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U.S. Cancer Death Rate Continues to Fall
Date:10/15/2007

lung cancer among women slowed considerably.

Overall, incidence rates for all cancers decreased slightly from 1992 through 2004, after increasing between 1975 and 1992.

There were declines in the incidence of lung cancer in men, colorectal cancer in both men and women and breast cancer in women from 2001 through 2004. The breast cancer declines could be due to declines in the use of hormone replacement therapy, experts said.

Lung cancer incidence in women stabilized from 1998 through 2004, after a long period of increases. In men, the lung cancer rate declined 1.8 percent annually from 1991 through 2004. Rates of colorectal cancer fell by more than 2 percent per year for both men and women, probably because of better screening and removal of precancerous polyps.

"This is the first time we have seen good news in lung cancer," Langer said. "It's probably mostly a reflection of the drop in smoking rates."

This year's report also gives a detailed view of cancer in American Indians and Alaska Natives across the United States. American Indians and Alaska Natives (AI/AN) generally had lower rates of most cancers than non-Hispanic whites between 1999 and 2004, but they had a higher incidence of cancers of the stomach, liver, kidney, gallbladder and cervix.

Incidence rates in these populations varied largely depending on the specific geographic region. From 1999 through 2004, AI/AN men from the Northern Plains region and AI/AN women from Alaska and the Northern and Southern Plains had higher incidence rates than non-Hispanic white men and women living in the same areas.

Lung and colorectal cancer incidence rates were the highest in the Northern Plains and Alaska. AI/AN women, regardless of location, were less likely than non-Hispanic white women to be diagnosed with early breast cancer.

AI/AN populations have less access to cancer prevention and control services, experts note. They also have
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