloproliferative and myelodysplastic diseases Belgium: 2004-2009 Belgium: observed survival rates of cancer in children, by tumour type and sex in 2004-2009 - - - - - - [87.2:97.5] [86.5:97.0] [90.7:99.7] - [65.2:81.6] [65.8:82.0] - [84.3:97.4] [68.0:88.6] [47.6:71.1] [74.9:86.1] [67.6:88.5] [75.4:83.1] - - [84.4:98.0] [80.3:95.5] [93.9:99.8] [89.9:96.3] - - - [42.7:66.9] [85.6:91.9] [80.4:87.1] 95% CI (5 yr OS) 0 0 5 5 1 2 42 45 36 1 71 72 10 40 32 44 96 24 246 3 11 37 40 56 147 2 14 5 31 231 283 N at risk - - - - - - 97.6 95.5 100.0 - 94.4 94.4 - 97.5 90.6 81.8 89.6 91.7 89.8 - 90.9 94.6 97.5 100.0 97.3 - 92.9 - 77.4 94.8 92.2 1 yr OS - - - - - - 97.6 95.5 97.2 - 75.4 75.7 - 97.5 81.3 70.1 85.4 79.2 83.6 - - 94.6 92.4 100.0 95.2 - 92.9 - 54.4 89.9 85.7 3 yr OS - - - - - - 94.6 92.7 97.2 - 65.8 66.4 - 97.5 81.3 60.6 82.6 79.2 80.6 - - 94.6 89.5 100.0 94.3 - - - - 88.7 83.1 5 yr OS Boys (0-14 years) - - - - - - [82.2:98.5] [80.6:97.5] [85.8:99.5] - [52.5:76.9] [53.3:77.3] - [87.1:99.6] [64.7:91.1] [44.8:74.4] [73.5:89.0] [59.5:90.8] [75.0:85.3] - - [82.3:98.5] [75.8:95.8] [100.0:100.0] [89.2:97.1] - - - - [83.8:92.3] [78.1:87.2] 95% CI (5 yr OS) 0 1 5 6 1 1 49 51 21 1 53 54 6 21 24 28 103 32 214 2 11 15 24 34 86 0 7 3 37 161 208 N at risk - - - - - - 95.9 96.1 100.0 - 96.2 96.3 - 85.7 91.7 75.0 88.3 87.5 86.9 - 90.9 93.3 95.8 100.0 95.3 - - - 81.1 94.4 92.3 1 yr OS - - - - - - 93.9 94.1 100.0 - 84.4 84.7 - 85.7 78.7 60.0 81.5 84.4 79.7 - - 93.3 91.7 97.0 92.9 - - - 67.3 90.7 86.5 3 yr OS - - - - - - 93.9 94.1 - - 84.4 84.7 - 85.7 - - 79.8 80.4 78.2 - - - 91.7 97.0 92.9 - - - 63.6 89.8 85.2 5 yr OS Girls (0-14 years) - - - - - - [83.5:97.9] [84.1:98.0] - - [72.0:91.9] [72.5:92.0] - [65.4:95.0] - - [70.6:86.6] [63.1:90.7] [72.1:83.4] - - - [74.2:97.7] [84.7:99.5] [85.4:96.7] - - - [47.0:77.5] [84.1:93.7] [79.6:89.4] 95% CI (5 yr OS) 0 VIIIb: Chondrosarcomas IXe: Unspecified soft tissue sarcomas - 1 1 1,3,5 yr OS: one, three and five-year observed survival rates (%) 95% CI (5 yr OS): 95% confidence interval of the five-year observed survival rates (%) Survival data are not presented when the number of patients at risk is less than 10 cases. I-XII: All tumours 1,853 4 5 XII: Other and unspecified malignant neoplasms XIIb: Other unspecified malignant tumours 47 XIf: Other and unspecified carcinomas 1 22 XIe: Skin carcinomas XIIa: Other specified malignant tumours 6 24 XIc: Nasopharyngeal carcinomas XId: Malignant melanomas 18 XIb: Thyroid carcinomas XIa: Adrenocortical carcinomas XI: Other malignant epithelial neoplasms and malignant melanomas 118 0 Xe: Other and unspecified malignant gonadal tumours - 19 Xc: Malignant gonadal germ cell tumours Xd: Gonadal carcinomas 93.4 - - - 95.7 100.0 100.0 - 100.0 - 98.3 100.0 100.0 13 24 Xa: Intracranial and intraspinal germ cell tumours 100.0 100.0 57 Xb: Malignant extracranial and extragonadal germ cell tumours X: Germ cell tumours, trophoblastic tumours and neoplasms of gonads 2 97.2 36 1 IXd: Other specified soft tissue sarcomas IXc: Kaposi sarcomas - 9 95.1 94.4 IXb: Fibrosarcomas, peripheral nerve sheath tumours, and other fibromatous neoplasms 103 IX: Soft tissue and other extraosseous sarcomas - 55 0 VIIIe: Unspecified malignant bone tumours - 93.9 - 95.5 94.8 86.9 - - - 93.6 100.0 95.8 - 100.0 - 95.7 - - 94.7 100.0 100.0 98.2 - 82.4 - - 85.2 83.1 - - 77.0 - 79.4 78.9 3 yr OS 84.8 - - - 89.9 100.0 95.8 - - - 94.4 - - - 100.0 - 92.3 - 74.9 - - 85.2 80.8 - - 74.8 - 73.1 74.9 5 yr OS Boys & Girls (0-14 years) 1 yr OS IXa: Rhabdomyosarcomas 3 VIIId: Other specified malignant bone tumours 49 44 VIIIa: Osteosarcomas VIIIc: Ewing tumours and related sarcomas of bone 96 N at risk VIII: Malignant bone tumours Belgium: 2004-2009 Belgium: observed survival rates of cancer in children, by tumour type and sex in 2004-2009 [83.0:86.4] - - - [75.9:96.1] [100.0:100.0] [79.8:99.3] - - - [88.0:97.4] - - - [100.0:100.0] - [79.3:97.4] - [53.8:88.4] - - [73.4:92.3] [71.1:87.8] - - [60.9:85.0] - [57.6:84.5] [64.9:82.7] 95% CI (5 yr OS) 1,023 1 1 2 21 5 13 4 6 1 50 0 0 5 5 10 20 2 20 1 8 34 65 0 2 27 0 23 52 N at risk 93.5 - - - 90.5 - 100.0 - - - 96.0 - - - - - 100.0 - 100.0 - - 93.9 95.3 - - 96.3 - 91.3 94.2 1 yr OS 86.9 - - - 90.5 - 92.3 - - - 91.9 - - - - - 100.0 - 83.6 - - 87.9 84.1 - - 84.7 - 73.4 80.2 3 yr OS 83.9 - - - 82.9 - - - - - 88.6 - - - - - - - - - - 87.9 80.1 - - 80.4 - - 75.5 5 yr OS Boys (0-14 years) [81.4:86.1] - - - [59.1:94.2] - - - - - [75.4:95.1] - - - - - - - - - - [72.7:95.2] [66.4:89.1] - - [61.4:91.4] - - [61.7:85.4] 95% CI (5 yr OS) 830 3 0 3 26 17 11 2 12 0 68 1 0 14 19 3 37 0 16 0 1 21 38 0 1 22 0 21 44 N at risk 93.2 - - - 100.0 100.0 100.0 - 100.0 - 100.0 - - 100.0 100.0 - 100.0 - 93.8 - - 95.2 94.7 - - 90.9 - 100.0 95.5 1 yr OS appendix 87.0 - - - 96.2 100.0 100.0 - - - 98.5 - - 92.9 100.0 - 97.3 - - - - 81.0 81.6 - - 67.9 - 85.7 77.2 3 yr OS 85.9 - - - 96.2 100.0 - - - - 98.5 - - - 100.0 - 92.7 - - - - - 81.6 - - 67.9 - - 73.8 5 yr OS Girls (0-14 years) 79 belgian cancer registry [83.3:88.2] - - - [81.1:99.3] [100.0:100.0] - - - - [92.1:99.7] - - - [100.0:100.0] - [76.0:98.1] - - - - - [66.6:90.8] - - [46.9:83.5] - - [58.7:84.9] 95% CI (5 yr OS) 27 3 Id: Myelodysplastic syndromes and other myeloproliferative diseases Ie: Unspecified and other specified leukaemias 93.3 88.0 - 60 25 6 IIc: Burkitt lymphomas IId: Miscellaneous lymphoreticular neoplasms 64 102 26 IIId: Other gliomas IIIe: Other specified intracranial and intraspinal neoplasms IIIf: Unspecified intracranial and intraspinal neoplasms IVa: Neuroblastomas and ganglioneuroblastomas - 2 0 VIIb: Hepatic carcinomas VIIc: Unspecified malignant hepatic tumours - 100.0 100.0 - - 96.8 96.0 100.0 - 94.4 94.5 96.2 95.1 90.6 81.7 89.3 90.8 10 VIIa: Hepatoblastomas 12 2 VIc: Unspecified malignant renal tumours VII: Hepatic tumours 5 VIb: Renal carcinomas 95 102 VI: Renal Tumours VIa: Nephroblastomas and other nonepithelial renal tumours 57 2 126 V: Retinoblastomas IVb: Other peripheral nervous cell tumours 128 82 IIIc: Intracranial and intraspinal embryonal tumours IV: Neuroblastomas and other peripheral nervous cell tumours 65 253 IIIa: Ependymomas and choroid plexus tumours IIIb: Astrocytomas III: CNS and miscellaneous intracranial and intraspinal neoplasms 89.9 95.0 592 99.6 254 140 IIa: Hodgkin lymphomas IIb: Non-Hodgkin lymphomas IIe: Unspecified lymphomas 96.7 - 96.3 485 II: Lymphomas and reticuloendothelial neoplasms 77.5 25 96.0 102 Ib: Acute myeloid leukaemias Ic: Chronic myeloproliferative diseases 91.3 - - - - - - 94.7 94.1 98.2 - 78.7 79.1 96.2 95.1 79.6 67.5 82.6 84.6 83.1 - 83.4 93.3 89.9 97.5 93.7 - 92.6 96.0 61.3 87.5 83.5 3 yr OS - - - - - - 93.4 92.9 98.2 - 73.9 74.4 - 95.1 79.6 61.4 80.8 82.8 81.3 - 83.4 93.3 88.1 97.5 93.2 - - 85.3 56.9 86.3 81.2 5 yr OS Boys & Girls (0-19 years) 1 yr OS 94.1 611 N at risk 454 Ia: Lymphoid leukaemias I: Leukaemias, myeloproliferative and myelodysplastic diseases Belgium: 2004-2009 Belgium: observed survival rates of cancer in children and adolescents, by tumour type and sex in 2004-2009 - - - - - - [86.4:97.0] [86.0:96.5] [90.7:99.7] - [64.9:81.2] [65.5:81.6] - [89.0:97.9] [68.1:87.7] [49.6:72.0] [75.4:85.3] [71.7:90.1] [77.8:84.3] - [64.1:93.4] [84.1:97.4] [81.6:92.6] [94.7:98.9] [90.5:95.1] - - [64.3:94.9] [46.8:66.5] [82.7:89.2] [77.7:84.2] 95% CI (5 yr OS) 0 1 5 6 1 3 46 50 36 1 72 73 15 67 35 49 124 30 320 3 14 45 83 140 285 3 18 14 49 267 351 N at risk - - - - - - 97.8 95.9 100.0 - 93.1 93.2 93.3 98.5 88.6 83.7 89.5 93.3 90.9 - 85.7 93.3 94.0 99.3 96.1 - 94.4 92.9 75.5 94.0 91.2 1 yr OS - - - - - - 95.6 93.9 97.2 - 74.3 74.7 - 98.5 77.1 68.5 83.0 83.3 83.9 - - 93.3 87.8 98.4 93.6 - 94.4 92.9 56.5 87.1 83.0 3 yr OS - - - - - - 92.9 91.4 97.2 - 64.8 65.5 - 98.5 77.1 59.1 80.9 83.3 81.5 - - 93.3 86.4 98.4 93.1 - - - 51.0 86.0 80.1 5 yr OS Boys (0-19 years) - - - - - - [81.0:97.6] [79.8:96.6] [85.8:99.5] - [51.7:76.1] [52.5:76.5] - [92.0:99.7] [61.0:87.9] [43.9:72.8] [72.9:87.0] [66.4:92.7] [76.7:85.6] - - [82.1:97.7] [77.2:92.2] [94.4:99.6] [89.5:95.6] - - - [36.9:64.9] [81.1:89.7] [75.3:84.1] 95% CI (5 yr OS) 0 1 5 6 1 2 49 52 21 1 54 55 11 35 29 33 129 35 272 3 11 15 57 114 200 0 9 11 53 187 260 N at risk - - - - - - 95.9 96.2 100.0 - 96.3 96.4 100.0 88.6 93.1 78.8 89.1 88.6 88.6 - 90.9 93.3 96.5 100.0 97.5 - - 100.0 79.2 94.1 91.5 1 yr OS - - - - - - 93.9 94.2 100.0 - 84.7 85.0 - 88.6 82.5 66.0 82.1 85.7 82.2 - - 93.3 93.0 96.4 93.9 - - - 65.6 88.2 84.1 3 yr OS - - - - - - 93.9 94.2 - - 84.7 85.0 - 88.6 82.5 - 80.8 82.1 81.0 - - - 90.8 96.4 93.2 - - - 63.0 86.8 82.6 5 yr OS Girls (0-19 years) - - - - - - [83.5:97.9] [84.4:98.0] - - [72.5:92.0] [73.0:92.2] - [74.0:95.5] [64.9:92.3] - [72.8:86.8] [66.0:91.6] [75.8:85.3] - - - [80.0:96.0] [91.1:98.6] [88.7:96.0] - - - [49.2:75.0] [81.0:91.0] [77.3:86.8] 95% CI (5 yr OS) Xe: Other and unspecified malignant gonadal tumours - 2 1,3,5 yr OS: one, three and five-year observed survival rates (%) 95% CI (5 yr OS): 95% confidence interval of the five-year observed survival rates (%) Survival data are not presented when the number of patients at risk is less than 10 cases. 2,856 5 I-XII: All tumours XIIb: Other unspecified malignant tumours XII: Other and unspecified malignant neoplasms 5 10 XIf: Other and unspecified carcinomas XIIa: Other specified malignant tumours 47 139 XIe: Skin carcinomas 8 87 XIc: Nasopharyngeal carcinomas XId: Malignant melanomas 59 94.1 - - - 96.4 100.0 100.0 - 100.0 - 98.2 3 342 XIb: Thyroid carcinomas XIa: Adrenocortical carcinomas XI: Other malignant epithelial neoplasms and malignant melanomas 100.0 - 106 Xc: Malignant gonadal germ cell tumours 100.0 4 26 26 Xa: Intracranial and intraspinal germ cell tumours 100.0 - 95.6 - 94.1 93.8 94.5 99.4 Xb: Malignant extracranial and extragonadal germ cell tumours Xd: Gonadal carcinomas - 165 8 X: Germ cell tumours. trophoblastic tumours and neoplasms of gonads 91 1 IXd: Other specified soft tissue sarcomas 17 IXb: Fibrosarcomas. peripheral nerve sheath tumours. and other fibromatous neoplasms IXc: Kaposi sarcomas IXe: Unspecified soft tissue sarcomas 66 183 IX: Soft tissue and other extraosseous sarcomas IXa: Rhabdomyosarcomas 5 2 VIIId: Other specified malignant bone tumours VIIIe: Unspecified malignant bone tumours 94.5 - 7 73 VIIIb: Chondrosarcomas VIIIc: Ewing tumours and related sarcomas of bone 93.9 82 VIIIa: Osteosarcomas 94.7 87.5 - - - 95.7 100.0 97.7 - 100.0 - 97.0 - - 96.2 100.0 96.0 95.7 - 83.0 - 70.1 81.5 81.0 - - 73.4 - 79.2 77.8 3 yr OS 85.4 - - - 92.3 100.0 97.7 - 100.0 - 95.6 - - 94.9 100.0 88.6 93.9 - 80.7 - - 81.5 78.2 - - 70.1 - 71.2 71.6 5 yr OS Boys & Girls (0-19 years) 1 yr OS 169 N at risk VIII: Malignant bone tumours Belgium: 2004-2009 Belgium: observed survival rates of cancer in children and adolescents. by tumour type and sex in 2004-2009 [84.0:86.7] - - - [85.8:96.0] [100.0:100.0] [92.0:99.4] - [100.0:100.0] - [92.5:97.5] - - [88.5:97.8] [100.0:100.0] [65.2:97.0] [88.7:96.8] - [70.5:88.0] - - [70.4:89.1] [71.2:83.9] - - [58.5:79.6] - [60.0:80.3] [64.0:78.1] 95% CI (5 yr OS) 1,568 2 1 3 57 15 35 5 19 1 132 1 0 82 6 22 111 8 42 1 10 42 103 0 3 42 4 49 98 N at risk 93.9 - - - 93.0 100.0 100.0 - 100.0 - 97.0 - - 100.0 - 100.0 100.0 - 95.2 - - 92.7 93.1 - - 95.2 - 91.8 93.9 1 yr OS 86.6 - - - 93.0 100.0 97.1 - 100.0 - 95.4 - - 97.6 - 95.2 97.3 - 77.5 - - 82.9 79.1 - - 70.4 - 75.4 73.8 3 yr OS 83.9 - - - 87.5 - 97.1 - - - 93.1 - - 97.6 - 87.3 95.9 - 72.4 - - 82.9 73.8 - - 64.6 - 67.2 67.1 5 yr OS Boys (0-19 years) [81.9:85.7] - - - [74.8:94.3] - [85.5:99.5] - - - [86.8:96.5] - - [91.5:99.3] - [62.5:96.6] [89.8:98.4] - [55.0:84.9] - - [68.7:91.5] [63.4:82.1] - - [48.9:77.7] - [52.3:79.2] [56.7:76.1] 95% CI (5 yr OS) 1,288 3 4 7 82 32 52 3 40 1 210 2 4 24 20 4 54 0 49 0 7 24 80 2 2 31 3 33 71 N at risk 94.3 - - - 98.8 100.0 100.0 - 100.0 - 99.0 - - 100.0 100.0 - 98.1 - 95.9 - - 95.8 96.3 - - 93.5 - 97.0 95.8 1 yr OS appendix 88.5 - - - 97.6 100.0 98.1 - 100.0 - 98.1 - - 91.7 100.0 - 92.6 - 87.4 - - 79.2 83.4 - - 77.3 - 84.8 83.1 3 yr OS 87.2 - - - 95.5 100.0 98.1 - 100.0 - 97.2 - - - 100.0 - 89.9 - 87.4 - - 79.2 83.4 - - 77.3 - 77.1 77.4 5 yr OS Girls (0-19 years) 81 belgian cancer registry [85.2:89.0] - - - [87.1:98.5] [100.0:100.0] [89.9:99.7] - [100.0:100.0] - [93.4:98.8] - - - [100.0:100.0] - [78.1:95.7] - [75.1:94.1] - - [59.5:90.8] [73.7:90.1] - - [60.0:88.5] - [59.4:88.6] [65.9:85.9] 95% CI (5 yr OS) 2 - Id: Myelodysplastic syndromes and other myeloproliferative diseases Ie: Unspecified and other specified leukaemias 9 2 - 8 3 4 IIc: Burkitt lymphomas IId: Miscellaneous lymphoreticular neoplasms 8 - - VIIb: Hepatic carcinomas VIIc: Unspecified malignant hepatic tumours 1 1 2 VIIa: Hepatoblastomas 2 - VII: Hepatic tumours 1 1 VIb: Renal carcinomas VIc: Unspecified malignant renal tumours 1 21 23 16 1 24 25 - 14 7 14 32 19 20 VIa: Nephroblastomas and other nonepithelial renal tumours VI: Renal Tumours 8 V: Retinoblastomas IVb: Other peripheral nervous cell tumours 21 12 IIIe: Other specified intracranial and intraspinal neoplasms IIIf: Unspecified intracranial and intraspinal neoplasms 21 7 IVa: Neuroblastomas and ganglioneuroblastomas 10 IIIc: Intracranial and intraspinal embryonal tumours IIId: Other gliomas IV: Neuroblastomas and other peripheral nervous cell tumours 13 37 IIIa: Ependymomas and choroid plexus tumours IIIb: Astrocytomas III: CNS and miscellaneous intracranial and intraspinal neoplasms 75 9 13 79 24 15 IIa: Hodgkin lymphomas IIb: Non-Hodgkin lymphomas IIe: Unspecified lymphomas 44 - 3 43 II: Lymphomas and reticuloendothelial neoplasms 2 1 20 8 Ib: Acute myeloid leukaemias Ic: Chronic myeloproliferative diseases 97 - 1 1 2 1 1 16 18 7 - 19 19 2 10 9 17 24 10 72 1 7 11 12 16 47 1 2 1 11 65 80 2006 - - - - - - 14 14 9 1 22 23 1 10 7 6 34 10 68 - 1 3 12 9 25 - 6 - 12 59 77 2007 Boys & Girls (0-14 years) 2005 73 85 2004 73 Ia: Lymphoid leukaemias I: Leukaemias, myeloproliferative and myelodysplastic diseases Belgium: 2004-2009 Belgium: number of new diagnoses of cancer in children, by tumour type, incidence year and sex in 2004-2009 - - 3 3 - - 11 11 8 - 14 14 3 5 11 12 40 9 80 - 6 16 11 13 46 - 5 2 9 63 79 2008 - - 3 3 - - 16 16 16 1 25 26 12 11 19 14 37 8 101 - 4 6 10 13 33 1 6 2 8 65 82 2009 - - 1 1 - - 13 13 4 - 10 10 - 10 3 7 20 4 44 2 2 6 8 9 27 - 1 1 3 40 45 2004 - - - - - 1 12 13 9 - 11 11 - 10 4 10 11 4 39 - 1 8 6 17 32 - 3 1 10 47 61 2005 - - - - 1 1 6 8 6 - 9 9 - 4 5 9 10 7 35 1 5 9 7 10 32 1 2 1 6 34 44 2006 - - - - - - 5 5 5 1 14 15 - 6 3 4 19 4 36 - 1 2 6 4 13 - 3 - 5 34 42 2007 Boys (0-14 years) - - 2 2 - - 2 2 3 - 10 10 3 5 7 5 16 4 40 - 2 10 9 6 27 - 3 1 4 39 47 2008 - - 2 2 - - 9 9 12 1 17 18 8 6 11 9 21 2 57 - 1 3 5 10 19 1 4 1 3 42 51 2009 - - 1 1 - 1 6 7 4 - 11 11 - 2 4 3 17 9 35 2 1 2 5 6 16 - 1 1 5 33 40 2004 - - 1 1 1 - 9 10 7 1 13 14 - 4 3 4 21 4 36 - 1 1 3 7 12 - - - 10 26 36 2005 - 1 1 2 - - 10 10 1 - 10 10 2 6 4 8 14 3 37 - 2 2 5 6 15 - - - 5 31 36 2006 - - - - - - 9 9 4 - 8 8 1 4 4 2 15 6 32 - - 1 6 5 12 - 3 - 7 25 35 2007 Girls (0-14 years) - - 1 1 - - 9 9 5 - 4 4 - - 4 7 24 5 40 - 4 6 2 7 19 - 2 1 5 24 32 2008 - - 1 1 - - 7 7 4 - 8 8 4 5 8 5 16 6 44 - 3 3 5 3 14 - 2 1 5 23 31 2009 13 IX: Soft tissue and other extraosseous sarcomas - Xe: Other and unspecified malignant gonadal tumours 2 314 XIIb: Other unspecified malignant tumours I-XII: All tumours - 2 XIIa: Other specified malignant tumours XII: Other and unspecified malignant neoplasms 4 3 8 XIe: Skin carcinomas 5 XIf: Other and unspecified carcinomas 3 2 XIc: Nasopharyngeal carcinomas XId: Malignant melanomas 350 1 - 1 10 - 2 2 XIb: Thyroid carcinomas - 1 19 - - 3 XIa: Adrenocortical carcinomas 21 1 Xc: Malignant gonadal germ cell tumours Xd: Gonadal carcinomas XI: Other malignant epithelial neoplasms and malignant melanomas 1 3 6 5 Xa: Intracranial and intraspinal germ cell tumours Xb: Malignant extracranial and extragonadal germ cell tumours 2 6 - 1 6 15 10 - - 9 5 IXd: Other specified soft tissue sarcomas IXe: Unspecified soft tissue sarcomas X: Germ cell tumours, trophoblastic tumours and neoplasms of gonads - IXb: Fibrosarcomas, peripheral nerve sheath tumours, and other fibromatous neoplasms IXc: Kaposi sarcomas 8 - IXa: Rhabdomyosarcomas 1 VIIId: Other specified malignant bone tumours VIIIe: Unspecified malignant bone tumours 14 - 6 VIIIb: Chondrosarcomas VIIIc: Ewing tumours and related sarcomas of bone 10 4 VIIIa: Osteosarcomas 24 318 1 - 1 10 7 7 2 5 - 31 - - 2 5 1 8 1 3 - 2 10 16 - - 9 - 8 17 2006 285 - - - 11 4 4 - 4 - 23 - - 7 2 - 9 - 6 - 1 13 20 - - 9 - 8 17 2007 Boys & Girls (0-14 years) 2005 11 2004 VIII: Malignant bone tumours Belgium: 2004-2009 Belgium: number of new diagnoses of cancer in children, by tumour type, incidence year and sex in 2004-2009 312 - 1 1 6 5 3 2 2 - 18 - - 2 7 5 14 - 7 - 4 10 21 1 1 8 - 7 17 2008 334 - - - 6 3 3 - 3 - 15 1 - 4 2 2 9 - 10 1 1 8 20 - 1 4 - 8 13 2009 181 1 - 1 7 - 3 1 - 1 12 - - - - 5 5 - 3 - - 6 9 - 1 5 - 4 10 2004 191 - - - 5 1 1 - 1 - 8 - - - 1 1 2 2 2 - 1 2 7 - - 5 - 4 9 2005 164 - - - 4 2 3 2 1 - 12 - - 2 1 - 3 1 - - 2 6 9 - - 4 - 2 6 2006 151 - - - 4 - 3 - 2 - 9 - - 1 1 - 2 - 4 - 1 7 12 - - 7 - 5 12 2007 Boys (0-14 years) 168 - 1 1 2 2 1 1 2 - 8 - - 1 2 3 6 - 5 - 3 8 16 1 - 3 - 2 6 2008 198 - - - 2 1 2 - - - 5 - - 1 - 1 2 - 6 1 1 5 13 - 1 3 - 6 10 2009 133 1 - 1 1 3 2 1 2 - 9 - - 1 3 - 4 - 2 - - 2 4 - - 1 - - 1 2004 159 1 - 1 5 3 2 - 1 - 11 - - 3 5 - 8 - 4 - - 4 8 - - 9 - 6 15 2005 134 - - - 7 4 1 - 2 - 14 - - 6 1 - 7 - 2 - - 6 8 - - 2 - 3 5 2007 appendix 154 1 - 1 6 5 4 - 4 - 19 - - - 4 1 5 - 3 - - 4 7 - - 5 - 6 11 2006 Girls (0-14 years) 83 136 144 belgian cancer registry - - 2 4 3 4 1 1 2 3 - 10 10 - 1 1 - 3 5 - 1 2 2 7 2 8 4 - - 1 7 3 5 2 - 1 1 5 3 2 5 2009 11 2008 - 13 3 4 IIc: Burkitt lymphomas IId: Miscellaneous lymphoreticular neoplasms 1 8 17 3 IIIe: Other specified intracranial and intraspinal neoplasms - - VIIb: Hepatic carcinomas VIIc: Unspecified malignant hepatic tumours 1 1 2 VIIa: Hepatoblastomas 2 - VII: Hepatic tumours 1 1 VIb: Renal carcinomas VIc: Unspecified malignant renal tumours 1 22 24 16 1 24 25 11 14 19 20 VIa: Nephroblastomas and other nonepithelial renal tumours VI: Renal Tumours 8 21 IVa: Neuroblastomas and ganglioneuroblastomas IVb: Other peripheral nervous cell tumours V: Retinoblastomas 21 IV: Neuroblastomas and other peripheral nervous cell tumours IIIf: Unspecified intracranial and intraspinal neoplasms 18 10 IIIc: Intracranial and intraspinal embryonal tumours IIId: Other gliomas 12 46 15 45 IIIa: Ependymomas and choroid plexus tumours 102 10 IIIb: Astrocytomas III: CNS and miscellaneous intracranial and intraspinal neoplasms 98 2 23 IIe: Unspecified lymphomas 53 43 IIa: Hodgkin lymphomas IIb: Non-Hodgkin lymphomas 24 89 1 3 86 - II: Lymphomas and reticuloendothelial neoplasms 3 Id: Myelodysplastic syndromes and other myeloproliferative diseases Ie: Unspecified and other specified leukaemias 5 29 9 6 Ib: Acute myeloid leukaemias 81 119 - 1 1 2 1 1 17 19 7 - 19 19 2 12 10 17 34 11 86 1 8 12 28 44 93 1 3 2 15 77 98 2006 - 1 - 1 - - 15 15 9 1 24 25 4 22 9 8 41 12 96 - 2 3 25 39 69 - 8 - 21 69 98 2007 Boys & Girls (0-19 years) 2005 86 104 2004 Ic: Chronic myeloproliferative diseases Ia: Lymphoid leukaemias I: Leukaemias, myeloproliferative and myelodysplastic diseases Belgium: 2004-2009 Belgium: number of new diagnoses of cancer in children and adolescents, by tumour type, incidence year and sex in 2004-2009 - - 3 3 - 1 12 13 8 - 14 14 4 15 12 18 51 10 110 - 6 18 24 38 86 - 6 7 16 72 101 2008 - - 3 3 - 1 16 17 16 1 25 26 14 23 19 16 48 9 129 1 5 7 20 46 79 1 8 5 14 77 105 2009 - - 1 1 - - 13 13 4 - 10 10 2 13 3 7 24 6 55 2 2 10 13 21 48 - 1 4 4 49 58 2004 - - - - - 1 13 14 9 - 11 11 1 12 5 10 19 8 55 - 1 9 15 29 54 1 3 2 17 49 72 2005 - - - - 1 1 7 9 6 - 9 9 - 5 6 9 15 8 43 1 6 10 15 26 58 1 2 2 9 40 54 2006 - 1 - 1 - - 6 6 5 1 15 16 1 14 3 5 22 4 49 - 2 2 14 20 38 - 5 - 8 38 51 2007 Boys (0-19 years) - - 2 2 - - 3 3 3 - 10 10 3 11 