SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-17 -15 -15 -15

White 1975-00 -19 2000-17 -10 -10 -10

Black 1975-82 12 1982-17 -17 -17 -17

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-17 -10 -10 -10

White 2000-06 -16 2006-17 -05 -05 -05

White NHef 2000-06 -20 2006-17 -08 -08 -08

Black 2000-17 -18 -18 -18

Black NHef 2000-17 -18 -18 -18

APIe 2000-17 -26 -26 -26

AIANeg 2000-17 -22 -22 -22

Hispanicf 2000-17 -14 -14 -14

US Cancer Mortalityc 1975-2017

All Races 1975-87 -25 1987-90 -03 1990-09 -30 2009-17 -19 -20 -19

White 1975-87 -28 1987-90 -08 1990-08 -32 2008-17 -19 -19 -19

Black 1975-95 -13 1995-17 -33 -33 -33

US Cancer Mortalityc 2000-2017

All Races 2000-07 -33 2007-17 -21 -21 -21

White 2000-08 -32 2008-17 -19 -19 -19

White NHef 2000-08 -36 2008-17 -26 -26 -26

Black 2000-17 -33 -33 -33

Black NHef 2000-17 -32 -32 -32

APIe 2000-13 -39 2013-17 -11 -27 -11

AIANeg 2000-17 -31 -31 -31

Hispanicf 2000-17 -23 -23 -23

Table 241

Cancer of the Stomach (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Both Sexes by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-80 -02 1980-17 -18 -18 -18

White 1975-17 -18 -18 -18

Black 1975-82 24 1982-17 -21 -21 -21

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-17 -14 -14 -14

White 2000-17 -13 -13 -13

White NHef 2000-06 -26 2006-13 -06 2013-17 -23 -14 -23

Black 2000-07 -04 2007-10 -55 2010-17 -13 -22 -13

Black NHef 2000-08 -07 2008-11 -70 2011-14 23 2014-17 -40 -30 -24

APIe 2000-17 -27 -27 -27

AIANeg 2000-17 -28 -28 -28

Hispanicf 2000-17 -18 -18 -18

US Cancer Mortalityc 1975-2017

All Races 1975-87 -23 1987-91 -10 1991-08 -35 2008-17 -23 -23 -23

White 1975-93 -23 1993-08 -36 2008-17 -23 -23 -23

Black 1975-93 -11 1993-17 -33 -33 -33

US Cancer Mortalityc 2000-2017

All Races 2000-06 -37 2006-17 -25 -25 -25

White 2000-08 -36 2008-17 -23 -23 -23

White NHef 2000-09 -38 2009-17 -27 -28 -27

Black 2000-17 -32 -32 -32

Black NHef 2000-17 -31 -31 -31

APIe 2000-17 -36 -36 -36

AIANeg 2000-17 -32 -32 -32

Hispanicf 2000-17 -28 -28 -28

Table 242

Cancer of the Stomach (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Males by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Regression Program Version 48 April 2020 National Cancer Institute (httpssurveillancecancergovjoinpoint)The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

a Trends are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)b Trends are from the SEER 21 areas (SEER 9 areas Los Angeles Alaska Native Registry Rural Georgia California excluding

SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York and Massachusetts)c Trends are from US Mortality Files National Center for Health Statistics Centers for Disease Control and Preventiond The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpointe API - AsianPacific Islander AIAN - American IndianAlaska Native NH - Non-Hispanicf Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska

Natives Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registryg Data for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) counties The APCAAPC is significantly different from zero (plt05)- Joinpoint regression line analysis could not be performed on data series

JP Trend 1 JP Trend 2 JP Trend 3 JP Trend 4 JP Trend 5 JP Trend 6 AAPCd

Years APC Years APC Years APC Years APC Years APC Years APC 2008-17 2013-17

SEER 9 Delay-Adjusted Incidencea 1975-2017

All Races 1975-95 -19 1995-17 -09 -09 -09

White 1975-96 -23 1996-17 -08 -08 -08

Black 1975-17 -10 -10 -10

SEER 21 Delay-Adjusted Incidenceb 2000-2017

All Races 2000-17 -06 -06 -06

White 2000-17 -05 -05 -05

White NHef 2000-17 -10 -10 -10

Black 2000-17 -16 -16 -16

Black NHef 2000-17 -15 -15 -15

APIe 2000-17 -26 -26 -26

AIANeg 2000-17 -16 -16 -16

Hispanicf 2000-17 -10 -10 -10

US Cancer Mortalityc 1975-2017

All Races 1975-87 -28 1987-90 -03 1990-09 -27 2009-17 -18 -19 -18

White 1975-87 -31 1987-90 -10 1990-08 -29 2008-17 -17 -17 -17

Black 1975-98 -12 1998-17 -36 -36 -36

US Cancer Mortalityc 2000-2017

All Races 2000-08 -30 2008-17 -18 -18 -18

White 2000-08 -31 2008-17 -16 -16 -16

White NHef 2000-17 -30 -30 -30

Black 2000-17 -36 -36 -36

Black NHef 2000-17 -35 -35 -35

APIe 2000-17 -32 -32 -32

AIANeg 2000-17 -33 -33 -33

Hispanicf 2000-17 -18 -18 -18

Table 243

Cancer of the Stomach (Invasive)

Trends in SEER Incidenceab and US Mortalityc Using the Joinpoint Regression Program

1975-2017 With up to Five Joinpoints 2000-2017 With up to Three Joinpoints

Females by RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Reference Cancer Incidence Rates Adjusted for Reporting DelayIndividual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Review

a SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

- Delay-adjusted rate is not shown for observed rates based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Diagnosis1975-1979 1178 1702 805 1064 1550 722 1730 2486 11721980 1129 1713 717 1032 1568 656 1512 2632 7321981 1114 1660 739 1005 1507 668 1759 2783 10391982 1092 1629 712 971 1458 634 1903 3117 10331983 1094 1586 747 954 1369 659 1808 2778 11291984 1058 1533 731 943 1391 641 1659 2184 12531985 1022 1509 687 892 1332 596 1644 2350 11341986 1021 1502 681 906 1353 588 1647 2317 11881987 1020 1506 681 898 1326 596 1706 2668 10691988 1020 1550 647 881 1358 548 1622 2475 10091989 1001 1515 634 874 1347 536 1578 2316 10661990 928 1374 619 795 1191 520 1444 2178 9431991 971 1420 658 830 1232 552 1649 2577 10421992 920 1336 616 797 1166 525 1402 1990 9841993 903 1361 581 767 1161 489 1444 2370 8491994 901 1360 570 769 1175 476 1503 2474 8761995 834 1258 523 724 1123 434 1341 1897 9581996 849 1261 553 732 1103 467 1448 2259 8911997 861 1271 563 715 1079 450 1573 2235 11011998 859 1221 594 718 1052 476 1498 2016 11451999 858 1206 602 737 1050 501 1318 1826 10082000 811 1172 542 679 987 447 1295 1997 8252001 778 1129 514 649 969 404 1305 1860 9012002 798 1130 550 670 988 432 1311 1568 11062003 781 1088 548 659 933 444 1343 1852 10042004 791 1132 533 697 1000 461 1128 1719 7452005 749 1071 502 646 923 426 1156 1821 7432006 760 1071 520 653 933 430 1261 1716 9362007 729 1052 480 623 919 385 1164 1777 7702008 726 1018 498 609 882 386 1299 1844 9572009 746 1047 514 631 921 398 1174 1570 9362010 704 963 496 613 866 401 1046 1365 8282011 727 994 514 631 887 423 1167 1433 9672012 710 947 525 614 836 437 1074 1497 8032013 686 929 489 593 828 398 1002 1367 7352014 670 940 449 572 824 360 1027 1377 7672015 661 902 472 568 788 389 1067 1366 8522016 668 871 512 581 768 431 983 1399 7252017 666 906 471 586 813 396 907 1264 666

Table 244Cancer of the Stomach (Invasive)

Delay-adjusted SEER Incidencea Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for diagnosis years 1975-1979 available in web browser version of Cancer Statistics Reviewa SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Diagnosis1975-2017 855 1220 581 747 1081 493 1328 1914 9271975-1979 1178 1702 805 1064 1550 722 1730 2486 11721980 1129 1713 717 1032 1568 656 1512 2632 7321981 1114 1660 739 1005 1507 668 1759 2783 10391982 1092 1629 712 971 1458 634 1903 3117 10331983 1094 1586 747 954 1369 659 1808 2778 11291984 1058 1533 731 943 1391 641 1659 2184 12531985 1022 1509 687 892 1332 596 1644 2350 11341986 1021 1502 681 906 1353 588 1647 2317 11881987 1020 1506 681 898 1326 596 1706 2668 10691988 1020 1550 647 881 1358 548 1622 2475 10091989 1001 1515 634 874 1347 536 1578 2316 10661990 928 1374 619 795 1191 520 1444 2178 9431991 971 1420 658 830 1232 552 1649 2577 10421992 920 1336 616 797 1166 525 1402 1990 9841993 903 1361 581 767 1161 489 1444 2370 8491994 901 1360 570 769 1175 476 1503 2474 8761995 834 1258 523 724 1123 434 1341 1897 9581996 849 1261 553 732 1103 467 1448 2259 8911997 861 1271 563 715 1079 450 1573 2235 11011998 859 1221 594 718 1052 476 1498 2016 11451999 858 1206 602 737 1050 501 1318 1826 10082000 811 1172 542 679 987 447 1295 1997 8252001 778 1129 514 649 969 404 1305 1860 9012002 798 1130 550 670 988 432 1311 1568 11062003 781 1088 548 659 933 444 1343 1852 10042004 791 1132 533 697 1000 461 1128 1719 7452005 749 1071 502 646 923 426 1156 1821 7432006 760 1071 520 653 933 430 1261 1716 9362007 729 1052 480 623 919 385 1164 1777 7702008 726 1018 498 609 882 386 1299 1844 9572009 746 1047 514 630 921 397 1174 1570 9362010 703 963 496 612 865 400 1045 1364 8282011 726 993 513 630 884 422 1166 1431 9652012 709 946 524 612 833 435 1072 1494 8012013 684 926 488 590 824 396 1000 1365 7342014 668 937 447 569 819 358 1024 1373 7652015 658 897 469 563 782 385 1062 1360 8482016 663 864 507 574 759 426 974 1387 7192017 655 892 464 573 794 387 883 1231 648

Table 245Cancer of the Stomach (Invasive)

Age-adjusted SEER Incidencea Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Individual rates for years of death 1975-1979 available in web browser version of Cancer Statistics Reviewa US Mortality Files National Center for Health Statistics Centers for Disease Control and Prevention

Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

Year of Death1975-2017 486 682 342 437 614 307 876 1297 5951975-1979 799 1154 556 743 1071 520 1323 1960 8641980 736 1057 515 682 976 480 1216 1827 7961981 725 1058 498 668 980 456 1248 1806 8601982 702 1026 486 646 937 453 1217 1924 7441983 683 990 476 624 902 438 1227 1839 8081984 678 989 468 621 907 428 1192 1795 7931985 651 954 444 596 875 407 1154 1703 7821986 636 944 424 577 858 383 1139 1739 7421987 618 911 418 562 832 377 1129 1697 7551988 608 881 417 551 792 382 1105 1702 7071989 621 918 416 560 828 377 1149 1773 7331990 607 886 416 545 795 373 1146 1724 7711991 600 886 401 539 797 359 1155 1764 7551992 563 814 390 501 730 343 1071 1555 7531993 562 819 383 503 734 341 1070 1626 7111994 541 787 370 481 704 326 1026 1537 6971995 535 770 371 472 689 321 1036 1489 7371996 513 743 354 453 660 310 999 1509 6801997 494 716 337 434 633 292 966 1464 6501998 481 683 339 425 606 297 929 1372 6421999 464 659 325 405 578 279 925 1373 6472000 455 638 324 397 563 279 895 1277 6492001 437 611 310 384 539 270 832 1206 5862002 426 598 301 371 529 256 848 1220 6152003 415 575 298 365 505 260 789 1156 5482004 401 559 287 352 491 250 761 1131 5262005 382 529 274 332 459 238 729 1089 5022006 369 508 268 322 447 229 690 997 4962007 364 505 260 317 439 224 694 1052 4692008 355 487 252 307 423 216 691 1003 4902009 343 471 245 298 409 211 641 941 4412010 342 464 249 299 403 219 633 932 4372011 325 442 235 283 387 202 611 879 4332012 322 431 237 280 376 202 593 842 4242013 318 434 226 280 382 199 563 823 3842014 313 423 225 274 370 198 548 817 3662015 308 411 225 270 358 198 543 807 3642016 302 404 221 261 346 192 533 792 3532017 289 386 213 255 340 185 479 694 332

Table 246Cancer of the Stomach (Invasive)

Age-adjusted US Deatha Rates by Year Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a SEER 21 areas Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)unless noted

b US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) unless noted

c Rates are per 100000 and are age-adjusted to the world (WHO 2000-2025) standard million- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER IncidenceAge at DiagnosisAge-Adjusted Rates 2013-2017All ages 73 99 53 65 89 46 101 138 76Under 65 32 39 25 29 35 22 41 52 3265 and over 360 511 248 319 459 212 517 737 382

All ages (WHO world std)c 53 70 39 47 63 34 72 97 54

Age-Specific Rates 2013-2017lt1 - - - - - - - - -1-4 - - - - - - - - -5-9 - - - - - - - - -10-14 - - - - - - - - -15-19 01 01 01 01 - - - - -20-24 03 03 03 03 03 03 - - -25-29 05 04 05 04 04 04 04 - -30-34 11 11 11 11 10 11 11 14 0835-39 22 21 22 20 21 20 23 21 2540-44 35 39 31 32 36 28 39 42 3745-49 54 61 48 49 55 42 64 72 5750-54 83 102 65 74 91 58 110 139 8455-59 124 163 87 109 145 74 174 234 12260-64 172 234 115 151 206 100 249 347 16965-69 235 323 156 209 291 135 340 475 23870-74 322 454 210 289 411 184 431 604 30875-79 413 587 278 361 523 233 599 852 43680-84 486 686 347 430 615 298 697 971 54485+ 480 707 361 420 636 305 732 1116 570

US MortalityAge at DeathAge-Adjusted Rates 2013-2017All ages 31 41 22 27 36 19 53 78 36Under 65 12 15 09 10 13 08 18 25 1265 and over 161 224 115 141 195 100 295 446 200

All ages (WHO world std)c 18 24 13 16 21 11 31 46 20

Age-Specific Rates 2013-2017lt1 - - - - - - - - -1-4 - - - - - - - - -5-9 - - - - - - - - -10-14 - - - - - - - - -15-19 00 - - - - - - - -20-24 01 01 01 01 01 01 - - -25-29 02 02 02 02 02 02 02 02 0230-34 04 04 04 04 04 04 05 06 0435-39 08 08 07 07 08 07 09 10 0940-44 13 15 11 12 14 10 15 19 1245-49 19 22 16 17 20 14 28 35 2250-54 32 41 23 28 35 21 50 70 3355-59 46 61 31 39 52 27 78 113 4860-64 62 87 40 53 74 34 112 172 6365-69 85 119 55 74 103 48 156 241 9070-74 119 167 78 104 143 70 230 373 12675-79 175 242 123 154 210 108 314 481 20480-84 233 324 168 204 285 145 414 618 29885+ 308 424 246 270 377 213 566 794 471

Table 247Cancer of the Stomach (Invasive)

SEER Incidencea and US Deathb Rates Age-Adjusted and Age-Specific Rates by Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e Stage at diagnosis is classified using SEER Summary Stage 2000 Stage distribution percentages may not sum to 100 due to roundingf The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)g The standard error is between 5 and 10 percentage pointsh The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 11 10 13 8 5 141970-1973a - - - 13 12 14 13 15 101975-1977b 152 144 165 141 131 158 161 161 1611978-1980b 160 142 189 153 136 182 164 156 1801981-1983b 172 163 187 162 154 175 165 162 1711984-1986b 176 156 209 168 144 209 191 169 2211987-1989b 197 169 243 183 155 231 188 166 2251990-1992b 209 181 255 188 161 232 227 220 2371993-1995b 211 201 226 200 189 219 193 175 2191996-1998b 223 211 242 203 187 231 226 204 2531999-2001b 241 234 252 223 210 242 231 249 2062002-2004b 275 251 310 260 240 295 291 248 3412005-2009b 301 281 332 290 277 314 293 241 3642010-2016b 326f 302f 364f 318f 295f 358f 339f 272f 421f

5-Year Period Survival (Percent)cd

2016 322 291 369 308 275 363 326 275 393

Stage Distribution () 2010-2016ce

All StagesNumber of cases 37620 22781 14839 26255 16402 9853 5137 2878 2259Percent 100 100 100 100 100 100 100 100 100Localized 28 25 33 28 24 33 29 25 35Regional 26 28 23 26 28 22 25 26 24Distant 36 39 33 37 40 33 36 41 31UnstagedUnknown 10 8 12 9 8 12 9 8 11

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 351 312 395 345 305 392 366 325 409Ages 45-54 361 315 435 348 302 431 371 301 471Ages 55-64 343 302 425 331 294 411 340 260 474Ages 65-74 352 312 426 334 297 409 336 268 441Ages 75+ 246 234 260 238 222 258 230 190 258Ages lt65 350 307 422 338 297 413 354 281 464Ages 65+ 296 274 327 284 260 320 283 236 333

StageeAll Stages 320 289 367 308 277 359 319 261 394Localized 695 651 745 682 640 732 663 574 746Regional 320 317 326 302 302 303 340 328 355Distant 55 56 52 53 57 45 54 40 75UnstagedUnknown 234 198 275 235 188 291 233 165 293

Table 248Cancer of the Stomach (Invasive)

5-Year Relative and Period Survival (Percent) by Race Sex Diagnosis Year Stage and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on End Results data from a series of hospital registries and one population-based registryb SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)

Based on follow-up of patients into 2017 Expected survival rates are derived from the US Annual Life Tablesc SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-Monterey

Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey andGeorgia excluding ATLRG) Expected survival rates are derived from life tables by socio-economic status geography and racedeveloped by the SEER programBased on follow-up of patients into 2017

d Period survival provides a 2016 estimate of survival by piecing together the most recent conditional survival estimatesfrom several cohorts It is computed here using three year calendar blocks (2010-2012 0-1 year survival)(2009-2011 1-2 year survival) (2008-2010 2-3 year survival) (2007-2009 3-4 year survival) (2006-2008 4-5 years survival)

e Stage at diagnosis is classified using SEER Summary Stage 2000 Stage distribution percentages may not sum to 100 due to roundingf The difference between 1975-1977 and 2010-2016 is statistically significant (plt05)g The standard error is between 5 and 10 percentage pointsh The standard error is greater than 10 percentage points- Statistic could not be calculated due to fewer than 25 cases during the time period

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

5-Year Relative Survival (Percent)Year of Diagnosis1960-1963a - - - 11 10 13 8 5 141970-1973a - - - 13 12 14 13 15 101975-1977b 152 144 165 141 131 158 161 161 1611978-1980b 160 142 189 153 136 182 164 156 1801981-1983b 172 163 187 162 154 175 165 162 1711984-1986b 176 156 209 168 144 209 191 169 2211987-1989b 197 169 243 183 155 231 188 166 2251990-1992b 209 181 255 188 161 232 227 220 2371993-1995b 211 201 226 200 189 219 193 175 2191996-1998b 223 211 242 203 187 231 226 204 2531999-2001b 241 234 252 223 210 242 231 249 2062002-2004b 275 251 310 260 240 295 291 248 3412005-2009b 301 281 332 290 277 314 293 241 3642010-2016b 326f 302f 364f 318f 295f 358f 339f 272f 421f

5-Year Period Survival (Percent)cd

2016 322 291 369 308 275 363 326 275 393

Stage Distribution () 2010-2016ce

All StagesNumber of cases 37620 22781 14839 26255 16402 9853 5137 2878 2259Percent 100 100 100 100 100 100 100 100 100Localized 28 25 33 28 24 33 29 25 35Regional 26 28 23 26 28 22 25 26 24Distant 36 39 33 37 40 33 36 41 31UnstagedUnknown 10 8 12 9 8 12 9 8 11

5-Year Relative Survival (Percent) 2010-2016c

Age at DiagnosisAges lt45 351 312 395 345 305 392 366 325 409Ages 45-54 361 315 435 348 302 431 371 301 471Ages 55-64 343 302 425 331 294 411 340 260 474Ages 65-74 352 312 426 334 297 409 336 268 441Ages 75+ 246 234 260 238 222 258 230 190 258Ages lt65 350 307 422 338 297 413 354 281 464Ages 65+ 296 274 327 284 260 320 283 236 333

StageeAll Stages 320 289 367 308 277 359 319 261 394Localized 695 651 745 682 640 732 663 574 746Regional 320 317 326 302 302 303 340 328 355Distant 55 56 52 53 57 45 54 40 75UnstagedUnknown 234 198 275 235 188 291 233 165 293

Table 248Cancer of the Stomach (Invasive)

5-Year Relative and Period Survival (Percent) by Race Sex Diagnosis Year Stage and Age

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 386 415 438 448 459 454 453 476 467 470 486 496 508 530 499 522 521 556 556 544 582 575 594 605 585 6002-year 249 267 291 313 315 319 324 336 340 326 333 353 384 384 364 400 395 418 406 404 435 452 448 459 4433-year 197 210 234 252 265 266 263 284 277 269 290 302 335 330 316 346 338 365 361 353 360 387 383 3824-year 173 183 206 225 233 238 234 252 248 247 275 271 305 301 280 333 312 340 337 321 329 359 3445-year 156 166 193 208 219 222 218 228 231 230 263 260 280 284 259 313 291 321 317 305 310 3436-year 146 158 183 193 207 205 207 219 211 222 253 245 266 267 248 299 272 310 306 296 2967-year 140 152 176 184 196 200 201 211 201 214 245 238 258 254 239 290 260 300 296 2858-year 134 145 170 175 194 197 194 206 190 207 228 225 246 245 234 284 251 293 2909-year 131 141 165 169 191 193 193 196 186 200 223 217 242 237 222 278 244 28110-year 127 139 158 161 182 188 183 187 180 195 216 210 236 225 215 264 23911-year 123 134 154 159 178 177 178 186 172 185 211 201 231 221 212 26012-year 120 129 150 156 172 171 177 178 170 180 205 194 225 211 20313-year 117 129 149 152 167 160 177 170 157 176 204 191 220 19714-year 112 128 146 149 164 157 173 170 156 175 200 181 21515-year 108 123 143 147 163 154 173 170 156 173 192 17216-year 105 119 140 141 163 147 166 166 149 172 18417-year 102 115 138 139 163 140 156 156 142 16518-year 98 115 136 133 161 133 152 154 13819-year 96 113 132 131 157 130 152 14220-year 92 108 130 128 148 127 152

Table 249Cancer of the Stomach (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males and Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 380 410 428 435 467 436 455 489 466 462 494 478 503 535 517 519 511 539 556 538 578 560 587 603 588 5972-year 238 258 274 294 317 287 309 355 338 327 330 327 363 378 370 378 371 396 394 390 424 432 431 454 4343-year 185 200 214 234 259 236 249 295 274 272 286 271 316 311 315 331 317 332 342 339 349 366 369 3664-year 161 172 182 207 224 215 217 256 242 247 266 248 281 277 275 316 287 304 319 300 316 329 3315-year 144 154 167 188 208 202 199 232 222 224 256 234 255 264 253 298 268 290 294 277 293 3066-year 134 146 158 172 197 191 187 224 204 213 238 220 242 244 243 284 250 283 282 269 2827-year 127 139 150 162 187 188 178 213 188 203 233 211 238 235 237 275 234 275 272 2618-year 123 133 145 152 186 187 177 208 177 194 216 202 224 226 231 269 226 273 2669-year 122 130 139 146 185 179 174 201 168 182 214 199 222 217 218 262 221 25810-year 118 129 134 136 173 175 165 191 165 179 209 187 222 205 213 251 21911-year 114 125 129 134 171 157 159 191 159 165 206 177 222 199 205 24912-year 113 118 127 131 166 150 157 184 156 160 199 172 217 191 19613-year 111 118 127 127 160 148 157 177 146 155 196 165 212 17914-year 104 118 123 121 154 147 153 177 141 151 196 158 20415-year 100 113 120 115 154 147 152 177 141 146 186 14216-year 98 108 117 112 154 135 152 165 139 144 17917-year 95 105 114 111 153 122 136 157 131 14418-year 88 104 113 107 150 115 127 157 12319-year 87 103 109 104 143 115 126 15020-year 86 99 108 103 136 109 126

Table 2410Cancer of the Stomach (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Males

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Based on the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta)Expected survival rates are derived from the US Annual Life Tables

1975- 1980- 1985- 1990-1979 1984 1989 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

SurvivalTime

1-year 397 424 454 469 446 485 450 457 469 484 472 523 517 523 469 527 538 585 557 551 587 599 605 609 581 6042-year 267 282 319 344 314 373 348 309 343 325 338 393 415 395 352 435 435 456 424 425 453 482 474 468 4593-year 216 226 267 281 276 316 286 266 283 265 296 349 365 360 318 369 370 421 389 375 379 420 405 4094-year 192 201 246 255 247 274 263 246 257 249 289 305 341 340 290 356 352 400 363 353 350 404 3635-year 174 187 236 241 237 255 249 222 243 238 275 298 318 315 268 335 329 371 352 347 336 3996-year 166 180 225 228 224 228 240 210 221 236 272 280 303 301 255 323 306 356 342 335 3207-year 161 173 218 221 212 216 233 208 219 230 264 277 289 281 244 313 303 341 333 3208-year 152 163 213 213 207 210 221 202 209 227 247 259 279 274 239 305 290 324 3239-year 145 159 208 207 198 210 221 190 209 227 235 242 270 268 230 302 280 32010-year 143 155 198 202 196 209 211 178 199 220 228 241 252 259 215 283 27011-year 137 150 196 197 190 209 206 176 189 215 220 237 244 255 215 27512-year 132 146 190 197 182 205 205 169 189 211 214 226 236 242 21313-year 126 146 187 193 178 178 205 158 173 210 212 224 232 22614-year 124 144 185 193 178 173 201 157 173 210 207 214 23115-year 122 139 181 193 178 163 201 157 173 210 201 21216-year 117 136 178 189 178 162 187 157 161 210 18917-year 114 133 176 183 178 162 186 151 155 19818-year 113 132 175 176 178 161 186 148 15519-year 109 128 172 174 178 155 186 12720-year 102 124 164 169 170 154 186

Table 2411Cancer of the Stomach (Invasive)

SEERa Relative Survival (Percent)By Year of Diagnosis

All Races Females

Year of Diagnosis

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 084 036 Asian 0 000 000 001 157 096

10 000 000 002 085 036 Pacific 10 000 001 003 158 096

20 000 002 006 085 037 Islander 20 001 003 008 158 097

30 002 006 016 086 037 30 002 007 020 158 097

40 004 014 032 085 037 40 005 018 044 157 096

50 010 028 054 083 036 50 013 039 082 154 095

60 019 046 070 077 034 60 026 071 119 145 092

70 031 057 - 065 031 70 048 098 - 127 086

80 035 - - 045 025 80 060 - - 093 075

White 0 000 000 000 074 031 American 0 000 000 001 083 046

10 000 000 002 075 032 Indian 10 000 001 004 084 047

20 000 002 006 075 032 Alaska 20 000 004 008 084 047

30 002 005 014 075 032 Nativea 30 003 008 018 085 048

40 004 013 028 075 032 40 004 015 031 084 048

50 009 025 048 072 031 50 011 028 049 083 048

60 017 041 062 067 030 60 018 041 068 077 047

70 028 050 - 057 027 70 026 056 - 067 043

80 030 - - 039 022 80 040 - - 055 035

Black 0 000 000 000 108 057 Hispanicb 0 000 000 001 136 071

10 000 000 002 109 058 10 000 001 004 137 072

20 000 002 007 110 059 20 001 004 010 137 072

30 002 007 019 111 059 30 003 010 023 137 072

40 005 018 041 111 060 40 007 020 046 136 072

50 013 037 070 110 060 50 014 040 079 132 070

60 026 062 092 105 059 60 027 068 108 123 067

70 042 078 - 094 056 70 045 088 - 105 061

80 051 - - 072 049 80 054 - - 075 050

Table 2412

Cancer of the Stomach (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Both Sexes 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 104 043 Asian 0 000 000 001 189 112

10 000 000 002 105 044 Pacific 10 000 001 002 190 113

20 000 002 007 105 044 Islander 20 001 002 008 190 114

30 002 006 018 106 044 30 002 008 023 191 114

40 005 017 040 106 045 40 006 022 056 190 114

50 013 036 070 105 044 50 016 051 108 187 113

60 026 062 091 099 043 60 036 095 152 178 111

70 042 076 - 085 039 70 064 126 - 154 104

80 048 - - 060 032 80 076 - - 110 091

White 0 000 000 000 093 038 American 0 000 000 000 096 053

10 000 000 002 094 038 Indian 10 000 000 003 097 054

20 000 002 006 094 038 Alaska 20 000 002 008 097 054

30 002 006 017 095 039 Nativea 30 002 008 020 099 056

40 004 015 036 095 039 40 006 019 043 100 056

50 011 033 063 093 038 50 013 039 069 099 057

60 023 056 082 088 037 60 028 061 088 094 056

70 038 068 - 075 033 70 038 070 - 076 052

80 043 - - 053 027 80 045 - - 054 037

Black 0 000 000 000 127 071 Hispanicb 0 000 000 001 157 082

10 000 000 002 130 073 10 000 001 004 159 083

20 000 002 008 131 073 20 001 004 010 159 083

30 002 007 023 133 074 30 003 010 024 161 084

40 006 022 053 134 076 40 007 022 053 160 084

50 017 049 090 135 077 50 015 047 097 157 082

60 036 081 117 130 076 60 033 086 135 150 080

70 057 102 - 119 073 70 060 115 - 131 074

80 069 - - 095 063 80 073 - - 094 060

Table 2413

Cancer of the Stomach (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Males 2015-2017 By RaceEthnicity

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Devcan 678 April 2020 National Cancer Institute (httpssurveillancecancergovdevcan)Source Incidence data are from the SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta

San Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts) Mortality data are from the NCHS public use data file for the total US

a Underlying incidence and mortality data for American IndianAlaska Native are based on the PRCDA(PurchasedReferred Care DeliveryAreas) counties

b Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska NativesUnderlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registry

- Statistic could not be calculatedA percent of 000 represents a value that is below 0005

Risk of Being Risk of Being

Race Current Diagnosed with Cancer Risk of Dying Race Current Diagnosed with Cancer Risk of Dying

Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer Ethnicity Age +10 yrs +20 yrs +30 yrs Ever from Cancer

All Races 0 000 000 000 066 029 Asian 0 000 000 001 130 082

10 000 000 002 067 030 Pacific 10 000 001 003 131 083

20 000 002 006 067 030 Islander 20 001 003 007 131 083

30 002 006 013 067 030 30 002 007 017 131 083

40 004 011 023 066 029 40 005 015 032 129 082

50 008 020 039 063 029 50 010 028 060 126 080

60 013 032 051 058 027 60 018 050 091 118 077

70 021 042 - 049 025 70 034 077 - 105 072

80 026 - - 035 021 80 049 - - 081 064

White 0 000 000 000 056 025 American 0 000 000 001 070 040

10 000 000 002 057 026 Indian 10 000 001 005 070 040

20 000 002 005 057 026 Alaska 20 001 005 008 071 041

30 002 005 011 057 026 Nativea 30 005 007 015 071 041

40 004 010 020 056 025 40 002 011 019 068 040

50 007 017 033 053 025 50 009 017 031 067 040

60 011 028 043 049 023 60 009 024 050 062 038

70 018 035 - 041 021 70 016 045 - 058 036

80 021 - - 029 018 80 037 - - 054 033

Black 0 000 000 000 092 046 Hispanicb 0 000 000 001 117 063

10 000 000 002 093 047 10 000 001 004 118 063

20 000 002 007 093 047 20 001 003 010 118 063

30 002 007 016 094 047 30 003 009 021 118 063

40 005 014 031 093 047 40 007 018 039 116 062

50 010 027 053 091 046 50 012 033 063 111 060

60 018 046 073 086 046 60 022 053 085 102 057

70 032 062 - 077 044 70 033 068 - 086 051

80 040 - - 060 042 80 042 - - 063 043

Table 2414

Cancer of the Stomach (Invasive)

Risk of Being Diagnosed With Cancer in 10 20 and 30 Years

Lifetime Risk of Being Diagnosed with Cancer Given Alive and Cancer-Free at Current Age and

Lifetime Risk of Dying from Cancer Given Alive at Current Age

Females 2015-2017 By RaceEthnicity

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

The AAPC is the Average Annual Percent Change over the time interval The AAPCs are calculated bythe Joinpoint Regression Program Version 48 April 2020 National Cancer Institute

- Statistic not shown Rate based on less than 16 cases for the time intervalTrend based on less than 10 cases for at least one year within the time interval

a Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130) Trendsare based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico SeattleUtah and AtlantaThe SEER 21 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the AlaskaNative Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts

c The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 3 Joinpoints overdiagnosis years 2000-2017

d The 2008-2017 AAPC estimates are based on a Joinpoint analysis with up to 5 Joinpoints overdiagnosis years 1975-2017

e Hispanic and Non-Hispanic are not mutually exclusive from whites blacks AsianPacificIslanders and American IndiansAlaska Natives Incidence data for Hispanics and Non-Hispanicsare based on NHIA and exclude cases from the Alaska Native Registry

f Incidence data for American IndianAlaska Native are based on the PurchasedReferred CareDelivery Area (PRCDA) counties

g US Mortality Files National Center for Health Statistics CDCh The 2008-2017 mortality AAPCs are based on a Joinpoint analysis using years of death 2000-2017 The APC is significantly different from zero (plt05)

SEER Incidence SEER 21 Areasb SEER 21 Areasb SEER 9 Areasb

Rate 2013-2017 Trend 2008-2017c Trend 2008-2017d

Rate per 100000 persons AAPC () AAPC ()

Total Males Females Total Males Females Total Males Females RaceEthnicity

All Races 73 99 53 -10 -14 -06 -15 -18 -09

White 65 89 46 -10 -14 -05 -12 -18 -09White Hispanice 108 135 88 -16 -21 -12 - - -White Non-Hispanice 57 80 38 -10 -16 -11 - - -

Black 101 138 76 -19 -29 -17 -17 -21 -10

AsianPacific Islander 106 141 80 -28 -29 -27 - - -

Amer IndAlaska Natf 84 111 62 -24 -30 -18 - - -

Hispanice 105 131 86 -15 -19 -11 - - -

US Mortalityg Rate 2013-2017 Trend 2008-2017h

Rate per 100000 persons AAPC ()

Total Males Females Total Males FemalesRaceEthnicity

All Races 31 41 22 -21 -25 -18

White 27 36 19 -19 -23 -16White Hispanice 54 68 43 -21 -26 -17White Non-Hispanice 23 32 16 -26 -28 -30

Black 53 78 36 -33 -32 -36

AsianPacific Islander 52 67 41 -27 -36 -32

Amer IndAlaska NatTotal US 32 43 24 -34 -38 -34PRCDA Counties 48 63 36 -31 -32 -33Non-PRCDA Counties 15 21 11 -24 -37 -18

Hispanice 50 64 40 -23 -28 -18

Table 2415Cancer of the Stomach (Invasive)

SEER Incidence and US MortalityAge-Adjusted Rates and Trendsa

By RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 743 973 556 686 901 508 873 1200 637Greater Bay Area 734 956 557 641 832 483 967 1342 704San Francisco-Oakland 724 950 545 629 823 468 965 1335 709San Jose-Monterey 754 968 581 663 848 510 977 1402 -

Los Angeles 915 1204 687 863 1114 658 870 1236 625Greater California 667 875 495 629 838 455 823 1085 608

Connecticut 785 1112 529 723 1035 474 1238 1779 893Detroit 717 995 502 623 879 423 1002 1382 737Georgia 644 868 468 534 714 386 915 1297 661Atlanta 706 982 501 550 788 360 902 1267 675Rural Georgia 607 817 440 429 639 - 933 - -Greater Georgia 622 828 456 533 695 399 934 1335 653

Hawaii 856 1130 635 483 628 324 - - -Idaho 528 719 358 523 714 352 - - -Iowa 459 641 309 440 626 287 860 - -Kentucky 664 881 494 647 869 469 865 1101 731Louisiana 714 1012 475 568 828 355 1104 1553 785Massachusetts 665 942 447 600 863 393 1192 1671 865New Jersey 795 1067 590 725 997 515 1021 1363 822New Mexico 651 827 501 604 783 450 712 - -New York 874 1187 633 755 1033 535 1110 1508 863Seattle-Puget Sound 617 850 427 544 780 346 1104 1336 907Utah 473 606 355 443 585 319 - - -

SEER 9 Areasb 665 902 475 574 795 391 986 1341 740SEER 13 Areasb 728 976 530 639 864 454 958 1315 714SEER 18 Areasb 710 949 519 636 859 454 967 1327 719SEER 21 Areasb 733 986 532 652 886 462 1012 1383 762

Table 2416Cancer of the Stomach (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 394 510 302 362 468 276 513 759 336Greater Bay Area 375 491 287 313 405 240 560 774 408San Francisco-Oakland 369 490 276 297 390 222 585 805 424San Jose-Monterey 387 493 306 340 430 271 - - -

Los Angeles 524 695 393 510 667 387 509 792 319Greater California 342 435 265 318 411 241 497 723 321

Connecticut 318 440 224 291 396 211 603 941 386Detroit 332 441 249 269 354 205 533 738 386Georgia 315 431 223 246 324 183 498 769 317Atlanta 312 427 230 220 275 182 445 715 283Rural Georgia 296 - - - - - - - -Greater Georgia 317 438 218 256 344 183 540 821 338

Hawaii 425 567 322 250 268 227 - - -Idaho 231 302 168 229 297 167 - - -Iowa 199 284 131 189 271 122 694 - -Kentucky 295 414 204 287 402 199 409 597 273Louisiana 349 485 241 233 326 161 670 971 453Massachusetts 308 423 221 287 396 204 496 691 364New Jersey 341 481 240 316 443 223 524 777 364New Mexico 347 444 266 320 412 242 - - -New York 359 497 254 313 426 226 496 732 344Seattle-Puget Sound 286 385 204 234 328 156 400 637 -Utah 227 271 190 208 256 168 - - -

SEER 9 Areasb 311 415 229 254 338 186 511 737 356SEER 13 Areasb 364 482 271 311 408 233 510 747 347SEER 18 Areasb 349 465 258 305 405 225 534 786 357SEER 21 Areasb 347 466 254 304 406 223 522 769 353

Total US 306 411 222 268 359 194 532 785 359

Table 2417Cancer of the Stomach (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 306 001

High Five StatesDC 485 040 01(0105) 5869c

Alaska 451 040 02(0111) 4745c

Hawaii 425 022 03(0106) 3922c

California 394 004 04(0205) 2904c

Mississippi 360 015 05(0316) 1779c

Low Five StatesNebraska 203 014 47(3651) -3343c

Maine 200 015 48(3751) -3440c

New Hampshire 200 016 49(3651) -3449c

Iowa 199 010 50(4151) -3476c

Wyoming 149 022 51(4451) -5137c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 330 011 13(0520) 795 Montana 212 018 46(2751) -3051c

Alaska 451 040 02(0111) 4745c Nebraska 203 014 47(3651) -3343c

Arizona 259 008 33(2341) -1511c Nevada 274 014 26(1542) -1048Arkansas 281 013 23(1438) -810 New Hampshire 200 016 49(3651) -3449c

California 394 004 04(0205) 2904c New Jersey 341 008 11(0516) 1174Colorado 245 010 37(2546) -1969c New Mexico 347 017 10(0320) 1373Connecticut 318 012 14(0724) 392 New York 359 006 07(0411) 1742c

Delaware 303 023 19(0541) -092 North Carolina 292 007 22(1528) -430DC 485 040 01(0105) 5869c North Dakota 228 024 43(1851) -2536c

Florida 272 004 28(2234) -1097 Ohio 264 006 30(2338) -1352Georgia 315 008 15(1022) 296 Oklahoma 269 011 29(1841) -1193Hawaii 425 022 03(0106) 3922c Oregon 246 010 36(2446) -1947c

Idaho 231 016 42(2450) -2450c Pennsylvania 262 006 31(2338) -1415Illinois 331 007 12(0817) 822 Rhode Island 313 022 16(0536) 238Indiana 250 008 34(2544) -1811c South Carolina 360 011 06(0414) 1774c

Iowa 199 010 50(4151) -3476c South Dakota 231 022 41(1950) -2436c

Kansas 221 012 45(3350) -2758c Tennessee 272 009 27(1937) -1087Kentucky 295 011 21(1331) -354 Texas 356 005 08(0412) 1643c

Louisiana 349 012 09(0417) 1422 Utah 227 014 44(2850) -2563c

Maine 200 015 48(3751) -3440c Vermont 239 025 39(1550) -2167c

Maryland 304 010 18(1226) -048 Virginia 302 008 20(1326) -127Massachusetts 308 009 17(1124) 078 Washington 275 008 25(1937) -1007Michigan 276 007 24(1934) -972 West Virginia 261 015 32(1745) -1455Minnesota 234 009 40(3247) -2337c Wisconsin 248 009 35(2645) -1900c

Mississippi 360 015 05(0316) 1779c Wyoming 149 022 51(4451) -5137c

Missouri 240 008 38(3046) -2158c

Table 2418Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 411 002

High Five StatesDC 644 071 01(0114) 5668c

Alaska 586 067 02(0121) 4272c

Hawaii 567 038 03(0111) 3800c

California 510 008 04(0208) 2414c

South Carolina 509 020 05(0113) 2386c

Low Five StatesMontana 271 031 47(2651) -3392c

Utah 271 023 48(3451) -3398c

Maine 263 026 49(3451) -3607c

South Dakota 261 034 50(2751) -3636c

Wyoming 190 038 51(3951) -5371c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 457 020 10(0322) 1130 Montana 271 031 47(2651) -3392c

Alaska 586 067 02(0121) 4272c Nebraska 299 025 44(2450) -2719c

Arizona 325 013 38(2647) -2091c Nevada 342 022 34(1947) -1683c

Arkansas 371 022 27(1343) -970 New Hampshire 285 028 45(2651) -3055c

California 510 008 04(0208) 2414c New Jersey 481 015 08(0316) 1695c

Colorado 341 017 35(2145) -1708c New Mexico 444 029 13(0329) 814Connecticut 440 022 14(0525) 712 New York 497 010 06(0211) 2102c

Delaware 408 040 20(0345) -064 North Carolina 393 013 22(1432) -426DC 644 071 01(0114) 5668c North Dakota 300 041 43(1551) -2710c

Florida 356 008 30(2338) -1324 Ohio 352 011 31(2241) -1421Georgia 431 014 15(0823) 492 Oklahoma 376 020 24(1441) -847Hawaii 567 038 03(0111) 3800c Oregon 340 018 36(2146) -1717c

Idaho 302 027 42(2250) -2659c Pennsylvania 373 010 26(1935) -929Illinois 449 012 12(0720) 926 Rhode Island 387 037 23(0446) -575Indiana 348 015 33(2143) -1535c South Carolina 509 020 05(0113) 2386c

Iowa 284 018 46(3451) -3093c South Dakota 261 034 50(2751) -3636c

Kansas 305 021 41(2550) -2581c Tennessee 376 015 25(1738) -850Kentucky 414 020 18(0931) 080 Texas 473 009 09(0514) 1518c

Louisiana 485 021 07(0218) 1795c Utah 271 023 48(3451) -3398c

Maine 263 026 49(3451) -3607c Vermont 403 049 21(0348) -188Maryland 413 017 19(0929) 060 Virginia 420 015 17(1025) 225Massachusetts 423 016 16(0925) 288 Washington 365 015 29(1940) -1106Michigan 366 012 28(1938) -1091 West Virginia 323 025 39(2050) -2143c

Minnesota 320 015 40(2648) -2219c Wisconsin 327 015 37(2546) -2034c

Mississippi 452 025 11(0324) 1002 Wyoming 190 038 51(3951) -5371c

Missouri 350 015 32(2142) -1470

Table 2419Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 222 002

High Five StatesDC 370 046 01(0114) 6678c

Hawaii 322 026 02(0111) 4510c

Alaska 318 047 03(0135) 4315c

California 302 005 04(0106) 3629c

Mississippi 280 018 05(0115) 2606c

Low Five StatesIowa 131 011 47(3951) -4105c

New Hampshire 130 018 48(3251) -4124c

Nebraska 127 015 49(3751) -4285c

Wyoming 116 026 50(2551) -4792c

Vermont 111 021 51(3651) -4983c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 233 012 14(0530) 519 Montana 159 022 43(1551) -2844c

Alaska 318 047 03(0135) 4315c Nebraska 127 015 49(3751) -4285c

Arizona 203 010 27(1239) -842 Nevada 218 017 20(0639) -169Arkansas 207 015 24(0942) -677 New Hampshire 130 018 48(3251) -4124c

California 302 005 04(0106) 3629c New Jersey 240 009 11(0523) 835Colorado 168 011 38(2648) -2422c New Mexico 266 020 06(0225) 1968c

Connecticut 224 014 15(0635) 083 New York 254 006 09(0415) 1467Delaware 224 026 16(0345) 082 North Carolina 213 008 21(1234) -420DC 370 046 01(0114) 6678c North Dakota 166 029 42(0751) -2527c

Florida 201 005 28(1835) -944 Ohio 197 007 30(1838) -1138Georgia 223 009 17(0830) 073 Oklahoma 184 013 34(1746) -1684c

Hawaii 322 026 02(0111) 4510c Oregon 167 012 40(2448) -2462c

Idaho 168 019 39(1551) -2441c Pennsylvania 176 006 36(2845) -2051c

Illinois 239 008 12(0621) 792 Rhode Island 263 028 07(0136) 1842c

Indiana 173 009 37(2647) -2204c South Carolina 237 013 13(0528) 699Iowa 131 011 47(3951) -4105c South Dakota 196 028 31(0550) -1173Kansas 157 014 44(2850) -2940c Tennessee 190 010 32(1842) -1436Kentucky 204 012 25(1140) -810 Texas 262 006 08(0413) 1797c

Louisiana 241 013 10(0428) 861 Utah 190 017 33(1147) -1438Maine 150 018 46(2551) -3239c Vermont 111 021 51(3651) -4983c

Maryland 221 011 18(0833) -041 Virginia 207 009 23(1237) -662Massachusetts 221 010 19(0832) -050 Washington 199 010 29(1440) -1016Michigan 203 008 26(1537) -836 West Virginia 212 018 22(0643) -442Minnesota 166 010 41(2848) -2518c Wisconsin 184 010 35(2044) -1691c

Mississippi 280 018 05(0115) 2606c Wyoming 116 026 50(2551) -4792c

Missouri 152 009 45(3549) -3146c

Table 2420Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 54042 26380 15002 8205 4582 108211 8314 116525

Males 31365 14818 8175 4623 2463 61445 4737 66182Females 22676 11561 6828 3581 2119 46766 3577 50343

White Both Sexes 40902 19944 11203 6216 3412 81678 6451 88128Males 24172 11626 6356 3582 1764 47500 3650 51150Females 16730 8319 4846 2634 1649 34178 2800 36978

Black Both Sexes 7637 3672 2018 1066 551 14944 1053 15997Males 4025 1697 872 528 315 7437 559 7995Females 3612 1975 1146 538 236 7508 494 8002

Asian Both Sexes 4275 2224 1475 795 490 9260 + +Pacific Males 2513 1182 811 430 292 5229 + +Islander Females 1762 1041 664 366 197 4031 + +

Hispanic Both Sexes 7803 3705 2132 1059 616 15315 + +Males 4041 1942 1110 565 265 7924 + +Females 3762 1762 1022 494 351 7391 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 00334 - 00001 00008 00042 00130 00364 00775 01495 02060 00281

Males 00385 - 00001 00007 00040 00130 00407 00970 01986 02835 00356Females 00284 - 00002 00009 00043 00130 00323 00598 01084 01577 00223

White Both Sexes 00323 - 00002 00008 00040 00124 00325 00692 01356 01847 00254Males 00379 - 00001 00007 00037 00127 00367 00875 01823 02577 00325Females 00268 - 00002 00009 00042 00120 00283 00523 00957 01384 00197

Black Both Sexes 00328 - - 00007 00042 00130 00506 01105 02003 02648 00372Males 00340 - - 00007 00045 00115 00537 01303 02612 03351 00450Females 00317 - - 00007 00038 00143 00480 00946 01578 02297 00321

Asian Both Sexes 00444 - 00003 00010 00044 00174 00507 01206 02650 04661 00493Pacific Males 00523 - - 00011 00046 00169 00616 01660 03448 06321 00641Islander Females 00371 - 00005 00009 00043 00179 00413 00840 02011 03579 00381

Hispanic Both Sexes 00263 - 00001 00008 00059 00189 00498 01070 02280 03134 00415Males 00270 - 00001 00007 00056 00187 00516 01207 02862 03924 00489Females 00257 - 00001 00010 00063 00192 00480 00948 01832 02643 00360

Table 2421Cancer of the Stomach (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Epidermoid carcinoma includes squamous basal and transitional cell carcinomase Other adenocarcinomas includes histologies 8050 8141 8143 8146-8147 8160-8162 8180-8221 8250-8469 8474-8479 8483-8489

8491-8507 8514 8520-8551 8560 8570-8574 8576 8940-8941- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Carcinoma 42491 909 30259 920 5698 844 5719 921 269 968 8087 939Epidermoid carcinomad 413 09 288 09 76 11 45 07 - - 48 06(8051-8131)Squamous cell carcinoma 391 08 274 08 73 11 40 06 - - 41 05(8070-80788083-8084)

Adenocarcinoma 37210 796 26353 801 4923 729 5308 855 240 863 7006 813(80508140-81478160-81628180-82218250-850785148520-855185608570-857485768940-8941)Adenocarcinoma NOS 21488 460 15899 483 2753 408 2502 403 125 450 3396 394(8140)

Adenocarcinoma 3796 81 2172 66 652 97 902 145 28 101 737 86intestinal type (8144)Carcinoma diffuse 1757 38 1081 33 215 32 427 69 - - 481 56type (8145)Linitus plastica (8142) 168 04 126 04 16 02 22 04 - - 38 04Mucinous adenocarcinoma 526 11 371 11 85 13 59 10 - - 99 11(8470-847384808482)

Mucin-producing 118 03 81 02 21 03 16 03 - - 25 03adenocarcinoma (8481)

Signet ring 7368 158 5268 160 865 128 1086 175 58 209 1842 214adenocarcinoma (8490)

Other adenocarcinomase 1989 43 1355 41 316 47 294 47 - - 388 45Other specific carcinomas 4009 86 3033 92 550 81 253 41 25 90 880 102(8012-80158030-80468150-81558170-81758230-824985088510-85138561-856285758580-8671)

Unspecified Carcinoma NOS 859 18 585 18 149 22 113 18 - - 153 18(8010-80118020-8022)

Table 2422

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Total includes carcinoma cases from the previous page- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Sarcoma and other soft tissue 106 02 88 03 - - - - - - - -tumors (8680-87138800-89218990-89919040-90449120-91369150-92529370-93739540-9582)

Other specific types 3943 84 2404 73 1021 151 450 72 - - 469 54(8720-87908930-89368950-89839000-90309060-91109260-93659380-9539)

Unspecified (8000-8005) 210 04 148 04 27 04 30 05 - - 48 06

Totald 46750 1000 32899 1000 6754 1000 6208 1000 278 1000 8613 1000

Table 2422 - continued

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

0

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Stomach by Race and Sex

a

Figure 241

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 1975-17 = -18Observed 1975-17 = -18

US Mortality APC2008-17 = -23

SEER Incidence APCsDelay Adj 1982-17 = -21Observed 1982-17 = -21

US Mortality APC1993-17 = -33

SEER Incidence APCsDelay Adj 1996-17 = -08Observed 1995-17 = -09

US Mortality APC2008-17 = -17

SEER Incidence APCsDelay Adj 1975-17 = -10Observed 1975-17 = -10

US Mortality APC1998-17 = -36

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

5

10

15

20

25

1975 1985 1995 2005 20170

5

10

15

20

25

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Stomach Both Sexes

Figure 242

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Figure 243

Cancer of the Stomach5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

• Trends in SEER Incidence and US Mortality Both Sexes
• Trends in SEER Incidence and US Mortality Males
• Trends in SEER Incidence and US Mortality Females
• Annual Delay-adjusted Incidence Rates
• Annual Incidence Rates
• Annual Death Rates
• Incidence and Mortality Rates by Age
• 5-year Relative and Period Survival
• Relative Survival by Year of Diagnosis Both Sexes
• Relative Survival by Year of Diagnosis Males
• Relative Survival by Year of Diagnosis Females
• Risk of DevelopingDying Both Sexes
• Risk of DevelopingDying Males
• Risk of DevelopingDying Females
• Rates and Trends by RaceEthnicity
• Age-Adjusted SEER Incidence Rates by Registry
• Age-Adjusted SEER Death Rates by Registry
• Age-Adjusted Cancer Death Rates By State Both Sexes
• Age-Adjusted Cancer Death Rates By State Males
• Age-Adjusted Cancer Death Rates By State Females
• US Prevalence Estimates
• Case Distribution by Histology
• Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
• Graph - SEER Incidence and US Death Rates by RaceEthnicity
• Graph - 5-Year SEER Conditional Relative Survival