8 8 23 4 57 - 2 12 16 21 51 - 4 5 6 46 61 2008 - - 2 2 - 1 9 10 12 1 17 18 9 14 11 10 26 3 73 - 2 4 11 26 43 1 6 1 7 51 66 2009 - - 1 1 - 1 6 7 4 - 11 11 1 4 5 3 21 9 43 2 1 3 10 22 38 - 2 2 5 37 46 2004 - - 1 1 1 - 9 10 7 1 13 14 - 6 6 4 27 4 47 - 1 1 9 24 35 - - 3 12 32 47 2005 - 1 1 2 - - 10 10 1 - 10 10 2 7 4 8 19 3 43 - 2 2 13 18 35 - 1 - 6 37 44 2006 - - - - - - 9 9 4 - 9 9 3 8 6 3 19 8 47 - - 1 11 19 31 - 3 - 13 31 47 2007 Girls (0-19 years) - - 1 1 - 1 9 10 5 - 4 4 1 4 4 10 28 6 53 - 4 6 8 17 35 - 2 2 10 26 40 2008 - - 1 1 - - 7 7 4 - 8 8 5 9 8 6 22 6 56 1 3 3 9 20 36 - 2 4 7 26 39 2009 4 1 3 477 XIIb: Other unspecified malignant tumours I-XII: All tumours - 3 XIIa: Other specified malignant tumours XII: Other and unspecified malignant neoplasms 9 7 27 XIe: Skin carcinomas XIf: Other and unspecified carcinomas 12 2 14 XIc: Nasopharyngeal carcinomas XId: Malignant melanomas 524 1 2 3 24 - 7 6 XIb: Thyroid carcinomas - 52 2 58 - - 16 XIa: Adrenocortical carcinomas XI: Other malignant epithelial neoplasms and malignant melanomas - Xe: Other and unspecified malignant gonadal tumours 14 Xc: Malignant gonadal germ cell tumours - 3 Xd: Gonadal carcinomas 4 6 Xa: Intracranial and intraspinal germ cell tumours Xb: Malignant extracranial and extragonadal germ cell tumours 6 26 23 X: Germ cell tumours, trophoblastic tumours and neoplasms of gonads IXe: Unspecified soft tissue sarcomas 16 15 - 2 8 30 IXd: Other specified soft tissue sarcomas 25 IX: Soft tissue and other extraosseous sarcomas - - - IXc: Kaposi sarcomas 1 VIIId: Other specified malignant bone tumours VIIIe: Unspecified malignant bone tumours 17 - 11 VIIIc: Ewing tumours and related sarcomas of bone 1 IXb: Fibrosarcomas, peripheral nerve sheath tumours, and other fibromatous neoplasms 3 VIIIb: Chondrosarcomas 19 9 14 VIIIa: Osteosarcomas 37 495 1 - 1 31 11 17 3 11 - 73 1 2 22 5 3 33 2 16 - 3 10 31 - 1 13 1 18 33 2006 471 - - - 22 10 19 - 13 - 64 - 2 26 3 2 33 2 11 - 3 18 34 - - 14 1 12 27 2007 Boys & Girls (0-19 years) 2005 IXa: Rhabdomyosarcomas 29 2004 VIII: Malignant bone tumours Belgium: 2004-2009 Belgium: number of new diagnoses of cancer in children and adolescents, by tumour type, incidence year and sex in 2004-2009 490 - 2 2 21 10 12 2 11 - 56 - - 14 7 8 29 - 18 - 7 12 37 2 2 13 - 14 31 2008 516 - 1 1 22 10 16 1 14 - 63 2 - 18 3 4 27 - 17 1 2 11 31 1 1 7 1 9 19 2009 268 2 - 2 12 2 7 1 - 1 23 - - 12 - 6 18 1 8 - - 6 15 - 1 9 1 10 21 2004 279 - - - 11 3 3 - 3 - 20 - - 10 1 4 15 4 3 - 1 3 11 - - 7 - 11 18 2005 262 - - - 11 5 8 3 2 - 29 - - 19 1 2 22 2 8 - 2 6 18 - - 6 1 7 14 2006 251 - - - 7 3 11 - 6 - 27 - - 18 1 1 20 2 4 - 3 11 20 - - 10 1 7 18 2007 Boys (0-19 years) 269 - 1 1 9 4 4 1 5 - 23 - - 12 2 6 20 - 9 - 3 10 22 1 1 6 - 8 16 2008 299 - - - 12 2 3 - 5 - 22 1 - 15 1 3 20 - 10 1 1 8 20 - 1 4 1 7 13 2009 209 1 - 1 15 5 7 1 6 1 35 - - 2 3 - 5 - 7 - - 3 10 - - 2 2 4 8 2004 245 1 2 3 13 6 9 - 4 - 32 - - 6 5 - 11 - 13 - 1 5 19 - - 10 1 8 19 2005 220 - - - 15 7 8 - 7 - 37 - 2 8 2 1 13 - 7 - - 7 14 - - 4 - 5 9 2007 appendix 233 1 - 1 20 6 9 - 9 - 44 1 2 3 4 1 11 - 8 - 1 4 13 - 1 7 - 11 19 2006 Girls (0-19 years) 85 217 221 belgian cancer registry 1 1 1 1 8 10 6 12 1 13 1 8 9 6 41 33 - 1 2 - 3 5 - 1 2 2 7 9 - 1 4 7 3 2 9 11 15 - 1 1 1 3 2 6 7 6 15 - 2009 2008 Cancer in Belgium, 2010 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Belgium: Males 2010 2,531 871 43 36 3 24 21 5,616 10 541 63 30 22 785 145 36 479 56 1,411 178 2,967 139 854 680 18 57 125 43 134 135 15 60 61 59 157 31 148 90 50 Tot Belgium: Males, number of invasive tumours by primary site and age group in 2010 - - 1 - - - - - - - 1 2 - - - - 2 - - - - - - - - - - - - - - - - - - - - - - 00- 1 - 1 - - - - - - - - - - - - - - - - - 2 - - - - - - - - - - - - - - - - - - 05- - 1 2 6 - - 1 - - - - - - - - - 1 - - - 3 - - - - - - - - - - 1 - - - - - - - 10- - 5 4 7 - - - - - - - - - - - - - - - - 6 - - - - 1 - - - - 1 - - - - - - - - 15- 2 13 - 3 - - - 1 - - 1 - - 2 - - - - 3 - 4 - - - - - - 1 - - - - - - - 1 1 - - 20- 5 31 4 1 - 2 - 4 - - - - - 3 - 1 4 - 4 - 8 - 3 - - - - - - - - 1 - - - - 2 - - 25- 7 32 5 2 - - - 7 - - - - - 3 - - 2 1 3 - 8 - 4 2 - 1 - 3 - - - 3 - - 1 - 1 - - 30- 10 54 1 3 - 2 - 10 - - 1 - - 9 - - 8 - 12 - 23 1 8 2 - - - 2 - - - - - - 1 1 4 1 - 35- 18 62 2 - - 2 1 47 - 8 2 - - 7 3 1 3 1 20 - 33 3 12 2 - - - 3 2 4 - 1 2 1 2 - 8 1 2 40- 29 75 2 4 - - 1 124 - 28 4 - - 26 6 2 15 4 54 4 62 7 38 25 - 4 8 5 16 15 - 5 5 4 13 2 9 8 1 45- 68 67 1 2 - 1 4 320 2 47 6 2 - 40 5 1 32 5 92 8 147 7 46 81 - 14 20 8 18 17 - 5 9 8 38 3 19 10 2 50- 87 94 5 - - 4 3 576 3 83 9 1 3 66 12 2 52 6 161 15 226 18 74 88 5 9 28 7 26 27 1 3 5 24 39 6 27 19 1 55- 166 96 4 2 1 2 3 809 1 88 11 7 2 107 16 1 71 6 211 21 300 25 93 99 4 11 29 2 28 26 3 9 15 7 27 6 28 16 4 60- 217 73 3 1 - 3 1 811 2 88 6 4 3 122 20 4 82 14 204 29 399 16 109 94 2 8 17 4 18 22 3 5 7 5 14 4 16 14 6 65- 356 93 3 2 1 2 3 1,011 - 69 5 6 - 122 23 8 83 8 207 29 486 19 128 100 3 1 12 4 14 13 3 5 6 7 7 2 14 9 6 70- 522 88 4 1 1 3 3 964 1 70 11 2 11 131 20 4 77 5 188 31 540 18 136 83 2 3 4 1 6 8 2 10 4 1 11 3 7 6 13 75- 536 55 1 1 - 3 1 643 - 45 3 3 2 96 17 9 35 2 164 27 461 18 122 61 2 4 6 1 4 2 2 5 3 - 3 2 8 4 12 80- 507 32 - 1 - - - 289 1 15 3 3 1 51 23 3 12 4 88 14 259 7 81 43 - 1 1 2 2 1 - 7 5 2 1 1 4 2 3 85+ Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Penis Prostate Testis Male genital organs, NOS Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C46 C47,C49 C48 C50 C60 C61 C62 C63 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total Mesothelioma 32,671 33,267 35,798 339 257 462 2 25 31 55 329 481 424 103 1,021 154 7 29 204 14 453 8 61 50 1,755 101 145 981 14 318 8,663 85 83 23 162 31 Tot 204 Belgium: Males 2010 C45 72 75 75 2 1 1 - 5 - 1 4 15 - - 2 - - 6 - 2 11 - 7 - - - - 4 - 3 - - - - 5 - - 00- 42 44 45 2 - 2 - 4 - - 1 8 - - 6 2 - 2 1 1 6 - 3 - - - - 1 - - - - - - 2 - - 05- 46 49 49 3 - - - - - - 1 9 - - 10 2 - 1 - - 6 - 2 - - - - - - - - - - - - - - 10- 84 88 88 1 3 - - 2 - 1 6 6 - - 8 12 - - 1 1 7 - - - - - - - - 12 - - - 1 2 - 1 15- 105 106 108 1 - 1 - 1 - - 3 4 - - 5 11 1 - 5 - 8 - - - - - - - - 34 - - - - 2 - - 20- 197 203 208 2 4 2 - 1 - - 8 4 1 - 10 14 1 1 5 - 10 - - - - - - 3 - 61 - - - 1 4 2 1 25- 229 234 241 2 3 1 - 1 - 1 5 4 1 - 18 14 - - 6 1 19 - - - 3 - - 1 - 73 - - - - 2 1 - 30- 327 332 342 1 4 3 - 1 - 1 13 5 5 2 21 17 1 - 15 - 17 - 1 - 4 - 1 24 - 37 1 2 - - 6 5 2 35- 483 495 513 5 7 6 - 1 1 1 12 7 4 2 41 10 - - 22 - 31 1 3 - 10 - 1 24 1 37 17 2 4 - 9 - 1 40- 997 1,018 1,047 7 14 22 - 2 1 1 13 19 11 6 66 11 - 2 26 3 28 1 1 - 27 4 5 51 - 18 76 2 5 1 9 7 3 45- 1,956 1,978 2,046 6 16 29 1 - 4 - 20 30 20 3 71 10 - 2 21 1 44 1 4 1 52 2 5 83 2 10 416 5 9 2 8 6 7 50- 3,212 3,243 3,330 17 14 40 - 2 1 2 30 57 37 11 89 12 - 3 27 - 46 - 5 - 109 5 10 105 1 15 830 5 11 4 16 1 10 55- 4,486 4,531 4,697 20 25 57 - 2 3 8 25 55 44 8 109 9 - 6 20 1 53 - 7 6 196 16 28 158 4 7 1,395 14 14 3 18 1 28 60- 4,695 4,769 4,986 39 35 53 - - 4 7 19 57 63 17 117 6 1 - 18 2 44 1 7 5 221 13 13 152 1 4 1,562 12 5 2 21 1 34 65- 5,133 5,257 5,779 79 45 79 - 2 6 11 53 50 82 22 131 13 1 2 14 - 35 - 9 18 340 26 30 135 1 2 1,498 17 14 2 18 2 47 75- appendix 5,197 5,293 5,649 61 35 54 - 1 4 11 42 79 81 10 139 7 1 2 15 1 59 1 5 7 319 18 28 116 1 2 1,597 10 13 6 21 1 32 70- 2,007 1,952 3,545 3,458 belgian cancer registry 33 2,514 29 4,081 22 69 58 43 1 - 5 2 5 - 29 5 49 29 5 26 17 43 72 106 45 1 2 2 - 2 10 19 - 3 3 1 6 7 4 8 6 208 266 6 18 11 46 78 - 3 3 5 457 11 3 1 5 814 4 12 7 10 28 - 85+ 80- 89 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Belgium: Males 2010 2,531 871 43 36 3 24 21 5,616 10 541 63 30 22 785 145 36 479 56 1,411 178 2,967 139 854 680 18 57 125 43 134 135 15 60 61 59 157 31 148 90 50 Tot - - 0.3 - - - - - - - 0.3 0.6 - - - - 0.6 - - - - - - - - - - - - - - - - - - - - - - 00- 0.3 - 0.3 - - - - - - - - - - - - - - - - - 0.7 - - - - - - - - - - - - - - - - - - 05- - 0.3 0.6 1.9 - - 0.3 - - - - - - - - - 0.3 - - - 1.0 - - - - - - - - - - 0.3 - - - - - - - 10- - 1.5 1.2 2.1 - - - - - - - - - - - - - - - - 1.8 - - - - 0.3 - - - - 0.3 - - - - - - - - 15- 0.6 3.9 - 0.9 - - - 0.3 - - 0.3 - - 0.6 - - - - 0.9 - 1.2 - - - - - - 0.3 - - - - - - - 0.3 0.3 - - 20- 1.4 9.0 1.2 0.3 - 0.6 - 1.2 - - - - - 0.9 - 0.3 1.2 - 1.2 - 2.3 - 0.9 - - - - - - - - 0.3 - - - - 0.6 - - 25- 2.0 9.1 1.4 0.6 - - - 2.0 - - - - - 0.9 - - 0.6 0.3 0.9 - 2.3 - 1.1 0.6 - 0.3 - 0.9 - - - 0.9 - - 0.3 - 0.3 - - 30- Belgium: Males, age-specific and age-standardised incidence rates of cancer, by primary site in 2010 (n/100,000 person years) 2.6 14.3 0.3 0.8 - 0.5 - 2.6 - - 0.3 - - 2.4 - - 2.1 - 3.2 - 6.1 0.3 2.1 0.5 - - - 0.5 - - - - - - 0.3 0.3 1.1 0.3 - 35- 4.5 15.5 0.5 - - 0.5 0.2 11.7 - 2.0 0.5 - - 1.7 0.7 0.2 0.7 0.2 5.0 - 8.2 0.7 3.0 0.5 - - - 0.7 0.5 1.0 - 0.2 0.5 0.2 0.5 - 2.0 0.2 0.5 40- 7.0 18.1 0.5 1.0 - - 0.2 30.0 - 6.8 1.0 - - 6.3 1.4 0.5 3.6 1.0 13.0 1.0 15.0 1.7 9.2 6.0 - 1.0 1.9 1.2 3.9 3.6 - 1.2 1.2 1.0 3.1 0.5 2.2 1.9 0.2 45- 17.7 17.4 0.3 0.5 - 0.3 1.0 83.3 0.5 12.2 1.6 0.5 - 10.4 1.3 0.3 8.3 1.3 23.9 2.1 38.3 1.8 12.0 21.1 - 3.6 5.2 2.1 4.7 4.4 - 1.3 2.3 2.1 9.9 0.8 4.9 2.6 0.5 50- 25.3 27.4 1.5 - - 1.2 0.9 167.7 0.9 24.2 2.6 0.3 0.9 19.2 3.5 0.6 15.1 1.7 46.9 4.4 65.8 5.2 21.5 25.6 1.5 2.6 8.2 2.0 7.6 7.9 0.3 0.9 1.5 7.0 11.4 1.7 7.9 5.5 0.3 55- 53.4 30.9 1.3 0.6 0.3 0.6 1.0 260.1 0.3 28.3 3.5 2.3 0.6 34.4 5.1 0.3 22.8 1.9 67.8 6.8 96.4 8.0 29.9 31.8 1.3 3.5 9.3 0.6 9.0 8.4 1.0 2.9 4.8 2.3 8.7 1.9 9.0 5.1 1.3 60- 97.3 32.7 1.3 0.4 - 1.3 0.4 363.6 0.9 39.5 2.7 1.8 1.3 54.7 9.0 1.8 36.8 6.3 91.5 13.0 178.9 7.2 48.9 42.1 0.9 3.6 7.6 1.8 8.1 9.9 1.3 2.2 3.1 2.2 6.3 1.8 7.2 6.3 2.7 65- 171.9 44.9 1.4 1.0 0.5 1.0 1.4 488.1 - 33.3 2.4 2.9 - 58.9 11.1 3.9 40.1 3.9 99.9 14.0 234.6 9.2 61.8 48.3 1.4 0.5 5.8 1.9 6.8 6.3 1.4 2.4 2.9 3.4 3.4 1.0 6.8 4.3 2.9 70- 302.2 50.9 2.3 0.6 0.6 1.7 1.7 558.0 0.6 40.5 6.4 1.2 6.4 75.8 11.6 2.3 44.6 2.9 108.8 17.9 312.6 10.4 78.7 48.0 1.2 1.7 2.3 0.6 3.5 4.6 1.2 5.8 2.3 0.6 6.4 1.7 4.1 3.5 7.5 75- 479.3 49.2 0.9 0.9 - 2.7 0.9 574.9 - 40.2 2.7 2.7 1.8 85.8 15.2 8.0 31.3 1.8 146.6 24.1 412.2 16.1 109.1 54.5 1.8 3.6 5.4 0.9 3.6 1.8 1.8 4.5 2.7 - 2.7 1.8 7.2 3.6 10.7 80- 730.1 46.1 - 1.4 - - - 416.1 1.4 21.6 4.3 4.3 1.4 73.4 33.1 4.3 17.3 5.8 126.7 20.2 372.9 10.1 116.6 61.9 - 1.4 1.4 2.9 2.9 1.4 - 10.1 7.2 2.9 1.4 1.4 5.8 2.9 4.3 85+ CR 47.6 16.4 0.8 0.7 0.1 0.5 0.4 105.7 0.2 10.2 1.2 0.6 0.4 14.8 2.7 0.7 9.0 1.1 26.6 3.4 55.9 2.6 16.1 12.8 0.3 1.1 2.4 0.8 2.5 2.5 0.3 1.1 1.1 1.1 3.0 0.6 2.8 1.7 0.9 33.9 14.1 0.8 0.7 0.0 0.4 0.3 82.5 0.2 8.3 1.0 0.5 0.3 11.6 2.1 0.5 7.3 0.9 21.1 2.6 42.4 2.1 12.4 10.4 0.3 0.9 2.0 0.7 2.2 2.2 0.2 0.9 1.0 1.0 2.6 0.5 2.4 1.5 0.7 ESR 20.6 10.7 0.7 0.7 0.0 0.3 0.2 55.4 0.1 5.8 0.7 0.4 0.2 7.8 1.4 0.3 5.1 0.6 14.5 1.7 28.0 1.4 8.3 7.1 0.2 0.7 1.5 0.6 1.6 1.6 0.2 0.7 0.7 0.7 1.9 0.4 1.8 1.0 0.4 WSR 1.9 1.1 0.1 0.1 0.0 0.0 0.0 6.8 0.0 0.7 0.1 0.0 0.0 0.9 0.2 0.0 0.7 0.1 1.8 0.2 3.2 0.2 0.9 0.9 0.0 0.1 0.2 0.1 0.2 0.2 0.0 0.1 0.1 0.1 0.2 0.0 0.2 0.1 0.0 CRi Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Penis Prostate Testis Male genital organs, NOS Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease C46 C47,C49 C48 C50 C60 C61 C62 C63 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 Myeloproliferative Disorders Myelodysplastic syndromes MPD MDS 32,671 33,267 35,798 339 257 462 22.4 23.3 23.3 0.6 0.3 0.3 - 1.6 - 0.3 1.2 4.7 - - 0.6 - - 1.9 - 0.6 3.4 - 2.2 - - - - 1.2 - 0.9 - - - - 1.6 - - 00- 13.8 14.4 14.8 0.7 - 0.7 - 1.3 - - 0.3 2.6 - - 2.0 0.7 - 0.7 0.3 0.3 2.0 - 1.0 - - - - 0.3 - - - - - - 0.7 - - 05- 14.8 15.8 15.8 1.0 - - - - - - 0.3 2.9 - - 3.2 0.6 - 0.3 - - 1.9 - 0.6 - - - - - - - - - - - - - - 10- 25.3 26.5 26.5 0.3 0.9 - - 0.6 - 0.3 1.8 1.8 - - 2.4 3.6 - - 0.3 0.3 2.1 - - - - - - - - 3.6 - - - 0.3 0.6 - 0.3 15- CR: crude (all ages) incidence rate (N/100,000 person years) ESR and WSR: age standardised incidence rate, using the European or World Standard Population (N/100,000 person years) CRi: Cumulative Risk (0-74 years) Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total Unknown primary site C80 2 25 Other and ill-defined sites 55 329 Lymphoid, haematopoietic and related tissue, NOS Monocytic leukaemia C93 C76 Myeloid leukaemia C92 481 424 C96 Lymphoid leukaemia C91 31 Multiple myeloma C90 103 1,021 154 7 29 204 14 453 8 61 50 1,755 101 145 981 14 318 8,663 85 83 23 162 C94-C95 Leukaemia other Malignant immunoproliferative diseases C88 C82-C86 Non-Hodgkin-lymphoma Mesothelioma 31 Tot 204 Belgium: Males 2010 C45 31.7 32.0 32.6 0.3 - 0.3 - 0.3 - - 0.9 1.2 - - 1.5 3.3 0.3 - 1.5 - 2.4 - - - - - - - - 10.3 - - - - 0.6 - - 20- 57.1 58.8 60.2 0.6 1.2 0.6 - 0.3 - - 2.3 1.2 0.3 - 2.9 4.1 0.3 0.3 1.4 - 2.9 - - - - - - 0.9 - 17.7 - - - 0.3 1.2 0.6 0.3 25- 65.2 66.6 68.6 0.6 0.9 0.3 - 0.3 - 0.3 1.4 1.1 0.3 - 5.1 4.0 - - 1.7 0.3 5.4 - - - 0.9 - - 0.3 - 20.8 - - - - 0.6 0.3 - 30- 86.5 87.8 90.5 0.3 1.1 0.8 - 0.3 - 0.3 3.4 1.3 1.3 0.5 5.6 4.5 0.3 - 4.0 - 4.5 - 0.3 - 1.1 - 0.3 6.3 - 9.8 0.3 0.5 - - 1.6 1.3 0.5 35- 120.5 123.5 128.0 1.2 1.7 1.5 - 0.2 0.2 0.2 3.0 1.7 1.0 0.5 10.2 2.5 - - 5.5 - 7.7 0.2 0.7 - 2.5 - 0.2 6.0 0.2 9.2 4.2 0.5 1.0 - 2.2 - 0.2 40- 240.9 246.0 253.0 1.7 3.4 5.3 - 0.5 0.2 0.2 3.1 4.6 2.7 1.4 15.9 2.7 - 0.5 6.3 0.7 6.8 0.2 0.2 - 6.5 1.0 1.2 12.3 - 4.3 18.4 0.5 1.2 0.2 2.2 1.7 0.7 45- 509.2 514.9 532.6 1.6 4.2 7.5 0.3 - 1.0 - 5.2 7.8 5.2 0.8 18.5 2.6 - 0.5 5.5 0.3 11.5 0.3 1.0 0.3 13.5 0.5 1.3 21.6 0.5 2.6 108.3 1.3 2.3 0.5 2.1 1.6 1.8 50- 935.1 944.2 969.5 4.9 4.1 11.6 - 0.6 0.3 0.6 8.7 16.6 10.8 3.2 25.9 3.5 - 0.9 7.9 - 13.4 - 1.5 - 31.7 1.5 2.9 30.6 0.3 4.4 241.6 1.5 3.2 1.2 4.7 0.3 2.9 55- 2,138.1 2,235.3 17.5 15.7 23.8 - - 1.8 3.1 8.5 25.6 28.2 7.6 52.5 2.7 0.4 - 8.1 0.9 19.7 0.4 3.1 2.2 99.1 5.8 5.8 68.1 0.4 1.8 700.3 5.4 2.2 0.9 9.4 0.4 15.2 65- 1,442.1 2,104.9 1,456.6 1,510.0 6.4 8.0 18.3 - 0.6 1.0 2.6 8.0 17.7 14.1 2.6 35.0 2.9 - 1.9 6.4 0.3 17.0 - 2.3 1.9 63.0 5.1 9.0 50.8 1.3 2.3 448.5 4.5 4.5 1.0 5.8 0.3 9.0 60- 2,509.1 2,555.5 2,727.3 29.5 16.9 26.1 - 0.5 1.9 5.3 20.3 38.1 39.1 4.8 67.1 3.4 0.5 1.0 7.2 0.5 28.5 0.5 2.4 3.4 154.0 8.7 13.5 56.0 0.5 1.0 771.0 4.8 6.3 2.9 10.1 0.5 15.4 70- 75- 2,971.3 3,043.1 3,345.3 45.7 26.0 45.7 - 1.2 3.5 6.4 30.7 28.9 47.5 12.7 75.8 7.5 0.6 1.2 8.1 - 20.3 - 5.2 10.4 196.8 15.1 17.4 78.1 0.6 1.2 867.1 9.8 8.1 1.2 10.4 1.2 27.2 80- 3,620.0 47.5 31.7 61.9 - - 2.9 7.2 41.8 41.8 37.4 7.2 103.7 2.9 1.4 - - - 14.4 - 4.3 8.6 299.5 8.6 8.6 66.2 - - 658.1 7.2 4.3 - 17.3 5.8 14.4 85+ 3,091.9 appendix 2,810.8 3,169.7 2,890.0 3,649.0 51.9 25.9 61.7 0.9 - 4.5 4.5 40.2 38.4 43.8 15.2 94.8 1.8 - 1.8 7.2 0.9 17.0 2.7 3.6 6.3 237.8 9.8 16.1 69.7 2.7 2.7 727.8 9.8 4.5 0.9 6.3 - 25.0 615.0 626.2 673.9 6.4 4.8 8.7 0.0 0.5 0.6 1.0 6.2 9.1 8.0 1.9 19.2 2.9 0.1 0.5 3.8 0.3 8.5 0.2 1.1 0.9 33.0 1.9 2.7 18.5 0.3 6.0 163.1 1.6 1.6 0.4 3.0 0.6 3.8 CR 91 0.2 0.4 0.5 10.8 0.4 0.2 0.1 0.9 0.8 86.4 5.8 0.1 10.7 1.4 1.3 1.2 128.4 6.1 0.2 15.1 2.1 0.0 0.3 0.4 33.6 34.0 0.3 0.5 belgian cancer registry 338.7 489.5 35.2 365.1 344.5 3.2 4.7 531.9 2.7 3.8 498.0 0.3 4.5 6.7 0.0 0.6 0.0 0.5 0.0 0.1 0.0 3.6 0.6 0.8 0.3 0.6 0.5 0.1 1.2 0.2 0.3 0.0 0.1 0.0 4.9 4.1 5.9 7.6 1.0 1.5 6.2 11.4 2.7 0.5 3.4 0.5 15.7 0.0 0.3 0.1 6.2 7.6 0.3 2.5 0.0 0.1 0.1 0.1 0.6 0.9 1.0 2.8 0.0 0.4 0.7 1.8 0.9 15.8 1.4 24.7 1.3 0.0 0.1 0.1 0.0 2.1 0.3 2.6 0.4 0.2 0.0 1.9 2.9 CRi WSR ESR Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Belgium: Females 2010 Belgium: Females, number of invasive tumours by primary site and age group in 2010 1,783 1,239 26 25 - 13 17 2,215 3 83 16 12 14 738 120 94 192 102 981 129 2,628 113 547 242 2 12 25 15 38 68 19 41 51 26 48 25 76 38 11 Tot - 1 - - - 1 - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - 00- - 1 - 1 - - - - - - - 1 - - - - - - 1 - 2 - - - - - - - - - - - - - - - - - - 05- 2 3 2 5 - 1 - - - - - - - - - - - - - - 6 - - - - - - - - - - - - - - - - - - 10- 3 14 - 2 - - - - - - - - - - - - - - 1 - 8 - - - - - - 1 - - 1 1 - - - - 1 - - 15- 2 29 - - - - - 2 - - 1 - - 1 - - 2 - 1 - 9 1 1 - - - - 1 - - 1 3 - 2 - - 1 1 - 20- 4 69 2 1 - - - 2 - - - - - - - - 1 - - - 11 - 1 - - - - - - - 1 1 - - - - - 1 - 25- 10 72 - 3 - 1 - 7 - - - - - 3 - - 2 - 4 - 9 - 1 - - - - 1 - - 1 1 - - 1 1 3 1 - 30- 10 98 1 3 - 1 1 17 - - - - - 5 - - 3 2 11 2 18 2 5 2 - 1 - - - - - 2 - 1 - - - - - 35- 27 116 3 2 - - 1 44 - 4 - 1 1 11 1 1 3 6 23 3 20 5 6 2 - - - 1 - 2 1 - - - 1 1 3 - 1 40- 37 127 2 1 - - 2 115 - 4 - - 2 18 4 - 3 7 40 5 64 4 18 7 - - - 2 2 4 1 2 3 2 2 1 4 1 1 45- 58 94 - 4 - - 1 210 1 11 2 - - 40 3 8 15 9 50 6 94 9 23 14 1 1 6 1 4 13 6 3 7 6 5 2 14 4 - 50- 75 111 2 - - 2 2 326 - 16 - 2 2 54 6 2 14 12 95 6 167 7 37 26 - 2 7 - 11 14 1 4 7 2 12 1 8 6 - 55- 94 117 3 2 - 1 3 350 1 17 5 - 1 81 13 7 21 20 113 13 237 15 43 31 - 3 5 1 6 9 - 4 5 4 11 3 12 12 1 60- 117 82 5 1 - 2 2 295 - 17 2 1 2 82 14 10 27 7 105 14 272 10 57 31 - 1 2 2 7 8 2 6 1 - 4 2 8 4 - 65- 191 87 3 - - 1 1 291 1 6 1 3 - 135 14 10 28 10 134 19 352 19 59 30 - - 3 - 3 4 1 2 7 6 5 4 7 1 1 70- 283 86 1 - - - 2 274 - 4 1 1 3 127 26 22 34 16 147 19 422 15 82 34 - 2 2 - 4 7 2 1 6 1 3 6 5 2 1 75- 329 68 1 - - 1 2 177 - 2 1 1 1 106 18 17 21 5 140 22 493 13 91 37 - 2 - 4 1 4 - 7 10 1 3 1 6 5 3 80- 541 64 1 - - 2 - 105 - 2 3 2 2 75 21 17 18 8 116 20 444 13 123 28 1 - - - - 3 1 4 5 1 1 3 4 - 3 85+ Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Vulva Vagina Cervix uteri Corpus uteri Uterus Ovary Female genital organs, NOS Placenta Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C46 C47,C49 C48 C50 C51 C52 C53 C54 C55 C56 C57 C58 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total Mesothelioma Belgium: Females 2010 C45 28,291 28,750 30,533 212 247 408 3 28 30 40 292 343 327 111 926 149 6 29 651 18 322 10 56 11 477 39 79 551 3 46 865 9 1,415 593 43 216 9,908 33 152 7 51 Tot 76 78 78 2 - - - 9 2 - 5 14 - 1 3 - - 5 - 3 9 - 8 - 1 - - 5 - - 1 - - - 2 - - 2 3 - - 00- 38 39 39 1 - - - 2 - - 1 8 - - 3 1 1 1 1 3 9 - - - - - - 1 - - - - - - - - - - 1 - - 05- 41 42 44 - 1 - - 1 - 1 3 6 - - 1 3 - - 3 1 3 - - - - - - - - - 1 - - - - - - - 1 - - 10- 79 80 83 - 1 1 - 1 - - 1 5 - - 2 16 - 1 10 1 5 - - - - - - 1 - - 2 - - 1 - - - - 3 - - 15- 134 137 139 - 3 1 - - - - 6 - - - 8 22 - 1 16 1 4 - - - - - - 1 1 - 6 - - 3 - - 7 - 1 - - 20- 242 246 250 2 2 1 - - - 1 4 1 - 1 9 22 - 1 27 1 11 - 3 - - - - 3 1 - 4 - 1 17 - 2 37 - 4 1 - 25- 410 413 423 3 - 1 - 2 - 1 6 2 3 - 20 9 - 1 48 - 13 1 - - - - - 5 - 1 6 1 - 36 - 3 133 1 6 - - 30- 728 732 742 - 4 4 - - 1 - 8 3 2 5 22 14 - - 62 1 7 - 3 - 2 - 1 9 - - 13 - 7 59 - 2 322 - 6 - - 35- 1,198 1,206 1,233 1 7 2 - 4 1 2 17 8 3 2 25 9 - 3 53 2 9 1 1 - 5 - 1 16 - 1 25 - 18 77 - 8 634 1 7 - - 40- 1,896 1,913 1,950 4 13 17 - 2 3 4 20 12 11 7 49 6 1 1 69 - 15 - 2 - 9 - 1 16 - 1 37 - 46 84 3 15 1,005 2 9 - 1 45- 2,429 2,450 2,508 5 16 22 - 1 1 - 16 23 16 5 50 7 1 3 78 2 24 - 5 - 13 2 1 35 1 2 77 - 78 61 4 22 1,192 3 14 - 3 50- 2,829 2,853 2,928 10 14 26 - - 3 2 19 23 27 10 57 9 - 3 85 - 27 - 3 - 28 2 5 42 - 3 93 1 135 54 5 15 1,173 1 8 - 6 55- 3,372 3,410 3,504 15 23 35 - 2 1 2 22 40 36 6 84 7 1 3 52 - 30 1 4 1 40 2 4 66 - 9 123 1 208 46 4 13 1,334 3 15 2 5 60- 3,190 3,257 3,448 27 40 59 - 2 3 6 38 43 47 16 116 2 - 2 35 1 38 1 7 2 73 4 13 89 - 10 117 - 212 31 1 15 927 3 15 1 13 70- appendix 2,972 3,006 3,123 16 18 33 - 2 - 7 27 32 38 13 107 10 1 2 45 - 32 2 3 1 47 6 8 64 - 4 95 - 225 33 4 19 1,005 6 9 - 7 65- 95 2 16 2 699 37 5 32 148 1 93 8 61 13 8 83 1 15 2 882 33 6 30 236 108 5 102 18 10 81 - 28 36 5 128 16 57 36 32 4 6 2 62 36 47 3,299 2,970 2,887 5 148 18 59 51 36 5 6 1 68 46 42 3,745 3,462 3,374 belgian cancer registry 2,396 2,456 2,997 37 23 76 - - 3 5 31 11 94 2 - - 2 15 1 - 29 2 25 46 23 15 - 3 5 1 4 4 8 5 14 35 - 2 64 5 101 29 9 32 558 7 19 2 3 10 3 85+ 80- 75- 1 93 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Belgium: Females 2010 1,783 1,239 26 25 - 13 17 2,215 3 83 16 12 14 738 120 94 192 102 981 129 2,628 113 547 242 2 12 25 15 38 68 19 41 51 26 48 25 76 38 11 Tot - 0.3 - - - 0.3 - - - - - - - - - - - - - - - - - - - - - 0.3 - - - - - - - - - - - 