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and Atlanta

The SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Incidence Ratesa 2013-2017

California 743 973 556 686 901 508 873 1200 637Greater Bay Area 734 956 557 641 832 483 967 1342 704San Francisco-Oakland 724 950 545 629 823 468 965 1335 709San Jose-Monterey 754 968 581 663 848 510 977 1402 -

Los Angeles 915 1204 687 863 1114 658 870 1236 625Greater California 667 875 495 629 838 455 823 1085 608

Connecticut 785 1112 529 723 1035 474 1238 1779 893Detroit 717 995 502 623 879 423 1002 1382 737Georgia 644 868 468 534 714 386 915 1297 661Atlanta 706 982 501 550 788 360 902 1267 675Rural Georgia 607 817 440 429 639 - 933 - -Greater Georgia 622 828 456 533 695 399 934 1335 653

Hawaii 856 1130 635 483 628 324 - - -Idaho 528 719 358 523 714 352 - - -Iowa 459 641 309 440 626 287 860 - -Kentucky 664 881 494 647 869 469 865 1101 731Louisiana 714 1012 475 568 828 355 1104 1553 785Massachusetts 665 942 447 600 863 393 1192 1671 865New Jersey 795 1067 590 725 997 515 1021 1363 822New Mexico 651 827 501 604 783 450 712 - -New York 874 1187 633 755 1033 535 1110 1508 863Seattle-Puget Sound 617 850 427 544 780 346 1104 1336 907Utah 473 606 355 443 585 319 - - -

SEER 9 Areasb 665 902 475 574 795 391 986 1341 740SEER 13 Areasb 728 976 530 639 864 454 958 1315 714SEER 18 Areasb 710 949 519 636 859 454 967 1327 719SEER 21 Areasb 733 986 532 652 886 462 1012 1383 762

Table 2416Cancer of the Stomach (Invasive)

Age-Adjusted SEER Incidence Ratesa

By Registry Race and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 394 510 302 362 468 276 513 759 336Greater Bay Area 375 491 287 313 405 240 560 774 408San Francisco-Oakland 369 490 276 297 390 222 585 805 424San Jose-Monterey 387 493 306 340 430 271 - - -

Los Angeles 524 695 393 510 667 387 509 792 319Greater California 342 435 265 318 411 241 497 723 321

Connecticut 318 440 224 291 396 211 603 941 386Detroit 332 441 249 269 354 205 533 738 386Georgia 315 431 223 246 324 183 498 769 317Atlanta 312 427 230 220 275 182 445 715 283Rural Georgia 296 - - - - - - - -Greater Georgia 317 438 218 256 344 183 540 821 338

Hawaii 425 567 322 250 268 227 - - -Idaho 231 302 168 229 297 167 - - -Iowa 199 284 131 189 271 122 694 - -Kentucky 295 414 204 287 402 199 409 597 273Louisiana 349 485 241 233 326 161 670 971 453Massachusetts 308 423 221 287 396 204 496 691 364New Jersey 341 481 240 316 443 223 524 777 364New Mexico 347 444 266 320 412 242 - - -New York 359 497 254 313 426 226 496 732 344Seattle-Puget Sound 286 385 204 234 328 156 400 637 -Utah 227 271 190 208 256 168 - - -

SEER 9 Areasb 311 415 229 254 338 186 511 737 356SEER 13 Areasb 364 482 271 311 408 233 510 747 347SEER 18 Areasb 349 465 258 305 405 225 534 786 357SEER 21 Areasb 347 466 254 304 406 223 522 769 353

Total US 306 411 222 268 359 194 532 785 359

Table 2417Cancer of the Stomach (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 306 001

High Five StatesDC 485 040 01(0105) 5869c

Alaska 451 040 02(0111) 4745c

Hawaii 425 022 03(0106) 3922c

California 394 004 04(0205) 2904c

Mississippi 360 015 05(0316) 1779c

Low Five StatesNebraska 203 014 47(3651) -3343c

Maine 200 015 48(3751) -3440c

New Hampshire 200 016 49(3651) -3449c

Iowa 199 010 50(4151) -3476c

Wyoming 149 022 51(4451) -5137c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 330 011 13(0520) 795 Montana 212 018 46(2751) -3051c

Alaska 451 040 02(0111) 4745c Nebraska 203 014 47(3651) -3343c

Arizona 259 008 33(2341) -1511c Nevada 274 014 26(1542) -1048Arkansas 281 013 23(1438) -810 New Hampshire 200 016 49(3651) -3449c

California 394 004 04(0205) 2904c New Jersey 341 008 11(0516) 1174Colorado 245 010 37(2546) -1969c New Mexico 347 017 10(0320) 1373Connecticut 318 012 14(0724) 392 New York 359 006 07(0411) 1742c

Delaware 303 023 19(0541) -092 North Carolina 292 007 22(1528) -430DC 485 040 01(0105) 5869c North Dakota 228 024 43(1851) -2536c

Florida 272 004 28(2234) -1097 Ohio 264 006 30(2338) -1352Georgia 315 008 15(1022) 296 Oklahoma 269 011 29(1841) -1193Hawaii 425 022 03(0106) 3922c Oregon 246 010 36(2446) -1947c

Idaho 231 016 42(2450) -2450c Pennsylvania 262 006 31(2338) -1415Illinois 331 007 12(0817) 822 Rhode Island 313 022 16(0536) 238Indiana 250 008 34(2544) -1811c South Carolina 360 011 06(0414) 1774c

Iowa 199 010 50(4151) -3476c South Dakota 231 022 41(1950) -2436c

Kansas 221 012 45(3350) -2758c Tennessee 272 009 27(1937) -1087Kentucky 295 011 21(1331) -354 Texas 356 005 08(0412) 1643c

Louisiana 349 012 09(0417) 1422 Utah 227 014 44(2850) -2563c

Maine 200 015 48(3751) -3440c Vermont 239 025 39(1550) -2167c

Maryland 304 010 18(1226) -048 Virginia 302 008 20(1326) -127Massachusetts 308 009 17(1124) 078 Washington 275 008 25(1937) -1007Michigan 276 007 24(1934) -972 West Virginia 261 015 32(1745) -1455Minnesota 234 009 40(3247) -2337c Wisconsin 248 009 35(2645) -1900c

Mississippi 360 015 05(0316) 1779c Wyoming 149 022 51(4451) -5137c

Missouri 240 008 38(3046) -2158c

Table 2418Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 411 002

High Five StatesDC 644 071 01(0114) 5668c

Alaska 586 067 02(0121) 4272c

Hawaii 567 038 03(0111) 3800c

California 510 008 04(0208) 2414c

South Carolina 509 020 05(0113) 2386c

Low Five StatesMontana 271 031 47(2651) -3392c

Utah 271 023 48(3451) -3398c

Maine 263 026 49(3451) -3607c

South Dakota 261 034 50(2751) -3636c

Wyoming 190 038 51(3951) -5371c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 457 020 10(0322) 1130 Montana 271 031 47(2651) -3392c

Alaska 586 067 02(0121) 4272c Nebraska 299 025 44(2450) -2719c

Arizona 325 013 38(2647) -2091c Nevada 342 022 34(1947) -1683c

Arkansas 371 022 27(1343) -970 New Hampshire 285 028 45(2651) -3055c

California 510 008 04(0208) 2414c New Jersey 481 015 08(0316) 1695c

Colorado 341 017 35(2145) -1708c New Mexico 444 029 13(0329) 814Connecticut 440 022 14(0525) 712 New York 497 010 06(0211) 2102c

Delaware 408 040 20(0345) -064 North Carolina 393 013 22(1432) -426DC 644 071 01(0114) 5668c North Dakota 300 041 43(1551) -2710c

Florida 356 008 30(2338) -1324 Ohio 352 011 31(2241) -1421Georgia 431 014 15(0823) 492 Oklahoma 376 020 24(1441) -847Hawaii 567 038 03(0111) 3800c Oregon 340 018 36(2146) -1717c

Idaho 302 027 42(2250) -2659c Pennsylvania 373 010 26(1935) -929Illinois 449 012 12(0720) 926 Rhode Island 387 037 23(0446) -575Indiana 348 015 33(2143) -1535c South Carolina 509 020 05(0113) 2386c

Iowa 284 018 46(3451) -3093c South Dakota 261 034 50(2751) -3636c

Kansas 305 021 41(2550) -2581c Tennessee 376 015 25(1738) -850Kentucky 414 020 18(0931) 080 Texas 473 009 09(0514) 1518c

Louisiana 485 021 07(0218) 1795c Utah 271 023 48(3451) -3398c

Maine 263 026 49(3451) -3607c Vermont 403 049 21(0348) -188Maryland 413 017 19(0929) 060 Virginia 420 015 17(1025) 225Massachusetts 423 016 16(0925) 288 Washington 365 015 29(1940) -1106Michigan 366 012 28(1938) -1091 West Virginia 323 025 39(2050) -2143c

Minnesota 320 015 40(2648) -2219c Wisconsin 327 015 37(2546) -2034c

Mississippi 452 025 11(0324) 1002 Wyoming 190 038 51(3951) -5371c

Missouri 350 015 32(2142) -1470

Table 2419Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 222 002

High Five StatesDC 370 046 01(0114) 6678c

Hawaii 322 026 02(0111) 4510c

Alaska 318 047 03(0135) 4315c

California 302 005 04(0106) 3629c

Mississippi 280 018 05(0115) 2606c

Low Five StatesIowa 131 011 47(3951) -4105c

New Hampshire 130 018 48(3251) -4124c

Nebraska 127 015 49(3751) -4285c

Wyoming 116 026 50(2551) -4792c

Vermont 111 021 51(3651) -4983c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 233 012 14(0530) 519 Montana 159 022 43(1551) -2844c

Alaska 318 047 03(0135) 4315c Nebraska 127 015 49(3751) -4285c

Arizona 203 010 27(1239) -842 Nevada 218 017 20(0639) -169Arkansas 207 015 24(0942) -677 New Hampshire 130 018 48(3251) -4124c

California 302 005 04(0106) 3629c New Jersey 240 009 11(0523) 835Colorado 168 011 38(2648) -2422c New Mexico 266 020 06(0225) 1968c

Connecticut 224 014 15(0635) 083 New York 254 006 09(0415) 1467Delaware 224 026 16(0345) 082 North Carolina 213 008 21(1234) -420DC 370 046 01(0114) 6678c North Dakota 166 029 42(0751) -2527c

Florida 201 005 28(1835) -944 Ohio 197 007 30(1838) -1138Georgia 223 009 17(0830) 073 Oklahoma 184 013 34(1746) -1684c

Hawaii 322 026 02(0111) 4510c Oregon 167 012 40(2448) -2462c

Idaho 168 019 39(1551) -2441c Pennsylvania 176 006 36(2845) -2051c

Illinois 239 008 12(0621) 792 Rhode Island 263 028 07(0136) 1842c

Indiana 173 009 37(2647) -2204c South Carolina 237 013 13(0528) 699Iowa 131 011 47(3951) -4105c South Dakota 196 028 31(0550) -1173Kansas 157 014 44(2850) -2940c Tennessee 190 010 32(1842) -1436Kentucky 204 012 25(1140) -810 Texas 262 006 08(0413) 1797c

Louisiana 241 013 10(0428) 861 Utah 190 017 33(1147) -1438Maine 150 018 46(2551) -3239c Vermont 111 021 51(3651) -4983c

Maryland 221 011 18(0833) -041 Virginia 207 009 23(1237) -662Massachusetts 221 010 19(0832) -050 Washington 199 010 29(1440) -1016Michigan 203 008 26(1537) -836 West Virginia 212 018 22(0643) -442Minnesota 166 010 41(2848) -2518c Wisconsin 184 010 35(2044) -1691c

Mississippi 280 018 05(0115) 2606c Wyoming 116 026 50(2551) -4792c

Missouri 152 009 45(3549) -3146c

Table 2420Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 54042 26380 15002 8205 4582 108211 8314 116525

Males 31365 14818 8175 4623 2463 61445 4737 66182Females 22676 11561 6828 3581 2119 46766 3577 50343

White Both Sexes 40902 19944 11203 6216 3412 81678 6451 88128Males 24172 11626 6356 3582 1764 47500 3650 51150Females 16730 8319 4846 2634 1649 34178 2800 36978

Black Both Sexes 7637 3672 2018 1066 551 14944 1053 15997Males 4025 1697 872 528 315 7437 559 7995Females 3612 1975 1146 538 236 7508 494 8002

Asian Both Sexes 4275 2224 1475 795 490 9260 + +Pacific Males 2513 1182 811 430 292 5229 + +Islander Females 1762 1041 664 366 197 4031 + +

Hispanic Both Sexes 7803 3705 2132 1059 616 15315 + +Males 4041 1942 1110 565 265 7924 + +Females 3762 1762 1022 494 351 7391 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 00334 - 00001 00008 00042 00130 00364 00775 01495 02060 00281

Males 00385 - 00001 00007 00040 00130 00407 00970 01986 02835 00356Females 00284 - 00002 00009 00043 00130 00323 00598 01084 01577 00223

White Both Sexes 00323 - 00002 00008 00040 00124 00325 00692 01356 01847 00254Males 00379 - 00001 00007 00037 00127 00367 00875 01823 02577 00325Females 00268 - 00002 00009 00042 00120 00283 00523 00957 01384 00197

Black Both Sexes 00328 - - 00007 00042 00130 00506 01105 02003 02648 00372Males 00340 - - 00007 00045 00115 00537 01303 02612 03351 00450Females 00317 - - 00007 00038 00143 00480 00946 01578 02297 00321

Asian Both Sexes 00444 - 00003 00010 00044 00174 00507 01206 02650 04661 00493Pacific Males 00523 - - 00011 00046 00169 00616 01660 03448 06321 00641Islander Females 00371 - 00005 00009 00043 00179 00413 00840 02011 03579 00381

Hispanic Both Sexes 00263 - 00001 00008 00059 00189 00498 01070 02280 03134 00415Males 00270 - 00001 00007 00056 00187 00516 01207 02862 03924 00489Females 00257 - 00001 00010 00063 00192 00480 00948 01832 02643 00360

Table 2421Cancer of the Stomach (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Epidermoid carcinoma includes squamous basal and transitional cell carcinomase Other adenocarcinomas includes histologies 8050 8141 8143 8146-8147 8160-8162 8180-8221 8250-8469 8474-8479 8483-8489

8491-8507 8514 8520-8551 8560 8570-8574 8576 8940-8941- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Carcinoma 42491 909 30259 920 5698 844 5719 921 269 968 8087 939Epidermoid carcinomad 413 09 288 09 76 11 45 07 - - 48 06(8051-8131)Squamous cell carcinoma 391 08 274 08 73 11 40 06 - - 41 05(8070-80788083-8084)

Adenocarcinoma 37210 796 26353 801 4923 729 5308 855 240 863 7006 813(80508140-81478160-81628180-82218250-850785148520-855185608570-857485768940-8941)Adenocarcinoma NOS 21488 460 15899 483 2753 408 2502 403 125 450 3396 394(8140)

Adenocarcinoma 3796 81 2172 66 652 97 902 145 28 101 737 86intestinal type (8144)Carcinoma diffuse 1757 38 1081 33 215 32 427 69 - - 481 56type (8145)Linitus plastica (8142) 168 04 126 04 16 02 22 04 - - 38 04Mucinous adenocarcinoma 526 11 371 11 85 13 59 10 - - 99 11(8470-847384808482)

Mucin-producing 118 03 81 02 21 03 16 03 - - 25 03adenocarcinoma (8481)

Signet ring 7368 158 5268 160 865 128 1086 175 58 209 1842 214adenocarcinoma (8490)

Other adenocarcinomase 1989 43 1355 41 316 47 294 47 - - 388 45Other specific carcinomas 4009 86 3033 92 550 81 253 41 25 90 880 102(8012-80158030-80468150-81558170-81758230-824985088510-85138561-856285758580-8671)

Unspecified Carcinoma NOS 859 18 585 18 149 22 113 18 - - 153 18(8010-80118020-8022)

Table 2422

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Total includes carcinoma cases from the previous page- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Sarcoma and other soft tissue 106 02 88 03 - - - - - - - -tumors (8680-87138800-89218990-89919040-90449120-91369150-92529370-93739540-9582)

Other specific types 3943 84 2404 73 1021 151 450 72 - - 469 54(8720-87908930-89368950-89839000-90309060-91109260-93659380-9539)

Unspecified (8000-8005) 210 04 148 04 27 04 30 05 - - 48 06

Totald 46750 1000 32899 1000 6754 1000 6208 1000 278 1000 8613 1000

Table 2422 - continued

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

0

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Stomach by Race and Sex

a

Figure 241

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 1975-17 = -18Observed 1975-17 = -18

US Mortality APC2008-17 = -23

SEER Incidence APCsDelay Adj 1982-17 = -21Observed 1982-17 = -21

US Mortality APC1993-17 = -33

SEER Incidence APCsDelay Adj 1996-17 = -08Observed 1995-17 = -09

US Mortality APC2008-17 = -17

SEER Incidence APCsDelay Adj 1975-17 = -10Observed 1975-17 = -10

US Mortality APC1998-17 = -36

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

5

10

15

20

25

1975 1985 1995 2005 20170

5

10

15

20

25

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Stomach Both Sexes

Figure 242

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Figure 243

Cancer of the Stomach5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

• Trends in SEER Incidence and US Mortality Both Sexes
• Trends in SEER Incidence and US Mortality Males
• Trends in SEER Incidence and US Mortality Females
• Annual Delay-adjusted Incidence Rates
• Annual Incidence Rates
• Annual Death Rates
• Incidence and Mortality Rates by Age
• 5-year Relative and Period Survival
• Relative Survival by Year of Diagnosis Both Sexes
• Relative Survival by Year of Diagnosis Males
• Relative Survival by Year of Diagnosis Females
• Risk of DevelopingDying Both Sexes
• Risk of DevelopingDying Males
• Risk of DevelopingDying Females
• Rates and Trends by RaceEthnicity
• Age-Adjusted SEER Incidence Rates by Registry
• Age-Adjusted SEER Death Rates by Registry
• Age-Adjusted Cancer Death Rates By State Both Sexes
• Age-Adjusted Cancer Death Rates By State Males
• Age-Adjusted Cancer Death Rates By State Females
• US Prevalence Estimates
• Case Distribution by Histology
• Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
• Graph - SEER Incidence and US Death Rates by RaceEthnicity
• Graph - 5-Year SEER Conditional Relative Survival

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control and PreventionRates are per 100000 and are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130)

b The SEER 9 areas are San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah and AtlantaThe SEER 13 areas comprise the SEER 9 areas plus San Jose-Monterey Los Angeles the Alaska Native Registry and Rural GeorgiaThe SEER 18 areas comprise the SEER 13 areas plus California excluding SFSJMLA Kentucky Louisiana New Jersey and Georgiaexcluding ATLRGThe SEER 21 areas comprise the SEER 18 areas plus Idaho New York and Massachusetts

- Statistic not shown Rate based on less than 16 cases for the time interval

All Races Whites Blacks Total Males Females Total Males Females Total Males Females

SEER Death Ratesa 2013-2017

California 394 510 302 362 468 276 513 759 336Greater Bay Area 375 491 287 313 405 240 560 774 408San Francisco-Oakland 369 490 276 297 390 222 585 805 424San Jose-Monterey 387 493 306 340 430 271 - - -

Los Angeles 524 695 393 510 667 387 509 792 319Greater California 342 435 265 318 411 241 497 723 321

Connecticut 318 440 224 291 396 211 603 941 386Detroit 332 441 249 269 354 205 533 738 386Georgia 315 431 223 246 324 183 498 769 317Atlanta 312 427 230 220 275 182 445 715 283Rural Georgia 296 - - - - - - - -Greater Georgia 317 438 218 256 344 183 540 821 338

Hawaii 425 567 322 250 268 227 - - -Idaho 231 302 168 229 297 167 - - -Iowa 199 284 131 189 271 122 694 - -Kentucky 295 414 204 287 402 199 409 597 273Louisiana 349 485 241 233 326 161 670 971 453Massachusetts 308 423 221 287 396 204 496 691 364New Jersey 341 481 240 316 443 223 524 777 364New Mexico 347 444 266 320 412 242 - - -New York 359 497 254 313 426 226 496 732 344Seattle-Puget Sound 286 385 204 234 328 156 400 637 -Utah 227 271 190 208 256 168 - - -

SEER 9 Areasb 311 415 229 254 338 186 511 737 356SEER 13 Areasb 364 482 271 311 408 233 510 747 347SEER 18 Areasb 349 465 258 305 405 225 534 786 357SEER 21 Areasb 347 466 254 304 406 223 522 769 353

Total US 306 411 222 268 359 194 532 785 359

Table 2417Cancer of the Stomach (Invasive)

Age-Adjusted SEER Death Ratesa

By Registry Race and Sex

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 306 001

High Five StatesDC 485 040 01(0105) 5869c

Alaska 451 040 02(0111) 4745c

Hawaii 425 022 03(0106) 3922c

California 394 004 04(0205) 2904c

Mississippi 360 015 05(0316) 1779c

Low Five StatesNebraska 203 014 47(3651) -3343c

Maine 200 015 48(3751) -3440c

New Hampshire 200 016 49(3651) -3449c

Iowa 199 010 50(4151) -3476c

Wyoming 149 022 51(4451) -5137c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 330 011 13(0520) 795 Montana 212 018 46(2751) -3051c

Alaska 451 040 02(0111) 4745c Nebraska 203 014 47(3651) -3343c

Arizona 259 008 33(2341) -1511c Nevada 274 014 26(1542) -1048Arkansas 281 013 23(1438) -810 New Hampshire 200 016 49(3651) -3449c

California 394 004 04(0205) 2904c New Jersey 341 008 11(0516) 1174Colorado 245 010 37(2546) -1969c New Mexico 347 017 10(0320) 1373Connecticut 318 012 14(0724) 392 New York 359 006 07(0411) 1742c

Delaware 303 023 19(0541) -092 North Carolina 292 007 22(1528) -430DC 485 040 01(0105) 5869c North Dakota 228 024 43(1851) -2536c

Florida 272 004 28(2234) -1097 Ohio 264 006 30(2338) -1352Georgia 315 008 15(1022) 296 Oklahoma 269 011 29(1841) -1193Hawaii 425 022 03(0106) 3922c Oregon 246 010 36(2446) -1947c

Idaho 231 016 42(2450) -2450c Pennsylvania 262 006 31(2338) -1415Illinois 331 007 12(0817) 822 Rhode Island 313 022 16(0536) 238Indiana 250 008 34(2544) -1811c South Carolina 360 011 06(0414) 1774c

Iowa 199 010 50(4151) -3476c South Dakota 231 022 41(1950) -2436c

Kansas 221 012 45(3350) -2758c Tennessee 272 009 27(1937) -1087Kentucky 295 011 21(1331) -354 Texas 356 005 08(0412) 1643c

Louisiana 349 012 09(0417) 1422 Utah 227 014 44(2850) -2563c

Maine 200 015 48(3751) -3440c Vermont 239 025 39(1550) -2167c

Maryland 304 010 18(1226) -048 Virginia 302 008 20(1326) -127Massachusetts 308 009 17(1124) 078 Washington 275 008 25(1937) -1007Michigan 276 007 24(1934) -972 West Virginia 261 015 32(1745) -1455Minnesota 234 009 40(3247) -2337c Wisconsin 248 009 35(2645) -1900c

Mississippi 360 015 05(0316) 1779c Wyoming 149 022 51(4451) -5137c

Missouri 240 008 38(3046) -2158c

Table 2418Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 411 002

High Five StatesDC 644 071 01(0114) 5668c

Alaska 586 067 02(0121) 4272c

Hawaii 567 038 03(0111) 3800c

California 510 008 04(0208) 2414c

South Carolina 509 020 05(0113) 2386c

Low Five StatesMontana 271 031 47(2651) -3392c

Utah 271 023 48(3451) -3398c

Maine 263 026 49(3451) -3607c

South Dakota 261 034 50(2751) -3636c

Wyoming 190 038 51(3951) -5371c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 457 020 10(0322) 1130 Montana 271 031 47(2651) -3392c

Alaska 586 067 02(0121) 4272c Nebraska 299 025 44(2450) -2719c

Arizona 325 013 38(2647) -2091c Nevada 342 022 34(1947) -1683c

Arkansas 371 022 27(1343) -970 New Hampshire 285 028 45(2651) -3055c

California 510 008 04(0208) 2414c New Jersey 481 015 08(0316) 1695c

Colorado 341 017 35(2145) -1708c New Mexico 444 029 13(0329) 814Connecticut 440 022 14(0525) 712 New York 497 010 06(0211) 2102c

Delaware 408 040 20(0345) -064 North Carolina 393 013 22(1432) -426DC 644 071 01(0114) 5668c North Dakota 300 041 43(1551) -2710c

Florida 356 008 30(2338) -1324 Ohio 352 011 31(2241) -1421Georgia 431 014 15(0823) 492 Oklahoma 376 020 24(1441) -847Hawaii 567 038 03(0111) 3800c Oregon 340 018 36(2146) -1717c

Idaho 302 027 42(2250) -2659c Pennsylvania 373 010 26(1935) -929Illinois 449 012 12(0720) 926 Rhode Island 387 037 23(0446) -575Indiana 348 015 33(2143) -1535c South Carolina 509 020 05(0113) 2386c

Iowa 284 018 46(3451) -3093c South Dakota 261 034 50(2751) -3636c

Kansas 305 021 41(2550) -2581c Tennessee 376 015 25(1738) -850Kentucky 414 020 18(0931) 080 Texas 473 009 09(0514) 1518c

Louisiana 485 021 07(0218) 1795c Utah 271 023 48(3451) -3398c

Maine 263 026 49(3451) -3607c Vermont 403 049 21(0348) -188Maryland 413 017 19(0929) 060 Virginia 420 015 17(1025) 225Massachusetts 423 016 16(0925) 288 Washington 365 015 29(1940) -1106Michigan 366 012 28(1938) -1091 West Virginia 323 025 39(2050) -2143c

Minnesota 320 015 40(2648) -2219c Wisconsin 327 015 37(2546) -2034c

Mississippi 452 025 11(0324) 1002 Wyoming 190 038 51(3951) -5371c

Missouri 350 015 32(2142) -1470

Table 2419Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 222 002

High Five StatesDC 370 046 01(0114) 6678c

Hawaii 322 026 02(0111) 4510c

Alaska 318 047 03(0135) 4315c

California 302 005 04(0106) 3629c

Mississippi 280 018 05(0115) 2606c

Low Five StatesIowa 131 011 47(3951) -4105c

New Hampshire 130 018 48(3251) -4124c

Nebraska 127 015 49(3751) -4285c

Wyoming 116 026 50(2551) -4792c

Vermont 111 021 51(3651) -4983c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 233 012 14(0530) 519 Montana 159 022 43(1551) -2844c

Alaska 318 047 03(0135) 4315c Nebraska 127 015 49(3751) -4285c

Arizona 203 010 27(1239) -842 Nevada 218 017 20(0639) -169Arkansas 207 015 24(0942) -677 New Hampshire 130 018 48(3251) -4124c

California 302 005 04(0106) 3629c New Jersey 240 009 11(0523) 835Colorado 168 011 38(2648) -2422c New Mexico 266 020 06(0225) 1968c

Connecticut 224 014 15(0635) 083 New York 254 006 09(0415) 1467Delaware 224 026 16(0345) 082 North Carolina 213 008 21(1234) -420DC 370 046 01(0114) 6678c North Dakota 166 029 42(0751) -2527c

Florida 201 005 28(1835) -944 Ohio 197 007 30(1838) -1138Georgia 223 009 17(0830) 073 Oklahoma 184 013 34(1746) -1684c

Hawaii 322 026 02(0111) 4510c Oregon 167 012 40(2448) -2462c

Idaho 168 019 39(1551) -2441c Pennsylvania 176 006 36(2845) -2051c

Illinois 239 008 12(0621) 792 Rhode Island 263 028 07(0136) 1842c

Indiana 173 009 37(2647) -2204c South Carolina 237 013 13(0528) 699Iowa 131 011 47(3951) -4105c South Dakota 196 028 31(0550) -1173Kansas 157 014 44(2850) -2940c Tennessee 190 010 32(1842) -1436Kentucky 204 012 25(1140) -810 Texas 262 006 08(0413) 1797c

Louisiana 241 013 10(0428) 861 Utah 190 017 33(1147) -1438Maine 150 018 46(2551) -3239c Vermont 111 021 51(3651) -4983c

Maryland 221 011 18(0833) -041 Virginia 207 009 23(1237) -662Massachusetts 221 010 19(0832) -050 Washington 199 010 29(1440) -1016Michigan 203 008 26(1537) -836 West Virginia 212 018 22(0643) -442Minnesota 166 010 41(2848) -2518c Wisconsin 184 010 35(2044) -1691c

Mississippi 280 018 05(0115) 2606c Wyoming 116 026 50(2551) -4792c

Missouri 152 009 45(3549) -3146c

Table 2420Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 54042 26380 15002 8205 4582 108211 8314 116525

Males 31365 14818 8175 4623 2463 61445 4737 66182Females 22676 11561 6828 3581 2119 46766 3577 50343

White Both Sexes 40902 19944 11203 6216 3412 81678 6451 88128Males 24172 11626 6356 3582 1764 47500 3650 51150Females 16730 8319 4846 2634 1649 34178 2800 36978

Black Both Sexes 7637 3672 2018 1066 551 14944 1053 15997Males 4025 1697 872 528 315 7437 559 7995Females 3612 1975 1146 538 236 7508 494 8002

Asian Both Sexes 4275 2224 1475 795 490 9260 + +Pacific Males 2513 1182 811 430 292 5229 + +Islander Females 1762 1041 664 366 197 4031 + +

Hispanic Both Sexes 7803 3705 2132 1059 616 15315 + +Males 4041 1942 1110 565 265 7924 + +Females 3762 1762 1022 494 351 7391 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 00334 - 00001 00008 00042 00130 00364 00775 01495 02060 00281

Males 00385 - 00001 00007 00040 00130 00407 00970 01986 02835 00356Females 00284 - 00002 00009 00043 00130 00323 00598 01084 01577 00223

White Both Sexes 00323 - 00002 00008 00040 00124 00325 00692 01356 01847 00254Males 00379 - 00001 00007 00037 00127 00367 00875 01823 02577 00325Females 00268 - 00002 00009 00042 00120 00283 00523 00957 01384 00197

Black Both Sexes 00328 - - 00007 00042 00130 00506 01105 02003 02648 00372Males 00340 - - 00007 00045 00115 00537 01303 02612 03351 00450Females 00317 - - 00007 00038 00143 00480 00946 01578 02297 00321

Asian Both Sexes 00444 - 00003 00010 00044 00174 00507 01206 02650 04661 00493Pacific Males 00523 - - 00011 00046 00169 00616 01660 03448 06321 00641Islander Females 00371 - 00005 00009 00043 00179 00413 00840 02011 03579 00381

Hispanic Both Sexes 00263 - 00001 00008 00059 00189 00498 01070 02280 03134 00415Males 00270 - 00001 00007 00056 00187 00516 01207 02862 03924 00489Females 00257 - 00001 00010 00063 00192 00480 00948 01832 02643 00360

Table 2421Cancer of the Stomach (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Epidermoid carcinoma includes squamous basal and transitional cell carcinomase Other adenocarcinomas includes histologies 8050 8141 8143 8146-8147 8160-8162 8180-8221 8250-8469 8474-8479 8483-8489

8491-8507 8514 8520-8551 8560 8570-8574 8576 8940-8941- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Carcinoma 42491 909 30259 920 5698 844 5719 921 269 968 8087 939Epidermoid carcinomad 413 09 288 09 76 11 45 07 - - 48 06(8051-8131)Squamous cell carcinoma 391 08 274 08 73 11 40 06 - - 41 05(8070-80788083-8084)

Adenocarcinoma 37210 796 26353 801 4923 729 5308 855 240 863 7006 813(80508140-81478160-81628180-82218250-850785148520-855185608570-857485768940-8941)Adenocarcinoma NOS 21488 460 15899 483 2753 408 2502 403 125 450 3396 394(8140)

Adenocarcinoma 3796 81 2172 66 652 97 902 145 28 101 737 86intestinal type (8144)Carcinoma diffuse 1757 38 1081 33 215 32 427 69 - - 481 56type (8145)Linitus plastica (8142) 168 04 126 04 16 02 22 04 - - 38 04Mucinous adenocarcinoma 526 11 371 11 85 13 59 10 - - 99 11(8470-847384808482)

Mucin-producing 118 03 81 02 21 03 16 03 - - 25 03adenocarcinoma (8481)

Signet ring 7368 158 5268 160 865 128 1086 175 58 209 1842 214adenocarcinoma (8490)

Other adenocarcinomase 1989 43 1355 41 316 47 294 47 - - 388 45Other specific carcinomas 4009 86 3033 92 550 81 253 41 25 90 880 102(8012-80158030-80468150-81558170-81758230-824985088510-85138561-856285758580-8671)

Unspecified Carcinoma NOS 859 18 585 18 149 22 113 18 - - 153 18(8010-80118020-8022)

Table 2422

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Total includes carcinoma cases from the previous page- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Sarcoma and other soft tissue 106 02 88 03 - - - - - - - -tumors (8680-87138800-89218990-89919040-90449120-91369150-92529370-93739540-9582)

Other specific types 3943 84 2404 73 1021 151 450 72 - - 469 54(8720-87908930-89368950-89839000-90309060-91109260-93659380-9539)

Unspecified (8000-8005) 210 04 148 04 27 04 30 05 - - 48 06

Totald 46750 1000 32899 1000 6754 1000 6208 1000 278 1000 8613 1000

Table 2422 - continued

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

0

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Stomach by Race and Sex

a

Figure 241

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 1975-17 = -18Observed 1975-17 = -18

US Mortality APC2008-17 = -23

SEER Incidence APCsDelay Adj 1982-17 = -21Observed 1982-17 = -21

US Mortality APC1993-17 = -33

SEER Incidence APCsDelay Adj 1996-17 = -08Observed 1995-17 = -09

US Mortality APC2008-17 = -17

SEER Incidence APCsDelay Adj 1975-17 = -10Observed 1975-17 = -10

US Mortality APC1998-17 = -36

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

5

10

15

20

25

1975 1985 1995 2005 20170

5

10

15

20

25

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Stomach Both Sexes

Figure 242

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Figure 243

Cancer of the Stomach5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

• Trends in SEER Incidence and US Mortality Both Sexes
• Trends in SEER Incidence and US Mortality Males
• Trends in SEER Incidence and US Mortality Females
• Annual Delay-adjusted Incidence Rates
• Annual Incidence Rates
• Annual Death Rates
• Incidence and Mortality Rates by Age
• 5-year Relative and Period Survival
• Relative Survival by Year of Diagnosis Both Sexes
• Relative Survival by Year of Diagnosis Males
• Relative Survival by Year of Diagnosis Females
• Risk of DevelopingDying Both Sexes
• Risk of DevelopingDying Males
• Risk of DevelopingDying Females
• Rates and Trends by RaceEthnicity
• Age-Adjusted SEER Incidence Rates by Registry
• Age-Adjusted SEER Death Rates by Registry
• Age-Adjusted Cancer Death Rates By State Both Sexes
• Age-Adjusted Cancer Death Rates By State Males
• Age-Adjusted Cancer Death Rates By State Females
• US Prevalence Estimates
• Case Distribution by Histology
• Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
• Graph - SEER Incidence and US Death Rates by RaceEthnicity
• Graph - 5-Year SEER Conditional Relative Survival