00- - 0.3 - 0.3 - - - - - - - 0.3 - - - - - - 0.3 - 0.7 - - - - - - - - - - - - - - - - - - 05- 0.7 1.0 0.7 1.7 - 0.3 - - - - - - - - - - - - - - 2.0 - - - - - - - - - - - - - - - - - - 10- 0.9 4.4 - 0.6 - - - - - - - - - - - - - - 0.3 - 2.5 - - - - - - 0.3 - - 0.3 0.3 - - - - 0.3 - - 15- 0.6 8.8 - - - - - 0.6 - - 0.3 - - 0.3 - - 0.6 - 0.3 - 2.7 0.3 0.3 - - - - 0.3 - - 0.3 0.9 - 0.6 - - 0.3 0.3 - 20- 1.2 19.9 0.6 0.3 - - - 0.6 - - - - - - - - 0.3 - - - 3.2 - 0.3 - - - - - - - 0.3 0.3 - - - - - 0.3 - 25- 2.9 20.8 - 0.9 - 0.3 - 2.0 - - - - - 0.9 - - 0.6 - 1.2 - 2.6 - 0.3 - - - - 0.3 - - 0.3 0.3 - - 0.3 0.3 0.9 0.3 - 30- Belgium: Females, age-specific and age-standardised incidence rates of cancer, by primary site in 2010 (n/100,000 person years) 2.7 26.5 0.3 0.8 - 0.3 0.3 4.6 - - - - - 1.4 - - 0.8 0.5 3.0 0.5 4.9 0.5 1.4 0.5 - 0.3 - - - - - 0.5 - 0.3 - - - - - 35- 6.9 29.8 0.8 0.5 - - 0.3 11.3 - 1.0 - 0.3 0.3 2.8 0.3 0.3 0.8 1.5 5.9 0.8 5.1 1.3 1.5 0.5 - - - 0.3 - 0.5 0.3 - - - 0.3 0.3 0.8 - 0.3 40- 9.1 31.3 0.5 0.2 - - 0.5 28.3 - 1.0 - - 0.5 4.4 1.0 - 0.7 1.7 9.8 1.2 15.8 1.0 4.4 1.7 - - - 0.5 0.5 1.0 0.2 0.5 0.7 0.5 0.5 0.2 1.0 0.2 0.2 45- 15.1 24.5 - 1.0 - - 0.3 54.8 0.3 2.9 0.5 - - 10.4 0.8 2.1 3.9 2.3 13.0 1.6 24.5 2.3 6.0 3.7 0.3 0.3 1.6 0.3 1.0 3.4 1.6 0.8 1.8 1.6 1.3 0.5 3.7 1.0 - 50- 21.7 32.1 0.6 - - 0.6 0.6 94.2 - 4.6 - 0.6 0.6 15.6 1.7 0.6 4.0 3.5 27.5 1.7 48.3 2.0 10.7 7.5 - 0.6 2.0 - 3.2 4.0 0.3 1.2 2.0 0.6 3.5 0.3 2.3 1.7 - 55- 29.3 36.5 0.9 0.6 - 0.3 0.9 109.1 0.3 5.3 1.6 - 0.3 25.2 4.1 2.2 6.5 6.2 35.2 4.1 73.9 4.7 13.4 9.7 - 0.9 1.6 0.3 1.9 2.8 - 1.2 1.6 1.2 3.4 0.9 3.7 3.7 0.3 60- 48.1 33.7 2.1 0.4 - 0.8 0.8 121.4 - 7.0 0.8 0.4 0.8 33.7 5.8 4.1 11.1 2.9 43.2 5.8 111.9 4.1 23.4 12.8 - 0.4 0.8 0.8 2.9 3.3 0.8 2.5 0.4 - 1.6 0.8 3.3 1.6 - 65- 77.6 35.3 1.2 - - 0.4 0.4 118.2 0.4 2.4 0.4 1.2 - 54.8 5.7 4.1 11.4 4.1 54.4 7.7 143.0 7.7 24.0 12.2 - - 1.2 - 1.2 1.6 0.4 0.8 2.8 2.4 2.0 1.6 2.8 0.4 0.4 70- 120.5 36.6 0.4 - - - 0.9 116.7 - 1.7 0.4 0.4 1.3 54.1 11.1 9.4 14.5 6.8 62.6 8.1 179.7 6.4 34.9 14.5 - 0.9 0.9 - 1.7 3.0 0.9 0.4 2.6 0.4 1.3 2.6 2.1 0.9 0.4 75- 177.0 36.6 0.5 - - 0.5 1.1 95.2 - 1.1 0.5 0.5 0.5 57.0 9.7 9.1 11.3 2.7 75.3 11.8 265.2 7.0 49.0 19.9 - 1.1 - 2.2 0.5 2.2 - 3.8 5.4 0.5 1.6 0.5 3.2 2.7 1.6 80- 326.0 38.6 0.6 - - 1.2 - 63.3 - 1.2 1.8 1.2 1.2 45.2 12.7 10.2 10.8 4.8 69.9 12.1 267.5 7.8 74.1 16.9 0.6 - - - - 1.8 0.6 2.4 3.0 0.6 0.6 1.8 2.4 - 1.8 85+ 32.3 22.4 0.5 0.5 - 0.2 0.3 40.1 0.1 1.5 0.3 0.2 0.3 13.4 2.2 1.7 3.5 1.8 17.7 2.3 47.5 2.0 9.9 4.4 0.0 0.2 0.5 0.3 0.7 1.2 0.3 0.7 0.9 0.5 0.9 0.5 1.4 0.7 0.2 CR 17.3 19.4 0.4 0.5 - 0.2 0.2 30.6 0.0 1.3 0.2 0.2 0.2 8.7 1.3 1.0 2.4 1.4 11.8 1.5 28.8 1.4 5.9 2.9 0.0 0.2 0.4 0.2 0.6 1.0 0.3 0.6 0.6 0.4 0.7 0.3 1.1 0.6 0.1 ESR 11.1 15.8 0.4 0.5 - 0.2 0.2 21.7 0.0 0.9 0.2 0.1 0.1 5.9 0.9 0.6 1.7 1.0 8.2 1.0 19.4 1.0 3.9 2.0 0.0 0.1 0.3 0.2 0.4 0.7 0.3 0.5 0.4 0.3 0.5 0.2 0.8 0.4 0.1 WSR 1.1 1.5 0.0 0.0 - 0.0 0.0 2.7 0.0 0.1 0.0 0.0 0.0 0.7 0.1 0.1 0.2 0.1 1.0 0.1 2.2 0.1 0.4 0.2 0.0 0.0 0.0 0.0 0.1 0.1 0.0 0.0 0.0 0.0 0.1 0.0 0.1 0.0 0.0 CRi Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Vulva Vagina Cervix uteri Corpus uteri Uterus Ovary Female genital organs, NOS Placenta Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease C46 C47,C49 C48 C50 C51 C52 C53 C54 C55 C56 C57 C58 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 Myeloproliferative Disorders Myelodysplastic syndromes MPD MDS 28,291 28,750 30,533 212 247 408 24.8 25.4 25.4 0.7 - - - 2.9 0.7 - 1.6 4.6 - 0.3 1.0 - - 1.6 - 1.0 2.9 - 2.6 - 0.3 - - 1.6 - - 0.3 - - - 0.7 - - 0.7 1.0 - - 00- 13.0 13.4 13.4 0.3 - - - 0.7 - - 0.3 2.7 - - 1.0 0.3 0.3 0.3 0.3 1.0 3.1 - - - - - - 0.3 - - - - - - - - - - 0.3 - - 05- 13.8 14.1 14.8 - 0.3 - - 0.3 - 0.3 1.0 2.0 - - 0.3 1.0 - - 1.0 0.3 1.0 - - - - - - - - - 0.3 - - - - - - - 0.3 - - 10- 24.8 25.1 26.1 - 0.3 0.3 - 0.3 - - 0.3 1.6 - - 0.6 5.0 - 0.3 3.1 0.3 1.6 - - - - - - 0.3 - - 0.6 - - 0.3 - - - - 0.9 - - 15- CR: crude (all ages) incidence rate (N/100,000 person years) ESR and WSR: age standardised incidence rate, using the European or World Standard Population (N/100,000 person years) CRi: Cumulative Risk (0-74 years) Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total Unknown primary site C80 3 Other and ill-defined sites C76 40 28 Monocytic leukaemia C93 343 292 30 Myeloid leukaemia C92 Lymphoid, haematopoietic and related tissue, NOS Lymphoid leukaemia C91 111 327 C96 Multiple myeloma C90 926 149 6 29 651 18 322 10 56 11 477 39 79 551 3 46 865 9 1,415 593 43 216 9,908 33 152 7 51 Tot C94-C95 Leukaemia other Malignant immunoproliferative diseases C88 C82-C86 Non-Hodgkin-lymphoma Mesothelioma Belgium: Females 2010 C45 40.7 41.6 42.2 - 0.9 0.3 - - - - 1.8 - - - 2.4 6.7 - 0.3 4.9 0.3 1.2 - - - - - - 0.3 0.3 - 1.8 - - 0.9 - - 2.1 - 0.3 - - 20- 69.9 71.0 72.2 0.6 0.6 0.3 - - - 0.3 1.2 0.3 - 0.3 2.6 6.4 - 0.3 7.8 0.3 3.2 - 0.9 - - - - 0.9 0.3 - 1.2 - 0.3 4.9 - 0.6 10.7 - 1.2 0.3 - 25- 118.2 119.1 122.0 0.9 - 0.3 - 0.6 - 0.3 1.7 0.6 0.9 - 5.8 2.6 - 0.3 13.8 - 3.7 0.3 - - - - - 1.4 - 0.3 1.7 0.3 - 10.4 - 0.9 38.3 0.3 1.7 - - 30- 196.9 198.0 200.7 - 1.1 1.1 - - 0.3 - 2.2 0.8 0.5 1.4 6.0 3.8 - - 16.8 0.3 1.9 - 0.8 - 0.5 - 0.3 2.4 - - 3.5 - 1.9 16.0 - 0.5 87.1 - 1.6 - - 35- 308.0 310.1 317.0 0.3 1.8 0.5 - 1.0 0.3 0.5 4.4 2.1 0.8 0.5 6.4 2.3 - 0.8 13.6 0.5 2.3 0.3 0.3 - 1.3 - 0.3 4.1 - 0.3 6.4 - 4.6 19.8 - 2.1 163.0 0.3 1.8 - - 40- 466.7 470.9 480.0 1.0 3.2 4.2 - 0.5 0.7 1.0 4.9 3.0 2.7 1.7 12.1 1.5 0.2 0.2 17.0 - 3.7 - 0.5 - 2.2 - 0.2 3.9 - 0.2 9.1 - 11.3 20.7 0.7 3.7 247.4 0.5 2.2 - 0.2 45- 633.6 639.1 654.2 1.3 4.2 5.7 - 0.3 0.3 - 4.2 6.0 4.2 1.3 13.0 1.8 0.3 0.8 20.3 0.5 6.3 - 1.3 - 3.4 0.5 0.3 9.1 0.3 0.5 20.1 - 20.3 15.9 1.0 5.7 310.9 0.8 3.7 - 0.8 50- 1,092.2 4.7 7.2 10.9 - 0.6 0.3 0.6 6.9 12.5 11.2 1.9 26.2 2.2 0.3 0.9 16.2 - 9.4 0.3 1.2 0.3 12.5 0.6 1.2 20.6 - 2.8 38.3 0.3 64.8 14.3 1.2 4.1 415.8 0.9 4.7 0.6 1.6 60- 817.7 1,051.1 824.6 1,062.9 846.3 2.9 4.0 7.5 - - 0.9 0.6 5.5 6.6 7.8 2.9 16.5 2.6 - 0.9 24.6 - 7.8 - 0.9 - 8.1 0.6 1.4 12.1 - 0.9 26.9 0.3 39.0 15.6 1.4 4.3 339.0 0.3 2.3 - 1.7 55- 1,222.6 1,236.6 1,284.7 6.6 7.4 13.6 - 0.8 - 2.9 11.1 13.2 15.6 5.3 44.0 4.1 0.4 0.8 18.5 - 13.2 0.8 1.2 0.4 19.3 2.5 3.3 26.3 - 1.6 39.1 - 92.6 13.6 1.6 7.8 413.4 2.5 3.7 - 2.9 65- 1,295.9 1,323.1 1,400.7 11.0 16.2 24.0 - 0.8 1.2 2.4 15.4 17.5 19.1 6.5 47.1 0.8 - 0.8 14.2 0.4 15.4 0.4 2.8 0.8 29.7 1.6 5.3 36.2 - 4.1 47.5 - 86.1 12.6 0.4 6.1 376.6 1.2 6.1 0.4 5.3 70- 1,436.8 1,474.3 1,594.8 17.9 19.6 29.0 0.4 - 2.6 2.1 15.3 21.7 25.1 7.7 63.0 2.1 0.4 - 9.8 0.9 19.6 1.3 3.4 1.7 34.5 4.3 7.7 43.4 - 2.1 46.0 - 100.5 12.8 2.6 14.1 375.6 0.9 6.4 0.4 1.3 75- 1,553.1 1,597.7 1,774.7 25.3 19.4 33.4 1.1 - 3.2 2.2 17.2 19.4 30.7 8.6 68.9 2.7 - - 15.6 - 13.4 - 2.2 0.5 44.7 4.3 7.0 32.8 - 4.3 50.0 0.5 79.6 17.2 2.7 19.9 376.0 1.1 8.6 - 5.4 80- CR 511.8 520.1 552.4 3.8 4.5 7.4 0.1 0.5 0.5 0.7 5.3 6.2 5.9 2.0 16.8 2.7 0.1 0.5 11.8 0.3 5.8 0.2 1.0 0.2 8.6 0.7 1.4 10.0 0.1 0.8 15.6 0.2 25.6 10.7 0.8 3.9 179.2 0.6 2.7 0.1 0.9 appendix 1,443.6 1,479.7 1,805.7 22.3 13.9 45.8 - - 1.8 3.0 18.7 21.7 16.9 6.6 56.6 1.2 - 1.2 9.0 - 9.0 0.6 3.0 1.2 57.2 3.0 8.4 21.1 - 1.2 38.6 3.0 60.9 17.5 5.4 19.3 336.2 4.2 11.4 1.2 1.8 85+ 0.1 0.0 0.7 106.2 1.8 0.4 143.8 2.6 0.5 1.0 0.1 0.1 0.6 0.0 0.0 0.1 5.0 0.5 0.3 3.3 0.1 0.8 0.1 4.0 0.4 8.8 0.5 0.1 7.0 0.8 0.4 5.0 0.1 0.8 0.1 4.7 0.4 10.8 0.5 3.1 0.4 0.3 0.7 0.0 3.0 2.1 1.5 295.1 284.0 280.4 3.9 0.5 0.4 0.6 0.0 4.5 3.0 2.2 404.5 387.2 382.1 27.0 27.3 28.1 0.2 0.2 0.3 - 0.0 0.0 0.0 0.3 0.4 0.3 belgian cancer registry 3.8 4.6 0.1 1.0 2.6 1.4 3.8 8.4 11.6 0.2 0.9 0.1 2.7 0.1 2.7 0.9 0.0 0.4 0.0 0.1 0.0 0.4 0.0 0.1 0.1 0.0 8.2 0.4 11.5 0.6 1.6 0.0 7.5 12.5 9.4 18.0 0.2 11.3 0.0 1.7 0.2 0.0 0.4 0.1 0.1 CRi 2.1 0.4 0.6 0.4 WSR ESR 95 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Flemish Region: Males 2010 1,597 468 26 22 - 17 6 3,348 5 310 43 20 9 446 83 22 250 30 916 104 1,874 94 549 408 6 29 55 22 74 69 8 32 31 28 79 17 76 51 41 Tot - - 1 - - - - - - - - 2 - - - - - - - - - - - - - - - - - - - - - - - - - - - 00- Flemish Region: Males, number of invasive tumours by primary site and age group in 2010 1 - 1 - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - 05- - - 1 2 - - - - - - - - - - - - 1 - - - 3 - - - - - - - - - - 1 - - - - - - - 10- - 2 1 4 - - - - - - - - - - - - - - - - 3 - - - - - - - - - 1 - - - - - - - - 15- 1 4 - 2 - - - - - - - - - 1 - - - - 3 - 3 - - - - - - 1 - - - - - - - - 1 - - 20- 4 16 1 1 - 2 - - - - - - - 2 - - 1 - 2 - 5 - 2 - - - - - - - - 1 - - - - 1 - - 25- 2 13 2 2 - - - 4 - - - - - 2 - - 1 - 2 - 5 - 2 2 - - - 1 - - - - - - - - - - - 30- 6 27 1 2 - 2 - 8 - - - - - 5 - - 5 - 5 - 13 - 4 2 - - - 2 - - - - - - - - 2 1 - 35- 12 32 1 - - 1 - 23 - 6 - - - 4 2 1 1 1 11 - 18 2 7 2 - - - - 1 2 - 1 2 - 1 - 3 1 2 40- 19 45 2 2 - - 1 67 - 9 3 - - 10 2 1 9 2 35 2 36 5 24 16 - 2 2 3 10 8 - 3 2 1 6 2 6 5 - 45- 42 35 1 1 - - - 152 1 26 3 1 - 30 2 1 16 2 56 7 76 3 24 40 - 8 5 4 8 10 - 3 2 6 27 3 9 5 1 50- 45 52 3 - - 3 - 301 - 39 6 1 1 38 5 1 23 2 103 9 133 9 50 44 1 4 16 3 12 14 1 1 3 14 15 3 16 11 1 55- 94 50 2 - - 2 2 431 - 42 10 4 1 51 8 1 36 4 131 11 182 18 57 53 2 5 9 - 14 14 1 5 6 2 14 3 11 10 3 60- 139 39 2 1 - 2 - 493 2 58 3 2 - 66 14 3 48 9 135 14 268 11 72 66 1 5 11 3 12 10 3 2 5 1 3 2 9 6 6 65- 215 50 3 2 - 1 3 641 - 40 4 4 - 79 11 3 47 4 137 20 295 14 83 69 - 1 7 4 8 8 1 1 3 3 4 - 8 4 3 70- 348 51 4 1 - 2 - 621 1 44 9 2 5 75 14 3 36 2 131 18 365 11 90 52 1 1 1 - 4 3 1 7 4 - 7 3 3 3 11 75- 359 33 - 1 - 2 - 410 - 36 3 1 2 53 11 6 21 2 110 16 298 14 79 35 1 3 3 - 3 - - 3 1 - 2 1 4 3 11 80- 310 19 - 1 - - - 197 1 10 2 3 - 30 14 2 5 2 55 7 170 7 55 27 - - 1 1 2 - - 4 3 1 - - 3 2 3 85+ Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Penis Prostate Testis Male genital organs, NOS Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C46 C47,C49 C48 C50 C60 C61 C62 C63 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total 148 Mesothelioma 20,073 20,458 22,055 204 181 266 2 16 22 28 208 310 252 59 608 81 7 20 92 11 262 3 33 35 1,079 70 92 651 10 165 5,651 51 47 13 101 12 Tot Flemish Region: Males 2010 C45 43 44 44 - 1 - - 3 - - 2 10 - - 2 - - 3 - 2 5 - 5 - - - - 2 - 3 - - - - 3 - - 00- 22 23 24 1 - 1 - 2 - - - 5 - - 5 - - 2 - 1 2 - 1 - - - - 1 - - - - - - - - - 05- 25 26 26 1 - - - - - - 1 6 - - 5 - - 1 - - 3 - 1 - - - - - - - - - - - - - - 10- 47 50 50 - 3 - - 2 - - 2 4 - - 5 7 - - - 1 5 - - - - - - - - 7 - - - 1 1 - 1 15- 61 62 63 1 - 1 - - - - 1 3 - - 3 7 1 - 3 - 3 - - - - - - - - 24 - - - - - - - 20- 97 103 107 2 4 1 - 1 - - 2 3 1 - 5 9 1 1 3 - 4 - - - - - - 2 - 26 - - - - 2 1 1 25- 121 124 126 1 2 - - 1 - - 4 1 1 - 8 8 - - 4 - 14 - - - 1 - - 1 - 39 - - - - 2 1 - 30- 163 167 173 - 4 - - 1 - - 6 2 5 1 12 5 1 - 7 - 8 - - - - - 1 9 - 20 - - - - 2 2 2 35- 257 264 276 3 4 2 - 1 - 1 8 4 4 1 22 5 - - 8 - 13 - 2 - 5 - - 17 - 17 11 1 3 - 7 - - 40- 566 578 597 3 9 11 - 1 - 1 11 13 5 1 35 5 - 1 13 2 12 - - - 21 4 4 34 - 10 47 1 1 1 7 3 1 45- 1,108 1,126 1,168 5 13 18 1 - 4 - 14 24 11 3 35 4 - 2 9 1 27 1 - 1 34 2 3 51 - 2 269 3 6 1 7 2 5 50- 1,787 1,807 1,852 9 11 19 - 1 1 1 14 31 19 6 49 8 - 1 6 - 24 - 1 - 55 3 4 62 1 7 511 1 7 3 6 1 7 55- 2,617 2,644 2,738 13 14 24 - 2 1 4 17 37 22 6 62 5 - 4 10 - 33 - 4 4 110 9 18 105 4 6 880 12 10 2 7 - 24 60- 2,969 3,014 3,153 22 23 38 - - 3 5 15 36 48 7 72 4 1 - 10 2 27 - 5 2 132 8 8 103 1 2 1,008 5 3 1 13 - 23 65- 3,355 3,434 3,782 47 32 52 - 1 4 5 35 40 47 14 84 8 1 2 9 - 24 - 4 13 219 16 19 100 1 1 998 11 7 1 16 - 37 75- appendix 3,303 3,371 3,586 44 24 32 - - 3 5 27 50 53 5 88 3 1 2 7 1 39 - 5 4 200 15 18 71 1 - 1,060 6 7 2 12 - 21 702 10 6 1,313 1,275 2,257 belgian cancer registry 1,623 17 21 31 2,667 31 36 20 2,308 - 2 1 4 2 4 - 18 19 23 4 10 11 26 30 1 47 1 2 1 69 - 1 5 14 3 2 170 2 4 132 9 4 4 13 7 41 52 3 - 569 2 298 8 1 3 3 - 6 20 1 85+ 80- 97 Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Parotid gland C07 C10 8 Mouth, NOS C06 Salivary glands, NOS Palate C05 Tonsil Floor of mouth C04 C08 Gum C03 C09 32 Tongue C02 1,597 468 26 22 - 17 6 3,348 5 310 43 20 9 446 83 22 250 30 916 104 1,874 94 549 408 6 29 55 22 74 69 31 28 79 17 76 51 Base of tongue C01 41 Tot Lip C00 Flemish Region: Males 2010 - - 0.6 - - - - - - - - 1.1 - - - - - - - - - - - - - - - - - - - - - - - - - - - 00- 0.6 - 0.6 - - - - - - - - - - - - - - - - - 0.6 - - - - - - - - - - - - - - - - - - 05- - - 0.6 1.2 - - - - - - - - - - - - 0.6 - - - 1.7 - - - - - - - - - - 0.6 - - - - - - - 10- - 1.1 0.5 2.1 - - - - - - - - - - - - - - - - 1.6 - - - - - - - - - 0.5 - - - - - - - - 15- 0.5 2.2 - 1.1 - - - - - - - - - 0.5 - - - - 1.6 - 1.6 - - - - - - 0.5 - - - - - - - - 0.5 - - 20- 2.1 8.2 0.5 0.5 - 1.0 - - - - - - - 1.0 - - 0.5 - 1.0 - 2.6 - 1.0 - - - - - - - - 0.5 - - - - 0.5 - - 25- 1.0 6.6 1.0 1.0 - - - 2.0 - - - - - 1.0 - - 0.5 - 1.0 - 2.6 - 1.0 1.0 - - - 0.5 - - - - - - - - - - - 30- 2.8 12.8 0.5 0.9 - 0.9 - 3.8 - - - - - 2.4 - - 2.4 - 2.4 - 6.2 - 1.9 0.9 - - - 0.9 - - - - - - - - 0.9 0.5 - 35- Flemish Region: Males, age-specific and age-standardised incidence rates of cancer, by primary site in 2010 (n/100,000 person years) 5.1 13.6 0.4 - - 0.4 - 9.8 - 2.6 - - - 1.7 0.9 0.4 0.4 0.4 4.7 - 7.7 0.9 3.0 0.9 - - - - 0.4 0.9 - 0.4 0.9 - 0.4 - 1.3 0.4 0.9 40- 7.7 18.1 0.8 0.8 - - 0.4 27.0 - 3.6 1.2 - - 4.0 0.8 0.4 3.6 0.8 14.1 0.8 14.5 2.0 9.7 6.4 - 0.8 0.8 1.2 4.0 3.2 - 1.2 0.8 0.4 2.4 0.8 2.4 2.0 - 45- 18.2 15.2 0.4 0.4 - - - 65.9 0.4 11.3 1.3 0.4 - 13.0 0.9 0.4 6.9 0.9 24.3 3.0 33.0 1.3 10.4 17.4 - 3.5 2.2 1.7 3.5 4.3 - 1.3 0.9 2.6 11.7 1.3 3.9 2.2 0.4 50- 22.1 25.5 1.5 - - 1.5 - 147.7 - 19.1 2.9 0.5 0.5 18.6 2.5 0.5 11.3 1.0 50.5 4.4 65.3 4.4 24.5 21.6 0.5 2.0 7.8 1.5 5.9 6.9 0.5 0.5 1.5 6.9 7.4 1.5 7.8 5.4 0.5 55- 50.6 26.9 1.1 - - 1.1 1.1 232.0 - 22.6 5.4 2.2 0.5 27.4 4.3 0.5 19.4 2.2 70.5 5.9 98.0 9.7 30.7 28.5 1.1 2.7 4.8 - 7.5 7.5 0.5 2.7 3.2 1.1 7.5 1.6 5.9 5.4 1.6 60- 98.8 27.7 1.4 0.7 - 1.4 - 350.5 1.4 41.2 2.1 1.4 - 46.9 10.0 2.1 34.1 6.4 96.0 10.0 190.5 7.8 51.2 46.9 0.7 3.6 7.8 2.1 8.5 7.1 2.1 1.4 3.6 0.7 2.1 1.4 6.4 4.3 4.3 65- 162.3 37.7 2.3 1.5 - 0.8 2.3 483.8 - 30.2 3.0 3.0 - 59.6 8.3 2.3 35.5 3.0 103.4 15.1 222.7 10.6 62.6 52.1 - 0.8 5.3 3.0 6.0 6.0 0.8 0.8 2.3 2.3 3.0 - 6.0 3.0 2.3 70- 75- 318.9 46.7 3.7 0.9 - 1.8 - 569.0 0.9 40.3 8.2 1.8 4.6 68.7 12.8 2.7 33.0 1.8 120.0 16.5 334.5 10.1 82.5 47.6 0.9 0.9 0.9 - 3.7 2.7 0.9 6.4 3.7 - 6.4 2.7 2.7 2.7 10.1 522.0 48.0 - 1.5 - 2.9 - 596.2 - 52.3 4.4 1.5 2.9 77.1 16.0 8.7 30.5 2.9 160.0 23.3 433.3 20.4 114.9 50.9 1.5 4.4 4.4 - 4.4 - - 4.4 1.5 - 2.9 1.5 5.8 4.4 16.0 80- 735.2 45.1 - 2.4 - - - 467.2 2.4 23.7 4.7 7.1 - 71.2 33.2 4.7 11.9 4.7 130.4 16.6 403.2 16.6 130.4 64.0 - - 2.4 2.4 4.7 - - 9.5 7.1 2.4 - - 7.1 4.7 7.1 85+ 51.8 15.2 0.8 0.7 - 0.6 0.2 108.5 0.2 10.0 1.4 0.6 0.3 14.5 2.7 0.7 8.1 1.0 29.7 3.4 60.7 3.0 17.8 13.2 0.2 0.9 1.8 0.7 2.4 2.2 0.3 1.0 1.0 0.9 2.6 0.6 2.5 1.7 1.3 CR 34.3 12.4 0.8 0.7 - 0.5 0.1 78.6 0.1 7.6 1.1 0.5 0.2 10.7 1.9 0.5 6.2 0.8 22.2 2.4 43.2 2.2 12.9 10.1 0.1 0.8 1.5 0.6 2.0 1.9 0.2 0.8 0.8 0.8 2.2 0.4 2.1 1.4 0.9 ESR 20.8 9.4 0.7 0.7 - 0.4 0.1 52.2 0.1 5.2 0.7 0.4 0.1 7.2 1.3 0.3 4.4 0.6 15.2 1.6 28.4 1.5 8.6 6.9 0.1 0.6 1.0 0.5 1.4 1.4 0.2 0.6 0.6 0.6 1.6 0.3 1.5 1.0 0.5 WSR 1.8 1.0 0.1 0.1 - 0.0 0.0 6.4 0.0 0.7 0.1 0.0 0.0 0.9 0.1 0.0 0.6 0.1 1.8 0.2 3.2 0.2 1.0 0.9 0.0 0.1 0.1 0.1 0.2 0.2 0.0 0.0 0.1 0.1 0.2 0.0 0.2 0.1 0.0 CRi Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Penis Prostate Testis Male genital organs, NOS Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease C46 C47,C49 C48 C50 C60 C61 C62 C63 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 Myeloproliferative Disorders Myelodysplastic syndromes MPD MDS 20,073 20,458 22,055 204 181 266 24.5 25.0 25.0 - 0.6 - - 1.7 - - 1.1 5.7 - - 1.1 - - 1.7 - 1.1 2.8 - 2.8 - - - - 1.1 - 1.7 - - - - 1.7 - - 00- 13.2 13.9 14.5 0.6 - 0.6 - 1.2 - - - 3.0 - - 3.0 - - 1.2 - 0.6 1.2 - 0.6 - - - - 0.6 - - - - - - - - - 05- 14.4 15.0 15.0 0.6 - - - - - - 0.6 3.5 - - 2.9 - - 0.6 - - 1.7 - 0.6 - - - - - - - - - - - - - - 10- 25.0 26.6 26.6 - 1.6 - - 1.1 - - 1.1 2.1 - - 2.7 3.7 - - - 0.5 2.7 - - - - - - - - 3.7 - - - 0.5 0.5 - 0.5 15- CR: crude (all ages) incidence rate (N/100,000 person years) ESR and WSR: age standardised incidence rate, using the European or World Standard Population (N/100,000 person years) CRi: Cumulative Risk (0-74 years) Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total Unknown primary site C80 2 16 Other and ill-defined sites 28 Lymphoid, haematopoietic and related tissue, NOS Monocytic leukaemia C93 208 C76 Myeloid leukaemia C92 310 252 C96 Lymphoid leukaemia C91 22 Multiple myeloma C90 59 608 81 7 20 92 11 262 3 33 35 1,079 70 92 651 10 165 5,651 51 47 13 101 C94-C95 Leukaemia other Malignant immunoproliferative diseases C88 C82-C86 Non-Hodgkin-lymphoma 148 Mesothelioma 12 Tot Flemish Region: Males 2010 C45 33.1 33.7 34.2 0.5 - 0.5 - - - - 0.5 1.6 - - 1.6 3.8 0.5 - 1.6 - 1.6 - - - - - - - - 13.0 - - - - - - - 20- 49.9 53.0 55.0 1.0 2.1 0.5 - 0.5 - - 1.0 1.5 0.5 - 2.6 4.6 0.5 0.5 1.5 - 2.1 - - - - - - 1.0 - 13.4 - - - - 1.0 0.5 0.5 25- 61.9 63.4 64.4 0.5 1.0 - - 0.5 - - 2.0 0.5 0.5 - 4.1 4.1 - - 2.0 - 7.2 - - - 0.5 - - 0.5 - 19.9 - - - - 1.0 0.5 - 30- 77.3 79.2 82.0 - 1.9 - - 0.5 - - 2.8 0.9 2.4 0.5 5.7 2.4 0.5 - 3.3 - 3.8 - - - - - 0.5 4.3 - 9.5 - - - - 0.9 0.9 0.9 35- 109.3 112.3 117.4 1.3 1.7 0.9 - 0.4 - 0.4 3.4 1.7 1.7 0.4 9.4 2.1 - - 3.4 - 5.5 - 0.9 - 2.1 - - 7.2 - 7.2 4.7 0.4 1.3 - 3.0 - - 40- 228.0 232.8 240.4 1.2 3.6 4.4 - 0.4 - 0.4 4.4 5.2 2.0 0.4 14.1 2.0 - 0.4 5.2 0.8 4.8 - - - 8.5 1.6 1.6 13.7 - 4.0 18.9 0.4 0.4 0.4 2.8 1.2 0.4 45- 480.6 488.4 506.6 2.2 5.6 7.8 0.4 - 1.7 - 6.1 10.4 4.8 1.3 15.2 1.7 - 0.9 3.9 0.4 11.7 0.4 - 0.4 14.7 0.9 1.3 22.1 - 0.9 116.7 1.3 2.6 0.4 3.0 0.9 2.2 50- 876.7 886.5 908.6 4.4 5.4 9.3 - 0.5 0.5 0.5 6.9 15.2 9.3 2.9 24.0 3.9 - 0.5 2.9 - 11.8 - 0.5 - 27.0 1.5 2.0 30.4 0.5 3.4 250.7 0.5 3.4 1.5 2.9 0.5 3.4 55- 1,408.5 1,423.1 1,473.7 7.0 7.5 12.9 - 1.1 0.5 2.2 9.1 19.9 11.8 3.2 33.4 2.7 - 2.2 5.4 - 17.8 - 2.2 2.2 59.2 4.8 9.7 56.5 2.2 3.2 473.6 6.5 5.4 1.1 3.8 - 12.9 60- 65- 2,110.9 2,142.9 2,241.8 15.6 16.4 27.0 - - 2.1 3.6 10.7 25.6 34.1 5.0 51.2 2.8 0.7 - 7.1 1.4 19.2 - 3.6 1.4 93.9 5.7 5.7 73.2 0.7 1.4 716.7 3.6 2.1 0.7 9.2 - 16.4 2,492.9 2,544.3 2,706.5 33.2 18.1 24.2 - - 2.3 3.8 20.4 37.7 40.0 3.8 66.4 2.3 0.8 1.5 5.3 0.8 29.4 - 3.8 3.0 151.0 11.3 13.6 53.6 0.8 - 800.0 4.5 5.3 1.5 9.1 - 15.8 70- 75- 3,074.3 3,146.7 3,465.6 43.1 29.3 47.6 - 0.9 3.7 4.6 32.1 36.7 43.1 12.8 77.0 7.3 0.9 1.8 8.2 - 22.0 - 3.7 11.9 200.7 14.7 17.4 91.6 0.9 0.9 914.5 10.1 6.4 0.9 14.7 - 33.9 3,282.0 3,356.1 3,878.1 45.1 29.1 52.3 1.5 - 5.8 2.9 43.6 33.4 37.8 16.0 100.3 2.9 - 1.5 4.4 1.5 20.4 2.9 4.4 10.2 247.2 13.1 18.9 75.6 2.9 1.5 827.4 11.6 4.4 1.5 8.7 - 29.1 80- CR 663.1 714.8 6.6 5.9 8.6 0.1 0.5 0.7 0.9 6.7 10.0 8.2 1.9 19.7 2.6 0.2 0.6 3.0 0.4 8.5 0.1 1.1 1.1 35.0 2.3 3.0 21.1 0.3 5.3 183.2 1.7 1.5 0.4 3.3 0.4 4.8 650.6 appendix 3,023.9 3,114.0 3,849.3 49.8 40.3 73.5 - - 4.7 9.5 45.1 42.7 23.7 9.5 111.5 2.4 2.4 - - - 11.9 - 4.7 9.5 313.1 9.5 9.5 97.2 - - 706.8 7.1 - - 23.7 4.7 14.2 85+ 99 11.2 3.0 360.9 340.1 333.9 4.6 528.6 494.3 485.2 33.0 33.4 34.7 0.3 0.3 0.4 0.0 0.0 0.0 belgian cancer registry 4.1 3.2 6.3 4.5 0.6 0.0 0.6 0.3 0.0 0.1 0.4 0.7 0.5 0.7 0.4 3.6 0.5 0.1 1.2 0.2 0.0 5.1 0.9 1.3 0.2 0.0 4.1 11.0 15.2 0.6 0.0 6.4 2.2 2.5 0.1 0.0 8.2 0.2 0.2 1.8 0.0 6.0 2.0 0.6 2.6 0.6 5.7 0.4 7.2 0.1 0.4 0.9 0.0 0.9 0.4 0.7 0.1 1.0 15.5 1.6 24.3 1.4 2.1 1.3 0.2 0.2 11.5 0.0 0.4 0.2 5.5 5.6 0.1 0.1 0.0 0.2 0.0 0.3 CRi 16.3 90.5 134.8 0.3 0.3 0.8 2.0 2.6 0.8 0.3 0.4 1.2 2.3 3.4 1.2 WSR ESR Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Flemish Region: Females 2010 1,116 678 14 18 - 10 6 1,195 1 37 11 6 8 422 57 52 100 47 615 63 1,676 75 334 126 1 6 7 8 21 35 16 22 31 11 21 10 34 23 7 Tot Flemish Region: Females, number of invasive tumours by primary site and age group in 2010 - 1 - - - 1 - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - 00- - - - 1 - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - 05- 2 - 2 5 - 1 - - - - - - - - - - - - - - 4 - - - - - - - - - - - - - - - - - - 10- 2 8 - 2 - - - - - - - - - - - - - - - - 7 - - - - - - - - - 1 - - - - - 1 - - 15- - 10 - - - - - 1 - - - - - - - - 2 - 1 - 6 - - - - - - 1 - - 1 3 - - - - - - - 20- 1 28 - - - - - 2 - - - - - - - - 1 - - - 7 - 1 - - - - - - - 1 - - - - - - 1 - 25- 7 35 - 2 - - - 5 - - - - - 1 - - 1 - 2 - 4 - - - - - - - - - - 1 - - 1 - 1 - - 30- 5 49 1 1 - 1 - 10 - - - - - 3 - - 2 - 7 1 10 1 2 - - - - - - - - - - 1 - - - - - 35- 15 64 2 1 - - - 23 - 2 - - - 5 - 1 2 3 13 2 12 2 3 - - - - 1 - 1 1 - - - 1 - 2 - - 40- 24 78 - 1 - - - 53 - 1 - - 2 13 2 - 1 2 24 3 39 4 14 3 - - - 2 1 1 1 2 1 1 - 1 4 - - 45- 32 47 - 3 - - - 121 - 3 2 - - 22 2 3 11 4 27 - 49 5 16 7 - 1 2 1 2 8 5 2 3 3 1 1 6 3 - 50- 43 57 1 - - 2 - 178 - 6 - 1 2 40 3 2 8 7 59 1 107 5 16 8 - - 3 - 7 5 1 1 2 1 5 1 3 3 - 55- 59 72 1 1 - 1 1 176 - 7 3 - - 41 6 4 7 9 72 8 151 10 30 14 - 3 1 - 3 3 - 2 4 1 2 2 3 8 1 60- 84 51 4 1 - 1 2 152 - 10 2 1 2 46 6 4 9 2 64 7 187 7 30 18 - - - - 4 6 1 3 - - 4 1 4 4 - 65- 126 49 1 - - 1 1 162 1 3 1 - - 78 10 3 18 5 96 10 247 14 36 17 - - - - 2 4 1 1 6 2 3 2 4 - 1 70- 171 55 1 - - - 2 150 - 3 - 1 - 70 13 14 17 8 91 8 274 9 53 19 - 1 1 - 1 3 2 - 4 - 3 1 3 1 1 75- 214 39 - - - - - 97 - 1 1 1 - 59 10 10 9 3 92 11 302 9 60 22 - 1 - 2 1 2 - 3 8 1 1 - - 3 2 80- 331 35 1 - - 2 - 65 - 1 2 2 2 44 5 11 12 4 67 12 269 9 73 18 1 - - - - 2 1 4 3 1 - 1 3 - 2 85+ Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Vulva Vagina Cervix uteri Corpus uteri Uterus Ovary Female genital organs, NOS Placenta Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C46 C47,C49 C48 C50 C51 C52 C53 C54 C55 C56 C57 C58 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total Mesothelioma Flemish Region: Females 2010 C45 16,383 16,674 17,790 120 171 219 1 19 23 22 176 187 206 62 545 83 4 20 286 14 192 6 35 5 292 25 52 368 3 26 510 4 826 330 28 128 5,731 18 96 2 35 Tot 44 45 45 1 - - - 6 2 - 3 6 - 1 2 - - 3 - 2 2 - 5 - 1 - - 4 - - - - - - 1 - - 1 2 - - 00- 21 21 21 - - - - 2 - - 1 5 - - 1 1 1 1 1 2 4 - - - - - - - - - - - - - - - - - - - - 05- 26 26 28 - - - - 1 - 1 2 3 - - 1 2 - - 1 - 2 - - - - - - - - - - - - - - - - - 1 - - 10- 41 42 44 - 1 1 - - - - - 2 - - 1 8 - - 5 1 1 - - - - - - 1 - - 1 - - 1 - - - - - - - 15- 68 71 71 - 3 1 - - - - 4 - - - 4 13 - - 7 1 3 - - - - - - 1 1 - 4 - - - - - 3 - 1 - - 20- 127 128 129 - 1 - - - - 1 2 1 - - 6 11 - - 12 1 7 - 2 - - - - 3 1 - 3 - - 10 - 1 24 - 1 - - 25- 203 205 212 2 - 1 - 1 - - 3 2 2 - 7 5 - 1 17 - 7 - - - - - - 2 - - 4 1 - 22 - 1 71 - 3 - - 30- 406 410 415 - 4 1 - - - - 4 2 2 2 11 7 - - 26 1 4 - 3 - 1 - 1 4 - - 11 - 5 33 - 1 196 - 2 - - 35- 677 682 697 1 4 1 - 3 - 1 11 5 2 2 18 5 - 3 20 2 6 - 1 - 3 - 1 9 - 1 12 - 12 38 - 5 369 - 6 - - 40- 1,065 1,074 1,098 3 6 7 - 1 3 2 10 4 7 4 26 4 1 1 31 - 4 - 1 - 8 - - 10 - - 19 - 23 49 2 7 578 2 6 - 1 45- 1,382 1,391 1,423 - 9 12 - 1 - - 12 12 9 4 32 4 - 2 28 1 14 - 2 - 8 1 - 19 1 1 52 - 51 35 2 11 692 2 11 - 3 50- 1,551 1,570 1,613 7 12 13 - - 1 - 13 11 19 7 30 6 - 3 29 - 15 - 1 - 17 - 3 25 - 2 55 - 81 31 4 9 632 - 5 - 4 55- 1,867 1,896 1,955 10 19 13 - 1 1 2 14 23 28 3 48 5 1 2 26 - 17 1 1 - 21 2 2 44 - 6 66 - 117 24 3 7 726 3 11 - 2 60- 1,972 2,015 2,141 17 26 39 - 2 1 2 25 27 26 8 79 1 - 1 18 1 29 - 4 1 52 2 10 56 - 6 64 - 137 20 1 12 547 1 12 - 9 70- appendix 1,776 1,799 1,883 9 14 18 - 1 - 4 12 15 19 8 69 5 - 2 24 - 22 1 2 1 30 4 6 46 - 4 59 - 135 18 2 7 617 2 5 - 5 65- 9 3 11 1 10 20 55 4 46 11 5 44 2 22 17 5 69 9 38 18 18 2 6 1 36 22 25 64 71 9 8 50 2 6 3 26 2 14 1 1 88 9 37 31 24 3 6 35 33 27 1,413 1,448 1,779 18 17 41 - - 3 4 18 5 53 - - 1 57 3 9 27 - 2 41 2 50 17 7 19 belgian cancer registry 1,713 17 1 - 2,031 1 76 139 1,974 10 19 13 1,760 1 7 2 4 2,091 5 23 25 326 2 415 2 535 1 2 6 3 85+ 80- 75- 2,262 101 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Flemish Region: Females 2010 1,116 678 14 18 - 10 6 1,195 1 37 11 6 8 422 57 52 100 47 615 63 1,676 75 334 126 1 6 7 8 21 35 16 22 31 11 21 10 34 23 7 Tot - 0.6 - - - 0.6 - - - - - - - - - - - - - - - - - - - - - 0.6 - - - - - - - - - - - 00- - - - 0.6 - - - - - - - - - - - - - - - - 0.6 - - - - - - - - - - - - - - - - - - 05- 1.2 - 1.2 3.0 - 0.6 - - - - - - - - - - - - - - 2.4 - - - - - - - - - - - - - - - - - - 10- 1.1 4.4 - 1.1 - - - - - - - - - - - - - - - - 3.9 - - - - - - - - - 0.6 - - - - - 0.6 - - 15- - 5.5 - - - - - 0.6 - - - - - - - - 1.1 - 0.6 - 3.3 - - - - - - 0.6 - - 0.6 1.7 - - - - - - - 20- 0.5 14.6 - - - - - 1.0 - - - - - - - - 0.5 - - - 3.7 - 0.5 - - - - - - - 0.5 - - - - - - 0.5 - 25- 3.6 18.2 - 1.0 - - - 2.6 - - - - - 0.5 - - 0.5 - 1.0 - 2.1 - - - - - - - - - - 0.5 - - 0.5 - 0.5 - - 30- 2.4 23.7 0.5 0.5 - 0.5 - 4.8 - - - - - 1.4 - - 1.0 - 3.4 0.5 4.8 0.5 1.0 - - - - - - - - - - 0.5 - - - - - 35- Flemish Region: Females, age-specific and age-standardised incidence rates of cancer, by primary site in 2010 (n/100,000 person years) 6.6 28.2 0.9 0.4 - - - 10.1 - 0.9 - - - 2.2 - 0.4 0.9 1.3 5.7 0.9 5.3 0.9 1.3 - - - - 0.4 - 0.4 0.4 - - - 0.4 - 0.9 - - 40- 9.9 32.3 - 0.4 - - - 22.0 - 0.4 - - 0.8 5.4 0.8 - 0.4 0.8 9.9 1.2 16.2 1.7 5.8 1.2 - - - 0.8 0.4 0.4 0.4 0.8 0.4 0.4 - 0.4 1.7 - - 45- 14.2 20.9 - 1.3 - - - 53.7 - 1.3 0.9 - - 9.8 0.9 1.3 4.9 1.8 12.0 - 21.7 2.2 7.1 3.1 - 0.4 0.9 0.4 0.9 3.5 2.2 0.9 1.3 1.3 0.4 0.4 2.7 1.3 - 50- 21.5 28.5 0.5 - - 1.0 - 88.9 - 3.0 - 0.5 1.0 20.0 1.5 1.0 4.0 3.5 29.5 0.5 53.5 2.5 8.0 4.0 - - 1.5 - 3.5 2.5 0.5 0.5 1.0 0.5 2.5 0.5 1.5 1.5 - 55- 31.7 38.6 0.5 0.5 - 0.5 0.5 94.4 - 3.8 1.6 - - 22.0 3.2 2.1 3.8 4.8 38.6 4.3 81.0 5.4 16.1 7.5 - 1.6 0.5 - 1.6 1.6 - 1.1 2.1 0.5 1.1 1.1 1.6 4.3 0.5 60- 56.5 34.3 2.7 0.7 - 0.7 1.3 102.2 - 6.7 1.3 0.7 1.3 30.9 4.0 2.7 6.1 1.3 43.0 4.7 125.8 4.7 20.2 12.1 - - - - 2.7 4.0 0.7 2.0 - - 2.7 0.7 2.7 2.7 - 65- 83.3 32.4 0.7 - - 0.7 0.7 107.1 0.7 2.0 0.7 - - 51.6 6.6 2.0 11.9 3.3 63.5 6.6 163.3 9.3 23.8 11.2 - - - - 1.3 2.6 0.7 0.7 4.0 1.3 2.0 1.3 2.6 - 0.7 70- 120.8 38.9 0.7 - - - 1.4 106.0 - 2.1 - 0.7 - 49.5 9.2 9.9 12.0 5.7 64.3 5.7 193.6 6.4 37.4 13.4 - 0.7 0.7 - 0.7 2.1 1.4 - 2.8 - 2.1 0.7 2.1 0.7 0.7 75- 199.0 36.3 - - - - - 90.2 - 0.9 0.9 0.9 - 54.9 9.3 9.3 8.4 2.8 85.6 10.2 280.9 8.4 55.8 20.5 - 0.9 - 1.9 0.9 1.9 - 2.8 7.4 0.9 0.9 - - 2.8 1.9 80- 356.6 37.7 1.1 - - 2.2 - 70.0 - 1.1 2.2 2.2 2.2 47.4 5.4 11.9 12.9 4.3 72.2 12.9 289.8 9.7 78.6 19.4 1.1 - - - - 2.2 1.1 4.3 3.2 1.1 - 1.1 3.2 - 2.2 85+ 35.2 21.4 0.4 0.6 - 0.3 0.2 37.7 0.0 1.2 0.3 0.2 0.3 13.3 1.8 1.6 3.2 1.5 19.4 2.0 52.9 2.4 10.5 4.0 0.0 0.2 0.2 0.3 0.7 1.1 0.5 0.7 1.0 0.3 0.7 0.3 1.1 0.7 0.2 CR 18.4 17.9 0.4 0.6 - 0.3 0.1 27.7 0.0 0.9 0.2 0.1 0.2 8.4 1.1 0.9 2.1 1.1 12.5 1.2 31.2 1.6 6.0 2.4 0.0 0.1 0.2 0.2 0.6 0.9 0.4 0.5 0.6 0.3 0.5 0.2 0.9 0.6 0.1 ESR 11.8 14.4 0.3 0.7 - 0.3 0.1 19.6 0.0 0.7 0.2 0.1 0.1 5.7 0.7 0.5 1.5 0.7 8.6 0.8 21.2 1.1 4.0 1.6 0.0 0.1 0.1 0.2 0.4 0.6 0.4 0.4 0.4 0.2 0.4 0.2 0.7 0.4 0.1 WSR 1.2 1.4 0.0 0.0 - 0.0 0.0 2.4 0.0 0.1 0.0 0.0 0.0 0.7 0.1 0.0 0.2 0.1 1.0 0.1 2.4 0.1 0.4 0.2 - 0.0 0.0 0.0 0.1 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.1 0.0 CRi Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 83 4 20 286 14 192 6 35 5 292 25 52 368 3 Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C76 C80 MPD MDS 16,383 16,674 17,790 120 171 219 26.3 26.9 26.9 0.6 - - - 3.6 1.2 - 1.8 3.6 - 0.6 1.2 - - 1.8 - 1.2 1.2 - 3.0 - 0.6 - - 2.4 - - - - - - 0.6 - - 0.6 1.2 - - 00- 13.2 13.2 13.2 - - - - 1.3 - - 0.6 3.2 - - 0.6 0.6 0.6 0.6 0.6 1.3 2.5 - - - - - - - - - - - - - - - - - - - - 05- 15.6 15.6 16.8 - - - - 0.6 - 0.6 1.2 1.8 - - 0.6 1.2 - - 0.6 - 1.2 - - - - - - - - - - - - - - - - - 0.6 - - 10- 22.8 23.3 24.4 - 0.6 0.6 - - - - - 1.1 - - 0.6 4.4 - - 2.8 0.6 0.6 - - - - - - 0.6 - - 0.6 - - 0.6 - - - - - - - 15- CR: crude (all ages) incidence rate (N/100,000 person years) ESR and WSR: age standardised incidence rate, using the European or World Standard Population (N/100,000 person years) CRi: Cumulative Risk (0-74 years) Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total 19 Lymphoid, haematopoietic and related tissue, NOS C96 1 23 C94-C95 Leukaemia other 22 176 187 206 Monocytic leukaemia Placenta C58 26 510 C93 Female genital organs, NOS C57 Myeloid leukaemia Ovary C56 4 Lymphoid leukaemia Uterus C55 330 826 C92 Corpus uteri C54 C91 Cervix uteri C53 28 128 62 Vagina C52 Multiple myeloma Vulva C51 18 5,731 Malignant immunoproliferative diseases Breast C50 C90 Retroperitoneum and peritoneum C48 96 C88 Soft tissues C47,C49 2 545 Kaposi's sarcoma C46 35 Tot C82-C86 Non-Hodgkin-lymphoma Mesothelioma Flemish Region: Females 2010 C45 37.7 39.4 39.4 - 1.7 0.6 - - - - 2.2 - - - 2.2 7.2 - - 3.9 0.6 1.7 - - - - - - 0.6 0.6 - 2.2 - - - - - 1.7 - 0.6 - - 20- 66.2 66.8 67.3 - 0.5 - - - - 0.5 1.0 0.5 - - 3.1 5.7 - - 6.3 0.5 3.7 - 1.0 - - - - 1.6 0.5 - 1.6 - - 5.2 - 0.5 12.5 - 0.5 - - 25- 105.6 106.6 110.3 1.0 - 0.5 - 0.5 - - 1.6 1.0 1.0 - 3.6 2.6 - 0.5 8.8 - 3.6 - - - - - - 1.0 - - 2.1 0.5 - 11.4 - 0.5 36.9 - 1.6 - - 30- 196.0 197.9 200.4 - 1.9 0.5 - - - - 1.9 1.0 1.0 1.0 5.3 3.4 - - 12.6 0.5 1.9 - 1.4 - 0.5 - 0.5 1.9 - - 5.3 - 2.4 15.9 - 0.5 94.6 - 1.0 - - 35- 297.9 300.1 306.7 0.4 1.8 0.4 - 1.3 - 0.4 4.8 2.2 0.9 0.9 7.9 2.2 - 1.3 8.8 0.9 2.6 - 0.4 - 1.3 - 0.4 4.0 - 0.4 5.3 - 5.3 16.7 - 2.2 162.3 - 2.6 - - 40- 441.4 445.1 455.0 1.2 2.5 2.9 - 0.4 1.2 0.8 4.1 1.7 2.9 1.7 10.8 1.7 0.4 0.4 12.8 - 1.7 - 0.4 - 3.3 - - 4.1 - - 7.9 - 9.5 20.3 0.8 2.9 239.5 0.8 2.5 - 0.4 45- 613.1 617.1 631.3 - 4.0 5.3 - 0.4 - - 5.3 5.3 4.0 1.8 14.2 1.8 - 0.9 12.4 0.4 6.2 - 0.9 - 3.5 0.4 - 8.4 0.4 0.4 23.1 - 22.6 15.5 0.9 4.9 307.0 0.9 4.9 - 1.3 50- 5.4 10.2 7.0 - 0.5 0.5 1.1 7.5 12.3 15.0 1.6 25.8 2.7 0.5 1.1 14.0 - 9.1 0.5 0.5 - 11.3 1.1 1.1 23.6 - 3.2 35.4 - 62.8 12.9 1.6 3.8 389.5 1.6 5.9 - 1.1 60- 6.1 9.4 12.1 - 0.7 - 2.7 8.1 10.1 12.8 5.4 46.4 3.4 - 1.3 16.1 - 14.8 0.7 1.3 0.7 20.2 2.7 4.0 30.9 - 2.7 39.7 - 90.8 12.1 1.3 4.7 415.0 1.3 3.4 - 3.4 65- 774.9 784.4 1,001.7 1,194.4 1,017.3 1,209.9 805.9 1,049.0 1,266.4 3.5 6.0 6.5 - - 0.5 - 6.5 5.5 9.5 3.5 15.0 3.0 - 1.5 14.5 - 7.5 - 0.5 - 8.5 - 1.5 12.5 - 1.0 27.5 - 40.5 15.5 2.0 4.5 315.8 - 2.5 - 2.0 55- 1,303.7 1,332.1 1,415.4 11.2 17.2 25.8 - 1.3 0.7 1.3 16.5 17.8 17.2 5.3 52.2 0.7 - 0.7 11.9 0.7 19.2 - 2.6 0.7 34.4 1.3 6.6 37.0 - 4.0 42.3 - 90.6 13.2 0.7 7.9 361.6 0.7 7.9 - 5.9 70- 1,434.8 1,477.2 1,598.0 19.1 23.3 24.7 - - 4.2 2.1 17.0 21.9 26.1 6.4 62.2 0.7 0.7 - 9.9 1.4 18.4 2.1 4.2 1.4 35.3 5.7 6.4 50.2 - - 45.2 - 98.2 9.2 2.8 17.7 378.0 1.4 7.1 0.7 2.1 75- 1,593.3 1,637.0 1,836.1 23.3 20.5 33.5 0.9 - 5.6 1.9 16.7 16.7 35.3 8.4 64.2 4.7 - - 15.8 - 20.5 - 1.9 - 40.9 4.7 10.2 42.8 - 3.7 51.2 0.9 70.7 17.7 1.9 21.4 386.0 1.9 10.2 - 5.6 80- 0.6 3.0 0.1 1.1 CR 517.4 526.6 561.8 3.8 5.4 6.9 0.0 0.6 0.7 0.7 5.6 5.9 6.5 2.0 17.2 2.6 0.1 0.6 9.0 0.4 6.1 0.2 1.1 0.2 9.2 0.8 1.6 11.6 0.1 0.8 16.1 0.1 26.1 10.4 0.9 4.0 181.0 appendix 1,522.4 1,560.1 1,916.7 19.4 18.3 44.2 - - 3.2 4.3 19.4 21.5 18.3 5.4 57.1 - - 1.1 10.8 - 7.5 1.1 5.4 1.1 61.4 3.2 9.7 29.1 - 2.2 44.2 2.2 53.9 18.3 7.5 20.5 351.2 3.2 9.7 1.1 2.2 85+ - 0.8 0.1 0.9 0.1 0.9 0.1 0.1 2.7 8.4 0.1 2.7 11.6 0.3 0.0 3.5 3.1 0.4 0.4 0.8 0.0 2.7 2.5 1.4 287.9 276.1 272.2 4.2 4.0 0.5 0.4 0.7 0.0 4.0 3.5 2.1 396.1 377.7 372.1 belgian cancer registry 26.3 26.6 27.5 0.1 0.3 0.3 - 0.1 0.0 0.3 0.3 1.0 2.8 1.3 4.1 0.2 0.0 0.1 6.5 0.6 7.9 0.6 0.0 0.4 0.0 0.1 0.0 0.4 0.0 0.1 0.6 0.0 0.1 1.0 0.0 1.6 0.2 0.6 3.7 0.1 0.1 0.5 3.5 5.3 0.5 0.3 0.4 4.6 5.6 0.6 7.7 0.1 0.1 0.9 8.2 0.4 11.5 0.6 0.0 0.1 0.7 7.1 12.4 9.0 17.9 0.0 1.7 0.4 2.5 11.0 0.6 0.0 0.2 0.3 1.8 2.2 0.1 103.8 0.0 0.0 CRi 0.4 0.5 0.7 140.6 WSR ESR 103 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Brussels Capital Region: Males 2010 242 80 6 8 - 2 3 450 1 36 6 4 4 65 15 4 56 7 91 24 239 11 71 41 2 5 11 8 13 12 2 2 6 6 12 2 17 8 3 Tot - - - - - - - - - - 1 - - - - - 1 - - - - - - - - - - - - - - - - - - - - - - 00- - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - 05- Brussels Capital Region: Males, number of invasive tumours by primary site and age group in 2010 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10- - - 2 2 - - - - - - - - - - - - - - - - 1 - - - - 1 - - - - - - - - - - - - - 15- - 1 - 1 - - - - - - 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - 20- 1 2 1 - - - - 2 - - - - - - - 1 1 - 1 - 1 - 1 - - - - - - - - - - - - - - - - 25- 2 6 1 - - - - - - - - - - - - - - 1 1 - 1 - - - - - - - - - - - - - - - - - - 30- 2 6 - 1 - - - 1 - - - - - 1 - - 1 - 3 - 5 1 1 - - - - - - - - - - - - - 1 - - 35- - 5 - - - - 1 7 - - - - - 1 - - 2 - - - 1 - 2 - - - - 2 1 - - - - - - - - - - 40- 3 3 - 2 - - - 11 - 1 1 - - 4 2 - 5 1 4 - 9 - 6 - - - 3 1 2 1 - - - 1 1 - 1 1 1 45- 8 5 - - - 1 - 37 - 3 1 - - 3 2 - 4 - 9 1 10 1 3 6 - 1 1 1 4 1 - 1 1 1 1 - 4 1 1 50- 4 10 1 - - - - 50 1 4 - - - 6 2 - 6 - 10 2 13 2 3 9 1 1 1 1 2 1 - - 1 1 5 - 1 1 - 55- 17 14 - 2 - - 1 72 - 9 - 1 1 7 2 - 4 1 14 2 34 1 8 5 - 1 1 1 2 2 - - 1 2 2 1 3 - - 60- 7 6 1 - - 1 - 68 - 7 1 1 1 11 1 - 6 1 16 5 26 1 7 3 - 1 1 - 1 3 - 1 1 - 2 - 3 2 - 65- 28 7 - - - - - 72 - 4 - 1 - 6 3 3 8 2 15 3 36 - 9 4 - - 1 - 1 1 1 - 1 - - - 2 1 1 70- 52 8 - - - - 1 66 - 6 1 - 2 11 1 - 12 1 6 4 38 3 11 5 1 - 2 1 - 1 - - - 1 1 - 1 1 - 75- 52 5 - - - - - 40 - 2 - 1 - 7 - - 3 - 5 4 39 2 12 5 - - 1 1 - 2 1 - 1 - - - 1 1 - 80- 66 2 - - - - - 24 - - - - - 8 2 - 3 - 7 3 24 - 8 4 - - - - - - - - - - - 1 - - - 85+ Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Penis Prostate Testis Male genital organs, NOS Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C46 C47,C49 C48 C50 C60 C61 C62 C63 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total Mesothelioma Brussels Capital Region: Males 2010 C45 2,553 2,588 2,830 19 16 57 - 2 1 3 24 37 41 8 89 27 - 3 30 2 44 2 8 1 140 6 10 75 3 32 526 7 9 4 12 13 4 Tot 13 14 14 1 - - - - - 1 1 2 - - - - - 2 - - 2 - 2 - - - - 1 - - - - - - - - - 00- 5 6 6 1 - - - 1 - - 1 1 - - - 1 - - - - - - - - - - - - - - - - - - - - - 05- 4 5 5 1 - - - - - - - 1 - - 1 - - - - - 1 - 1 - - - - - - - - - - - - - - 10- 13 13 13 - - - - - - - 2 - - - - 1 - - 1 - 2 - - - - - - - - 1 - - - - - - - 15- 11 11 11 - - - - - - - 2 - - - 1 - - - 1 - 2 - - - - - - - - 1 - - - - 1 - - 20- 30 30 31 - - 1 - - - - 1 - - - 2 2 - - 1 - - - - - - - - 1 - 9 - - - 1 1 1 - 25- 29 29 31 - - 1 - - - - - 2 - - 2 4 - - 2 1 1 - - - - - - - - 6 - - - - - - - 30- 56 57 59 1 - 1 - - - - 4 - - - 2 8 - - 3 - 4 - - - 3 - - 4 - 4 - - - - - 2 - 35- 47 49 49 2 - 1 - - - - - - - - 6 2 - - 2 - 3 1 - - 1 - 1 1 1 4 1 1 - - - - - 40- 112 113 116 - 1 2 - - - - 1 1 3 1 11 1 - 1 4 1 3 1 - - 1 - - 6 - 1 7 - 2 - 1 3 - 45- 176 178 186 - 2 4 - - - - - 2 2 - 6 2 - - 2 - 6 - 1 - 2 - - 9 1 3 28 - - 1 1 2 - 50- 257 258 262 1 - 5 - - - - 1 8 4 3 9 2 - - 6 - 3 - - - 12 - 2 12 - 1 48 1 2 - 3 - - 55- 330 334 351 2 2 7 - - - - 1 5 6 - 4 - - - 2 - 4 - 1 1 15 2 1 12 - - 72 - 1 - 2 - - 60- 333 337 344 3 1 6 - - - - - 2 4 1 11 2 - - 2 - 2 - 1 - 21 1 - 8 - 1 86 2 1 - 1 1 2 65- 379 385 437 3 3 9 - - 1 1 5 2 9 1 11 1 - - 1 - 2 - 1 - 28 2 1 12 - - 101 1 2 - 2 1 - 75- appendix 357 361 389 1 3 8 - 1 - 1 3 2 7 2 8 1 - - 2 - 5 - - - 27 - 2 4 - 1 95 1 - 2 - 1 2 70- 178 176 230 225 belgian cancer registry 244 282 2 3 2 - - - - - 4 - - 8 2 - - 4 5 8 - 7 - 3 - - - - - 3 - - 1 1 3 - - 12 - 18 1 - 2 1 1 1 4 1 - - - 43 1 1 - - 45 2 - 85+ - 80- 105 Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 2 Gum Floor of mouth C03 C04 17 Tongue C02 242 80 6 8 - 2 3 450 1 36 6 4 4 65 15 4 56 7 91 24 239 11 71 41 2 5 11 8 13 12 2 2 6 6 12 8 Base of tongue C01 3 Tot Lip C00 Brussels Capital Region: Males 2010 - - - - - - - - - - 2.4 - - - - - 2.4 - - - - - - - - - - - - - - - - - - - - - - 00- - - - - - - - - - - - - - - - - - - - - 3.0 - - - - - - - - - - - - - - - - - - 05- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10- - - 6.6 6.6 - - - - - - - - - - - - - - - - 3.3 - - - - 3.3 - - - - - - - - - - - - - 15- - 2.9 - 2.9 - - - - - - 2.9 - - - - - - - - - - - - - - - - - - - - - - - - - - - - 20- 2.2 4.4 2.2 - - - - 4.4 - - - - - - - 2.2 2.2 - 2.2 - 2.2 - 2.2 - - - - - - - - - - - - - - - - 25- 4.1 12.4 2.1 - - - - - - - - - - - - - - 2.1 2.1 - 2.1 - - - - - - - - - - - - - - - - - - 30- 4.4 13.1 - 2.2 - - - 2.2 - - - - - 2.2 - - 2.2 - 6.6 - 10.9 2.2 2.2 - - - - - - - - - - - - - 2.2 - - 35- - 12.1 - - - - 2.4 16.9 - - - - - 2.4 - - 4.8 - - - 2.4 - 4.8 - - - - 4.8 2.4 - - - - - - - - - - 40- Brussels Capital Region: Males, age-specific and age-standardised incidence rates of cancer, by primary site in 2010 (n/100,000 person years) 8.3 8.3 - 5.5 - - - 30.3 - 2.8 2.8 - - 11.0 5.5 - 13.8 2.8 11.0 - 24.8 - 16.5 - - - 8.3 2.8 5.5 2.8 - - - 2.8 2.8 - 2.8 2.8 2.8 45- 25.7 16.1 - - - 3.2 - 119.0 - 9.7 3.2 - - 9.7 6.4 - 12.9 - 29.0 3.2 32.2 3.2 9.7 19.3 - 3.2 3.2 3.2 12.9 3.2 - 3.2 3.2 3.2 3.2 - 12.9 3.2 3.2 50- 14.9 37.2 3.7 - - - - 186.1 3.7 14.9 - - - 22.3 7.4 - 22.3 - 37.2 7.4 48.4 7.4 11.2 33.5 3.7 3.7 3.7 3.7 7.4 3.7 - - 3.7 3.7 18.6 - 3.7 3.7 - 55- 74.6 61.5 - 8.8 - - 4.4 316.1 - 39.5 - 4.4 4.4 30.7 8.8 - 17.6 4.4 61.5 8.8 149.2 4.4 35.1 21.9 - 4.4 4.4 4.4 8.8 8.8 - - 4.4 8.8 8.8 4.4 13.2 - - 60- 41.4 35.5 5.9 - - 5.9 - 402.6 - 41.4 5.9 5.9 5.9 65.1 5.9 - 35.5 5.9 94.7 29.6 153.9 5.9 41.4 17.8 - 5.9 5.9 - 5.9 17.8 - 5.9 5.9 - 11.8 - 17.8 11.8 - 65- 192.5 48.1 - - - - - 495.0 - 27.5 - 6.9 - 41.2 20.6 20.6 55.0 13.7 103.1 20.6 247.5 - 61.9 27.5 - - 6.9 - 6.9 6.9 6.9 - 6.9 - - - 13.7 6.9 6.9 70- 422.9 65.1 - - - - 8.1 536.7 - 48.8 8.1 - 16.3 89.5 8.1 - 97.6 8.1 48.8 32.5 309.0 24.4 89.5 40.7 8.1 - 16.3 8.1 - 8.1 - - - 8.1 8.1 - 8.1 8.1 - 75- 592.1 56.9 - - - - - 455.4 - 22.8 - 11.4 - 79.7 - - 34.2 - 56.9 45.5 444.0 22.8 136.6 56.9 - - 11.4 11.4 - 22.8 11.4 - 11.4 - - - 11.4 11.4 - 80- 984.0 29.8 - - - - - 357.8 - - - - - 119.3 29.8 - 44.7 - 104.4 44.7 357.8 - 119.3 59.6 - - - - - - - - - - - 14.9 - - - 85+ CR 45.9 15.2 1.1 1.5 - 0.4 0.6 85.4 0.2 6.8 1.1 0.8 0.8 12.3 2.8 0.8 10.6 1.3 17.3 4.6 45.4 2.1 13.5 7.8 0.4 0.9 2.1 1.5 2.5 2.3 0.4 0.4 1.1 1.1 2.3 0.4 3.2 1.5 0.6 39.4 15.2 1.2 1.6 - 0.5 0.6 88.9 0.2 7.4 1.2 0.8 0.8 12.3 3.0 0.8 10.7 1.4 18.3 4.5 43.8 2.0 12.8 8.0 0.4 1.1 2.1 1.5 2.8 2.4 0.3 0.5 1.2 1.2 2.6 0.4 3.5 1.6 0.6 ESR 23.3 11.2 1.2 1.6 - 0.3 0.4 60.8 0.1 5.2 1.1 0.5 0.5 8.2 2.1 0.6 7.5 1.0 12.9 2.9 29.4 1.3 8.6 5.3 0.2 1.0 1.5 1.1 2.1 1.7 0.2 0.3 0.9 0.9 1.9 0.3 2.6 1.1 0.5 WSR 1.8 1.3 0.1 0.1 - 0.0 0.0 7.6 0.0 0.7 0.1 0.1 0.1 0.9 0.3 0.1 0.8 0.1 1.7 0.3 3.3 0.1 0.9 0.6 0.0 0.1 0.2 0.1 0.2 0.2 0.0 0.0 0.1 0.1 0.2 0.0 0.3 0.1 0.1 CRi Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Penis Prostate Testis Male genital organs, NOS Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease C46 C47,C49 C48 C50 C60 C61 C62 C63 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 Myeloproliferative Disorders Myelodysplastic syndromes MPD MDS 2,553 2,588 2,830 19 16 57 31.2 33.6 33.6 2.4 - - - - - 2.4 2.4 4.8 - - - - - 4.8 - - 4.8 - 4.8 - - - - 2.4 - - - - - - - - - 00- 14.9 17.9 17.9 3.0 - - - 3.0 - - 3.0 3.0 - - - 3.0 - - - - - - - - - - - - - - - - - - - - - 05- 13.3 16.7 16.7 3.3 - - - - - - - 3.3 - - 3.3 - - - - - 3.3 - 3.3 - - - - - - - - - - - - - - 10- 43.2 43.2 43.2 - - - - - - - 6.6 - - - - 3.3 - - 3.3 - 6.6 - - - - - - - - 3.3 - - - - - - - 15- CR: crude (all ages) incidence rate (N/100,000 person years) ESR and WSR: age standardised incidence rate, using the European or World Standard Population (N/100,000 person years) CRi: Cumulative Risk (0-74 years) Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total Unknown primary site C80 - Other and ill-defined sites C76 3 1 Monocytic leukaemia C93 24 2 Myeloid leukaemia C92 41 37 Lymphoid, haematopoietic and related tissue, NOS Lymphoid leukaemia C91 C96 Multiple myeloma C90 8 89 27 - 3 30 2 44 2 8 1 140 6 10 75 3 32 526 7 9 4 12 13 4 Tot C94-C95 Leukaemia other Malignant immunoproliferative diseases C88 C82-C86 Non-Hodgkin-lymphoma Mesothelioma Brussels Capital Region: Males 2010 C45 31.9 31.9 31.9 - - - - - - - 5.8 - - - 2.9 - - - 2.9 - 5.8 - - - - - - - - 2.9 - - - - 2.9 - - 20- 66.6 66.6 68.8 - - 2.2 - - - - 2.2 - - - 4.4 4.4 - - 2.2 - - - - - - - - 2.2 - 20.0 - - - 2.2 2.2 2.2 - 25- 59.8 59.8 63.9 - - 2.1 - - - - - 4.1 - - 4.1 8.2 - - 4.1 2.1 2.1 - - - - - - - - 12.4 - - - - - - - 30- 122.6 124.8 129.1 2.2 - 2.2 - - - - 8.8 - - - 4.4 17.5 - - 6.6 - 8.8 - - - 6.6 - - 8.8 - 8.8 - - - - - 4.4 - 35- 113.5 118.3 118.3 4.8 - 2.4 - - - - - - - - 14.5 4.8 - - 4.8 - 7.2 2.4 - - 2.4 - 2.4 2.4 2.4 9.7 2.4 2.4 - - - - - 40- 308.1 310.9 319.1 - 2.8 5.5 - - - - 2.8 2.8 8.3 2.8 30.3 2.8 - 2.8 11.0 2.8 8.3 2.8 - - 2.8 - - 16.5 - 2.8 19.3 - 5.5 - 2.8 8.3 - 45- 566.2 572.6 598.3 - 6.4 12.9 - - - - - 6.4 6.4 - 19.3 6.4 - - 6.4 - 19.3 - 3.2 - 6.4 - - 29.0 3.2 9.7 90.1 - - 3.2 3.2 6.4 - 50- 17.8 5.9 35.5 - - - - - 11.8 23.7 5.9 65.1 11.8 - - 11.8 - 11.8 - 5.9 - 124.3 5.9 - 47.4 - 5.9 509.2 11.8 5.9 - 5.9 5.9 11.8 65- 1,466.1 1,971.6 1,995.3 1,540.8 2,036.7 8.8 8.8 30.7 - - - - 4.4 21.9 26.3 - 17.6 - - - 8.8 - 17.6 - 4.4 4.4 65.8 8.8 4.4 52.7 - - 316.1 - 4.4 - 8.8 - - 60- 956.5 1,448.6 960.3 975.1 3.7 - 18.6 - - - - 3.7 29.8 14.9 11.2 33.5 7.4 - - 22.3 - 11.2 - - - 44.7 - 7.4 44.7 - 3.7 178.7 3.7 7.4 - 11.2 - - 55- 2,454.3 2,481.8 2,674.3 6.9 20.6 55.0 - 6.9 - 6.9 20.6 13.7 48.1 13.7 55.0 6.9 - - 13.7 - 34.4 - - - 185.6 - 13.7 27.5 - 6.9 653.1 6.9 - 13.7 - 6.9 13.7 70- 3,082.1 3,130.8 3,553.7 24.4 24.4 73.2 - - 8.1 8.1 40.7 16.3 73.2 8.1 89.5 8.1 - - 8.1 - 16.3 - 8.1 - 227.7 16.3 8.1 97.6 - - 821.3 8.1 16.3 - 16.3 8.1 - 75- 2,561.8 2,618.7 3,210.7 34.2 22.8 91.1 - - - - - 56.9 34.2 - 91.1 - - - 11.4 - 11.4 - 11.4 - 136.6 11.4 11.4 45.5 11.4 - 512.4 11.4 - - - - - 80- CR 491.3 537.2 3.6 3.0 10.8 - 0.4 0.2 0.6 4.6 7.0 7.8 1.5 16.9 5.1 - 0.6 5.7 0.4 8.4 0.4 1.5 0.2 26.6 1.1 1.9 14.2 0.6 6.1 99.9 1.3 1.7 0.8 2.3 2.5 0.8 484.6 appendix 2,624.1 2,653.9 3,638.0 - 29.8 59.6 - - - - 29.8 59.6 44.7 - 104.4 - - - - - 44.7 - - - 268.4 - 29.8 14.9 - - 641.1 - 14.9 - - 29.8 - 85+ 107 0.1 0.5 0.2 0.6 12.0 1.1 16.7 1.7 - 372.0 348.8 343.9 3.5 538.0 498.6 492.1 0.3 33.6 34.0 35.2 0.3 0.2 0.8 - 0.0 belgian cancer registry 1.9 2.9 3.0 7.2 0.1 0.4 0.2 0.4 - 0.5 0.6 10.6 0.0 3.8 4.4 0.5 5.3 5.4 7.9 7.0 1.3 0.4 - - 0.0 4.1 0.7 0.0 0.7 0.0 0.1 0.0 2.2 0.1 0.1 1.2 8.5 - 4.6 5.8 0.6 0.1 0.1 4.8 7.1 0.3 0.4 0.3 1.5 1.6 0.3 0.2 0.2 8.6 0.7 17.2 1.1 26.4 1.2 1.8 0.0 0.4 5.1 5.5 10.7 67.9 102.3 0.5 0.9 1.3 14.9 0.4 1.2 1.8 0.1 1.9 0.2 0.2 0.6 1.8 2.4 CRi 2.4 0.6 0.9 0.8 WSR ESR Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Brussels Capital Region: Females 2010 189 102 5 - - 2 2 206 - 12 3 2 - 68 17 9 21 15 65 16 236 4 48 25 - 3 3 3 4 5 2 1 4 3 6 - 8 4 - Tot - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 00- Brussels Capital Region: Females, number of invasive tumours by primary site and age group in 2010 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 05- - 1 - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - 10- 1 1 - - - - - - - - - - - - - - - - 1 - 1 - - - - - - - - - - - - - - - - - - 15- 1 - - - - - - - - - 1 - - - - - - - - - 1 - - - - - - - - - - - - 1 - - - 1 - 20- 1 4 - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - 25- 2 9 - - - 1 - 2 - - - - - - - - 1 - 1 - 1 - - - - - - - - - 1 - - - - - 1 - - 30- 2 10 - - - - - 1 - - - - - - - - - 2 - - 3 1 - - - - - - - - - - - - - - - - - 35- 3 3 1 - - - - 6 - 1 - - - - 1 - - - 4 1 3 - 2 - - - - - - - - - - - - - - - - 40- 2 3 1 - - - 1 14 - - - - - 1 1 - - 2 4 1 3 - - 1 - - - - - 1 - - - - - - - 1 - 45- 4 15 - - - - 1 12 - 4 - - - 2 - 1 1 4 2 1 10 1 3 1 - - 1 - - 1 - - 1 - 1 - 1 - - 50- 5 11 - - - - - 30 - 3 - 1 - 3 2 - 1 1 6 2 17 - 4 4 - 2 - - 1 1 - - - - 2 - 2 - - 55- 2 9 2 - - - - 30 - 1 1 - - 11 1 1 2 2 10 - 22 - 4 3 - - 1 1 1 - - 1 1 2 1 - 2 1 - 60- 8 5 1 - - - - 30 - 2 - - - 7 2 2 5 1 10 2 22 1 4 6 - - - 2 - 1 1 - - - - - 1 - - 65- 17 11 - - - - - 22 - 1 - 1 - 16 - 3 4 1 2 1 19 1 5 1 - - - - 1 - - - - - 2 - - - - 70- 37 6 - - - - - 24 - - 1 - - 11 3 1 3 - 10 2 32 - 9 4 - - 1 - 1 1 - - 1 - - - - 1 - 75- 32 8 - - - 1 - 24 - - - - - 11 2 - 2 2 8 4 51 - 8 2 - 1 - - - - - - - - - - 1 - - 80- 72 6 - - - - - 11 - - - - - 6 5 1 2 - 7 2 49 - 9 3 - - - - - - - - 1 - - - - - - 85+ Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Vulva Vagina Cervix uteri Corpus uteri Uterus Ovary Female genital organs, NOS Placenta Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C46 C47,C49 C48 C50 C51 C52 C53 C54 C55 C56 C57 C58 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total Mesothelioma Brussels Capital Region: Females 2010 C45 2,624 2,648 2,837 9 15 42 - 5 1 3 34 29 29 13 95 13 - 3 88 1 28 2 7 2 43 1 4 39 - 5 83 1 115 57 3 19 927 3 15 4 6 Tot 11 11 11 - - - - 3 - - - 2 - - 1 - - 1 - - 1 - 1 - - - - 1 - - - - - - - - - - 1 - - 00- 5 5 5 - - - - - - - - 1 - - 1 - - - - - 2 - - - - - - - - - - - - - - - - - 1 - - 05- 6 6 6 - - - - - - - - - - - - - - - 2 1 - - - - - - - - - - 1 - - - - - - - - - - 10- 6 6 7 - - - - - - - - - - - - - - - - - 2 - - - - - - - - - - - - - - - - - 1 - - 15- 12 12 13 - - - - - - - 1 - - - 1 2 - 1 2 - - - - - - - - - - - 1 - - - - - - - - - - 20- 21 21 22 - - - - - - - 1 - - - 2 2 - - 1 - 1 - 1 - - - - - - - - - - 1 - - 5 - 1 1 - 25- 70 70 72 - - - - - - - 1 - - - 4 - - - 11 - - - - - - - - 1 - 1 - - - 5 - 1 26 1 2 - - 30- 81 81 83 - - - - - 1 - 1 1 - - 4 2 - - 8 - 2 - - - - - - 1 - - - - 1 3 - 1 38 - 1 - - 35- 119 119 122 - - - - - - - 2 1 - - - - - - 10 - 2 - - - - - - - - - 3 - 1 15 - 1 62 - - - - 40- 173 176 178 - 3 1 - 1 - - 2 1 2 - 6 - - - 7 - 4 - - - - - - - - - 5 - 9 4 - 3 94 - - - - 45- 213 214 218 - 1 2 - - - - 1 1 6 - 5 1 - - 15 - 1 - 1 - - - - 1 - - 6 - 7 3 - 2 98 - - - - 50- 247 247 252 - - 1 - - - 1 1 3 - 2 10 1 - - 13 - - - 1 - 1 - - 3 - - 11 1 6 4 1 1 92 - 1 - - 55- 309 309 311 - - 6 - - - - 5 2 - 2 9 1 - - 3 - 2 - 2 1 2 - - 6 - - 10 - 13 7 - - 124 - 1 1 2 60- 262 266 283 - 4 4 - - - - 3 3 7 3 9 - - - 7 - 2 1 - - 8 - 1 9 - 1 13 - 12 2 - - 84 - 1 1 - 70- appendix 268 268 276 - - 2 - 1 - 1 5 2 2 2 9 2 - - 2 - 2 1 - - 6 - - 1 - - 5 - 19 2 - 2 94 2 - - 1 65- 109 - 5 4 5 4 5 2 3 1 11 2 2 240 243 315 2 1 10 - - - - 4 5 5 2 10 1 - 1 1 - - - 7 belgian cancer registry 298 6 1 283 2 - 339 14 10 307 - 1 324 - - 287 - - - - 1 3 4 - 1 - - 1 2 3 10 9 - 1 - 3 - 6 7 - 9 1 1 3 57 - 2 1 3 - 15 21 2 5 5 - 1 - 1 - 4 1 - 72 81 12 - - - 2 1 7 11 - - 1 2 - 85+ 80- 75- Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Brussels Capital Region: Females 2010 189 102 5 - - 2 2 206 - 12 3 2 - 68 17 9 21 15 65 16 236 4 48 25 - 3 3 3 4 5 2 1 4 3 6 - 8 4 - Tot - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 00- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 05- - 3.5 - - - - - - - - - - - - - - - - - - 3.5 - - - - - - - - - - - - - - - - - - 10- 3.4 3.4 - - - - - - - - - - - - - - - - 3.4 - 3.4 - - - - - - - - - - - - - - - - - - 15- 2.6 - - - - - - - - - 2.6 - - - - - - - - - 2.6 - - - - - - - - - - - - 2.6 - - - 2.6 - 20- 2.0 8.0 - - - - - - - - - - - - - - - - - - 2.0 - - - - - - - - - - - - - - - - - - 25- 4.2 18.7 - - - 2.1 - 4.2 - - - - - - - - 2.1 - 2.1 - 2.1 - - - - - - - - - 2.1 - - - - - 2.1 - - 30- 4.7 23.6 - - - - - 2.4 - - - - - - - - - 4.7 - - 7.1 2.4 - - - - - - - - - - - - - - - - - 35- 8.0 8.0 2.7 - - - - 16.0 - 2.7 - - - - 2.7 - - - 10.7 2.7 8.0 - 5.3 - - - - - - - - - - - - - - - - 40- Brussels Capital Region: Females, age-specific and age-standardised incidence rates of cancer, by primary site in 2010 (n/100,000 person years) 5.7 8.5 2.8 - - - 2.8 39.8 - - - - - 2.8 2.8 - - 5.7 11.4 2.8 8.5 - - 2.8 - - - - - 2.8 - - - - - - - 2.8 - 45- 12.3 46.2 - - - - 3.1 37.0 - 12.3 - - - 6.2 - 3.1 3.1 12.3 6.2 3.1 30.8 3.1 9.2 3.1 - - 3.1 - - 3.1 - - 3.1 - 3.1 - 3.1 - - 50- 17.0 37.3 - - - - - 101.9 - 10.2 - 3.4 - 10.2 6.8 - 3.4 3.4 20.4 6.8 57.7 - 13.6 13.6 - 6.8 - - 3.4 3.4 - - - - 6.8 - 6.8 - - 55- 7.7 34.5 7.7 - - - - 115.1 - 3.8 3.8 - - 42.2 3.8 3.8 7.7 7.7 38.4 - 84.4 - 15.3 11.5 - - 3.8 3.8 3.8 - - 3.8 3.8 7.7 3.8 - 7.7 3.8 - 60- 39.3 24.6 4.9 - - - - 147.6 - 9.8 - - - 34.4 9.8 9.8 24.6 4.9 49.2 9.8 108.2 4.9 19.7 29.5 - - - 9.8 - 4.9 4.9 - - - - - 4.9 - - 65- 88.0 56.9 - - - - - 113.8 - 5.2 - 5.2 - 82.8 - 15.5 20.7 5.2 10.3 5.2 98.3 5.2 25.9 5.2 - - - - 5.2 - - - - - 10.3 - - - - 70- 196.9 31.9 - - - - - 127.7 - - 5.3 - - 58.5 16.0 5.3 16.0 - 53.2 10.6 170.3 - 47.9 21.3 - - 5.3 - 5.3 5.3 - - 5.3 - - - - 5.3 - 75- 194.0 48.5 - - - 6.1 - 145.5 - - - - - 66.7 12.1 - 12.1 12.1 48.5 24.2 309.1 - 48.5 12.1 - 6.1 - - - - - - - - - - 6.1 - - 80- 402.1 33.5 - - - - - 61.4 - - - - - 33.5 27.9 5.6 11.2 - 39.1 11.2 273.6 - 50.3 16.8 - - - - - - - - 5.6 - - - - - - 85+ 33.6 18.1 0.9 - - 0.4 0.4 36.6 - 2.1 0.5 0.4 - 12.1 3.0 1.6 3.7 2.7 11.6 2.8 41.9 0.7 8.5 4.4 - 0.5 0.5 0.5 0.7 0.9 0.4 0.2 0.7 0.5 1.1 - 1.4 0.7 - CR 18.5 16.5 1.0 - - 0.2 0.4 32.8 - 2.4 0.5 0.4 - 9.4 2.1 1.4 3.1 2.7 9.7 2.1 29.0 0.7 6.1 3.9 - 0.5 0.5 0.6 0.7 0.9 0.3 0.2 0.6 0.6 1.1 - 1.4 0.7 - ESR 11.5 12.6 0.8 - - 0.2 0.3 23.3 - 1.7 0.4 0.2 - 6.3 1.4 1.0 2.1 2.0 7.1 1.4 19.6 0.5 4.0 2.7 - 0.3 0.4 0.4 0.4 0.7 0.3 0.2 0.4 0.5 0.8 - 1.0 0.6 - WSR 1.0 1.4 0.1 - - 0.0 0.0 2.8 - 0.2 0.0 0.0 - 0.9 0.1 0.2 0.3 0.2 0.8 0.2 2.1 0.1 0.4 0.3 - 0.0 0.0 0.1 0.1 0.1 0.0 0.0 0.0 0.1 0.1 - 0.1 0.0 - CRi Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 - 13 - 3 88 1 28 2 7 2 43 1 4 39 Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C76 C80 MPD MDS 2,624 2,648 2,837 9 15 42 27.6 27.6 27.6 - - - - 7.5 - - - 5.0 - - 2.5 - - 2.5 - - 2.5 - 2.5 - - - - 2.5 - - - - - - - - - - 2.5 - - 00- 15.4 15.4 15.4 - - - - - - - - 3.1 - - 3.1 - - - - - 6.2 - - - - - - - - - - - - - - - - - 3.1 - - 05- 20.9 20.9 20.9 - - - - - - - - - - - - - - - 7.0 3.5 - - - - - - - - - - 3.5 - - - - - - - - - - 10- 20.6 20.6 24.0 - - - - - - - - - - - - - - - - - 6.9 - - - - - - - - - - - - - - - - - 3.4 - - 15- CR: crude (all ages) incidence rate (N/100,000 person years) ESR and WSR: age standardised incidence rate, using the European or World Standard Population (N/100,000 person years) CRi: Cumulative Risk (0-74 years) Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total 5 Lymphoid, haematopoietic and related tissue, NOS C96 - 1 C94-C95 Leukaemia other 3 34 29 29 Monocytic leukaemia Placenta C58 5 83 C93 Female genital organs, NOS C57 Myeloid leukaemia Ovary C56 1 C92 Uterus C55 57 115 Lymphoid leukaemia Corpus uteri C54 Multiple myeloma Cervix uteri C53 3 C91 Vagina C52 19 927 C90 Vulva C51 13 Breast C50 3 15 95 Retroperitoneum and peritoneum C48 Malignant immunoproliferative diseases Soft tissues C47,C49 4 C88 Kaposi's sarcoma C46 6 Tot C82-C86 Non-Hodgkin-lymphoma Mesothelioma Brussels Capital Region: Females 2010 C45 31.2 31.2 33.8 - - - - - - - 2.6 - - - 2.6 5.2 - 2.6 5.2 - - - - - - - - - - - 2.6 - - - - - - - - - - 20- 42.0 42.0 44.0 - - - - - - - 2.0 - - - 4.0 4.0 - - 2.0 - 2.0 - 2.0 - - - - - - - - - - 2.0 - - 10.0 - 2.0 2.0 - 25- 145.5 145.5 149.6 - - - - - - - 2.1 - - - 8.3 - - - 22.9 - - - - - - - - 2.1 - 2.1 - - - 10.4 - 2.1 54.0 2.1 4.2 - - 30- 191.1 191.1 195.8 - - - - - 2.4 - 2.4 2.4 - - 9.4 4.7 - - 18.9 - 4.7 - - - - - - 2.4 - - - - 2.4 7.1 - 2.4 89.7 - 2.4 - - 35- 316.9 316.9 324.9 - - - - - - - 5.3 2.7 - - - - - - 26.6 - 5.3 - - - - - - - - - 8.0 - 2.7 39.9 - 2.7 165.1 - - - - 40- 491.3 499.8 505.5 - 8.5 2.8 - 2.8 - - 5.7 2.8 5.7 - 17.0 - - - 19.9 - 11.4 - - - - - - - - - 14.2 - 25.6 11.4 - 8.5 266.9 - - - - 45- 656.6 659.7 672.1 - 3.1 6.2 - - - - 3.1 3.1 18.5 - 15.4 3.1 - - 46.2 - 3.1 - 3.1 - - - - 3.1 - - 18.5 - 21.6 9.2 - 6.2 302.1 - - - - 50- 838.7 838.7 855.6 - - 3.4 - - - 3.4 3.4 10.2 - 6.8 34.0 3.4 - - 44.1 - - - 3.4 - 3.4 - - 10.2 - - 37.3 3.4 20.4 13.6 3.4 3.4 312.4 - 3.4 - - 55- 1,185.5 1,185.5 1,193.2 - - 23.0 - - - - 19.2 7.7 - 7.7 34.5 3.8 - - 11.5 - 7.7 - 7.7 3.8 7.7 - - 23.0 - - 38.4 - 49.9 26.9 - - 475.8 - 3.8 3.8 7.7 60- - 20.7 20.7 - - - - 15.5 15.5 36.2 15.5 46.6 - - - 36.2 - 10.3 5.2 - - 41.4 - 5.2 46.6 - 5.2 67.3 - 62.1 10.3 - - 434.7 - 5.2 5.2 - 70- 1,318.1 1,318.1 1,355.8 1,376.5 1,357.5 1,464.4 - - 9.8 - 4.9 - 4.9 24.6 9.8 9.8 9.8 44.3 9.8 - - 9.8 - 9.8 4.9 - - 29.5 - - 4.9 - - 24.6 - 93.4 9.8 - 9.8 462.3 9.8 - - 4.9 65- 30.3 24.2 30.3 - - - - 24.2 30.3 36.4 12.1 84.9 - - - 24.2 - 6.1 - - - 60.6 6.1 - 36.4 - 12.1 72.7 - 90.9 30.3 6.1 24.2 436.4 - 12.1 - 12.1 80- 1,860.7 1,505.9 1,806.2 1,527.2 1,724.0 2,054.7 10.6 10.6 58.5 - - - 5.3 16.0 10.6 5.3 - 53.2 5.3 - - 10.6 - 16.0 - 5.3 5.3 47.9 - 16.0 37.2 - 5.3 37.2 - 111.7 26.6 - 5.3 431.0 - 5.3 - - 75- 0.5 2.7 0.7 1.1 CR 466.3 470.5 504.1 1.6 2.7 7.5 - 0.9 0.2 0.5 6.0 5.2 5.2 2.3 16.9 2.3 - 0.5 15.6 0.2 5.0 0.4 1.2 0.4 7.6 0.2 0.7 6.9 - 0.9 14.7 0.2 20.4 10.1 0.5 3.4 164.7 appendix 1,340.3 1,357.0 1,759.1 11.2 5.6 55.8 - - - - 22.3 27.9 27.9 11.2 55.8 5.6 - 5.6 5.6 - 16.8 - - - 39.1 - - 16.8 - - 50.3 - 61.4 5.6 5.6 16.8 318.3 - 11.2 5.6 5.6 85+ 0.2 - 1.2 294.4 402.0 28.3 28.4 29.1 - - 0.1 0.0 0.3 0.4 belgian cancer registry 296.0 404.6 3.3 5.0 307.5 - - 423.1 0.2 1.2 1.0 1.3 0.1 0.3 0.3 0.3 0.5 0.2 1.9 0.0 3.8 5.0 0.6 0.4 3.3 0.2 1.1 0.2 2.7 - 0.0 3.9 0.4 4.0 0.5 15.6 0.3 0.0 1.3 12.3 0.2 10.2 0.3 4.6 0.1 0.1 1.9 4.2 0.4 0.0 13.8 0.3 1.3 - 1.1 0.3 0.4 1.8 0.2 5.0 0.0 - 3.1 0.1 0.5 1.1 2.1 0.3 0.0 0.5 3.8 - 0.3 0.5 5.4 0.0 8.9 12.4 0.0 1.4 0.1 0.2 0.7 0.0 7.3 0.2 0.3 12.1 11.6 1.9 2.6 9.4 112.6 152.4 0.1 0.1 0.1 0.1 CRi 16.7 2.0 0.4 0.4 0.5 2.1 0.5 0.8 0.5 WSR ESR 111 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Walloon Region: Males 2010 692 323 11 6 3 5 12 1,818 4 195 14 6 9 274 47 10 173 19 404 50 854 34 234 231 10 23 59 13 47 54 5 26 24 25 66 12 55 31 6 Tot - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - - - - 00- Walloon Region: Males, number of invasive tumours by primary site and age group in 2010 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 05- - 1 1 4 - - 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10- - 3 1 1 - - - - - - - - - - - - - - - - 2 - - - - - - - - - - - - - - - - - - 15- 1 8 - - - - - 1 - - - - - 1 - - - - - - 1 - - - - - - - - - - - - - - 1 - - - 20- - 13 2 - - - - 2 - - - - - 1 - - 2 - 1 - 2 - - - - - - - - - - - - - - - 1 - - 25- 3 13 2 - - - - 3 - - - - - 1 - - 1 - - - 2 - 2 - - 1 - 2 - - - 3 - - 1 - 1 - - 30- 2 21 - - - - - 1 - - 1 - - 3 - - 2 - 4 - 5 - 3 - - - - - - - - - - - 1 1 1 - - 35- 6 25 1 - - 1 - 17 - 2 2 - - 2 1 - - - 9 - 14 1 3 - - - - 1 - 2 - - - 1 1 - 5 - - 40- 7 27 - - - - - 46 - 18 - - - 12 2 1 1 1 15 2 17 2 8 9 - 2 3 1 4 6 - 2 3 2 6 - 2 2 - 45- 18 27 - 1 - - 4 131 1 18 2 1 - 7 1 - 12 3 27 - 61 3 19 35 - 5 14 3 6 6 - 1 6 1 10 - 6 4 - 50- 38 32 1 - - 1 3 225 2 40 3 - 2 22 5 1 23 4 48 4 80 7 21 35 3 4 11 3 12 12 - 2 1 9 19 3 10 7 - 55- 55 32 2 - 1 - - 306 1 37 1 2 - 49 6 - 31 1 66 8 84 6 28 41 2 5 19 1 12 10 2 4 8 3 11 2 14 6 1 60- 71 28 - - - - 1 250 - 23 2 1 2 45 5 1 28 4 53 10 105 4 30 25 1 2 5 1 5 9 - 2 1 4 9 2 4 6 - 65- 113 36 - - 1 1 - 298 - 25 1 1 - 37 9 2 28 2 55 6 155 5 36 27 3 - 4 - 5 4 1 4 2 4 3 2 4 4 2 70- 122 29 - - 1 1 2 277 - 20 1 - 4 45 5 1 29 2 51 9 137 4 35 26 - 2 1 - 2 4 1 3 - - 3 - 3 2 2 75- 125 17 1 - - 1 1 193 - 7 - 1 - 36 6 3 11 - 49 7 124 2 31 21 1 1 2 - 1 - 1 2 1 - 1 1 3 - 1 80- 131 11 - - - - - 68 - 5 1 - 1 13 7 1 4 2 26 4 65 - 18 12 - 1 - 1 - 1 - 3 2 1 1 - 1 - - 85+ Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Penis Prostate Testis Male genital organs, NOS Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C46 C47,C49 C48 C50 C60 C61 C62 C63 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total Mesothelioma Walloon Region: Males 2010 C45 10,045 10,221 10,913 116 60 139 - 7 8 24 97 134 131 36 324 46 - 6 82 1 147 3 20 14 536 25 43 255 1 121 2,486 27 27 6 49 6 52 Tot 16 17 17 1 - 1 - 2 - - 1 3 - - - - - 1 - - 4 - - - - - - 1 - - - - - - 2 - - 00- 15 15 15 - - 1 - 1 - - - 2 - - 1 1 - - 1 - 4 - 2 - - - - - - - - - - - 2 - - 05- 17 18 18 1 - - - - - - - 2 - - 4 2 - - - - 2 - - - - - - - - - - - - - - - - 10- 24 25 25 1 - - - - - 1 2 2 - - 3 4 - - - - - - - - - - - - - 4 - - - - 1 - - 15- 33 33 34 - - - - 1 - - - 1 - - 1 4 - - 1 - 3 - - - - - - - - 9 - - - - 1 - - 20- 70 70 70 - - - - - - - 5 1 - - 3 3 - - 1 - 6 - - - - - - - - 26 - - - - 1 - - 25- 79 81 84 1 1 - - - - 1 1 1 - - 8 2 - - - - 4 - - - 2 - - - - 28 - - - - - - - 30- 108 108 110 - - 2 - - - 1 3 3 - 1 7 4 - - 5 - 5 - 1 - 1 - - 11 - 13 1 2 - - 4 1 - 35- 179 182 188 - 3 3 - - 1 - 4 3 - 1 13 3 - - 12 - 15 - 1 - 4 - - 6 - 16 5 - 1 - 2 - 1 40- 319 327 334 4 4 9 - 1 1 - 1 5 3 4 20 5 - - 9 - 13 - 1 - 5 - 1 11 - 7 22 1 2 - 1 1 2 45- 672 674 692 1 1 7 - - - - 6 4 7 - 30 4 - - 10 - 11 - 3 - 16 - 2 23 1 5 119 2 3 - - 2 2 50- 1,168 1,178 1,216 7 3 16 - 1 - 1 15 18 14 2 31 2 - 2 15 - 19 - 4 - 42 2 4 31 - 7 271 3 2 1 7 - 3 55- 1,539 1,553 1,608 5 9 26 - - 2 4 7 13 16 2 43 4 - 2 8 1 16 - 2 1 71 5 9 41 - 1 443 2 3 1 9 1 4 60- 1,393 1,418 1,489 14 11 9 - - 1 2 4 19 11 9 34 - - - 6 - 15 1 1 3 68 4 5 41 - 1 468 5 1 1 7 - 9 65- 1,399 1,438 1,560 29 10 18 - 1 1 5 13 8 26 7 36 4 - - 4 - 9 - 4 5 93 8 10 23 - 1 399 5 5 1 - 1 10 75- appendix 1,537 1,561 1,674 16 8 14 - - 1 5 12 27 21 3 43 3 - - 6 - 15 1 - 3 92 3 8 41 - 1 442 3 6 2 9 - 9 70- 8 25 516 501 976 belgian cancer registry 647 1,132 1,007 3 - 1 12 - 3 7 1 15 24 7 8 15 1 13 20 18 29 6 1 - - 1 - - 4 - 1 - 2 2 - 4 58 84 1 2 22 1 4 4 - 2 2 116 2 200 - 1 2 2 - 4 8 2 85+ 80- 113 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Walloon Region: Males 2010 692 323 11 6 3 5 12 1,818 4 195 14 6 9 274 47 10 173 19 404 50 854 34 234 231 10 23 59 13 47 54 5 26 24 25 66 12 55 31 6 Tot - - - - - - - - - - - - - - - - 1.0 - - - - - - - - - - - - - - - - - - - - - - 00- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 05- - 0.9 0.9 3.8 - - 0.9 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10- - 2.6 0.9 0.9 - - - - - - - - - - - - - - - - 1.8 - - - - - - - - - - - - - - - - - - 15- 0.9 7.1 - - - - - 0.9 - - - - - 0.9 - - - - - - 0.9 - - - - - - - - - - - - - - 0.9 - - - 20- - 12.3 1.9 - - - - 1.9 - - - - - 0.9 - - 1.9 - 0.9 - 1.9 - - - - - - - - - - - - - - - 0.9 - - 25- 2.8 12.1 1.9 - - - - 2.8 - - - - - 0.9 - - 0.9 - - - 1.9 - 1.9 - - 0.9 - 1.9 - - - 2.8 - - 0.9 - 0.9 - - 30- 1.6 17.3 - - - - - 0.8 - - 0.8 - - 2.5 - - 1.6 - 3.3 - 4.1 - 2.5 - - - - - - - - - - - 0.8 0.8 0.8 - - 35- Walloon Region: Males, age-specific and age-standardised incidence rates of cancer, by primary site in 2010 (n/100,000 person years) 4.8 20.1 0.8 - - 0.8 - 13.7 - 1.6 1.6 - - 1.6 0.8 - - - 7.2 - 11.3 0.8 2.4 - - - - 0.8 - 1.6 - - - 0.8 0.8 - 4.0 - - 40- 5.4 20.9 - - - - - 35.6 - 13.9 - - - 9.3 1.5 0.8 0.8 0.8 11.6 1.5 13.2 1.5 6.2 7.0 - 1.5 2.3 0.8 3.1 4.6 - 1.5 2.3 1.5 4.6 - 1.5 1.5 - 45- 14.7 22.0 - 0.8 - - 3.3 106.9 0.8 14.7 1.6 0.8 - 5.7 0.8 - 9.8 2.4 22.0 - 49.8 2.4 15.5 28.6 - 4.1 11.4 2.4 4.9 4.9 - 0.8 4.9 0.8 8.2 - 4.9 3.3 - 50- 33.7 28.4 0.9 - - 0.9 2.7 199.5 1.8 35.5 2.7 - 1.8 19.5 4.4 0.9 20.4 3.5 42.6 3.5 70.9 6.2 18.6 31.0 2.7 3.5 9.8 2.7 10.6 10.6 - 1.8 0.9 8.0 16.8 2.7 8.9 6.2 - 55- 53.7 31.2 2.0 - 1.0 - - 298.6 1.0 36.1 1.0 2.0 - 47.8 5.9 - 30.2 1.0 64.4 7.8 82.0 5.9 27.3 40.0 2.0 4.9 18.5 1.0 11.7 9.8 2.0 3.9 7.8 2.9 10.7 2.0 13.7 5.9 1.0 60- 108.4 42.7 - - - - 1.5 381.6 - 35.1 3.1 1.5 3.1 68.7 7.6 1.5 42.7 6.1 80.9 15.3 160.3 6.1 45.8 38.2 1.5 3.1 7.6 1.5 7.6 13.7 - 3.1 1.5 6.1 13.7 3.1 6.1 9.2 - 65- 188.1 59.9 - - 1.7 1.7 - 496.0 - 41.6 1.7 1.7 - 61.6 15.0 3.3 46.6 3.3 91.5 10.0 258.0 8.3 59.9 44.9 5.0 - 6.7 - 8.3 6.7 1.7 6.7 3.3 6.7 5.0 3.3 6.7 6.7 3.3 70- 237.7 56.5 - - 1.9 1.9 3.9 539.7 - 39.0 1.9 - 7.8 87.7 9.7 1.9 56.5 3.9 99.4 17.5 266.9 7.8 68.2 50.7 - 3.9 1.9 - 3.9 7.8 1.9 5.8 - - 5.8 - 5.8 3.9 3.9 75- 364.6 49.6 2.9 - - 2.9 2.9 562.9 - 20.4 - 2.9 - 105.0 17.5 8.7 32.1 - 142.9 20.4 361.7 5.8 90.4 61.2 2.9 2.9 5.8 - 2.9 - 2.9 5.8 2.9 - 2.9 2.9 8.7 - 2.9 80- 636.7 53.5 - - - - - 330.5 - 24.3 4.9 - 4.9 63.2 34.0 4.9 19.4 9.7 126.4 19.4 315.9 - 87.5 58.3 - 4.9 - 4.9 - 4.9 - 14.6 9.7 4.9 4.9 - 4.9 - - 85+ CR 40.7 19.0 0.6 0.4 0.2 0.3 0.7 106.9 0.2 11.5 0.8 0.4 0.5 16.1 2.8 0.6 10.2 1.1 23.8 2.9 50.2 2.0 13.8 13.6 0.6 1.4 3.5 0.8 2.8 3.2 0.3 1.5 1.4 1.5 3.9 0.7 3.2 1.8 0.4 31.6 17.0 0.6 0.4 0.1 0.2 0.6 88.2 0.2 9.9 0.8 0.3 0.4 13.1 2.2 0.4 8.6 1.0 19.6 2.4 40.5 1.7 11.2 11.4 0.5 1.2 3.1 0.7 2.4 2.9 0.2 1.3 1.2 1.3 3.5 0.6 2.8 1.6 0.3 ESR 19.6 13.1 0.6 0.5 0.1 0.2 0.5 59.9 0.2 7.0 0.5 