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 306 001

High Five StatesDC 485 040 01(0105) 5869c

Alaska 451 040 02(0111) 4745c

Hawaii 425 022 03(0106) 3922c

California 394 004 04(0205) 2904c

Mississippi 360 015 05(0316) 1779c

Low Five StatesNebraska 203 014 47(3651) -3343c

Maine 200 015 48(3751) -3440c

New Hampshire 200 016 49(3651) -3449c

Iowa 199 010 50(4151) -3476c

Wyoming 149 022 51(4451) -5137c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 330 011 13(0520) 795 Montana 212 018 46(2751) -3051c

Alaska 451 040 02(0111) 4745c Nebraska 203 014 47(3651) -3343c

Arizona 259 008 33(2341) -1511c Nevada 274 014 26(1542) -1048Arkansas 281 013 23(1438) -810 New Hampshire 200 016 49(3651) -3449c

California 394 004 04(0205) 2904c New Jersey 341 008 11(0516) 1174Colorado 245 010 37(2546) -1969c New Mexico 347 017 10(0320) 1373Connecticut 318 012 14(0724) 392 New York 359 006 07(0411) 1742c

Delaware 303 023 19(0541) -092 North Carolina 292 007 22(1528) -430DC 485 040 01(0105) 5869c North Dakota 228 024 43(1851) -2536c

Florida 272 004 28(2234) -1097 Ohio 264 006 30(2338) -1352Georgia 315 008 15(1022) 296 Oklahoma 269 011 29(1841) -1193Hawaii 425 022 03(0106) 3922c Oregon 246 010 36(2446) -1947c

Idaho 231 016 42(2450) -2450c Pennsylvania 262 006 31(2338) -1415Illinois 331 007 12(0817) 822 Rhode Island 313 022 16(0536) 238Indiana 250 008 34(2544) -1811c South Carolina 360 011 06(0414) 1774c

Iowa 199 010 50(4151) -3476c South Dakota 231 022 41(1950) -2436c

Kansas 221 012 45(3350) -2758c Tennessee 272 009 27(1937) -1087Kentucky 295 011 21(1331) -354 Texas 356 005 08(0412) 1643c

Louisiana 349 012 09(0417) 1422 Utah 227 014 44(2850) -2563c

Maine 200 015 48(3751) -3440c Vermont 239 025 39(1550) -2167c

Maryland 304 010 18(1226) -048 Virginia 302 008 20(1326) -127Massachusetts 308 009 17(1124) 078 Washington 275 008 25(1937) -1007Michigan 276 007 24(1934) -972 West Virginia 261 015 32(1745) -1455Minnesota 234 009 40(3247) -2337c Wisconsin 248 009 35(2645) -1900c

Mississippi 360 015 05(0316) 1779c Wyoming 149 022 51(4451) -5137c

Missouri 240 008 38(3046) -2158c

Table 2418Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males and Females

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 411 002

High Five StatesDC 644 071 01(0114) 5668c

Alaska 586 067 02(0121) 4272c

Hawaii 567 038 03(0111) 3800c

California 510 008 04(0208) 2414c

South Carolina 509 020 05(0113) 2386c

Low Five StatesMontana 271 031 47(2651) -3392c

Utah 271 023 48(3451) -3398c

Maine 263 026 49(3451) -3607c

South Dakota 261 034 50(2751) -3636c

Wyoming 190 038 51(3951) -5371c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 457 020 10(0322) 1130 Montana 271 031 47(2651) -3392c

Alaska 586 067 02(0121) 4272c Nebraska 299 025 44(2450) -2719c

Arizona 325 013 38(2647) -2091c Nevada 342 022 34(1947) -1683c

Arkansas 371 022 27(1343) -970 New Hampshire 285 028 45(2651) -3055c

California 510 008 04(0208) 2414c New Jersey 481 015 08(0316) 1695c

Colorado 341 017 35(2145) -1708c New Mexico 444 029 13(0329) 814Connecticut 440 022 14(0525) 712 New York 497 010 06(0211) 2102c

Delaware 408 040 20(0345) -064 North Carolina 393 013 22(1432) -426DC 644 071 01(0114) 5668c North Dakota 300 041 43(1551) -2710c

Florida 356 008 30(2338) -1324 Ohio 352 011 31(2241) -1421Georgia 431 014 15(0823) 492 Oklahoma 376 020 24(1441) -847Hawaii 567 038 03(0111) 3800c Oregon 340 018 36(2146) -1717c

Idaho 302 027 42(2250) -2659c Pennsylvania 373 010 26(1935) -929Illinois 449 012 12(0720) 926 Rhode Island 387 037 23(0446) -575Indiana 348 015 33(2143) -1535c South Carolina 509 020 05(0113) 2386c

Iowa 284 018 46(3451) -3093c South Dakota 261 034 50(2751) -3636c

Kansas 305 021 41(2550) -2581c Tennessee 376 015 25(1738) -850Kentucky 414 020 18(0931) 080 Texas 473 009 09(0514) 1518c

Louisiana 485 021 07(0218) 1795c Utah 271 023 48(3451) -3398c

Maine 263 026 49(3451) -3607c Vermont 403 049 21(0348) -188Maryland 413 017 19(0929) 060 Virginia 420 015 17(1025) 225Massachusetts 423 016 16(0925) 288 Washington 365 015 29(1940) -1106Michigan 366 012 28(1938) -1091 West Virginia 323 025 39(2050) -2143c

Minnesota 320 015 40(2648) -2219c Wisconsin 327 015 37(2546) -2034c

Mississippi 452 025 11(0324) 1002 Wyoming 190 038 51(3951) -5371c

Missouri 350 015 32(2142) -1470

Table 2419Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 222 002

High Five StatesDC 370 046 01(0114) 6678c

Hawaii 322 026 02(0111) 4510c

Alaska 318 047 03(0135) 4315c

California 302 005 04(0106) 3629c

Mississippi 280 018 05(0115) 2606c

Low Five StatesIowa 131 011 47(3951) -4105c

New Hampshire 130 018 48(3251) -4124c

Nebraska 127 015 49(3751) -4285c

Wyoming 116 026 50(2551) -4792c

Vermont 111 021 51(3651) -4983c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 233 012 14(0530) 519 Montana 159 022 43(1551) -2844c

Alaska 318 047 03(0135) 4315c Nebraska 127 015 49(3751) -4285c

Arizona 203 010 27(1239) -842 Nevada 218 017 20(0639) -169Arkansas 207 015 24(0942) -677 New Hampshire 130 018 48(3251) -4124c

California 302 005 04(0106) 3629c New Jersey 240 009 11(0523) 835Colorado 168 011 38(2648) -2422c New Mexico 266 020 06(0225) 1968c

Connecticut 224 014 15(0635) 083 New York 254 006 09(0415) 1467Delaware 224 026 16(0345) 082 North Carolina 213 008 21(1234) -420DC 370 046 01(0114) 6678c North Dakota 166 029 42(0751) -2527c

Florida 201 005 28(1835) -944 Ohio 197 007 30(1838) -1138Georgia 223 009 17(0830) 073 Oklahoma 184 013 34(1746) -1684c

Hawaii 322 026 02(0111) 4510c Oregon 167 012 40(2448) -2462c

Idaho 168 019 39(1551) -2441c Pennsylvania 176 006 36(2845) -2051c

Illinois 239 008 12(0621) 792 Rhode Island 263 028 07(0136) 1842c

Indiana 173 009 37(2647) -2204c South Carolina 237 013 13(0528) 699Iowa 131 011 47(3951) -4105c South Dakota 196 028 31(0550) -1173Kansas 157 014 44(2850) -2940c Tennessee 190 010 32(1842) -1436Kentucky 204 012 25(1140) -810 Texas 262 006 08(0413) 1797c

Louisiana 241 013 10(0428) 861 Utah 190 017 33(1147) -1438Maine 150 018 46(2551) -3239c Vermont 111 021 51(3651) -4983c

Maryland 221 011 18(0833) -041 Virginia 207 009 23(1237) -662Massachusetts 221 010 19(0832) -050 Washington 199 010 29(1440) -1016Michigan 203 008 26(1537) -836 West Virginia 212 018 22(0643) -442Minnesota 166 010 41(2848) -2518c Wisconsin 184 010 35(2044) -1691c

Mississippi 280 018 05(0115) 2606c Wyoming 116 026 50(2551) -4792c

Missouri 152 009 45(3549) -3146c

Table 2420Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 54042 26380 15002 8205 4582 108211 8314 116525

Males 31365 14818 8175 4623 2463 61445 4737 66182Females 22676 11561 6828 3581 2119 46766 3577 50343

White Both Sexes 40902 19944 11203 6216 3412 81678 6451 88128Males 24172 11626 6356 3582 1764 47500 3650 51150Females 16730 8319 4846 2634 1649 34178 2800 36978

Black Both Sexes 7637 3672 2018 1066 551 14944 1053 15997Males 4025 1697 872 528 315 7437 559 7995Females 3612 1975 1146 538 236 7508 494 8002

Asian Both Sexes 4275 2224 1475 795 490 9260 + +Pacific Males 2513 1182 811 430 292 5229 + +Islander Females 1762 1041 664 366 197 4031 + +

Hispanic Both Sexes 7803 3705 2132 1059 616 15315 + +Males 4041 1942 1110 565 265 7924 + +Females 3762 1762 1022 494 351 7391 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 00334 - 00001 00008 00042 00130 00364 00775 01495 02060 00281

Males 00385 - 00001 00007 00040 00130 00407 00970 01986 02835 00356Females 00284 - 00002 00009 00043 00130 00323 00598 01084 01577 00223

White Both Sexes 00323 - 00002 00008 00040 00124 00325 00692 01356 01847 00254Males 00379 - 00001 00007 00037 00127 00367 00875 01823 02577 00325Females 00268 - 00002 00009 00042 00120 00283 00523 00957 01384 00197

Black Both Sexes 00328 - - 00007 00042 00130 00506 01105 02003 02648 00372Males 00340 - - 00007 00045 00115 00537 01303 02612 03351 00450Females 00317 - - 00007 00038 00143 00480 00946 01578 02297 00321

Asian Both Sexes 00444 - 00003 00010 00044 00174 00507 01206 02650 04661 00493Pacific Males 00523 - - 00011 00046 00169 00616 01660 03448 06321 00641Islander Females 00371 - 00005 00009 00043 00179 00413 00840 02011 03579 00381

Hispanic Both Sexes 00263 - 00001 00008 00059 00189 00498 01070 02280 03134 00415Males 00270 - 00001 00007 00056 00187 00516 01207 02862 03924 00489Females 00257 - 00001 00010 00063 00192 00480 00948 01832 02643 00360

Table 2421Cancer of the Stomach (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Epidermoid carcinoma includes squamous basal and transitional cell carcinomase Other adenocarcinomas includes histologies 8050 8141 8143 8146-8147 8160-8162 8180-8221 8250-8469 8474-8479 8483-8489

8491-8507 8514 8520-8551 8560 8570-8574 8576 8940-8941- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Carcinoma 42491 909 30259 920 5698 844 5719 921 269 968 8087 939Epidermoid carcinomad 413 09 288 09 76 11 45 07 - - 48 06(8051-8131)Squamous cell carcinoma 391 08 274 08 73 11 40 06 - - 41 05(8070-80788083-8084)

Adenocarcinoma 37210 796 26353 801 4923 729 5308 855 240 863 7006 813(80508140-81478160-81628180-82218250-850785148520-855185608570-857485768940-8941)Adenocarcinoma NOS 21488 460 15899 483 2753 408 2502 403 125 450 3396 394(8140)

Adenocarcinoma 3796 81 2172 66 652 97 902 145 28 101 737 86intestinal type (8144)Carcinoma diffuse 1757 38 1081 33 215 32 427 69 - - 481 56type (8145)Linitus plastica (8142) 168 04 126 04 16 02 22 04 - - 38 04Mucinous adenocarcinoma 526 11 371 11 85 13 59 10 - - 99 11(8470-847384808482)

Mucin-producing 118 03 81 02 21 03 16 03 - - 25 03adenocarcinoma (8481)

Signet ring 7368 158 5268 160 865 128 1086 175 58 209 1842 214adenocarcinoma (8490)

Other adenocarcinomase 1989 43 1355 41 316 47 294 47 - - 388 45Other specific carcinomas 4009 86 3033 92 550 81 253 41 25 90 880 102(8012-80158030-80468150-81558170-81758230-824985088510-85138561-856285758580-8671)

Unspecified Carcinoma NOS 859 18 585 18 149 22 113 18 - - 153 18(8010-80118020-8022)

Table 2422

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Total includes carcinoma cases from the previous page- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Sarcoma and other soft tissue 106 02 88 03 - - - - - - - -tumors (8680-87138800-89218990-89919040-90449120-91369150-92529370-93739540-9582)

Other specific types 3943 84 2404 73 1021 151 450 72 - - 469 54(8720-87908930-89368950-89839000-90309060-91109260-93659380-9539)

Unspecified (8000-8005) 210 04 148 04 27 04 30 05 - - 48 06

Totald 46750 1000 32899 1000 6754 1000 6208 1000 278 1000 8613 1000

Table 2422 - continued

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

0

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Stomach by Race and Sex

a

Figure 241

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 1975-17 = -18Observed 1975-17 = -18

US Mortality APC2008-17 = -23

SEER Incidence APCsDelay Adj 1982-17 = -21Observed 1982-17 = -21

US Mortality APC1993-17 = -33

SEER Incidence APCsDelay Adj 1996-17 = -08Observed 1995-17 = -09

US Mortality APC2008-17 = -17

SEER Incidence APCsDelay Adj 1975-17 = -10Observed 1975-17 = -10

US Mortality APC1998-17 = -36

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

5

10

15

20

25

1975 1985 1995 2005 20170

5

10

15

20

25

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Stomach Both Sexes

Figure 242

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Figure 243

Cancer of the Stomach5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

• Trends in SEER Incidence and US Mortality Both Sexes
• Trends in SEER Incidence and US Mortality Males
• Trends in SEER Incidence and US Mortality Females
• Annual Delay-adjusted Incidence Rates
• Annual Incidence Rates
• Annual Death Rates
• Incidence and Mortality Rates by Age
• 5-year Relative and Period Survival
• Relative Survival by Year of Diagnosis Both Sexes
• Relative Survival by Year of Diagnosis Males
• Relative Survival by Year of Diagnosis Females
• Risk of DevelopingDying Both Sexes
• Risk of DevelopingDying Males
• Risk of DevelopingDying Females
• Rates and Trends by RaceEthnicity
• Age-Adjusted SEER Incidence Rates by Registry
• Age-Adjusted SEER Death Rates by Registry
• Age-Adjusted Cancer Death Rates By State Both Sexes
• Age-Adjusted Cancer Death Rates By State Males
• Age-Adjusted Cancer Death Rates By State Females
• US Prevalence Estimates
• Case Distribution by Histology
• Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
• Graph - SEER Incidence and US Death Rates by RaceEthnicity
• Graph - 5-Year SEER Conditional Relative Survival

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 411 002

High Five StatesDC 644 071 01(0114) 5668c

Alaska 586 067 02(0121) 4272c

Hawaii 567 038 03(0111) 3800c

California 510 008 04(0208) 2414c

South Carolina 509 020 05(0113) 2386c

Low Five StatesMontana 271 031 47(2651) -3392c

Utah 271 023 48(3451) -3398c

Maine 263 026 49(3451) -3607c

South Dakota 261 034 50(2751) -3636c

Wyoming 190 038 51(3951) -5371c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 457 020 10(0322) 1130 Montana 271 031 47(2651) -3392c

Alaska 586 067 02(0121) 4272c Nebraska 299 025 44(2450) -2719c

Arizona 325 013 38(2647) -2091c Nevada 342 022 34(1947) -1683c

Arkansas 371 022 27(1343) -970 New Hampshire 285 028 45(2651) -3055c

California 510 008 04(0208) 2414c New Jersey 481 015 08(0316) 1695c

Colorado 341 017 35(2145) -1708c New Mexico 444 029 13(0329) 814Connecticut 440 022 14(0525) 712 New York 497 010 06(0211) 2102c

Delaware 408 040 20(0345) -064 North Carolina 393 013 22(1432) -426DC 644 071 01(0114) 5668c North Dakota 300 041 43(1551) -2710c

Florida 356 008 30(2338) -1324 Ohio 352 011 31(2241) -1421Georgia 431 014 15(0823) 492 Oklahoma 376 020 24(1441) -847Hawaii 567 038 03(0111) 3800c Oregon 340 018 36(2146) -1717c

Idaho 302 027 42(2250) -2659c Pennsylvania 373 010 26(1935) -929Illinois 449 012 12(0720) 926 Rhode Island 387 037 23(0446) -575Indiana 348 015 33(2143) -1535c South Carolina 509 020 05(0113) 2386c

Iowa 284 018 46(3451) -3093c South Dakota 261 034 50(2751) -3636c

Kansas 305 021 41(2550) -2581c Tennessee 376 015 25(1738) -850Kentucky 414 020 18(0931) 080 Texas 473 009 09(0514) 1518c

Louisiana 485 021 07(0218) 1795c Utah 271 023 48(3451) -3398c

Maine 263 026 49(3451) -3607c Vermont 403 049 21(0348) -188Maryland 413 017 19(0929) 060 Virginia 420 015 17(1025) 225Massachusetts 423 016 16(0925) 288 Washington 365 015 29(1940) -1106Michigan 366 012 28(1938) -1091 West Virginia 323 025 39(2050) -2143c

Minnesota 320 015 40(2648) -2219c Wisconsin 327 015 37(2546) -2034c

Mississippi 452 025 11(0324) 1002 Wyoming 190 038 51(3951) -5371c

Missouri 350 015 32(2142) -1470

Table 2419Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Males

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 222 002

High Five StatesDC 370 046 01(0114) 6678c

Hawaii 322 026 02(0111) 4510c

Alaska 318 047 03(0135) 4315c

California 302 005 04(0106) 3629c

Mississippi 280 018 05(0115) 2606c

Low Five StatesIowa 131 011 47(3951) -4105c

New Hampshire 130 018 48(3251) -4124c

Nebraska 127 015 49(3751) -4285c

Wyoming 116 026 50(2551) -4792c

Vermont 111 021 51(3651) -4983c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 233 012 14(0530) 519 Montana 159 022 43(1551) -2844c