0.2 0.3 9.0 1.5 0.3 6.0 0.7 13.4 1.6 26.8 1.2 7.5 7.8 0.3 0.9 2.3 0.5 1.8 2.1 0.1 0.9 0.9 1.0 2.6 0.5 2.1 1.2 0.2 WSR 2.0 1.4 0.0 0.0 0.0 0.0 0.0 7.4 0.0 0.9 0.1 0.0 0.0 1.1 0.2 0.0 0.8 0.1 1.6 0.2 3.2 0.2 0.9 0.9 0.1 0.1 0.3 0.1 0.2 0.3 0.0 0.1 0.1 0.1 0.3 0.1 0.2 0.2 0.0 CRi Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease C68 C69 C70 C71 C72 C73 C74 C75 C81 25 46 - 6 82 1 147 3 20 14 536 Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C76 C80 MPD MDS 10,045 10,221 10,913 116 60 139 15.4 16.3 16.3 1.0 - 1.0 - 1.9 - - 1.0 2.9 - - - - - 1.0 - - 3.8 - - - - - - 1.0 - - - - - - 1.9 - - 00- 14.3 14.3 14.3 - - 1.0 - 1.0 - - - 1.9 - - 1.0 1.0 - - 1.0 - 3.8 - 1.9 - - - - - - - - - - - 1.9 - - 05- 16.0 16.9 16.9 0.9 - - - - - - - 1.9 - - 3.8 1.9 - - - - 1.9 - - - - - - - - - - - - - - - - 10- 21.1 22.0 22.0 0.9 - - - - - 0.9 1.8 1.8 - - 2.6 3.5 - - - - - - - - - - - - - 3.5 - - - - 0.9 - - 15- CR: crude (all ages) incidence rate (N/100,000 person years) ESR and WSR: age standardised incidence rate, using the European or World Standard Population (N/100,000 person years) CRi: Cumulative Risk (0-74 years) Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total 7 Lymphoid, haematopoietic and related tissue, NOS C96 - 8 C94-C95 Leukaemia other 24 97 134 131 Monocytic leukaemia Bladder C67 C93 Ureter C66 43 255 Myeloid leukaemia Renal pelvis C65 C92 Kidney C64 1 121 Lymphoid leukaemia Male genital organs, NOS C63 Multiple myeloma Testis C62 2,486 C91 Prostate C61 27 27 C90 Penis C60 36 Breast C50 6 49 324 Retroperitoneum and peritoneum C48 Malignant immunoproliferative diseases Soft tissues C47,C49 6 C88 Kaposi's sarcoma C46 52 Tot C82-C86 Non-Hodgkin-lymphoma Mesothelioma Walloon Region: Males 2010 C45 29.2 29.2 30.1 - - - - 0.9 - - - 0.9 - - 0.9 3.5 - - 0.9 - 2.7 - - - - - - - - 8.0 - - - - 0.9 - - 20- 66.1 66.1 66.1 - - - - - - - 4.7 0.9 - - 2.8 2.8 - - 0.9 - 5.7 - - - - - - - - 24.6 - - - - 0.9 - - 25- 73.7 75.6 78.4 0.9 0.9 - - - - 0.9 0.9 0.9 - - 7.5 1.9 - - - - 3.7 - - - 1.9 - - - - 26.1 - - - - - - - 30- 89.0 89.0 90.6 - - 1.6 - - - 0.8 2.5 2.5 - 0.8 5.8 3.3 - - 4.1 - 4.1 - 0.8 - 0.8 - - 9.1 - 10.7 0.8 1.6 - - 3.3 0.8 - 35- 143.9 146.3 151.1 - 2.4 2.4 - - 0.8 - 3.2 2.4 - 0.8 10.5 2.4 - - 9.6 - 12.1 - 0.8 - 3.2 - - 4.8 - 12.9 4.0 - 0.8 - 1.6 - 0.8 40- 246.9 253.1 258.5 3.1 3.1 7.0 - 0.8 0.8 - 0.8 3.9 2.3 3.1 15.5 3.9 - - 7.0 - 10.1 - 0.8 - 3.9 - 0.8 8.5 - 5.4 17.0 0.8 1.5 - 0.8 0.8 1.5 45- 548.4 550.0 564.7 0.8 0.8 5.7 - - - - 4.9 3.3 5.7 - 24.5 3.3 - - 8.2 - 9.0 - 2.4 - 13.1 - 1.6 18.8 0.8 4.1 97.1 1.6 2.4 - - 1.6 1.6 50- 4.9 8.8 25.4 - - 2.0 3.9 6.8 12.7 15.6 2.0 42.0 3.9 - 2.0 7.8 1.0 15.6 - 2.0 1.0 69.3 4.9 8.8 40.0 - 1.0 432.2 2.0 2.9 1.0 8.8 1.0 3.9 60- 1,035.6 1,044.5 1,501.6 1,515.3 1,078.2 1,569.0 6.2 2.7 14.2 - 0.9 - 0.9 13.3 16.0 12.4 1.8 27.5 1.8 - 1.8 13.3 - 16.8 - 3.5 - 37.2 1.8 3.5 27.5 - 6.2 240.3 2.7 1.8 0.9 6.2 - 2.7 55- 2,126.3 2,164.4 2,272.8 21.4 16.8 13.7 - - 1.5 3.1 6.1 29.0 16.8 13.7 51.9 - - - 9.2 - 22.9 1.5 1.5 4.6 103.8 6.1 7.6 62.6 - 1.5 714.4 7.6 1.5 1.5 10.7 - 13.7 65- 70- 2,558.0 2,598.0 2,786.1 26.6 13.3 23.3 - - 1.7 8.3 20.0 44.9 35.0 5.0 71.6 5.0 - - 10.0 - 25.0 1.7 - 5.0 153.1 5.0 13.3 68.2 - 1.7 735.6 5.0 10.0 3.3 15.0 - 15.0 75- 2,725.9 2,801.9 3,039.6 56.5 19.5 35.1 - 1.9 1.9 9.7 25.3 15.6 50.7 13.6 70.1 7.8 - - 7.8 - 17.5 - 7.8 9.7 181.2 15.6 19.5 44.8 - 1.9 777.4 9.7 9.7 1.9 - 1.9 19.5 2,846.6 2,937.0 3,301.5 70.0 20.4 72.9 - - 2.9 8.7 43.7 43.7 58.3 17.5 84.6 - - 2.9 11.7 - 11.7 2.9 - - 245.0 2.9 11.7 64.2 - 5.8 583.3 5.8 5.8 - 2.9 - 23.3 80- 601.2 641.9 6.8 3.5 8.2 - 0.4 0.5 1.4 5.7 7.9 7.7 2.1 19.1 2.7 - 0.4 4.8 0.1 8.6 0.2 1.2 0.8 31.5 1.5 2.5 15.0 0.1 7.1 146.2 1.6 1.6 0.4 2.9 0.4 3.1 CR 590.8 appendix 2,434.9 2,507.8 3,144.4 58.3 14.6 38.9 - - - 4.9 38.9 34.0 63.2 4.9 87.5 4.9 - - - - 9.7 - 4.9 9.7 281.9 9.7 - 19.4 - - 563.8 9.7 9.7 - 9.7 - 19.4 85+ 115 0.3 0.2 0.3 1.2 0.0 0.4 0.0 - 0.4 0.8 0.1 6.7 0.0 3.3 0.3 0.7 1.0 0.1 8.0 0.0 4.3 0.3 36.3 35.0 11.9 1.2 3.9 5.2 3.4 0.8 0.3 0.5 4.5 2.0 3.4 370.0 350.4 345.0 16.3 1.7 6.0 6.8 4.7 1.1 0.4 0.4 6.5 2.9 5.2 534.7 503.1 495.0 belgian cancer registry 34.6 0.3 0.2 0.5 - 0.0 0.0 0.1 0.3 0.6 0.4 0.1 1.3 0.2 2.4 2.6 0.7 0.0 0.1 0.1 1.9 0.8 16.1 0.1 0.2 1.2 1.4 2.0 0.0 0.1 0.1 24.9 9.2 12.9 0.5 6.8 0.0 82.7 122.0 7.3 0.9 1.3 0.1 10.6 0.9 1.3 0.0 2.3 0.2 2.7 0.3 0.2 0.0 1.6 2.4 CRi WSR ESR Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Walloon Region: Females 2010 478 459 7 7 - 1 9 814 2 34 2 4 6 248 46 33 71 40 301 50 716 34 165 91 1 3 15 4 13 28 1 18 16 12 21 15 34 11 4 Tot Walloon Region: Females, number of invasive tumours by primary site and age group in 2010 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 00- - 1 - - - - - - - - - 1 - - - - - - 1 - 1 - - - - - - - - - - - - - - - - - - 05- - 2 - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - 10- - 5 - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - 1 - - - - - - - 15- 1 19 - - - - - 1 - - - - - 1 - - - - - - 2 1 1 - - - - - - - - - - 1 - - 1 - - 20- 2 37 2 1 - - - - - - - - - - - - - - - - 3 - - - - - - - - - - 1 - - - - - - - 25- 1 28 - 1 - - - - - - - - - 2 - - - - 1 - 4 - 1 - - - - 1 - - - - - - - 1 1 1 - 30- 3 39 - 2 - - 1 6 - - - - - 2 - - 1 - 4 1 5 - 3 2 - 1 - - - - - 2 - - - - - - - 35- 9 49 - 1 - - 1 15 - 1 - 1 1 6 - - 1 3 6 - 5 3 1 2 - - - - - 1 - - - - - 1 1 - 1 40- 11 46 1 - - - 1 48 - 3 - - - 4 1 - 2 3 12 1 22 - 4 3 - - - - 1 2 - - 2 1 2 - - - 1 45- 22 32 - 1 - - - 77 1 4 - - - 16 1 4 3 1 21 5 35 3 4 6 1 - 3 - 2 4 1 1 3 3 3 1 7 1 - 50- 27 43 1 - - - 2 118 - 7 - - - 11 1 - 5 4 30 3 43 2 17 14 - - 4 - 3 8 - 3 5 1 5 - 3 3 - 55- 33 36 - 1 - - 2 144 1 9 1 - 1 29 6 2 12 9 31 5 64 5 9 14 - - 3 - 2 6 - 1 - 1 8 1 7 3 - 60- 25 26 - - - 1 - 113 - 5 - - - 29 6 4 13 4 31 5 63 2 23 7 - 1 2 - 3 1 - 3 1 - - 1 3 - - 65- 48 27 2 - - - - 107 - 2 - 2 - 41 4 4 6 4 36 8 86 4 18 12 - - 3 - - - - 1 1 4 - 2 3 1 - 70- 75 25 - - - - - 100 - 1 - - 3 46 10 7 14 8 46 9 116 6 20 11 - 1 - - 2 3 - 1 1 1 - 5 2 - - 75- 83 21 1 - - - 2 56 - 1 - - 1 36 6 7 10 - 40 7 140 4 23 13 - - - 2 - 2 - 4 2 - 2 1 5 2 1 80- 138 23 - - - - - 29 - 1 1 - - 25 11 5 4 4 42 6 126 4 41 7 - - - - - 1 - - 1 - 1 2 1 - 1 85+ Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Vulva Vagina Cervix uteri Corpus uteri Uterus Ovary Female genital organs, NOS Placenta Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C46 C47,C49 C48 C50 C51 C52 C53 C54 C55 C56 C57 C58 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total Mesothelioma Walloon Region: Females 2010 C45 9,284 9,428 9,906 83 61 147 2 4 6 15 82 127 92 36 286 53 2 6 277 3 102 2 14 4 142 13 23 144 - 15 272 4 474 206 12 69 3,250 12 41 1 10 Tot 21 22 22 1 - - - - - - 2 6 - - - - - 1 - 1 6 - 2 - - - - - - - 1 - - - 1 - - 1 - - - 00- 12 13 13 1 - - - - - - - 2 - - 1 - - - - 1 3 - - - - - - 1 - - - - - - - - - - - - - 05- 9 10 10 - 1 - - - - - 1 3 - - - 1 - - - - 1 - - - - - - - - - - - - - - - - - - - - 10- 32 32 32 - - - - 1 - - 1 3 - - 1 8 - 1 5 - 2 - - - - - - - - - 1 - - - - - - - 2 - - 15- 54 54 55 - - - - - - - 1 - - - 3 7 - - 7 - 1 - - - - - - - - - 1 - - 3 - - 4 - - - - 20- 94 97 99 2 1 1 - - - - 1 - - 1 1 9 - 1 14 - 3 - - - - - - - - - 1 - 1 6 - 1 8 - 2 - - 25- 137 138 139 1 - - - 1 - 1 2 - 1 - 9 4 - - 20 - 6 1 - - - - - 2 - - 2 - - 9 - 1 36 - 1 - - 30- 241 241 244 - - 3 - - - - 3 - - 3 7 5 - - 28 - 1 - - - 1 - - 4 - - 2 - 1 23 - - 88 - 3 - - 35- 402 405 414 - 3 1 - 1 1 1 4 2 1 - 7 4 - - 23 - 1 1 - - 2 - - 7 - - 10 - 5 24 - 2 203 1 1 - - 40- 658 663 674 1 4 9 - - - 2 8 7 2 3 17 2 - - 31 - 7 - 1 - 1 - 1 6 - 1 13 - 14 31 1 5 333 - 3 - - 45- 834 845 867 5 6 8 - - 1 - 3 10 1 1 13 2 1 1 35 1 9 - 2 - 5 1 1 15 - 1 19 - 20 23 2 9 402 1 3 - - 50- 1,031 1,036 1,063 3 2 12 - - 2 1 5 9 8 1 17 2 - - 43 - 12 - 1 - 10 2 2 14 - 1 27 - 48 19 - 5 449 1 2 - 2 55- 1,196 1,205 1,238 5 4 16 - 1 - - 3 15 8 1 27 1 - 1 23 - 11 - 1 - 17 - 2 16 - 3 47 1 78 15 1 6 484 - 3 1 1 60- 956 976 1,024 10 10 16 - - 2 4 10 13 14 5 28 1 - 1 10 - 7 - 3 1 13 2 2 24 - 3 40 - 63 9 - 3 296 2 2 - 4 70- appendix 928 939 964 7 4 13 - - - 2 10 15 17 3 29 3 1 - 19 - 8 - 1 - 11 2 2 17 - - 31 - 71 13 2 10 294 2 4 - 1 65- 5 - 3 212 10 2 8 57 26 2 9 2 2 29 1 2 2 4 266 7 2 12 76 37 4 24 6 2 22 1 1 17 4 25 5 17 903 2 1 21 10 17 986 903 876 1 1 22 11 13 1,159 1,084 1,060 belgian cancer registry 743 765 - 1 9 13 10 11 6 - 9 5 13 9 1 31 45 3 50 21 - - - 4 8 7 - - 1 31 2 5 5 - - 14 3 40 11 1 10 175 4 8 - - 2 - 85+ 80- 75- 18 117 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 Walloon Region: Females 2010 478 459 7 7 - 1 9 814 2 34 2 4 6 248 46 33 71 40 301 50 716 34 165 91 1 3 15 4 13 28 1 18 16 12 21 15 34 11 4 Tot - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 00- - 1.0 - - - - - - - - - 1.0 - - - - - - 1.0 - 1.0 - - - - - - - - - - - - - - - - - - 05- - 2.0 - - - - - - - - - - - - - - - - - - 1.0 - - - - - - - - - - - - - - - - - - 10- - 4.6 - - - - - - - - - - - - - - - - - - - - - - - - - 0.9 - - - 0.9 - - - - - - - 15- 0.9 17.2 - - - - - 0.9 - - - - - 0.9 - - - - - - 1.8 0.9 0.9 - - - - - - - - - - 0.9 - - 0.9 - - 20- 1.9 35.3 1.9 1.0 - - - - - - - - - - - - - - - - 2.9 - - - - - - - - - - 1.0 - - - - - - - 25- 0.9 26.3 - 0.9 - - - - - - - - - 1.9 - - - - 0.9 - 3.8 - 0.9 - - - - 0.9 - - - - - - - 0.9 0.9 0.9 - 30- 2.5 32.4 - 1.7 - - 0.8 5.0 - - - - - 1.7 - - 0.8 - 3.3 0.8 4.2 - 2.5 1.7 - 0.8 - - - - - 1.7 - - - - - - - 35- Walloon Region: Females, age-specific and age-standardised incidence rates of cancer, by primary site in 2010 (n/100,000 person years) 7.3 39.5 - 0.8 - - 0.8 12.1 - 0.8 - 0.8 0.8 4.8 - - 0.8 2.4 4.8 - 4.0 2.4 0.8 1.6 - - - - - 0.8 - - - - - 0.8 0.8 - 0.8 40- 8.5 35.5 0.8 - - - 0.8 37.0 - 2.3 - - - 3.1 0.8 - 1.5 2.3 9.3 0.8 17.0 - 3.1 2.3 - - - - 0.8 1.5 - - 1.5 0.8 1.5 - - - 0.8 45- 17.5 25.5 - 0.8 - - - 61.3 0.8 3.2 - - - 12.7 0.8 3.2 2.4 0.8 16.7 4.0 27.9 2.4 3.2 4.8 0.8 - 2.4 - 1.6 3.2 0.8 0.8 2.4 2.4 2.4 0.8 5.6 0.8 - 50- 23.2 37.0 0.9 - - - 1.7 101.4 - 6.0 - - - 9.5 0.9 - 4.3 3.4 25.8 2.6 37.0 1.7 14.6 12.0 - - 3.4 - 2.6 6.9 - 2.6 4.3 0.9 4.3 - 2.6 2.6 - 55- 30.5 33.2 - 0.9 - - 1.8 132.9 0.9 8.3 0.9 - 0.9 26.8 5.5 1.8 11.1 8.3 28.6 4.6 59.1 4.6 8.3 12.9 - - 2.8 - 1.8 5.5 - 0.9 - 0.9 7.4 0.9 6.5 2.8 - 60- 33.8 35.1 - - - 1.4 - 152.6 - 6.8 - - - 39.2 8.1 5.4 17.6 5.4 41.9 6.8 85.1 2.7 31.1 9.5 - 1.4 2.7 - 4.1 1.4 - 4.1 1.4 - - 1.4 4.1 - - 65- 63.5 35.7 2.6 - - - - 141.6 - 2.6 - 2.6 - 54.3 5.3 5.3 7.9 5.3 47.6 10.6 113.8 5.3 23.8 15.9 - - 4.0 - - - - 1.3 1.3 5.3 - 2.6 4.0 1.3 - 70- 100.7 33.6 - - - - - 134.3 - 1.3 - - 4.0 61.8 13.4 9.4 18.8 10.7 61.8 12.1 155.7 8.1 26.9 14.8 - 1.3 - - 2.7 4.0 - 1.3 1.3 1.3 - 6.7 2.7 - - 75- 134.1 33.9 1.6 - - - 3.2 90.5 - 1.6 - - 1.6 58.2 9.7 11.3 16.2 - 64.6 11.3 226.3 6.5 37.2 21.0 - - - 3.2 - 3.2 - 6.5 3.2 - 3.2 1.6 8.1 3.2 1.6 80- 249.8 41.6 - - - - - 52.5 - 1.8 1.8 - - 45.2 19.9 9.0 7.2 7.2 76.0 10.9 228.1 7.2 74.2 12.7 - - - - - 1.8 - - 1.8 - 1.8 3.6 1.8 - 1.8 85+ 26.6 25.5 0.4 0.4 - 0.1 0.5 45.3 0.1 1.9 0.1 0.2 0.3 13.8 2.6 1.8 3.9 2.2 16.7 2.8 39.8 1.9 9.2 5.1 0.1 0.2 0.8 0.2 0.7 1.6 0.1 1.0 0.9 0.7 1.2 0.8 1.9 0.6 0.2 CR 14.8 23.1 0.3 0.4 - 0.1 0.4 35.3 0.1 1.6 0.1 0.2 0.2 9.1 1.5 1.1 2.8 1.7 11.2 1.8 24.1 1.3 5.7 3.6 0.1 0.1 0.7 0.2 0.6 1.3 0.1 0.8 0.7 0.6 1.0 0.5 1.5 0.5 0.1 ESR 9.6 19.5 0.3 0.4 - 0.0 0.3 25.2 0.1 1.2 0.0 0.2 0.1 6.2 1.0 0.7 1.9 1.2 7.7 1.2 16.2 0.9 3.8 2.5 0.0 0.1 0.5 0.2 0.5 0.9 0.0 0.6 0.5 0.4 0.7 0.4 1.1 0.4 0.1 WSR 0.9 1.8 0.0 0.0 - 0.0 0.0 3.2 0.0 0.2 0.0 0.0 0.0 0.8 0.1 0.1 0.2 0.1 0.9 0.2 1.8 0.1 0.4 0.3 0.0 0.0 0.1 0.0 0.1 0.1 0.0 0.1 0.1 0.1 0.1 0.0 0.1 0.0 0.0 CRi Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Vulva Vagina Cervix uteri Corpus uteri Uterus Ovary Female genital organs, NOS Placenta Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease C46 C47,C49 C48 C50 C51 C52 C53 C54 C55 C56 C57 C58 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 Myeloproliferative Disorders Myelodysplastic syndromes MPD MDS 9,284 9,428 9,906 83 61 147 21.1 22.1 22.1 1.0 - - - - - - 2.0 6.0 - - - - - 1.0 - 1.0 6.0 - 2.0 - - - - - - - 1.0 - - - 1.0 - - 1.0 - - - 00- 11.9 12.9 12.9 1.0 - - - - - - - 2.0 - - 1.0 - - - - 1.0 3.0 - - - - - - 1.0 - - - - - - - - - - - - - 05- 8.8 9.8 9.8 - 1.0 - - - - - 1.0 2.9 - - - 1.0 - - - - 1.0 - - - - - - - - - - - - - - - - - - - - 10- 29.3 29.3 29.3 - - - - 0.9 - - 0.9 2.7 - - 0.9 7.3 - 0.9 4.6 - 1.8 - - - - - - - - - 0.9 - - - - - - - 1.8 - - 15- CR: crude (all ages) incidence rate (N/100,000 person years) ESR and WSR: age standardised incidence rate, using the European or World Standard Population (N/100,000 person years) CRi: Cumulative Risk (0-74 years) Total excl. non-melanoma and MDS, MPD Total excl. non-melanoma Total Unknown primary site C80 2 4 Other and ill-defined sites 15 Lymphoid, haematopoietic and related tissue, NOS Monocytic leukaemia C93 82 127 C76 Myeloid leukaemia C92 C96 Lymphoid leukaemia C91 36 92 6 Multiple myeloma C90 286 53 2 6 277 3 102 2 14 4 142 13 23 144 - 15 272 4 474 206 12 69 3,250 12 41 1 10 Tot C94-C95 Leukaemia other Malignant immunoproliferative diseases C88 C82-C86 Non-Hodgkin-lymphoma Mesothelioma Walloon Region: Females 2010 C45 49.0 49.0 49.9 - - - - - - - 0.9 - - - 2.7 6.3 - - 6.3 - 0.9 - - - - - - - - - 0.9 - - 2.7 - - 3.6 - - - - 20- 89.8 92.6 94.5 1.9 1.0 1.0 - - - - 1.0 - - 1.0 1.0 8.6 - 1.0 13.4 - 2.9 - - - - - - - - - 1.0 - 1.0 5.7 - 1.0 7.6 - 1.9 - - 25- 128.7 129.6 130.6 0.9 - - - 0.9 - 0.9 1.9 - 0.9 - 8.5 3.8 - - 18.8 - 5.6 0.9 - - - - - 1.9 - - 1.9 - - 8.5 - 0.9 33.8 - 0.9 - - 30- 200.5 200.5 203.0 - - 2.5 - - - - 2.5 - - 2.5 5.8 4.2 - - 23.3 - 0.8 - - - 0.8 - - 3.3 - - 1.7 - 0.8 19.1 - - 73.2 - 2.5 - - 35- 324.0 326.4 333.6 - 2.4 0.8 - 0.8 0.8 0.8 3.2 1.6 0.8 - 5.6 3.2 - - 18.5 - 0.8 0.8 - - 1.6 - - 5.6 - - 8.1 - 4.0 19.3 - 1.6 163.6 0.8 0.8 - - 40- 507.2 511.1 519.5 0.8 3.1 6.9 - - - 1.5 6.2 5.4 1.5 2.3 13.1 1.5 - - 23.9 - 5.4 - 0.8 - 0.8 - 0.8 4.6 - 0.8 10.0 - 10.8 23.9 0.8 3.9 256.7 - 2.3 - - 45- 664.5 673.2 690.8 4.0 4.8 6.4 - - 0.8 - 2.4 8.0 0.8 0.8 10.4 1.6 0.8 0.8 27.9 0.8 7.2 - 1.6 - 4.0 0.8 0.8 12.0 - 0.8 15.1 - 15.9 18.3 1.6 7.2 320.3 0.8 2.4 - - 50- 886.0 890.3 913.5 2.6 1.7 10.3 - - 1.7 0.9 4.3 7.7 6.9 0.9 14.6 1.7 - - 37.0 - 10.3 - 0.9 - 8.6 1.7 1.7 12.0 - 0.9 23.2 - 41.2 16.3 - 4.3 385.9 0.9 1.7 - 1.7 55- 1,103.7 1,112.0 1,142.4 4.6 3.7 14.8 - 0.9 - - 2.8 13.8 7.4 0.9 24.9 0.9 - 0.9 21.2 - 10.2 - 0.9 - 15.7 - 1.8 14.8 - 2.8 43.4 0.9 72.0 13.8 0.9 5.5 446.6 - 2.8 0.9 0.9 60- 1,252.9 1,267.7 1,301.5 9.5 5.4 17.6 - - - 2.7 13.5 20.3 23.0 4.1 39.2 4.1 1.4 - 25.7 - 10.8 - 1.4 - 14.9 2.7 2.7 23.0 - - 41.9 - 95.9 17.6 2.7 13.5 396.9 2.7 5.4 - 1.4 65- 1,265.0 1,291.5 1,355.0 13.2 13.2 21.2 - - 2.6 5.3 13.2 17.2 18.5 6.6 37.1 1.3 - 1.3 13.2 - 9.3 - 4.0 1.3 17.2 2.6 2.6 31.8 - 4.0 52.9 - 83.4 11.9 - 4.0 391.7 2.6 2.6 - 5.3 70- 1,423.1 1,455.4 1,556.1 17.5 14.8 29.5 1.3 - - 1.3 12.1 24.2 28.2 12.1 67.1 4.0 - - 9.4 - 22.8 - 1.3 1.3 29.5 2.7 8.1 32.2 - 5.4 49.7 - 102.0 16.1 2.7 9.4 357.1 - 5.4 - - 75- 1,415.7 1,459.3 1,593.5 27.5 16.2 33.9 1.6 - - 3.2 16.2 21.0 21.0 8.1 72.7 - - - 12.9 - 3.2 - 3.2 1.6 46.9 3.2 3.2 14.5 - 3.2 42.0 - 92.1 12.9 3.2 16.2 342.6 - 4.8 - 3.2 80- CR 516.3 524.3 550.9 4.6 3.4 8.2 0.1 0.2 0.3 0.8 4.6 7.1 5.1 2.0 15.9 2.9 0.1 0.3 15.4 0.2 5.7 0.1 0.8 0.2 7.9 0.7 1.3 8.0 - 0.8 15.1 0.2 26.4 11.5 0.7 3.8 180.7 0.7 2.3 0.1 0.6 appendix 1,344.8 1,384.6 1,634.4 30.8 9.0 45.2 - - - 1.8 16.3 19.9 10.9 7.2 56.1 1.8 - - 7.2 - 9.0 - - 1.8 56.1 3.6 9.0 9.0 - - 25.3 5.4 72.4 19.9 1.8 18.1 316.7 7.2 14.5 - - 85+ 0.1 0.0 0.0 0.0 0.8 108.5 2.0 0.4 147.0 2.7 0.5 0.1 0.0 0.0 0.4 0.1 3.1 7.8 0.9 2.3 4.5 2.7 0.5 0.2 0.1 3.1 10.9 1.3 3.4 5.4 3.5 0.6 0.3 0.2 28.9 3.7 1.7 2.0 304.8 295.2 291.6 5.3 2.3 2.8 415.0 400.2 395.1 belgian cancer registry 27.9 28.2 0.2 0.4 - 0.2 0.0 0.2 0.0 0.1 0.3 0.4 0.3 0.1 0.8 0.2 0.0 0.0 1.2 0.0 12.0 0.4 0.0 0.4 0.1 0.1 14.7 0.6 0.7 0.3 0.0 4.3 0.1 0.1 0.3 3.0 4.5 0.1 0.0 0.2 0.3 0.5 0.5 1.0 0.0 5.0 0.5 0.8 - 4.5 - 8.2 0.4 11.3 0.6 6.2 0.0 0.1 0.1 1.6 8.1 12.7 10.2 18.4 0.2 11.7 0.0 1.4 0.4 1.7 0.5 0.0 0.0 0.3 0.4 CRi WSR ESR 119 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 Primary site Males 256 20 24 - 11 6 3,066 3 352 283 22 19 - 6 8 3,008 10 341 10 40 9 1 310 49 16 106 24 749 159 43 2 266 50 13 122 21 721 167 1,437 54 49 1,410 525 366 16 21 50 533 384 21 23 49 15 30 39 21 72 8 37 38 26 76 7 24 41 23 77 10 6 72 81 27 48 2002 77 36 39 2001 340 23 21 1 7 5 3,047 8 369 34 13 6 337 61 9 119 27 816 149 1,512 76 513 350 10 31 45 23 34 85 12 30 41 19 75 11 65 32 49 2003 370 25 28 - 5 18 3,263 8 348 36 10 3 347 74 20 141 27 831 205 1,582 62 533 362 9 39 76 21 44 84 8 38 42 26 92 11 95 37 44 2004 377 23 23 1 7 10 3,190 5 315 46 16 3 327 62 18 167 29 832 118 1,697 56 523 397 16 30 55 15 35 79 14 30 44 27 84 8 98 21 45 2005 N 385 20 21 - 8 10 3,255 4 319 34 15 1 361 84 23 168 20 905 100 1,743 73 512 422 8 41 55 21 40 92 5 24 51 29 74 14 79 29 39 2006 446 22 22 - 12 8 3,350 9 342 40 14 3 352 83 21 185 24 906 88 1,701 44 523 435 10 45 68 18 52 88 10 31 32 30 72 9 71 58 20 2007 423 23 17 - 9 7 3,283 1 313 47 20 6 360 83 17 228 31 947 104 1,890 70 537 387 14 35 42 22 63 97 8 29 26 32 89 16 86 59 22 2008 Flemish Region: Males, number of invasive tumours and age-standardised incidence by primary site and incidence year, 2001-2010 404 14 14 - 9 12 3,256 7 307 31 17 7 395 98 19 206 40 963 101 1,930 61 545 410 9 43 65 22 52 90 13 35 32 32 92 15 85 68 36 2009 468 26 22 - 17 6 3,348 5 310 43 20 9 446 83 22 250 30 916 104 1,874 94 549 408 6 29 55 22 74 69 8 32 31 28 79 17 76 51 41 2010 5.9 0.5 0.8 - 0.3 0.1 58.1 0.1 7.2 1.0 0.2 0.0 5.2 1.0 0.2 2.4 0.4 13.9 3.1 25.9 0.9 9.8 8.0 0.5 0.6 1.1 0.6 0.9 1.7 0.2 0.6 1.0 0.6 1.7 0.1 1.7 0.8 0.7 2001 6.1 0.7 0.6 - 0.1 0.2 55.7 0.2 7.1 0.8 0.2 0.0 6.0 0.9 0.3 2.1 0.4 14.1 2.9 25.8 1.1 9.6 7.5 0.4 0.5 1.2 0.4 0.6 1.6 0.2 0.7 0.8 0.6 1.8 0.2 1.9 0.6 0.8 2002 7.8 0.7 0.7 0.0 0.1 0.1 55.2 0.2 7.5 0.7 0.3 0.1 6.1 1.0 0.2 2.6 0.6 15.0 2.6 26.6 1.4 9.1 7.0 0.3 0.7 1.0 0.5 0.7 1.9 0.3 0.6 0.9 0.4 1.7 0.3 1.4 0.7 0.9 2003 8.2 0.8 1.0 - 0.1 0.4 58.0 0.1 7.0 0.7 0.2 0.1 6.5 1.3 0.3 2.7 0.6 15.2 3.5 26.7 1.2 9.2 7.1 0.2 0.8 1.6 0.5 1.0 1.7 0.1 0.8 0.9 0.5 2.0 0.2 2.1 0.8 0.7 2004 8.3 0.6 0.8 0.0 0.2 0.2 56.0 0.1 6.0 0.9 0.3 0.1 5.9 1.1 0.3 3.2 0.6 15.0 2.1 28.6 1.1 9.0 7.6 0.4 0.6 1.2 0.4 0.8 1.7 0.2 0.6 0.8 0.6 1.8 0.2 2.1 0.5 0.8 2005 8.3 0.6 0.8 - 0.2 0.2 55.9 0.1 6.0 0.7 0.3 0.0 6.2 1.4 0.4 3.2 0.4 15.8 1.7 28.8 1.4 8.4 7.8 0.2 0.9 1.1 0.5 0.9 1.9 0.1 0.5 1.0 0.6 1.6 0.2 1.6 0.6 0.7 2006 WSR 9.5 0.5 0.8 - 0.3 0.2 56.6 0.1 6.6 0.8 0.3 0.1 6.2 1.4 0.4 3.3 0.4 15.5 1.4 27.2 0.8 8.5 8.1 0.2 0.9 1.5 0.4 1.1 1.8 0.2 0.6 0.6 0.6 1.6 0.2 1.4 1.2 0.3 2007 8.7 0.6 0.5 - 0.2 0.1 54.7 0.0 5.7 0.9 0.3 0.1 6.2 1.4 0.2 4.2 0.5 16.1 1.7 29.7 1.2 8.5 7.0 0.3 0.7 0.9 0.5 1.2 2.0 0.1 0.5 0.5 0.7 1.8 0.3 1.8 1.2 0.4 2008 8.0 0.4 0.5 - 0.2 0.2 52.4 0.1 5.5 0.6 0.3 0.1 6.5 1.6 0.3 3.6 0.7 15.8 1.6 29.8 1.0 8.5 7.1 0.2 0.8 1.2 0.5 1.1 1.8 0.2 0.6 0.6 0.7 1.8 0.2 1.8 1.3 0.5 2009 9.4 0.7 0.7 - 0.4 0.1 52.2 0.1 5.2 0.7 0.4 0.1 7.2 1.3 0.3 4.4 0.6 15.2 1.6 28.4 1.5 8.6 6.9 0.1 0.6 1.0 0.5 1.4 1.4 0.2 0.6 0.6 0.6 1.6 0.3 1.5 1.0 0.5 2010 Testis Male genital organs, NOS Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C62 C63 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS 8 WSR: age standardised incidence rate, using the World Standard Population (n/100,000 person years) EAPC: Estimated annual percentage change (%) 17.920 77 73 9 365 10 24 3 19 15 547 15 11 21 23 147 235 263 181 202 36 472 79 6 11 54 7 250 198 20 495 74 3 12 49 7 221 4 12 37 12 928 40 57 458 33 1,005 47 61 472 - 129 134 6 5,012 5,438 31 50 Total excl. non-melanoma and MDS, MPD Prostate C61 54 30 17.148 Penis C60 11 16.998 Breast C50 17 9 94 17.765 Retroperitoneum and peritoneum C48 7 94 17.784 Soft tissues C47,C49 Total excl. non-melanoma Kaposi's sarcoma C46 98 18.525 Mesothelioma C45 772 741 129 Total Malignant neoplasms of skin C44 18.108 18.279 19.166 81 90 353 13 5 17 22 158 248 250 43 516 94 6 10 57 7 270 7 25 11 885 37 77 521 6 129 5,575 36 54 13 120 19 119 887 19.109 19.402 