Alaska 318 047 03(0135) 4315c Nebraska 127 015 49(3751) -4285c

Arizona 203 010 27(1239) -842 Nevada 218 017 20(0639) -169Arkansas 207 015 24(0942) -677 New Hampshire 130 018 48(3251) -4124c

California 302 005 04(0106) 3629c New Jersey 240 009 11(0523) 835Colorado 168 011 38(2648) -2422c New Mexico 266 020 06(0225) 1968c

Connecticut 224 014 15(0635) 083 New York 254 006 09(0415) 1467Delaware 224 026 16(0345) 082 North Carolina 213 008 21(1234) -420DC 370 046 01(0114) 6678c North Dakota 166 029 42(0751) -2527c

Florida 201 005 28(1835) -944 Ohio 197 007 30(1838) -1138Georgia 223 009 17(0830) 073 Oklahoma 184 013 34(1746) -1684c

Hawaii 322 026 02(0111) 4510c Oregon 167 012 40(2448) -2462c

Idaho 168 019 39(1551) -2441c Pennsylvania 176 006 36(2845) -2051c

Illinois 239 008 12(0621) 792 Rhode Island 263 028 07(0136) 1842c

Indiana 173 009 37(2647) -2204c South Carolina 237 013 13(0528) 699Iowa 131 011 47(3951) -4105c South Dakota 196 028 31(0550) -1173Kansas 157 014 44(2850) -2940c Tennessee 190 010 32(1842) -1436Kentucky 204 012 25(1140) -810 Texas 262 006 08(0413) 1797c

Louisiana 241 013 10(0428) 861 Utah 190 017 33(1147) -1438Maine 150 018 46(2551) -3239c Vermont 111 021 51(3651) -4983c

Maryland 221 011 18(0833) -041 Virginia 207 009 23(1237) -662Massachusetts 221 010 19(0832) -050 Washington 199 010 29(1440) -1016Michigan 203 008 26(1537) -836 West Virginia 212 018 22(0643) -442Minnesota 166 010 41(2848) -2518c Wisconsin 184 010 35(2044) -1691c

Mississippi 280 018 05(0115) 2606c Wyoming 116 026 50(2551) -4792c

Missouri 152 009 45(3549) -3146c

Table 2420Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 54042 26380 15002 8205 4582 108211 8314 116525

Males 31365 14818 8175 4623 2463 61445 4737 66182Females 22676 11561 6828 3581 2119 46766 3577 50343

White Both Sexes 40902 19944 11203 6216 3412 81678 6451 88128Males 24172 11626 6356 3582 1764 47500 3650 51150Females 16730 8319 4846 2634 1649 34178 2800 36978

Black Both Sexes 7637 3672 2018 1066 551 14944 1053 15997Males 4025 1697 872 528 315 7437 559 7995Females 3612 1975 1146 538 236 7508 494 8002

Asian Both Sexes 4275 2224 1475 795 490 9260 + +Pacific Males 2513 1182 811 430 292 5229 + +Islander Females 1762 1041 664 366 197 4031 + +

Hispanic Both Sexes 7803 3705 2132 1059 616 15315 + +Males 4041 1942 1110 565 265 7924 + +Females 3762 1762 1022 494 351 7391 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 00334 - 00001 00008 00042 00130 00364 00775 01495 02060 00281

Males 00385 - 00001 00007 00040 00130 00407 00970 01986 02835 00356Females 00284 - 00002 00009 00043 00130 00323 00598 01084 01577 00223

White Both Sexes 00323 - 00002 00008 00040 00124 00325 00692 01356 01847 00254Males 00379 - 00001 00007 00037 00127 00367 00875 01823 02577 00325Females 00268 - 00002 00009 00042 00120 00283 00523 00957 01384 00197

Black Both Sexes 00328 - - 00007 00042 00130 00506 01105 02003 02648 00372Males 00340 - - 00007 00045 00115 00537 01303 02612 03351 00450Females 00317 - - 00007 00038 00143 00480 00946 01578 02297 00321

Asian Both Sexes 00444 - 00003 00010 00044 00174 00507 01206 02650 04661 00493Pacific Males 00523 - - 00011 00046 00169 00616 01660 03448 06321 00641Islander Females 00371 - 00005 00009 00043 00179 00413 00840 02011 03579 00381

Hispanic Both Sexes 00263 - 00001 00008 00059 00189 00498 01070 02280 03134 00415Males 00270 - 00001 00007 00056 00187 00516 01207 02862 03924 00489Females 00257 - 00001 00010 00063 00192 00480 00948 01832 02643 00360

Table 2421Cancer of the Stomach (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Epidermoid carcinoma includes squamous basal and transitional cell carcinomase Other adenocarcinomas includes histologies 8050 8141 8143 8146-8147 8160-8162 8180-8221 8250-8469 8474-8479 8483-8489

8491-8507 8514 8520-8551 8560 8570-8574 8576 8940-8941- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Carcinoma 42491 909 30259 920 5698 844 5719 921 269 968 8087 939Epidermoid carcinomad 413 09 288 09 76 11 45 07 - - 48 06(8051-8131)Squamous cell carcinoma 391 08 274 08 73 11 40 06 - - 41 05(8070-80788083-8084)

Adenocarcinoma 37210 796 26353 801 4923 729 5308 855 240 863 7006 813(80508140-81478160-81628180-82218250-850785148520-855185608570-857485768940-8941)Adenocarcinoma NOS 21488 460 15899 483 2753 408 2502 403 125 450 3396 394(8140)

Adenocarcinoma 3796 81 2172 66 652 97 902 145 28 101 737 86intestinal type (8144)Carcinoma diffuse 1757 38 1081 33 215 32 427 69 - - 481 56type (8145)Linitus plastica (8142) 168 04 126 04 16 02 22 04 - - 38 04Mucinous adenocarcinoma 526 11 371 11 85 13 59 10 - - 99 11(8470-847384808482)

Mucin-producing 118 03 81 02 21 03 16 03 - - 25 03adenocarcinoma (8481)

Signet ring 7368 158 5268 160 865 128 1086 175 58 209 1842 214adenocarcinoma (8490)

Other adenocarcinomase 1989 43 1355 41 316 47 294 47 - - 388 45Other specific carcinomas 4009 86 3033 92 550 81 253 41 25 90 880 102(8012-80158030-80468150-81558170-81758230-824985088510-85138561-856285758580-8671)

Unspecified Carcinoma NOS 859 18 585 18 149 22 113 18 - - 153 18(8010-80118020-8022)

Table 2422

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Total includes carcinoma cases from the previous page- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Sarcoma and other soft tissue 106 02 88 03 - - - - - - - -tumors (8680-87138800-89218990-89919040-90449120-91369150-92529370-93739540-9582)

Other specific types 3943 84 2404 73 1021 151 450 72 - - 469 54(8720-87908930-89368950-89839000-90309060-91109260-93659380-9539)

Unspecified (8000-8005) 210 04 148 04 27 04 30 05 - - 48 06

Totald 46750 1000 32899 1000 6754 1000 6208 1000 278 1000 8613 1000

Table 2422 - continued

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

0

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Stomach by Race and Sex

a

Figure 241

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 1975-17 = -18Observed 1975-17 = -18

US Mortality APC2008-17 = -23

SEER Incidence APCsDelay Adj 1982-17 = -21Observed 1982-17 = -21

US Mortality APC1993-17 = -33

SEER Incidence APCsDelay Adj 1996-17 = -08Observed 1995-17 = -09

US Mortality APC2008-17 = -17

SEER Incidence APCsDelay Adj 1975-17 = -10Observed 1975-17 = -10

US Mortality APC1998-17 = -36

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

5

10

15

20

25

1975 1985 1995 2005 20170

5

10

15

20

25

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Stomach Both Sexes

Figure 242

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Figure 243

Cancer of the Stomach5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

• Trends in SEER Incidence and US Mortality Both Sexes
• Trends in SEER Incidence and US Mortality Males
• Trends in SEER Incidence and US Mortality Females
• Annual Delay-adjusted Incidence Rates
• Annual Incidence Rates
• Annual Death Rates
• Incidence and Mortality Rates by Age
• 5-year Relative and Period Survival
• Relative Survival by Year of Diagnosis Both Sexes
• Relative Survival by Year of Diagnosis Males
• Relative Survival by Year of Diagnosis Females
• Risk of DevelopingDying Both Sexes
• Risk of DevelopingDying Males
• Risk of DevelopingDying Females
• Rates and Trends by RaceEthnicity
• Age-Adjusted SEER Incidence Rates by Registry
• Age-Adjusted SEER Death Rates by Registry
• Age-Adjusted Cancer Death Rates By State Both Sexes
• Age-Adjusted Cancer Death Rates By State Males
• Age-Adjusted Cancer Death Rates By State Females
• US Prevalence Estimates
• Case Distribution by Histology
• Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
• Graph - SEER Incidence and US Death Rates by RaceEthnicity
• Graph - 5-Year SEER Conditional Relative Survival

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

a US Mortality Files National Center for Health Statistics Centers for Disease Control andPrevention Rates are per 100000 and are age-adjusted to the 2000 US Std Population (19age groups - Census P25-1130)

b Difference between state rate and total US rate is statistically significant (plt=0002)c Absolute percent difference between state rate and total US rate is 15 or mored Rank of state level death rate and the 95 confidence intervals (low high) for the rankSE Standard error of the ratePD Percent difference between state rate and total US rate- Statistic not shown Rate based on less than 16 cases for the time interval

State Rate SE Rank(CI)d PD TOTAL US 222 002

High Five StatesDC 370 046 01(0114) 6678c

Hawaii 322 026 02(0111) 4510c

Alaska 318 047 03(0135) 4315c

California 302 005 04(0106) 3629c

Mississippi 280 018 05(0115) 2606c

Low Five StatesIowa 131 011 47(3951) -4105c

New Hampshire 130 018 48(3251) -4124c

Nebraska 127 015 49(3751) -4285c

Wyoming 116 026 50(2551) -4792c

Vermont 111 021 51(3651) -4983c

State Rate SE Rank(CI)d PD State Rate SE Rank(CI)d PD

Alabama 233 012 14(0530) 519 Montana 159 022 43(1551) -2844c

Alaska 318 047 03(0135) 4315c Nebraska 127 015 49(3751) -4285c

Arizona 203 010 27(1239) -842 Nevada 218 017 20(0639) -169Arkansas 207 015 24(0942) -677 New Hampshire 130 018 48(3251) -4124c

California 302 005 04(0106) 3629c New Jersey 240 009 11(0523) 835Colorado 168 011 38(2648) -2422c New Mexico 266 020 06(0225) 1968c

Connecticut 224 014 15(0635) 083 New York 254 006 09(0415) 1467Delaware 224 026 16(0345) 082 North Carolina 213 008 21(1234) -420DC 370 046 01(0114) 6678c North Dakota 166 029 42(0751) -2527c

Florida 201 005 28(1835) -944 Ohio 197 007 30(1838) -1138Georgia 223 009 17(0830) 073 Oklahoma 184 013 34(1746) -1684c

Hawaii 322 026 02(0111) 4510c Oregon 167 012 40(2448) -2462c

Idaho 168 019 39(1551) -2441c Pennsylvania 176 006 36(2845) -2051c

Illinois 239 008 12(0621) 792 Rhode Island 263 028 07(0136) 1842c

Indiana 173 009 37(2647) -2204c South Carolina 237 013 13(0528) 699Iowa 131 011 47(3951) -4105c South Dakota 196 028 31(0550) -1173Kansas 157 014 44(2850) -2940c Tennessee 190 010 32(1842) -1436Kentucky 204 012 25(1140) -810 Texas 262 006 08(0413) 1797c

Louisiana 241 013 10(0428) 861 Utah 190 017 33(1147) -1438Maine 150 018 46(2551) -3239c Vermont 111 021 51(3651) -4983c

Maryland 221 011 18(0833) -041 Virginia 207 009 23(1237) -662Massachusetts 221 010 19(0832) -050 Washington 199 010 29(1440) -1016Michigan 203 008 26(1537) -836 West Virginia 212 018 22(0643) -442Minnesota 166 010 41(2848) -2518c Wisconsin 184 010 35(2044) -1691c

Mississippi 280 018 05(0115) 2606c Wyoming 116 026 50(2551) -4792c

Missouri 152 009 45(3549) -3146c

Table 2420Cancer of the Stomach (Invasive)

Age-Adjusted Cancer Deatha Rates By State All Races 2013-2017

Females

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 54042 26380 15002 8205 4582 108211 8314 116525

Males 31365 14818 8175 4623 2463 61445 4737 66182Females 22676 11561 6828 3581 2119 46766 3577 50343

White Both Sexes 40902 19944 11203 6216 3412 81678 6451 88128Males 24172 11626 6356 3582 1764 47500 3650 51150Females 16730 8319 4846 2634 1649 34178 2800 36978

Black Both Sexes 7637 3672 2018 1066 551 14944 1053 15997Males 4025 1697 872 528 315 7437 559 7995Females 3612 1975 1146 538 236 7508 494 8002

Asian Both Sexes 4275 2224 1475 795 490 9260 + +Pacific Males 2513 1182 811 430 292 5229 + +Islander Females 1762 1041 664 366 197 4031 + +

Hispanic Both Sexes 7803 3705 2132 1059 616 15315 + +Males 4041 1942 1110 565 265 7924 + +Females 3762 1762 1022 494 351 7391 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 00334 - 00001 00008 00042 00130 00364 00775 01495 02060 00281

Males 00385 - 00001 00007 00040 00130 00407 00970 01986 02835 00356Females 00284 - 00002 00009 00043 00130 00323 00598 01084 01577 00223

White Both Sexes 00323 - 00002 00008 00040 00124 00325 00692 01356 01847 00254Males 00379 - 00001 00007 00037 00127 00367 00875 01823 02577 00325Females 00268 - 00002 00009 00042 00120 00283 00523 00957 01384 00197

Black Both Sexes 00328 - - 00007 00042 00130 00506 01105 02003 02648 00372Males 00340 - - 00007 00045 00115 00537 01303 02612 03351 00450Females 00317 - - 00007 00038 00143 00480 00946 01578 02297 00321

Asian Both Sexes 00444 - 00003 00010 00044 00174 00507 01206 02650 04661 00493Pacific Males 00523 - - 00011 00046 00169 00616 01660 03448 06321 00641Islander Females 00371 - 00005 00009 00043 00179 00413 00840 02011 03579 00381

Hispanic Both Sexes 00263 - 00001 00008 00059 00189 00498 01070 02280 03134 00415Males 00270 - 00001 00007 00056 00187 00516 01207 02862 03924 00489Females 00257 - 00001 00010 00063 00192 00480 00948 01832 02643 00360

Table 2421Cancer of the Stomach (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Epidermoid carcinoma includes squamous basal and transitional cell carcinomase Other adenocarcinomas includes histologies 8050 8141 8143 8146-8147 8160-8162 8180-8221 8250-8469 8474-8479 8483-8489

8491-8507 8514 8520-8551 8560 8570-8574 8576 8940-8941- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Carcinoma 42491 909 30259 920 5698 844 5719 921 269 968 8087 939Epidermoid carcinomad 413 09 288 09 76 11 45 07 - - 48 06(8051-8131)Squamous cell carcinoma 391 08 274 08 73 11 40 06 - - 41 05(8070-80788083-8084)

Adenocarcinoma 37210 796 26353 801 4923 729 5308 855 240 863 7006 813(80508140-81478160-81628180-82218250-850785148520-855185608570-857485768940-8941)Adenocarcinoma NOS 21488 460 15899 483 2753 408 2502 403 125 450 3396 394(8140)

Adenocarcinoma 3796 81 2172 66 652 97 902 145 28 101 737 86intestinal type (8144)Carcinoma diffuse 1757 38 1081 33 215 32 427 69 - - 481 56type (8145)Linitus plastica (8142) 168 04 126 04 16 02 22 04 - - 38 04Mucinous adenocarcinoma 526 11 371 11 85 13 59 10 - - 99 11(8470-847384808482)

Mucin-producing 118 03 81 02 21 03 16 03 - - 25 03adenocarcinoma (8481)

Signet ring 7368 158 5268 160 865 128 1086 175 58 209 1842 214adenocarcinoma (8490)

Other adenocarcinomase 1989 43 1355 41 316 47 294 47 - - 388 45Other specific carcinomas 4009 86 3033 92 550 81 253 41 25 90 880 102(8012-80158030-80468150-81558170-81758230-824985088510-85138561-856285758580-8671)

Unspecified Carcinoma NOS 859 18 585 18 149 22 113 18 - - 153 18(8010-80118020-8022)

Table 2422

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Total includes carcinoma cases from the previous page- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Sarcoma and other soft tissue 106 02 88 03 - - - - - - - -tumors (8680-87138800-89218990-89919040-90449120-91369150-92529370-93739540-9582)

Other specific types 3943 84 2404 73 1021 151 450 72 - - 469 54(8720-87908930-89368950-89839000-90309060-91109260-93659380-9539)

Unspecified (8000-8005) 210 04 148 04 27 04 30 05 - - 48 06

Totald 46750 1000 32899 1000 6754 1000 6208 1000 278 1000 8613 1000

Table 2422 - continued

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

0

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Stomach by Race and Sex

a

Figure 241

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 1975-17 = -18Observed 1975-17 = -18