20.363 165 128 327 12 2 21 23 147 282 227 66 560 81 8 10 63 11 255 7 29 14 954 51 57 502 6 128 5,927 38 57 16 118 8 138 961 19.236 19.530 20.593 165 129 303 10 3 16 22 170 269 229 59 556 107 5 7 69 9 263 3 19 9 977 40 73 520 5 158 6,133 37 50 18 102 10 142 1,063 19.457 19.773 20.964 188 128 310 8 9 15 23 156 255 243 64 645 91 9 11 79 8 256 4 31 11 1,021 57 62 538 10 149 5,941 53 37 17 100 10 150 1,191 19.757 20.079 21.419 178 144 308 - 8 13 32 194 266 259 63 592 86 3 8 76 6 277 1 38 14 1,043 49 72 573 8 171 5,969 44 53 14 122 15 136 1,340 19.944 20.297 21.653 206 147 308 1 8 15 40 185 309 274 68 588 102 7 13 91 7 270 3 42 17 1,046 66 68 585 10 175 5,818 41 51 13 118 14 148 1,356 19.972 20.319 21.858 200 147 289 1 3 12 23 185 282 263 70 597 96 8 12 110 10 288 3 39 11 1,062 69 85 601 5 181 5,742 49 54 13 123 16 135 1,539 20.073 20.458 22.055 204 181 266 2 16 22 28 208 310 252 59 608 81 7 20 92 11 262 3 33 35 1,079 70 92 651 10 165 5,651 51 47 13 101 12 148 1,597 346.6 347.0 359.9 0.2 0.2 10.3 0.4 0.5 0.4 0.6 4.1 6.4 3.7 0.4 10.8 2.4 0.1 0.6 1.1 0.2 5.7 0.1 0.9 0.2 17.7 0.8 1.2 9.7 0.1 4.5 99.5 0.5 1.0 0.3 2.2 0.1 2.5 12.9 327.1 329.8 342.9 1.3 1.4 6.9 0.6 0.1 0.4 0.3 3.2 5.7 3.7 0.7 9.9 2.6 0.2 0.3 1.2 0.3 6.2 0.2 1.0 0.2 16.0 0.7 1.0 9.5 - 4.3 91.5 0.6 0.9 0.3 2.1 0.2 1.9 13.1 344.0 347.1 362.0 1.4 1.7 6.3 0.3 0.3 0.3 0.5 3.4 6.1 4.6 0.8 10.6 2.8 0.2 0.3 1.4 0.2 6.8 0.1 1.0 0.2 15.1 0.7 1.4 10.7 0.1 4.2 100.5 0.6 1.0 0.3 2.8 0.4 2.2 14.9 354.5 359.7 375.4 2.6 2.5 5.8 0.2 0.1 0.4 0.4 2.9 6.3 4.0 1.3 11.3 2.4 0.3 0.4 1.4 0.5 6.0 0.1 0.7 0.3 15.9 0.8 0.9 10.1 0.1 4.2 105.2 0.7 1.0 0.3 2.7 0.2 2.5 15.7 353.2 358.4 374.9 2.8 2.4 5.2 0.3 0.1 0.4 0.4 3.7 6.2 3.9 1.2 11.0 3.5 0.2 0.3 1.6 0.3 6.5 0.0 0.5 0.2 15.8 0.7 1.1 10.2 0.2 5.0 107.5 0.6 1.0 0.4 2.2 0.3 2.5 16.6 351.5 356.7 375.0 2.9 2.3 5.2 0.2 0.4 0.3 0.4 3.0 5.7 4.2 1.1 12.6 2.6 0.3 0.5 1.8 0.3 5.9 0.1 0.8 0.2 16.2 0.9 1.0 10.2 0.2 5.3 104.1 1.0 0.6 0.3 2.4 0.3 2.6 18.3 appendix 350.8 356.0 375.8 2.8 2.5 5.2 - 0.2 0.2 0.5 3.7 5.8 4.5 1.2 11.6 2.6 0.1 0.3 1.8 0.3 6.3 0.0 0.9 0.2 16.1 0.8 1.2 10.5 0.2 5.7 102.1 0.8 1.0 0.3 2.5 0.4 2.3 19.8 346.3 351.9 370.9 3.0 2.6 5.0 0.0 0.2 0.3 0.6 3.5 6.6 4.6 1.2 11.1 3.0 0.2 0.4 2.0 0.2 5.7 0.0 0.7 0.3 15.3 1.0 1.0 10.8 0.2 5.9 97.6 0.6 0.9 0.3 2.5 0.3 2.5 19.0 121 0.9 4.1 6.4 1.2 4.3 6.0 340.1 333.9 345.7 340.1 belgian cancer registry 3.0 360.9 2.6 3.0 4.1 3.2 4.6 366.4 0.6 0.0 0.1 0.0 0.3 11.0 10.8 0.2 2.2 2.9 3.6 0.2 0.3 0.4 0.6 0.5 3.5 2.0 2.2 0.4 5.7 0.4 0.1 0.4 0.0 1.0 6.7 0.4 0.9 0.2 1.0 15.5 1.0 1.4 1.3 15.3 0.2 11.5 5.5 6.1 0.1 90.5 94.8 10.8 0.8 0.8 0.8 0.3 0.3 0.9 0.3 2.0 2.7 2.3 2.2 0.4 20.8 20.7 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin Mesothelioma C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 C45 Primary site Females 21 504 446 17 20 - 13 8 656 2 39 9 4 2 251 35 49 90 21 518 114 21 522 438 21 18 - 4 8 681 1 38 7 3 4 310 46 42 76 35 489 114 42 1,363 40 354 89 1,383 326 93 4 3 5 5 8 7 3 7 5 7 17 7 20 18 8 20 17 27 6 29 8 10 2002 23 14 17 17 5 26 6 12 2001 14 582 480 31 20 1 - 6 692 3 53 12 8 3 298 64 39 71 48 540 125 1,415 49 306 116 3 5 5 5 4 22 8 22 15 8 14 14 36 9 16 2003 19 690 497 14 21 - 3 9 831 1 45 8 7 2 286 77 39 75 28 526 141 1,388 45 328 122 2 6 8 4 14 21 5 17 21 17 29 12 30 10 14 2004 34 701 561 21 30 - 5 5 868 3 34 11 14 3 312 64 43 92 33 508 107 1,396 47 339 130 - 5 7 3 4 21 20 24 29 16 29 10 43 6 14 2005 N 24 747 598 23 20 - 3 8 886 5 29 8 8 2 305 74 43 89 32 582 80 1,473 58 336 128 6 3 7 5 5 33 10 18 15 13 20 8 35 10 11 2006 32 860 573 21 22 - 4 4 998 3 45 6 13 3 319 69 46 82 40 598 65 1,556 71 274 136 2 13 7 10 12 19 11 20 20 16 30 15 20 10 6 2007 37 949 684 15 17 - 7 8 971 1 38 20 5 10 318 77 46 106 35 613 75 1,610 47 288 114 4 3 11 6 15 30 5 25 16 17 14 16 42 15 12 2008 Flemish Region: Females, number of invasive tumours and age-standardised incidence by primary site and incidence year, 2001-2010 28 955 717 20 11 - 4 8 1,084 1 46 9 6 5 378 85 53 106 45 583 81 1,675 63 337 137 3 10 14 9 24 31 11 19 13 8 19 11 42 14 15 2009 35 1,116 678 14 18 - 10 6 1,195 1 37 11 6 8 422 57 52 100 47 615 63 1,676 75 334 126 1 6 7 8 21 35 16 22 31 11 21 10 34 23 7 2010 0.4 6.5 10.3 0.4 0.6 - 0.3 0.2 11.9 0.0 0.8 0.2 0.1 0.0 3.7 0.5 0.7 1.4 0.4 8.2 1.9 19.4 0.7 4.1 1.5 0.1 0.1 0.1 0.1 0.2 0.5 0.1 0.4 0.2 0.4 0.4 0.1 0.5 0.1 0.1 2001 0.3 6.4 9.5 0.7 0.5 - 0.1 0.2 12.7 0.0 0.7 0.2 0.1 0.0 4.2 0.6 0.5 1.2 0.6 7.3 1.6 18.5 0.8 4.6 1.3 0.1 0.1 0.2 0.2 0.1 0.3 0.2 0.3 0.3 0.4 0.6 0.1 0.5 0.2 0.2 2002 0.3 7.3 10.8 0.8 0.5 0.0 - 0.1 12.7 0.1 0.9 0.2 0.2 0.0 4.0 0.9 0.5 1.0 0.9 8.1 1.8 19.8 0.8 3.7 1.8 0.1 0.1 0.1 0.1 0.1 0.5 0.1 0.4 0.2 0.2 0.3 0.2 0.6 0.2 0.2 2003 0.3 8.5 11.2 0.4 0.6 - 0.1 0.2 14.8 0.0 0.9 0.2 0.1 0.0 4.0 1.1 0.5 1.3 0.5 7.7 2.0 18.5 0.7 4.1 1.7 0.0 0.1 0.1 0.1 0.3 0.4 0.1 0.3 0.4 0.4 0.6 0.2 0.7 0.2 0.1 2004 0.6 8.4 12.4 0.5 1.0 - 0.1 0.1 14.9 0.0 0.6 0.2 0.3 0.0 4.6 0.8 0.5 1.4 0.5 7.6 1.5 18.7 0.7 4.3 1.9 - 0.1 0.2 0.1 0.1 0.4 0.4 0.4 0.4 0.3 0.6 0.2 0.9 0.1 0.2 0.4 8.9 13.1 0.6 0.7 - 0.1 0.1 15.3 0.1 0.6 0.1 0.2 0.0 4.4 0.9 0.6 1.4 0.5 8.7 1.1 20.0 0.9 4.4 1.9 0.1 0.1 0.2 0.2 0.1 0.7 0.2 0.4 0.2 0.2 0.4 0.1 0.7 0.2 0.2 2006 WSR 2005 0.4 10.0 12.0 0.5 0.6 - 0.1 0.1 16.7 0.0 0.8 0.1 0.2 0.0 4.6 1.0 0.5 1.3 0.6 8.6 0.9 20.1 1.1 3.6 1.9 0.0 0.3 0.1 0.2 0.3 0.4 0.3 0.3 0.3 0.3 0.6 0.2 0.4 0.2 0.1 2007 0.5 10.9 14.8 0.4 0.5 - 0.2 0.1 16.3 0.0 0.7 0.3 0.1 0.2 4.5 0.9 0.5 1.7 0.5 8.9 1.0 21.2 0.7 3.5 1.5 0.1 0.1 0.2 0.1 0.3 0.5 0.1 0.5 0.2 0.3 0.3 0.2 0.7 0.2 0.2 2008 0.3 10.2 14.9 0.4 0.3 - 0.1 0.1 17.9 0.0 0.7 0.1 0.1 0.1 5.0 1.1 0.6 1.6 0.7 8.1 1.1 21.4 0.9 4.3 1.9 0.1 0.2 0.2 0.3 0.5 0.6 0.2 0.4 0.2 0.1 0.4 0.2 0.8 0.2 0.2 2009 0.5 11.8 14.4 0.3 0.7 - 0.3 0.1 19.6 0.0 0.7 0.2 0.1 0.1 5.7 0.7 0.5 1.5 0.7 8.6 0.8 21.2 1.1 4.0 1.6 0.0 0.1 0.1 0.2 0.4 0.6 0.4 0.4 0.4 0.2 0.4 0.2 0.7 0.4 0.1 2010 Cervix uteri Corpus uteri Uterus Ovary Female genital organs, NOS Placenta Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C53 C54 C55 C56 C57 C58 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS 72 4 12 9 483 16 12 25 WSR: age standardised incidence rate, using the World Standard Population (n/100,000 person years) EAPC: Estimated annual percentage change (%) 13,940 14,075 14,597 57 78 296 10 1 18 9 117 11 191 171 185 34 397 143 197 9 430 2 71 5 7 165 5 214 10 20 1 225 26 36 287 5 14 568 39 768 363 25 88 5,245 23 83 87 13 134 5 181 6 27 3 249 23 30 273 1 10 597 26 810 391 23 14,212 Vagina C52 14,233 Vulva C51 5,300 Total excl. non-melanoma and MDS, MPD Breast C50 26 Total excl. non-melanoma Retroperitoneum and peritoneum C48 1 88 14,737 Soft tissues C47,C49 Total Kaposi's sarcoma C46 7 14,505 14,681 15,263 79 97 314 24 4 17 10 134 177 166 36 420 55 2 7 158 2 175 18 29 2 218 25 37 330 3 13 607 49 796 354 22 88 5,521 21 84 4 14,698 14,928 15,618 121 109 271 15 3 10 13 154 217 220 47 462 74 4 12 166 11 205 11 28 4 246 17 44 353 2 16 566 20 858 372 27 85 5,312 27 100 2 14,955 15,215 15,916 137 123 256 3 5 11 16 150 188 200 56 440 77 3 8 228 7 163 7 21 4 270 12 44 337 3 19 563 28 827 403 28 102 5,466 25 92 4 14,956 15,187 15,934 93 138 209 7 3 8 16 125 169 190 45 482 68 7 11 220 10 158 6 16 - 254 18 43 337 1 14 583 16 834 360 27 102 5,495 21 84 3 15,523 15,814 16,674 131 160 272 2 6 5 22 162 190 211 42 489 57 2 11 209 7 190 10 30 4 255 27 45 349 6 22 547 4 856 401 26 80 5,676 18 96 4 15,620 15,912 16,861 154 138 276 2 5 10 35 131 162 223 47 499 71 4 12 223 6 195 6 27 6 292 27 47 352 2 24 535 6 919 357 20 113 5,475 33 101 2 15,923 16,214 17,169 138 153 197 1 9 11 21 120 207 202 42 509 71 2 10 263 8 207 9 39 4 273 26 51 339 3 30 482 4 890 355 26 115 5,540 30 100 2 16,383 16,674 17,790 120 171 219 1 19 23 22 176 187 206 62 545 83 4 20 286 14 192 6 35 5 292 25 52 368 3 26 510 4 826 330 28 128 5,731 18 96 267.5 267.8 274.3 0.2 0.2 7.9 0.4 0.5 0.4 0.3 2.7 3.8 3.0 0.1 7.4 2.8 0.1 0.4 3.1 0.2 4.4 0.1 0.5 0.1 3.0 0.3 0.4 5.1 0.0 0.2 11.3 0.5 14.5 8.9 0.3 1.1 110.1 0.5 2.1 0.0 0.1 257.0 259.0 265.4 0.7 1.3 4.2 0.2 0.0 0.3 0.2 2.3 3.7 2.6 0.7 7.2 2.4 0.0 0.1 3.8 0.2 4.9 0.2 0.5 0.0 2.8 0.3 0.5 5.2 0.2 0.3 10.5 0.6 13.5 8.4 0.4 1.3 107.2 0.5 1.9 0.1 265.3 267.7 275.0 1.0 1.5 4.3 0.5 0.2 0.2 0.2 2.6 3.7 2.6 0.5 7.2 1.7 0.1 0.3 4.0 0.1 4.1 0.4 0.5 0.0 2.8 0.4 0.4 5.5 0.1 0.3 10.9 0.9 13.5 8.0 0.3 1.4 112.0 0.4 2.0 0.1 264.8 267.8 276.3 1.5 1.5 3.8 0.4 0.2 0.2 0.3 2.8 4.5 3.2 0.7 7.9 2.4 0.1 0.6 4.2 0.6 4.3 0.3 0.7 0.1 3.0 0.2 0.6 5.9 0.1 0.3 10.1 0.3 14.4 8.4 0.5 1.3 105.4 0.5 2.0 267.3 271.1 279.5 1.7 2.0 3.5 0.1 0.2 0.3 0.3 3.0 3.8 2.9 0.9 7.2 2.5 0.1 0.4 5.3 0.3 3.7 0.2 0.5 0.0 3.3 0.1 0.6 5.5 0.1 0.3 9.8 0.5 13.4 9.3 0.4 1.5 106.4 0.5 2.3 0.0 265.9 269.2 278.0 1.2 2.1 2.8 0.2 0.1 0.1 0.2 2.4 3.8 3.0 0.7 8.1 2.3 0.2 0.3 5.4 0.5 4.2 0.1 0.3 - 3.0 0.2 0.5 5.7 0.0 0.3 10.1 0.3 13.9 8.1 0.4 1.5 105.3 0.4 1.7 0.0 appendix 270.3 274.3 284.3 1.6 2.3 3.8 0.1 0.1 0.1 0.6 3.0 4.1 3.2 0.7 8.1 1.9 0.0 0.3 4.9 0.2 4.2 0.2 0.7 0.0 3.1 0.3 0.5 5.9 0.2 0.4 9.8 0.1 13.9 9.1 0.3 1.2 107.2 0.4 2.0 0.0 265.5 269.5 280.4 1.9 2.1 3.6 0.1 0.2 0.1 0.7 2.3 3.1 3.2 0.7 7.8 1.9 0.1 0.4 5.2 0.3 4.2 0.1 0.7 0.1 3.4 0.3 0.6 5.5 0.1 0.4 8.8 0.1 14.2 7.8 0.2 1.6 102.3 0.6 1.8 0.1 123 276.1 272.2 270.7 266.6 belgian cancer registry 1.4 287.9 2.5 2.4 280.9 2.7 2.4 1.7 0.8 0.0 0.0 0.4 0.3 0.4 3.1 2.4 0.3 3.5 4.0 0.2 1.0 2.8 2.7 8.4 7.9 0.6 0.1 2.7 0.1 2.3 6.5 0.6 6.3 0.4 3.7 0.5 4.3 0.1 0.2 0.3 0.1 3.5 3.1 0.8 0.3 0.2 0.7 0.6 0.5 0.0 0.1 5.6 8.2 0.4 7.9 0.5 0.1 0.0 0.0 5.5 7.1 12.4 1.7 0.4 1.5 0.4 7.8 103.8 101.3 13.8 1.8 0.3 0.4 0.0 1.8 0.0 Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 35 634 42 48 1 8 23 5,519 12 627 638 37 34 1 9 17 5,426 11 560 21 72 23 10 545 108 27 300 49 1,262 203 2,704 100 874 666 46 51 127 47 13 588 122 36 259 45 1,259 303 2,554 95 884 626 42 58 146 43 160 100 99 26 48 67 67 164 19 54 81 53 159 32 29 167 177 55 62 2005 187 64 59 2004 628 33 34 - 12 18 5,389 7 538 51 21 9 616 126 30 346 44 1,385 156 2,722 109 862 691 25 66 132 45 92 157 8 49 67 61 133 35 166 69 54 2006 737 37 39 - 20 15 5,524 14 623 57 27 7 648 145 27 375 47 1,378 145 2,737 82 872 691 19 77 158 38 107 196 22 57 60 61 163 32 151 97 35 2007 Lip Primary site C00 N Males 761 33 33 - 11 12 5,488 3 592 66 30 16 595 132 31 429 51 1,450 159 2,912 116 821 660 23 70 122 39 138 193 11 50 55 63 157 34 167 108 42 2008 Belgium: Males, number of invasive tumours and age-standardised incidence by primary site and incidence year, 2004-2010 732 25 30 1 16 20 5,519 10 558 43 34 16 702 151 22 409 66 1,456 147 2,931 107 848 681 21 81 145 46 115 174 21 54 56 59 169 30 177 118 56 2009 871 43 36 3 24 21 5,616 10 541 63 30 22 785 145 36 479 56 1,411 178 2,967 139 854 680 18 57 125 43 134 135 15 60 61 59 157 31 148 90 50 2010 8.5 0.7 1.0 0.0 0.1 0.3 60.7 0.1 7.9 0.6 0.3 0.1 6.6 1.4 0.3 3.0 0.5 14.1 3.2 26.7 1.1 9.4 7.5 0.6 0.8 2.0 0.6 1.4 2.1 0.2 0.7 1.0 0.7 2.2 0.4 2.5 0.9 0.6 2004 8.1 0.7 0.7 0.0 0.1 0.2 59.1 0.1 6.7 0.8 0.3 0.1 5.9 1.1 0.3 3.4 0.6 13.6 2.2 27.9 1.2 9.4 7.9 0.6 0.7 1.6 0.5 1.3 2.1 0.3 0.6 0.8 0.9 2.1 0.4 2.3 0.7 0.7 2005 8.1 0.5 0.7 - 0.2 0.2 57.8 0.1 6.3 0.6 0.2 0.1 6.6 1.3 0.3 4.0 0.5 14.8 1.6 27.6 1.2 8.8 8.0 0.3 0.9 1.7 0.6 1.2 2.0 0.1 0.6 0.8 0.8 1.7 0.4 2.1 0.9 0.6 2006 9.5 0.6 0.8 - 0.3 0.2 58.4 0.1 7.3 0.7 0.3 0.1 7.0 1.5 0.3 4.3 0.5 14.6 1.4 26.9 0.9 8.9 7.9 0.3 0.9 2.1 0.5 1.4 2.5 0.3 0.6 0.7 0.8 2.1 0.4 1.9 1.2 0.4 2007 WSR 9.3 0.6 0.6 - 0.1 0.1 57.1 0.0 6.8 0.8 0.3 0.2 6.3 1.4 0.3 4.8 0.5 15.1 1.7 28.4 1.3 8.1 7.3 0.3 0.9 1.6 0.5 1.7 2.4 0.1 0.6 0.6 0.8 2.0 0.4 2.1 1.3 0.4 2008 8.9 0.4 0.6 0.0 0.2 0.2 56.1 0.1 6.2 0.5 0.4 0.2 7.3 1.5 0.2 4.5 0.7 14.9 1.4 28.4 1.1 8.2 7.5 0.3 0.9 1.8 0.6 1.4 2.1 0.3 0.6 0.7 0.7 2.0 0.3 2.2 1.4 0.5 2009 10.7 0.7 0.7 0.0 0.3 0.2 55.4 0.1 5.8 0.7 0.4 0.2 7.8 1.4 0.3 5.1 0.6 14.5 1.7 28.0 1.4 8.3 7.1 0.2 0.7 1.5 0.6 1.6 1.6 0.2 0.7 0.7 0.7 1.9 0.4 1.8 1.0 0.4 2010 Testis Male genital organs, NOS Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C62 C63 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS WSR: age standardised incidence rate, using the World Standard Population (n/100,000 person years) EAPC: Estimated annual percentage change (%) 34,047 247 173 270 577 178 18 5 31 32 644 16 9 29 37 290 439 434 255 369 89 981 179 6 13 368 106 970 158 9 17 11 170 29 435 156 422 7 38 11 28 18 1,632 69 114 845 11 284 9,725 39 1,664 89 96 816 10 251 9,738 83 68 Total excl. non-melanoma and MDS, MPD Prostate C61 88 66 31,872 Penis C60 32,292 Breast C50 32,016 Retroperitoneum and peritoneum C48 22 24 24 180 22 182 32,464 Soft tissues C47,C49 Total excl. non-melanoma Kaposi's sarcoma C46 211 210 34,137 Mesothelioma C45 1,755 1,673 Total Malignant neoplasms of skin C44 31,472 31,897 33,790 252 173 584 19 16 25 37 254 392 397 98 1,009 177 13 15 175 14 418 4 53 23 1,606 81 98 854 13 274 9,279 76 65 24 169 18 206 1,893 31,997 32,422 34,640 230 195 557 2 11 24 60 318 404 416 107 993 162 4 18 186 14 434 1 58 27 1,680 84 123 893 13 304 8,983 74 81 20 193 35 198 2,218 32,264 32,787 34,978 306 217 579 1 14 23 61 300 474 392 116 1,005 181 10 21 211 10 437 5 62 26 1,700 92 117 954 13 322 8,844 72 85 28 193 35 208 2,191 32,314 32,862 35,245 330 218 512 2 7 17 50 323 470 407 105 1,000 173 10 25 259 13 464 4 54 22 1,730 117 119 957 8 314 8,698 80 99 14 181 40 194 2,383 32,671 33,267 35,798 339 257 462 2 25 31 55 329 481 424 103 1,021 154 7 29 204 14 453 8 61 50 1,755 101 145 981 14 318 8,663 85 83 23 162 31 204 2,531 364.5 369.3 385.6 2.7 2.2 7.0 0.2 0.2 0.3 0.4 3.2 6.2 4.0 1.3 11.9 2.8 0.2 0.4 2.1 0.5 6.1 0.1 0.6 0.2 16.9 0.9 0.9 10.0 0.1 4.7 105.5 0.7 1.0 0.3 2.4 0.3 2.3 16.3 358.9 363.2 380.0 2.4 1.9 6.2 0.3 0.1 0.4 0.4 3.9 6.3 3.9 1.1 11.7 3.4 0.1 0.3 2.4 0.2 6.4 0.1 0.7 0.3 16.2 0.7 1.1 10.0 0.2 5.2 104.3 0.8 0.9 0.3 2.3 0.3 2.3 16.7 350.6 354.9 372.7 2.4 1.9 6.1 0.3 0.4 0.3 0.4 3.1 5.3 4.2 1.1 12.0 3.0 0.2 0.3 2.4 0.4 5.9 0.1 0.7 0.2 15.7 0.8 1.0 10.1 0.2 5.3 100.1 0.8 0.7 0.3 2.4 0.2 2.1 17.7 352.0 356.3 376.2 2.2 2.0 5.9 0.0 0.2 0.2 0.6 3.9 5.5 4.5 1.3 11.8 2.8 0.1 0.4 2.6 0.4 5.9 0.0 0.8 0.2 16.2 0.8 1.2 10.1 0.2 5.8 95.1 0.8 0.9 0.3 2.5 0.5 2.0 19.9 appendix 347.7 352.7 371.7 2.7 2.3 5.9 0.0 0.2 0.3 0.6 3.4 6.2 4.0 1.3 11.8 3.1 0.2 0.5 2.8 0.2 5.8 0.1 0.7 0.3 15.7 0.9 1.1 10.8 0.2 6.1 91.8 0.7 0.9 0.4 2.5 0.4 2.2 18.9 0.4 2.1 0.3 0.6 2.4 0.2 belgian cancer registry 338.7 3.2 365.1 3.0 368.7 344.5 2.7 2.4 348.7 4.5 5.0 343.4 0.6 0.0 0.1 0.0 0.3 0.2 6.3 3.6 4.1 5.9 4.1 0.6 1.0 1.1 3.7 11.4 11.0 0.6 0.1 2.5 0.5 0.6 3.0 2.7 0.2 0.3 0.1 6.2 0.1 6.6 0.3 0.9 3.4 0.4 0.2 0.9 0.9 15.8 1.1 1.4 1.1 15.7 0.1 10.7 5.8 0.1 5.8 89.0 10.8 0.8 86.4 0.9 0.9 1.9 1.9 1.1 20.6 20.0 125 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin Mesothelioma C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 C45 26 1,167 893 29 47 1,228 975 36 41 - 34 11 9 1,602 4 84 21 17 12 534 102 60 169 71 886 4 18 1,567 3 100 17 12 10 503 118 63 116 69 880 171 2,425 2,396 238 87 526 231 86 512 233 12 16 13 9 15 9 21 16 10 27 54 25 56 44 14 45 29 40 24 70 13 23 34 40 32 46 30 69 17 18 41 1,225 970 42 34 - 6 11 1,715 5 82 14 14 8 580 100 70 156 74 937 136 2,514 105 530 217 13 8 24 9 22 62 18 34 25 32 30 22 74 23 20 48 1,473 984 34 37 - 7 12 1,889 7 72 15 18 9 544 116 67 144 78 979 102 2,571 114 455 251 5 18 16 17 31 66 14 46 32 27 58 30 52 23 12 2007 2006 N 2005 Primary site 2004 Females 51 1,563 1,161 31 34 - 14 15 1,813 2 85 24 14 16 585 117 70 196 76 975 121 2,623 86 503 227 9 17 23 14 35 74 9 40 29 36 30 32 72 28 15 2008 Belgium: Females, number of invasive tumours and age-standardised incidence by primary site and incidence year, 2004-2010 40 1,576 1,192 27 21 - 9 13 2,093 6 104 14 17 12 655 142 71 199 84 923 140 2,672 107 518 237 8 16 35 20 44 64 16 37 30 19 46 32 75 37 15 2009 51 1,783 1,239 26 25 - 13 17 2,215 3 83 16 12 14 738 120 94 192 102 981 129 2,628 113 547 242 2 12 25 15 38 68 19 41 51 26 48 25 76 38 11 2010 0.2 8.1 11.8 0.5 0.6 - 0.1 0.2 16.6 0.0 1.1 0.2 0.1 0.1 4.3 1.0 0.4 1.1 0.7 7.5 2.0 18.4 0.8 3.9 2.0 0.1 0.2 0.2 0.2 0.3 0.7 0.2 0.4 0.4 0.4 0.5 0.3 0.8 0.2 0.1 2004 0.5 8.6 12.7 0.5 0.8 - 0.1 0.1 16.7 0.0 0.9 0.2 0.2 0.1 4.7 0.8 0.4 1.7 0.7 7.9 1.4 19.0 0.8 4.0 2.1 0.1 0.2 0.2 0.1 0.3 0.7 0.3 0.4 0.4 0.4 0.5 0.2 0.8 0.2 0.2 2005 0.4 8.3 12.3 0.7 0.7 - 0.1 0.1 17.7 0.1 0.9 0.2 0.2 0.1 4.9 0.7 0.6 1.4 0.7 8.0 1.1 19.6 1.0 4.1 2.0 0.2 0.1 0.3 0.2 0.2 0.8 0.2 0.4 0.2 0.4 0.4 0.2 0.9 0.2 0.2 2006 0.4 9.9 12.3 0.5 0.6 - 0.1 0.1 19.2 0.0 0.8 0.2 0.2 0.1 4.7 0.9 0.5 1.2 0.7 8.3 0.8 19.5 1.0 3.6 2.1 0.0 0.2 0.2 0.2 0.4 0.8 0.2 0.5 0.3 0.3 0.7 0.3 0.6 0.3 0.1 2007 WSR 0.4 10.3 14.6 0.5 0.7 - 0.2 0.2 18.4 0.0 1.0 0.2 0.2 0.1 4.9 0.8 0.5 1.8 0.7 8.2 0.9 20.0 0.8 3.9 1.9 0.1 0.2 0.3 0.2 0.4 0.8 0.1 0.4 0.2 0.4 0.3 0.3 0.7 0.3 0.1 2008 0.3 9.8 14.6 0.3 0.4 - 0.1 0.1 21.1 0.1 1.1 0.1 0.1 0.1 5.3 1.0 0.5 1.8 0.8 7.7 1.2 19.9 0.9 3.9 2.0 0.1 0.2 0.4 0.3 0.5 0.8 0.2 0.4 0.3 0.2 0.5 0.3 0.9 0.4 0.1 2009 0.4 11.1 15.8 0.4 0.5 - 0.2 0.2 21.7 0.0 0.9 0.2 0.1 0.1 5.9 0.9 0.6 1.7 1.0 8.2 1.0 19.4 1.0 3.9 2.0 0.0 0.1 0.3 0.2 0.4 0.7 0.3 0.5 0.4 0.3 0.5 0.2 0.8 0.4 0.1 2010 Cervix uteri Corpus uteri Uterus Ovary Female genital organs, NOS Placenta Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C53 C54 C55 C56 C57 C58 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS 8 197 158 529 24 7 20 22 WSR: age standardised incidence rate, using the World Standard Population (n/100,000 person years) EAPC: Estimated annual percentage change (%) 25,757 26,141 27,369 207 177 483 10 7 17 24 277 249 335 313 83 256 380 82 780 122 128 834 3 20 503 12 294 11 38 6 453 22 71 538 5 33 936 55 1,371 655 47 170 9,403 40 137 4 18 475 21 325 19 50 6 398 32 70 531 3 28 915 59 1,418 653 53 149 25,837 Vagina C52 26,192 Vulva C51 9,420 Total excl. non-melanoma and MDS, MPD Breast C50 38 Total excl. non-melanoma Retroperitoneum and peritoneum C48 9 168 27,359 Soft tissues C47,C49 Total Kaposi's sarcoma C46 12 25,871 26,237 27,462 171 195 432 11 8 13 26 220 254 317 95 809 114 10 24 511 13 294 10 37 1 392 33 73 534 1 33 928 24 1,344 611 49 170 9,506 42 143 4 26,718 27,123 28,596 188 217 516 2 11 11 34 275 298 333 97 866 109 5 22 515 12 309 13 46 6 416 34 80 523 8 28 925 11 1,392 702 47 172 9,695 38 163 10 27,091 27,546 29,109 237 218 541 5 15 15 53 239 270 336 83 876 128 8 16 551 7 328 10 44 8 481 41 80 548 4 52 885 7 1,473 640 36 190 9,590 53 166 11 27,448 27,899 29,475 216 235 384 3 17 19 35 223 344 348 76 887 125 6 15 639 10 359 11 63 7 467 45 83 523 4 48 791 10 1,456 605 45 192 9,604 47 156 7 28,291 28,750 30,533 212 247 408 3 28 30 40 292 343 327 111 926 149 6 29 651 18 322 10 56 11 477 39 79 551 3 46 865 9 1,415 593 43 216 9,908 33 152 0.1 274.6 277.4 285.4 1.4 1.3 4.2 0.3 0.1 0.2 0.2 2.9 4.2 3.3 0.8 8.3 2.3 0.1 0.4 6.9 0.5 4.2 0.2 0.7 0.1 2.9 0.2 0.6 5.5 0.0 0.3 9.7 0.6 13.8 8.5 0.5 1.3 109.9 0.4 2.0 0.1 272.1 275.4 284.0 1.6 1.7 4.0 0.2 0.2 0.2 0.2 3.0 3.5 2.7 0.8 7.6 2.4 0.0 0.6 7.0 0.3 4.1 0.1 0.7 0.0 3.3 0.1 0.5 5.5 0.1 0.3 9.5 0.5 13.1 8.7 0.4 1.4 107.2 0.5 1.9 270.7 274.0 282.3 1.4 1.9 3.5 0.1 0.2 0.1 0.2 2.4 3.4 2.9 0.9 7.8 2.0 0.1 0.4 7.3 0.3 4.1 0.1 0.5 0.0 2.9 0.3 0.5 5.3 0.0 0.4 9.5 0.3 13.1 7.9 0.4 1.5 107.7 0.5 1.7 0.1 275.2 278.5 288.4 1.4 1.9 4.3 0.0 0.1 0.1 0.4 3.1 3.6 2.9 0.9 8.3 2.1 0.1 0.3 7.3 0.2 4.0 0.1 0.6 0.0 2.8 0.2 0.6 5.1 0.2 0.3 9.6 0.1 13.1 9.2 0.4 1.5 108.0 0.4 2.0 0.0 appendix 273.6 277.1 287.5 1.7 1.9 4.2 0.1 0.4 0.1 0.6 2.5 3.1 2.8 0.8 8.2 2.2 0.2 0.3 7.6 0.2 4.4 0.1 0.6 0.1 3.3 0.3 0.5 5.3 0.1 0.5 8.7 0.0 13.4 8.2 0.3 1.6 104.9 0.6 1.8 0.1 287.4 belgian cancer registry 280.4 1.5 295.1 1.5 284.0 2.1 2.2 277.6 3.0 2.8 273.9 0.7 0.0 0.0 0.3 0.3 0.4 0.3 3.1 0.2 3.8 3.9 1.0 2.6 2.7 2.4 8.4 8.1 0.6 0.5 0.3 0.1 8.8 9.0 2.7 0.4 0.2 2.4 4.0 4.8 0.1 0.1 0.1 3.1 0.1 3.3 0.3 0.8 0.3 0.5 0.7 0.5 5.1 0.0 0.1 5.0 0.1 8.2 0.4 7.6 0.1 0.1 0.5 7.5 12.5 1.8 0.4 1.6 0.4 7.7 106.2 103.8 13.2 1.7 0.4 0.4 0.1 0.1 1.6 127 Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip. oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart. mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 59 6 7 - 1 1 410 - 63 65 5 3 - 1 2 393 1 47 3 1 1 38 11 1 28 7 77 18 228 10 66 1 - 51 4 2 19 5 70 22 204 6 76 44 3 48 5 5 16 5 13 8 12 9 18 9 3 3 4 6 5 4 16 7 - 2005 13 3 3 6 4 17 2 14 6 - 2004 57 3 2 - 1 2 363 1 51 6 - 1 40 11 3 35 8 85 16 207 7 75 51 1 7 6 14 9 20 3 5 3 2 13 5 16 10 - 2006 72 5 3 - 1 1 364 2 62 3 3 - 61 11 2 35 6 94 13 239 8 80 46 1 5 13 7 10 25 2 3 8 5 23 2 17 7 4 2007 Lip Primary site C00 N Males 77 4 5 - - 1 375 - 53 - 2 3 64 6 5 36 8 94 15 228 12 64 46 2 10 16 5 15 18 - 3 4 3 11 2 13 6 5 2008 83 2 4 - 2 6 386 1 51 3 3 1 62 7 - 52 6 85 9 187 4 66 53 - 3 6 8 16 15 3 7 8 3 8 1 11 12 4 2009 Brussels Capital Region: Males. number of invasive tumours and age-standardised incidence by primary site and incidence year. 2004-2010 80 6 8 - 2 3 450 1 36 6 4 4 65 15 4 56 7 91 24 239 11 71 41 2 5 11 8 13 12 2 2 6 6 12 2 17 8 3 2010 8.8 0.8 1.4 - 0.2 0.2 58.2 - 10.4 0.2 0.1 - 6.9 0.5 0.2 2.8 0.7 9.7 2.9 26.6 0.9 10.4 7.2 0.7 0.8 2.4 1.5 1.5 2.1 0.5 0.4 0.8 0.8 2.8 0.4 2.4 0.9 - 2004 8.7 1.0 0.8 - 0.1 0.2 57.3 0.2 7.3 0.4 - 0.2 4.8 1.4 0.2 3.7 0.8 9.8 2.8 29.4 1.3 8.2 6.4 0.5 0.9 2.7 1.4 1.9 2.7 0.4 0.5 0.4 1.0 0.8 0.7 2.5 1.3 - 2005 7.8 0.6 0.4 - 0.1 0.3 49.9 0.2 7.6 0.7 - 0.2 5.3 1.6 0.4 4.8 0.9 11.4 2.1 24.0 1.0 9.7 7.6 0.1 1.2 0.9 2.6 1.4 2.8 0.2 0.7 0.4 0.4 2.2 0.7 2.5 1.7 - 2006 10.5 1.0 0.4 - 0.1 0.2 51.1 0.3 9.2 0.4 0.4 - 8.3 1.2 0.4 5.4 1.0 12.0 1.6 29.4 1.1 11.0 6.8 0.1 0.7 2.0 1.2 1.7 3.6 0.2 0.2 1.3 0.9 3.6 0.2 2.7 1.2 0.5 2007 WSR 10.6 0.8 1.1 - - 0.2 52.7 - 7.9 - 0.3 0.5 8.3 0.7 0.6 5.0 0.9 12.2 2.1 28.4 1.7 8.6 6.4 0.3 1.3 2.4 0.8 2.4 2.9 - 0.4 0.4 0.4 1.6 0.3 2.2 1.1 0.5 2008 11.9 0.5 0.8 - 0.5 1.0 51.3 0.2 7.6 0.4 0.5 0.2 9.0 0.8 - 7.4 0.8 11.3 1.1 23.3 0.6 8.9 7.8 - 0.3 0.9 1.3 2.5 2.1 0.5 0.9 1.2 0.5 1.0 0.2 1.7 1.7 0.6 2009 11.2 1.2 1.6 - 0.3 0.4 60.8 0.1 5.2 1.1 0.5 0.5 8.2 2.1 0.6 7.5 1.0 12.9 2.9 29.4 1.3 8.6 5.3 0.2 1.0 1.5 1.1 2.1 1.7 0.2 0.3 0.9 0.9 1.9 0.3 2.6 1.1 0.5 2010 Testis Male genital organs, NOS Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord. cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid. haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C62 C63 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS 8 26 13 85 1 1 1 5 25 31 36 8 86 20 1 3 23 6 24 - WSR: age standardised incidence rate. using the World Standard Population (n/100.000 person years) EAPC: Estimated annual percentage change (%) 2,686 22 8 54 1 - 3 3 22 50 39 4 90 21 - 1 15 2 36 1 6 6 - 140 5 8 69 3 137 5 7 55 2 24 18 1 666 605 11 Total excl. non-melanoma and MDS. MPD Prostate C61 7 6 2,520 Penis C60 1 2,490 Breast C50 1 9 24 2,397 Retroperitoneum and peritoneum C48 9 16 2,436 Soft tissues C47.C49 Total excl. non-melanoma Kaposi's sarcoma C46 9 6 2,600 Mesothelioma C45 166 164 Total Malignant neoplasms of skin C44 2,312 2,332 2,486 11 9 54 1 2 2 2 27 26 30 9 71 26 - 1 21 2 29 - 5 1 123 6 7 42 - 24 604 7 8 4 26 3 9 154 2,407 2,424 2,648 11 6 55 - 1 2 3 26 31 34 8 81 18 1 1 27 4 27 - 2 3 129 6 12 54 1 24 552 7 8 - 19 13 13 224 2,491 2,530 2,728 21 18 63 - 2 - 9 19 34 27 10 83 15 2 2 33 - 38 - 6 2 130 1 14 76 1 32 627 11 5 3 14 13 6 198 2,418 2,456 2,647 22 16 37 1 1 1 8 32 43 36 8 82 26 - 4 28 2 48 1 3 4 131 8 9 57 1 26 579 6 7 - 20 21 7 191 2,553 2,588 2,830 19 16 57 - 2 1 3 24 37 41 8 86 27 - 3 30 2 44 2 8 1 140 6 10 75 3 32 526 7 9 4 12 13 4 242 335.7 340.4 357.7 2.9 1.8 11.4 0.1 0.3 0.2 0.7 3.8 5.5 4.3 0.9 13.3 3.4 0.3 1.0 3.5 0.9 3.9 - 0.6 - 16.1 0.7 1.0 7.9 0.1 3.3 79.0 0.6 1.1 0.1 2.5 1.4 0.7 17.3 343.9 347.6 366.0 2.7 1.1 7.1 0.2 - 0.6 0.4 3.4 9.7 5.3 0.7 12.5 3.8 - 0.2 2.5 0.3 6.1 0.1 1.1 0.7 15.8 0.6 1.1 9.9 0.5 4.2 85.4 1.5 1.0 0.1 3.8 1.4 1.1 18.4 319.0 321.8 338.5 1.6 1.3 7.0 0.1 0.5 0.5 0.3 4.0 4.7 4.4 1.3 10.0 4.8 - 0.2 3.4 0.5 5.0 - 0.5 0.1 14.8 0.7 1.2 6.5 - 4.4 81.6 0.9 1.2 0.6 3.7 0.5 1.2 16.7 335.5 337.9 362.7 1.5 0.8 7.3 - 0.2 0.2 0.3 4.2 4.9 4.6 1.1 10.6 3.5 0.2 0.1 4.1 0.9 4.2 - 0.3 0.3 16.5 0.8 2.0 8.2 0.1 4.4 75.8 0.9 1.1 - 2.9 2.0 1.4 24.8 appendix 340.6 345.1 365.3 2.1 2.3 8.1 - 0.6 - 1.0 2.5 5.5 3.5 1.3 11.7 2.7 0.5 0.4 4.9 - 6.0 - 0.9 0.3 15.2 0.1 1.9 10.9 0.2 5.6 83.0 1.5 0.5 0.3 2.2 2.1 1.0 20.2 348.8 343.9 335.0 330.4 belgian cancer registry 2.9 372.0 2.7 1.9 1.9 355.4 7.2 0.4 0.1 4.4 0.1 0.1 0.2 3.8 0.5 1.3 5.4 7.2 4.5 1.1 5.3 4.6 11.5 11.3 1.0 4.1 0.7 0.9 4.7 4.6 4.3 - 7.1 0.3 0.1 0.3 1.5 0.4 0.2 0.5 0.6 7.5 0.7 17.2 1.2 1.2 0.9 15.2 0.4 10.7 5.1 4.4 0.1 67.9 76.2 7.8 1.2 0.9 1.0 0.6 - 0.9 1.8 1.9 3.3 0.6 1.0 3.2 23.3 20.4 129 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin Mesothelioma C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 C45 1 92 84 2 4 - 1 3 182 1 3 117 87 6 4 - - 1 167 - 1 11 2 - 1 35 10 4 23 11 64 11 - 2 42 8 4 13 14 75 9 260 230 21 7 40 21 6 34 26 3 2 1 2 3 2 3 11 2 3 2 6 5 2 1 5 5 1 3 5 1 - 4 4 2 5 3 11 1 - 2 121 90 3 5 - - - 188 - 14 1 - - 68 12 6 17 13 86 11 254 10 29 16 - 1 5 3 2 6 1 1 1 7 3 6 13 5 2 5 154 100 4 8 - 2 3 192 1 5 2 3 - 40 7 6 12 12 70 5 218 7 40 32 - - 1 3 3 10 1 2 - 3 5 2 9 - 1 2007 2006 N 2005 Primary site 2004 Females - 134 96 5 5 - - 2 175 - 7 - 2 - 64 7 2 21 15 59 17 230 9 60 32 3 2 2 3 6 7 - 1 7 4 - 2 9 1 2 2008 3 153 113 2 2 - 2 2 204 2 8 - 3 2 60 12 4 26 12 81 10 195 3 55 15 1 1 3 3 3 12 1 2 3 3 6 1 9 5 - 2009 Brussels Capital Region: Females, number of invasive tumours and age-standardised incidence by primary site and incidence year, 2004-2010 6 189 102 5 - - 2 2 206 - 12 3 2 - 68 17 9 21 15 65 16 236 4 48 25 - 3 3 3 4 5 2 1 4 3 6 - 8 4 - 2010 0.1 6.9 10.8 0.2 0.5 - 0.4 0.3 20.5 0.1 1.3 0.4 - 0.2 4.2 1.0 0.4 1.0 1.5 6.4 2.4 17.7 0.5 2.5 3.1 0.2 0.0 0.3 0.5 0.1 0.6 0.0 0.4 0.5 0.3 0.7 0.3 1.5 0.2 - 2004 0.4 9.3 11.3 0.9 1.0 - - 0.1 20.4 - 1.4 0.0 - 0.0 3.5 0.7 0.4 2.6 1.1 6.0 0.9 21.0 0.8 4.0 2.2 0.3 0.2 0.3 0.2 0.4 1.6 0.2 0.6 0.5 0.6 0.2 0.3 0.5 0.1 - 2005 0.3 8.4 11.5 0.6 1.1 - - - 22.1 - 1.4 0.1 - - 7.4 0.8 0.7 1.7 1.2 9.2 1.3 20.2 1.2 2.2 1.9 - 0.2 0.7 0.5 0.3 0.8 0.1 0.1 0.2 0.9 0.5 0.7 1.9 0.5 0.2 2006 0.5 11.0 12.7 0.7 1.3 - 0.2 0.2 21.7 0.0 0.8 0.3 0.4 - 3.8 0.8 0.4 1.1 1.3 6.3 0.3 19.0 0.4 3.5 3.2 - - 0.2 0.5 0.2 1.3 0.0 0.2 - 0.4 0.8 0.3 1.4 - 0.1 2007 WSR - 8.8 11.6 0.7 1.0 - - 0.3 20.8 - 1.0 - 0.2 - 6.1 0.6 0.3 2.1 1.8 5.4 1.5 19.0 0.9 6.6 2.9 0.4 0.3 0.3 0.5 0.9 1.0 - 0.1 0.5 0.6 - 0.3 0.9 0.1 0.1 2008 0.1 11.4 13.3 0.3 0.3 - 0.2 0.2 23.4 0.3 1.0 - 0.3 0.1 5.6 0.9 0.5 2.6 1.5 8.0 1.1 14.5 0.5 4.0 1.3 0.1 0.1 0.3 0.5 0.4 1.6 0.1 0.3 0.5 0.5 0.9 0.0 0.9 0.7 - 2009 0.5 11.5 12.6 0.8 - - 0.2 0.3 23.3 - 1.7 0.4 0.2 - 6.3 1.4 1.0 2.1 2.0 7.1 1.4 19.6 0.5 4.0 2.7 - 0.3 0.4 0.4 0.4 0.7 0.3 0.2 0.4 0.5 0.8 - 1.0 0.6 - 2010 Cervix uteri Corpus uteri Uterus Ovary Female genital organs, NOS Placenta Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C53 C54 C55 C56 C57 C58 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS 2 15 WSR: age standardised incidence rate, using the World Standard Population (n/100,000 person years) EAPC: Estimated annual percentage change (%) 2,402 2,435 2,552 17 16 44 63 9 2 - 2 2 2 1 - 31 1 23 31 31 9 30 46 3 92 7 18 84 - 2 54 1 - 1 80 1 22 - 27 8 2 1 47 3 6 33 - 2 85 2 103 62 5 13 876 1 17 6 - 36 3 5 28 - 2 73 4 109 62 5 15 2,501 Vagina C52 Total excl. non-melanoma and MDS, MPD Vulva C51 929 2,617 Breast C50 4 2,525 Retroperitoneum and peritoneum C48 2 13 Total excl. non-melanoma Soft tissues C47,C49 Total Kaposi's sarcoma C46 4 2,518 2,539 2,660 10 11 60 1 1 2 2 20 18 28 12 71 9 1 4 62 - 34 - 1 - 39 1 8 36 - 3 65 1 104 85 3 13 932 3 14 - 2,498 2,529 2,683 17 14 53 - - 2 5 30 33 29 15 88 10 - 3 86 - 18 - 4 2 37 3 9 27 - 2 74 1 106 72 5 26 921 6 17 3 2,525 2,561 2,695 17 19 62 1 5 - 8 28 26 23 11 86 15 2 2 66 1 33 2 3 2 32 6 10 34 2 9 80 - 117 72 5 25 882 3 12 5 2,562 2,582 2,735 10 10 47 1 3 1 4 23 21 32 4 98 12 - - 97 - 35 - 4 - 38 5 8 37 - 2 63 2 121 81 7 17 908 2 15 4 2,624 2,648 2,837 9 15 42 - 5 1 3 34 29 29 13 95 13 - 3 88 1 28 2 7 2 43 1 4 39 - 5 83 1 115 57 3 19 927 3 15 293.5 295.7 302.6 1.4 0.8 5.1 0.2 0.2 0.0 0.0 4.2 4.2 4.6 0.3 9.3 2.8 - 0.2 12.7 0.1 4.0 0.2 0.8 - 2.9 0.1 0.8 3.5 - 0.3 9.5 0.5 11.2 8.3 0.3 1.2 122.1 0.4 1.6 0.3 0.3 280.6 283.4 292.8 1.1 1.6 4.0 0.2 - 0.1 - 4.6 3.7 3.4 0.8 9.6 1.3 - 0.5 8.1 0.1 3.8 - 2.0 0.2 4.0 0.1 0.5 4.3 - 0.2 9.5 0.2 10.6 8.6 0.5 1.2 110.7 0.2 2.6 297.6 299.7 308.1 0.7 1.5 5.0 0.1 0.3 0.2 0.2 2.2 2.9 3.2 1.4 8.6 1.6 0.2 0.9 9.6 - 5.6 - 0.3 - 3.3 0.1 0.7 3.9 - 0.3 7.7 0.1 10.6 11.7 0.5 1.3 119.7 0.4 2.1 0.7 - 288.7 291.6 302.6 1.3 1.6 4.4 - - 0.1 0.3 3.7 4.7 2.8 1.9 8.6 2.0 - 0.4 13.3 - 2.4 - 0.5 0.1 2.5 0.3 0.7 3.2 - 0.1 8.2 0.1 11.1 10.4 0.6 2.4 116.1 0.7 2.3 appendix 286.2 288.7 297.6 1.2 1.4 5.3 0.2 1.0 - 1.1 3.3 2.9 1.8 1.5 7.6 3.0 0.5 0.3 10.3 0.2 4.5 0.1 0.6 0.2 2.6 0.5 0.9 4.2 0.3 0.9 8.9 - 11.6 9.5 0.5 2.2 108.6 0.3 1.5 0.3 294.4 290.0 belgian cancer registry 307.5 296.0 303.4 1.3 0.3 1.1 0.9 292.0 - 1.2 0.8 3.3 0.1 0.1 4.2 0.3 0.5 0.2 3.3 3.8 1.3 2.7 3.2 2.5 10.2 9.8 0.4 2.8 1.8 1.9 0.5 - 0.3 12.3 5.4 14.5 4.2 - - 1.1 0.3 0.5 3.1 0.2 0.0 0.4 - 0.3 0.8 2.9 3.8 4.2 0.3 - 8.9 0.1 7.7 0.1 12.8 0.3 7.3 11.6 10.4 1.9 0.2 1.7 112.6 111.8 0.7 2.0 0.4 0.2 0.4 0.6 1.6 131 Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 205 11 13 1 196 9 8 - 1 5 2 1,843 4 5 198 23 5 6 180 35 8 105 13 353 67 1,846 4 216 10 12 10 190 44 14 99 13 358 76 779 34 27 768 285 225 27 16 56 275 216 28 14 57 12 53 46 13 63 9 15 19 34 67 8 13 33 23 70 20 16 58 63 27 17 2005 78 21 15 2004 186 10 11 - 3 6 1,771 2 168 11 6 7 215 31 4 143 16 395 40 772 29 275 218 16 18 71 10 43 45 - 20 13 30 46 16 71 30 15 2006 219 10 14 - 7 6 1,810 3 219 14 10 4 235 51 4 155 17 378 44 797 30 269 210 8 27 77 13 45 83 10 23 20 26 68 21 63 32 11 2007 Lip Primary site C00 N Males 261 6 11 - 2 4 1,830 2 226 19 8 7 171 43 9 165 12 409 40 794 34 220 227 7 25 64 12 60 78 3 18 25 28 57 16 68 43 15 2008 Walloon Region: Males, number of invasive tumours and age-standardised incidence by primary site and incidence year, 2004-2010 245 9 12 1 5 2 1,877 2 200 9 14 8 245 46 3 151 20 408 37 814 42 237 218 12 35 74 16 47 69 5 12 16 24 69 14 81 38 16 2009 323 11 6 3 5 12 1,818 4 195 14 6 9 274 47 10 173 19 404 50 854 34 234 231 10 23 59 13 47 54 5 26 24 25 66 12 55 31 6 2010 8.8 0.6 0.8 0.0 0.1 0.2 66.6 0.1 8.9 0.4 0.5 0.3 6.7 1.8 0.3 3.5 0.4 12.9 2.6 26.5 1.0 9.7 8.4 1.2 0.6 2.5 0.6 2.0 2.9 0.3 0.5 1.3 1.0 2.4 0.7 3.2 0.9 0.6 2004 7.9 0.7 0.5 - 0.0 0.2 65.9 0.1 7.8 0.8 0.2 0.2 6.4 1.2 0.3 3.8 0.5 11.9 2.3 26.0 1.3 10.2 8.6 1.1 0.7 2.2 0.5 2.2 2.6 0.4 0.6 0.8 1.4 3.0 0.9 2.5 1.1 0.6 2005 7.8 0.4 0.6 - 0.2 0.2 63.5 0.1 6.6 0.5 0.2 0.3 7.6 1.0 0.1 5.5 0.6 13.6 1.3 26.2 1.1 9.3 8.4 0.7 0.8 2.9 0.4 1.8 1.9 - 0.8 0.5 1.3 1.8 0.6 3.0 1.2 0.6 2006 9.2 0.5 0.9 - 0.3 0.3 63.8 0.1 8.2 0.5 0.4 0.1 8.3 1.8 0.1 5.9 0.6 13.4 1.5 25.7 1.1 9.0 7.9 0.4 1.1 3.2 0.5 1.8 3.4 0.4 0.8 0.8 1.1 2.8 0.8 2.6 1.3 0.4 2007 WSR 10.4 0.4 0.6 - 0.0 0.1 62.8 0.1 8.6 0.7 0.3 0.2 5.9 1.6 0.2 6.1 0.4 13.7 1.4 25.8 1.2 7.3 8.2 0.3 1.0 2.6 0.6 2.4 3.2 0.1 0.7 0.9 1.0 2.3 0.6 2.6 1.7 0.5 2008 9.8 0.5 0.7 0.0 0.2 0.1 64.2 0.1 7.4 0.3 0.5 0.3 8.4 1.5 0.1 5.5 0.8 14.0 1.2 26.8 1.5 7.7 7.9 0.5 1.2 3.0 0.7 1.8 2.7 0.2 0.4 0.6 1.0 2.7 0.4 3.1 1.4 0.5 2009 13.1 0.6 0.5 0.1 0.2 0.5 59.9 0.2 7.0 0.5 0.2 0.3 9.0 1.5 0.3 6.0 0.7 13.4 1.6 26.8 1.2 7.5 7.8 0.3 0.9 2.3 0.5 1.8 2.1 0.1 0.9 0.9 1.0 2.6 0.5 2.1 1.2 0.2 2010 Mesothelioma Kaposi's sarcoma Soft tissues Retroperitoneum and peritoneum Breast Penis Prostate Testis Male genital organs, NOS Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C45 C46 C47,C49 C48 C50 C60 C61 C62 C63 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS 3 10,146 Total excl. non-melanoma and MDS, MPD WSR: age standardised incidence rate, using the World Standard Population (n/100,000 person years) EAPC: Estimated annual percentage change (%) 10,242 10,510 10,768 60 36 220 7 2 12 7 98 120 101 26 91 51 1 5 10,626 11,174 79 37 232 3 6 7 9 83 121 105 32 86 57 - 4 86 12 136 70 143 4 13 13 7 515 24 33 256 4 573 33 32 259 4 102 3 2,926 105 20 3,206 22 25 3 7 24 54 48 5 60 66 5 526 548 Total excl. non-melanoma Total Malignant neoplasms of skin C44 9,703 9,792 10,340 53 36 220 10 5 8 12 71 111 124 25 72 60 4 3 75 4 133 - 17 11 462 18 29 274 3 101 2,734 16 20 3 43 5 47 548 9,833 9,919 10,573 41 45 194 2 2 9 25 98 107 123 36 83 58 - 9 83 4 130 - 18 10 508 29 39 266 4 109 2,462 23 20 6 52 7 49 654 9,829 9,960 10,597 79 52 208 - 4 8 12 96 131 91 38 85 64 1 6 87 3 129 2 14 7 524 25 35 293 2 115 2,399 20 29 12 61 8 54 637 9,924 10,087 10,740 108 55 186 - 3 4 19 106 145 108 27 85 51 2 9 121 1 128 - 12 7 537 40 25 299 2 107 2,377 25 38 1 38 3 52 653 10,045 10,221 10,913 116 60 139 - 7 8 24 97 134 131 36 89 46 - 6 82 1 147 3 20 14 536 25 43 255 1 121 2,486 27 27 6 49 6 52 692 390.6 394.9 412.0 2.8 1.6 8.3 0.1 0.4 0.2 0.3 3.5 6.1 3.6 1.3 13.3 3.2 - 0.3 3.1 0.6 7.0 0.2 0.4 0.1 19.1 1.2 1.0 10.4 0.1 6.2 113.1 0.8 1.0 0.3 1.8 0.2 2.4 17.1 372.9 375.9 392.4 1.8 1.3 7.9 0.3 0.2 0.5 0.3 4.3 5.5 3.5 1.0 12.6 3.0 0.1 0.4 4.1 - 6.4 0.2 1.0 0.4 17.2 0.9 1.1 9.8 0.2 5.9 102.8 0.8 0.8 0.1 2.2 0.2 2.0 16.5 356.0 359.0 375.9 1.6 1.4 7.5 0.5 0.4 0.3 0.5 3.1 4.7 4.2 1.0 10.2 3.2 0.2 0.1 3.3 0.3 6.1 - 0.7 0.4 15.0 0.6 0.9 10.8 0.1 5.8 96.7 0.6 0.7 0.1 1.9 0.1 1.4 16.9 357.6 360.3 379.1 1.2 1.5 6.8 0.0 0.2 0.3 0.8 4.0 4.8 4.4 1.4 10.9 3.0 - 0.8 3.7 0.3 5.7 - 0.8 0.3 16.3 0.8 1.2 9.8 0.2 6.6 86.1 0.9 0.7 0.3 2.3 0.2 1.6 18.8 appendix 351.3 355.3 373.7 2.2 1.8 7.2 - 0.2 0.3 0.4 3.5 5.6 3.0 1.3 12.0 3.2 0.0 0.5 3.7 0.2 6.1 0.1 0.7 0.2 16.3 0.7 1.2 10.8 0.1 6.6 82.5 0.7 1.0 0.5 2.7 0.3 1.8 18.3 350.4 345.0 355.8 350.8 belgian cancer registry 3.4 370.0 3.0 2.0 2.0 374.2 4.5 0.5 0.1 6.2 0.3 0.2 - 3.4 0.8 0.6 5.2 6.6 4.0 1.2 3.9 3.5 12.0 11.7 1.0 - 0.3 0.6 2.4 3.3 5.4 2.8 0.0 0.0 0.2 0.1 6.7 0.8 - 0.4 0.2 0.9 6.1 0.8 16.1 1.4 1.2 9.2 0.7 16.5 0.0 6.8 5.9 0.1 82.7 80.3 11.3 0.9 2.3 0.2 0.0 0.9 0.2 0.1 1.6 1.3 1.6 1.6 0.9 19.6 18.4 133 Lip Base of tongue Tongue Gum Floor of mouth Palate Mouth, NOS Parotid gland Salivary glands, NOS Tonsil Oropharynx Nasopharynx Pyriform sinus Hypopharynx Lip, oral cavity and pharynx, NOS Oesophagus Stomach Small intestine Colon Rectosigmoid junction Rectum Anus and anal canal Liver and intrahepatic bile ducts Gallbladder Biliary tract, NOS Pancreas Other ill-defined digestive organs Nasal cavity and middle ear Accessory sinuses Larynx Trachea Bronchus and lung Thymus Heart, mediastinum and pleura Respiratory system and intrathoracic organs, NOS Bone and articular cartilage of limbs Bone and articular cartilage, NOS Malignant melanoma of skin Malignant neoplasms of skin Mesothelioma C00 C01 C02 C03 C04 C05 C06 C07 C08 C09 C10 C11 C12 C13 C14 C15 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C30 C31 C32 C33 C34 C37 C38 C39 C40 C41 C43 C44 C45 9 55 6 385 312 13 9 - - 6 554 1 10 410 327 9 7 - 6 3 567 1 9 39 7 3 8 187 44 5 6 175 13 28 33 54 27 314 20 28 27 279 76 33 769 35 147 80 778 150 85 5 5 9 6 4 14 22 3 15 11 8 10 11 22 6 9 6 3 11 29 8 13 15 13 12 15 28 6 4 15 357 282 16 9 - 3 3 641 - 39 5 6 6 207 14 21 50 29 269 45 787 37 165 73 7 4 12 1 15 23 7 15 9 12 7 8 26 8 7 11 459 311 9 7 - 1 5 699 3 22 7 2 6 185 40 15 50 26 311 32 797 36 141 83 3 5 8 4 16 37 2 24 12 8 23 13 23 13 5 2007 2006 N 2005 Primary site 2004 Females 14 480 381 11 12 - 7 5 667 1 40 4 7 6 203 33 22 69 26 303 29 783 30 155 81 2 12 10 5 14 37 4 14 6 15 16 14 21 12 1 2008 9 468 362 5 8 - 3 3 805 3 50 5 8 5 217 45 14 67 27 259 49 802 41 126 85 4 5 18 8 17 21 4 16 14 8 21 20 24 18 - 2009 Walloon Region: Females, number of invasive tumours and age-standardised incidence by primary site and incidence year, 2004-2010 10 478 459 7 7 - 1 9 814 2 34 2 4 6 248 46 33 71 40 301 50 716 34 165 91 1 3 15 4 13 28 1 18 16 12 21 15 34 11 4 2010 0.2 7.6 13.2 0.7 0.5 - - 0.2 18.8 0.0 1.5 0.2 0.1 0.2 4.8 0.8 0.4 0.8 0.9 7.4 2.0 18.5 1.0 3.9 2.3 0.2 0.2 0.2 0.1 0.3 1.1 0.3 0.4 0.4 0.6 0.4 0.5 1.0 0.3 0.1 2004 0.3 9.0 13.5 0.5 0.4 - 0.3 0.1 19.2 0.0 1.4 0.3 0.1 0.2 5.3 0.7 0.3 1.8 0.8 8.8 1.4 18.9 0.9 3.5 2.3 0.3 0.3 0.2 0.1 0.5 0.9 0.2 0.4 0.4 0.4 0.4 0.3 0.8 0.3 0.2 2005 0.4 7.1 11.5 0.8 0.5 - 0.1 0.1 21.0 - 1.3 0.3 0.3 0.1 5.2 0.4 0.5 1.3 0.8 6.5 1.0 18.8 1.3 4.1 2.2 0.3 0.2 0.5 0.0 0.5 0.9 0.2 0.5 0.3 0.4 0.3 0.3 1.0 0.3 0.2 2006 0.3 9.2 12.7 0.4 0.3 - 0.0 0.1 23.1 0.1 0.8 0.3 0.0 0.1 5.1 0.9 0.4 1.3 0.7 8.2 0.9 18.5 1.0 3.6 2.3 0.1 0.2 0.3 0.2 0.6 1.3 0.1 0.9 0.4 0.3 0.9 0.4 0.9 0.5 0.1 2007 WSR 0.4 9.6 15.3 0.6 0.8 - 0.3 0.2 21.6 0.0 1.5 0.2 0.2 0.2 5.2 0.7 0.5 1.8 0.9 7.8 0.7 17.8 0.8 3.7 2.3 0.1 0.5 0.3 0.2 0.5 1.3 0.1 0.5 0.2 0.5 0.5 0.5 0.6 0.5 0.0 2008 0.2 8.6 14.7 0.2 0.5 - 0.2 0.1 26.2 0.1 1.9 0.1 0.2 0.1 5.9 1.1 0.3 1.8 0.8 6.9 1.3 18.5 1.1 3.1 2.2 0.1 0.2 0.6 0.4 0.6 0.8 0.2 0.6 0.4 0.3 0.8 0.5 0.9 0.6 - 2009 0.3 9.6 19.5 0.3 0.4 - 0.0 0.3 25.2 0.1 1.2 0.0 0.2 0.1 6.2 1.0 0.7 1.9 1.2 7.7 1.2 16.2 0.9 3.8 2.5 0.0 0.1 0.5 0.2 0.5 0.9 0.0 0.6 0.5 0.4 0.7 0.4 1.1 0.4 0.1 2010 Cervix uteri Corpus uteri Uterus Ovary Female genital organs, NOS Placenta Kidney Renal pelvis Ureter Bladder Urinary organs, NOS Eye and adnexa Meninges Brain Spinal cord, cranial nerves and CNS, NOS Thyroid gland Adrenal gland Endocrine glands, NOS Hodgkin's disease Non-Hodgkin-lymphoma Malignant immunoproliferative diseases Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Monocytic leukaemia Leukaemia other Lymphoid, haematopoietic and related tissue, NOS Other and ill-defined sites Unknown primary site Myeloproliferative Disorders Myelodysplastic syndromes C53 C54 C55 C56 C57 C58 C64 C65 C66 C67 C68 C69 C70 C71 C72 C73 C74 C75 C81 C82-C86 C88 C90 C91 C92 C93 C94-C95 C96 C76 C80 MPD MDS 4 61 40 195 7 2 9 8 71 88 114 32 WSR: age standardised incidence rate, using the World Standard Population (n/100,000 person years) EAPC: Estimated annual percentage change (%) 8,400 8,491 8,901 53 38 183 5 2 4 8 68 66 82 18 248 38 36 288 - 10 221 4 109 4 9 1 136 7 21 168 2 12 288 25 441 190 14 55 3,061 14 28 - 5 229 9 93 6 16 2 116 12 21 150 1 10 276 35 451 219 21 49 8,638 Vagina C52 Total excl. non-melanoma and MDS, MPD Vulva C51 3,179 9,124 Breast C50 7 8,739 Retroperitoneum and peritoneum C48 3 55 Total excl. non-melanoma Soft tissues C47,C49 Total Kaposi's sarcoma C46 4 8,397 8,511 8,868 68 46 163 3 4 3 8 75 67 99 38 256 37 2 9 229 3 102 4 20 1 99 14 22 161 - 16 280 7 406 166 19 55 3,079 18 45 1 8,697 8,780 9,239 40 43 191 - 5 4 7 83 75 93 40 289 42 3 8 220 5 101 3 12 - 124 4 26 147 2 4 304 6 430 229 16 66 3,098 14 50 3 8,946 9,073 9,553 66 61 203 2 5 5 10 80 82 90 25 291 42 2 2 262 - 100 2 14 - 157 8 23 162 - 19 270 1 437 211 11 52 3,233 17 53 4 8,963 9,103 9,571 68 72 140 1 5 7 10 80 116 114 30 280 42 4 5 279 2 117 2 20 3 156 14 24 147 1 16 246 4 445 169 12 60 3,156 15 41 1 9,284 9,428 9,906 83 61 147 2 4 6 15 82 127 92 36 286 53 2 6 277 3 102 2 14 4 142 13 23 144 - 15 272 4 474 206 12 69 3,250 12 41 0.1 287.9 290.4 298.0 1.4 1.0 4.8 0.2 0.1 0.2 0.2 2.6 3.6 3.2 1.0 8.8 1.9 - 0.3 10.0 0.4 4.2 0.2 0.8 0.0 2.6 0.4 0.5 5.1 0.0 0.4 9.0 1.1 13.5 8.9 0.5 1.3 115.0 0.3 2.2 279.2 281.7 290.6 1.5 1.0 4.9 0.3 0.2 0.1 0.2 2.5 2.7 2.2 0.6 7.7 2.4 - 0.8 9.7 0.3 5.0 0.1 0.5 0.0 3.0 0.1 0.4 5.6 0.1 0.4 9.3 0.8 13.3 7.8 0.4 1.5 107.9 0.5 1.1 0.1 273.3 276.9 283.9 2.0 1.6 4.5 0.1 0.1 0.1 0.1 2.6 2.6 2.7 1.1 7.2 1.8 0.1 0.4 10.2 0.2 3.8 0.1 0.8 0.0 2.6 0.4 0.5 4.8 - 0.5 8.9 0.2 12.3 6.6 0.4 1.4 109.2 0.6 1.7 0.1 280.8 282.9 292.1 0.9 1.2 5.0 - 0.2 0.2 0.2 3.1 2.5 2.6 1.2 8.7 2.4 0.2 0.4 10.0 0.3 4.1 0.1 0.5 - 2.5 0.0 0.6 4.3 0.1 0.2 9.6 0.2 12.3 9.2 0.5 1.6 107.7 0.5 1.8 0.0 appendix 284.9 287.9 297.5 1.5 1.5 5.0 0.1 0.4 0.1 0.2 2.6 3.2 2.4 0.9 8.9 2.4 0.2 0.1 11.3 - 4.5 0.1 0.5 - 3.4 0.2 0.4 5.2 - 0.5 8.6 0.0 12.3 8.6 0.2 1.3 109.1 0.5 1.8 0.1 3.1 2.6 304.8 295.2 291.6 294.8 286.3 282.8 belgian cancer registry 1.7 2.0 2.1 3.7 3.4 1.4 0.2 0.0 0.3 0.0 0.5 0.2 2.3 0.2 2.7 4.2 0.2 2.3 4.5 2.6 7.8 0.1 0.1 0.9 0.4 0.4 0.7 12.0 12.2 8.0 4.3 0.3 0.1 0.1 0.1 5.2 0.1 0.6 0.1 0.8 0.3 3.0 3.2 0.5 0.4 0.3 4.5 8.2 0.4 7.3 0.6 0.1 0.1 0.1 4.4 8.1 12.7 6.6 12.2 2.0 0.4 1.7 108.5 106.1 0.3 1.4 0.4 0.5 0.0 0.1 1.3 135 Koningsstraat 215 / Rue Royale 215 1210 Brussel / Bruxelles Belgian Cancer Registry T +32 2 250 10 10 F +32 2 250 10 11 www.kankerregister.org www.registreducancer.org