US Mortality APC2008-17 = -23

SEER Incidence APCsDelay Adj 1982-17 = -21Observed 1982-17 = -21

US Mortality APC1993-17 = -33

SEER Incidence APCsDelay Adj 1996-17 = -08Observed 1995-17 = -09

US Mortality APC2008-17 = -17

SEER Incidence APCsDelay Adj 1975-17 = -10Observed 1975-17 = -10

US Mortality APC1998-17 = -36

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

5

10

15

20

25

1975 1985 1995 2005 20170

5

10

15

20

25

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Stomach Both Sexes

Figure 242

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Figure 243

Cancer of the Stomach5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

• Trends in SEER Incidence and US Mortality Both Sexes
• Trends in SEER Incidence and US Mortality Males
• Trends in SEER Incidence and US Mortality Females
• Annual Delay-adjusted Incidence Rates
• Annual Incidence Rates
• Annual Death Rates
• Incidence and Mortality Rates by Age
• 5-year Relative and Period Survival
• Relative Survival by Year of Diagnosis Both Sexes
• Relative Survival by Year of Diagnosis Males
• Relative Survival by Year of Diagnosis Females
• Risk of DevelopingDying Both Sexes
• Risk of DevelopingDying Males
• Risk of DevelopingDying Females
• Rates and Trends by RaceEthnicity
• Age-Adjusted SEER Incidence Rates by Registry
• Age-Adjusted SEER Death Rates by Registry
• Age-Adjusted Cancer Death Rates By State Both Sexes
• Age-Adjusted Cancer Death Rates By State Males
• Age-Adjusted Cancer Death Rates By State Females
• US Prevalence Estimates
• Case Distribution by Histology
• Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
• Graph - SEER Incidence and US Death Rates by RaceEthnicity
• Graph - 5-Year SEER Conditional Relative Survival

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

a US 2017 cancer prevalence counts are based on 2017 cancer prevalence proportions from the SEER 13 Areas (excluding the AlaskaNative Registry) and 112017 US population estimates based on the average of 2016 and 2017 population estimates from theUS Bureau of the CensusPrevalence was calculated using the first invasive tumor for each cancer site diagnosed during the previous 25 years

b Maximum limited-duration prevalence is 25 years for 1992-2017 datac Percentages are age-adjusted to the 2000 US Standard Population (19 age groups - Census P25-1130) by 5-year age groupsd Cases diagnosed more than 25 years ago were estimated using the completeness index method (Capocaccia et al 1997

Merrill et al 2000)e Complete prevalence is obtained by summing lt=25 and gt 25- Statistic not shown Statistic based on fewer than 5 cases estimated alive in SEER for the time interval+ Not available

Years Since Diagnosis 0 to 5 gt 5 to 10 gt 10 to 15 gt 15 to 20 gt 20 to 25 lt=25b gt 25d Completee

Race Sex All Races Both Sexes 54042 26380 15002 8205 4582 108211 8314 116525

Males 31365 14818 8175 4623 2463 61445 4737 66182Females 22676 11561 6828 3581 2119 46766 3577 50343

White Both Sexes 40902 19944 11203 6216 3412 81678 6451 88128Males 24172 11626 6356 3582 1764 47500 3650 51150Females 16730 8319 4846 2634 1649 34178 2800 36978

Black Both Sexes 7637 3672 2018 1066 551 14944 1053 15997Males 4025 1697 872 528 315 7437 559 7995Females 3612 1975 1146 538 236 7508 494 8002

Asian Both Sexes 4275 2224 1475 795 490 9260 + +Pacific Males 2513 1182 811 430 292 5229 + +Islander Females 1762 1041 664 366 197 4031 + +

Hispanic Both Sexes 7803 3705 2132 1059 616 15315 + +Males 4041 1942 1110 565 265 7924 + +Females 3762 1762 1022 494 351 7391 + +

Age Specific (Crude) Age-Adjustedc Age at Prevalence All Ages 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ All Ages

Race Sex All Races Both Sexes 00334 - 00001 00008 00042 00130 00364 00775 01495 02060 00281

Males 00385 - 00001 00007 00040 00130 00407 00970 01986 02835 00356Females 00284 - 00002 00009 00043 00130 00323 00598 01084 01577 00223

White Both Sexes 00323 - 00002 00008 00040 00124 00325 00692 01356 01847 00254Males 00379 - 00001 00007 00037 00127 00367 00875 01823 02577 00325Females 00268 - 00002 00009 00042 00120 00283 00523 00957 01384 00197

Black Both Sexes 00328 - - 00007 00042 00130 00506 01105 02003 02648 00372Males 00340 - - 00007 00045 00115 00537 01303 02612 03351 00450Females 00317 - - 00007 00038 00143 00480 00946 01578 02297 00321

Asian Both Sexes 00444 - 00003 00010 00044 00174 00507 01206 02650 04661 00493Pacific Males 00523 - - 00011 00046 00169 00616 01660 03448 06321 00641Islander Females 00371 - 00005 00009 00043 00179 00413 00840 02011 03579 00381

Hispanic Both Sexes 00263 - 00001 00008 00059 00189 00498 01070 02280 03134 00415Males 00270 - 00001 00007 00056 00187 00516 01207 02862 03924 00489Females 00257 - 00001 00010 00063 00192 00480 00948 01832 02643 00360

Table 2421Cancer of the Stomach (Invasive)

Estimated United States Cancer Prevalence Countsa on January 1 2017By RaceEthnicity Sex and Years Since Diagnosis

Estimated prevalence percenta on January 1 2017 of the SEER population diagnosed in the previous 25 yearsBy Age at Prevalence RaceEthnicity and Sex

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Epidermoid carcinoma includes squamous basal and transitional cell carcinomase Other adenocarcinomas includes histologies 8050 8141 8143 8146-8147 8160-8162 8180-8221 8250-8469 8474-8479 8483-8489

8491-8507 8514 8520-8551 8560 8570-8574 8576 8940-8941- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Carcinoma 42491 909 30259 920 5698 844 5719 921 269 968 8087 939Epidermoid carcinomad 413 09 288 09 76 11 45 07 - - 48 06(8051-8131)Squamous cell carcinoma 391 08 274 08 73 11 40 06 - - 41 05(8070-80788083-8084)

Adenocarcinoma 37210 796 26353 801 4923 729 5308 855 240 863 7006 813(80508140-81478160-81628180-82218250-850785148520-855185608570-857485768940-8941)Adenocarcinoma NOS 21488 460 15899 483 2753 408 2502 403 125 450 3396 394(8140)

Adenocarcinoma 3796 81 2172 66 652 97 902 145 28 101 737 86intestinal type (8144)Carcinoma diffuse 1757 38 1081 33 215 32 427 69 - - 481 56type (8145)Linitus plastica (8142) 168 04 126 04 16 02 22 04 - - 38 04Mucinous adenocarcinoma 526 11 371 11 85 13 59 10 - - 99 11(8470-847384808482)

Mucin-producing 118 03 81 02 21 03 16 03 - - 25 03adenocarcinoma (8481)

Signet ring 7368 158 5268 160 865 128 1086 175 58 209 1842 214adenocarcinoma (8490)

Other adenocarcinomase 1989 43 1355 41 316 47 294 47 - - 388 45Other specific carcinomas 4009 86 3033 92 550 81 253 41 25 90 880 102(8012-80158030-80468150-81558170-81758230-824985088510-85138561-856285758580-8671)

Unspecified Carcinoma NOS 859 18 585 18 149 22 113 18 - - 153 18(8010-80118020-8022)

Table 2422

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Total includes carcinoma cases from the previous page- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Sarcoma and other soft tissue 106 02 88 03 - - - - - - - -tumors (8680-87138800-89218990-89919040-90449120-91369150-92529370-93739540-9582)

Other specific types 3943 84 2404 73 1021 151 450 72 - - 469 54(8720-87908930-89368950-89839000-90309060-91109260-93659380-9539)

Unspecified (8000-8005) 210 04 148 04 27 04 30 05 - - 48 06

Totald 46750 1000 32899 1000 6754 1000 6208 1000 278 1000 8613 1000

Table 2422 - continued

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

0

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Stomach by Race and Sex

a

Figure 241

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 1975-17 = -18Observed 1975-17 = -18

US Mortality APC2008-17 = -23

SEER Incidence APCsDelay Adj 1982-17 = -21Observed 1982-17 = -21

US Mortality APC1993-17 = -33

SEER Incidence APCsDelay Adj 1996-17 = -08Observed 1995-17 = -09

US Mortality APC2008-17 = -17

SEER Incidence APCsDelay Adj 1975-17 = -10Observed 1975-17 = -10

US Mortality APC1998-17 = -36

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

5

10

15

20

25

1975 1985 1995 2005 20170

5

10

15

20

25

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Stomach Both Sexes

Figure 242

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Figure 243

Cancer of the Stomach5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

• Trends in SEER Incidence and US Mortality Both Sexes
• Trends in SEER Incidence and US Mortality Males
• Trends in SEER Incidence and US Mortality Females
• Annual Delay-adjusted Incidence Rates
• Annual Incidence Rates
• Annual Death Rates
• Incidence and Mortality Rates by Age
• 5-year Relative and Period Survival
• Relative Survival by Year of Diagnosis Both Sexes
• Relative Survival by Year of Diagnosis Males
• Relative Survival by Year of Diagnosis Females
• Risk of DevelopingDying Both Sexes
• Risk of DevelopingDying Males
• Risk of DevelopingDying Females
• Rates and Trends by RaceEthnicity
• Age-Adjusted SEER Incidence Rates by Registry
• Age-Adjusted SEER Death Rates by Registry
• Age-Adjusted Cancer Death Rates By State Both Sexes
• Age-Adjusted Cancer Death Rates By State Males
• Age-Adjusted Cancer Death Rates By State Females
• US Prevalence Estimates
• Case Distribution by Histology
• Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
• Graph - SEER Incidence and US Death Rates by RaceEthnicity
• Graph - 5-Year SEER Conditional Relative Survival

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Epidermoid carcinoma includes squamous basal and transitional cell carcinomase Other adenocarcinomas includes histologies 8050 8141 8143 8146-8147 8160-8162 8180-8221 8250-8469 8474-8479 8483-8489

8491-8507 8514 8520-8551 8560 8570-8574 8576 8940-8941- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Carcinoma 42491 909 30259 920 5698 844 5719 921 269 968 8087 939Epidermoid carcinomad 413 09 288 09 76 11 45 07 - - 48 06(8051-8131)Squamous cell carcinoma 391 08 274 08 73 11 40 06 - - 41 05(8070-80788083-8084)

Adenocarcinoma 37210 796 26353 801 4923 729 5308 855 240 863 7006 813(80508140-81478160-81628180-82218250-850785148520-855185608570-857485768940-8941)Adenocarcinoma NOS 21488 460 15899 483 2753 408 2502 403 125 450 3396 394(8140)

Adenocarcinoma 3796 81 2172 66 652 97 902 145 28 101 737 86intestinal type (8144)Carcinoma diffuse 1757 38 1081 33 215 32 427 69 - - 481 56type (8145)Linitus plastica (8142) 168 04 126 04 16 02 22 04 - - 38 04Mucinous adenocarcinoma 526 11 371 11 85 13 59 10 - - 99 11(8470-847384808482)

Mucin-producing 118 03 81 02 21 03 16 03 - - 25 03adenocarcinoma (8481)

Signet ring 7368 158 5268 160 865 128 1086 175 58 209 1842 214adenocarcinoma (8490)

Other adenocarcinomase 1989 43 1355 41 316 47 294 47 - - 388 45Other specific carcinomas 4009 86 3033 92 550 81 253 41 25 90 880 102(8012-80158030-80468150-81558170-81758230-824985088510-85138561-856285758580-8671)

Unspecified Carcinoma NOS 859 18 585 18 149 22 113 18 - - 153 18(8010-80118020-8022)

Table 2422

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Total includes carcinoma cases from the previous page- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Sarcoma and other soft tissue 106 02 88 03 - - - - - - - -tumors (8680-87138800-89218990-89919040-90449120-91369150-92529370-93739540-9582)

Other specific types 3943 84 2404 73 1021 151 450 72 - - 469 54(8720-87908930-89368950-89839000-90309060-91109260-93659380-9539)

Unspecified (8000-8005) 210 04 148 04 27 04 30 05 - - 48 06

Totald 46750 1000 32899 1000 6754 1000 6208 1000 278 1000 8613 1000

Table 2422 - continued

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

0

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Stomach by Race and Sex

a

Figure 241

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 1975-17 = -18Observed 1975-17 = -18

US Mortality APC2008-17 = -23

SEER Incidence APCsDelay Adj 1982-17 = -21Observed 1982-17 = -21

US Mortality APC1993-17 = -33

SEER Incidence APCsDelay Adj 1996-17 = -08Observed 1995-17 = -09

US Mortality APC2008-17 = -17

SEER Incidence APCsDelay Adj 1975-17 = -10Observed 1975-17 = -10

US Mortality APC1998-17 = -36

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

5

10

15

20

25

1975 1985 1995 2005 20170

5

10

15

20

25

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Stomach Both Sexes

Figure 242

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Figure 243

Cancer of the Stomach5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

• Trends in SEER Incidence and US Mortality Both Sexes
• Trends in SEER Incidence and US Mortality Males
• Trends in SEER Incidence and US Mortality Females
• Annual Delay-adjusted Incidence Rates
• Annual Incidence Rates
• Annual Death Rates
• Incidence and Mortality Rates by Age
• 5-year Relative and Period Survival
• Relative Survival by Year of Diagnosis Both Sexes
• Relative Survival by Year of Diagnosis Males
• Relative Survival by Year of Diagnosis Females
• Risk of DevelopingDying Both Sexes
• Risk of DevelopingDying Males
• Risk of DevelopingDying Females
• Rates and Trends by RaceEthnicity
• Age-Adjusted SEER Incidence Rates by Registry
• Age-Adjusted SEER Death Rates by Registry
• Age-Adjusted Cancer Death Rates By State Both Sexes
• Age-Adjusted Cancer Death Rates By State Males
• Age-Adjusted Cancer Death Rates By State Females
• US Prevalence Estimates
• Case Distribution by Histology
• Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
• Graph - SEER Incidence and US Death Rates by RaceEthnicity
• Graph - 5-Year SEER Conditional Relative Survival

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Source SEER 21 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New JerseyGeorgia excluding ATLRG Idaho New York and Massachusetts)Percents may not sum to 100 due to rounding

a Excludes Kaposi Sarcoma mesothelioma lymphomas leukemias myelomas lymphoreticular and immunoproliferative diseasesb Estimates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesc Hispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives

Underlying incidence data for Hispanics are based on NHIA and exclude cases from the Alaska Native Registryd Total includes carcinoma cases from the previous page- Statistic not shown due to fewer than 16 cases during the time period

AsianPacific American IndianAll Races White Black Islander Alaska Nativeb Hispanicc

Histologya Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent

Sarcoma and other soft tissue 106 02 88 03 - - - - - - - -tumors (8680-87138800-89218990-89919040-90449120-91369150-92529370-93739540-9582)

Other specific types 3943 84 2404 73 1021 151 450 72 - - 469 54(8720-87908930-89368950-89839000-90309060-91109260-93659380-9539)

Unspecified (8000-8005) 210 04 148 04 27 04 30 05 - - 48 06

Totald 46750 1000 32899 1000 6754 1000 6208 1000 278 1000 8613 1000

Table 2422 - continued

Cancer of the Stomach (Invasive)

Percent Distribution and Counts by Histology among Histologically Confirmed Cases 2013-2017Both Sexes by Race

0

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Stomach by Race and Sex

a

Figure 241

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 1975-17 = -18Observed 1975-17 = -18

US Mortality APC2008-17 = -23

SEER Incidence APCsDelay Adj 1982-17 = -21Observed 1982-17 = -21

US Mortality APC1993-17 = -33

SEER Incidence APCsDelay Adj 1996-17 = -08Observed 1995-17 = -09

US Mortality APC2008-17 = -17

SEER Incidence APCsDelay Adj 1975-17 = -10Observed 1975-17 = -10

US Mortality APC1998-17 = -36

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

5

10

15

20

25

1975 1985 1995 2005 20170

5

10

15

20

25

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Stomach Both Sexes

Figure 242

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Figure 243

Cancer of the Stomach5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

• Trends in SEER Incidence and US Mortality Both Sexes
• Trends in SEER Incidence and US Mortality Males
• Trends in SEER Incidence and US Mortality Females
• Annual Delay-adjusted Incidence Rates
• Annual Incidence Rates
• Annual Death Rates
• Incidence and Mortality Rates by Age
• 5-year Relative and Period Survival
• Relative Survival by Year of Diagnosis Both Sexes
• Relative Survival by Year of Diagnosis Males
• Relative Survival by Year of Diagnosis Females
• Risk of DevelopingDying Both Sexes
• Risk of DevelopingDying Males
• Risk of DevelopingDying Females
• Rates and Trends by RaceEthnicity
• Age-Adjusted SEER Incidence Rates by Registry
• Age-Adjusted SEER Death Rates by Registry
• Age-Adjusted Cancer Death Rates By State Both Sexes
• Age-Adjusted Cancer Death Rates By State Males
• Age-Adjusted Cancer Death Rates By State Females
• US Prevalence Estimates
• Case Distribution by Histology
• Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
• Graph - SEER Incidence and US Death Rates by RaceEthnicity
• Graph - 5-Year SEER Conditional Relative Survival

0

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

5

10

15

20

25

30

35

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 20170

3

6

9

12

15

1975 1985 1995 2005 2017

Delay-Adj IncidenceDelay-Adj Incidence

Observed IncidenceObserved Incidence

MortalityMortality

SEER Observed Incidence SEER Delay Adjusted Incidence and US Death RatesCancer of the Stomach by Race and Sex

a

Figure 241

Source SEER 9 areas and US Mortality Files (National Center for Health Statistics CDC)Rates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines and APCs are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer InstituteThe APC is the Annual Percent Change for the regression line segments The APC shown on the graph is for the most recent trendThe APC is significantly different from zero (p lt 005)

a

White Male Black Male White Female Black FemaleRate per 100000 Rate per 100000 Rate per 100000 Rate per 100000

Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath Year of DiagnosisDeath

SEER Incidence APCsDelay Adj 1975-17 = -18Observed 1975-17 = -18

US Mortality APC2008-17 = -23

SEER Incidence APCsDelay Adj 1982-17 = -21Observed 1982-17 = -21

US Mortality APC1993-17 = -33

SEER Incidence APCsDelay Adj 1996-17 = -08Observed 1995-17 = -09

US Mortality APC2008-17 = -17

SEER Incidence APCsDelay Adj 1975-17 = -10Observed 1975-17 = -10

US Mortality APC1998-17 = -36

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

5

10

15

20

25

1975 1985 1995 2005 20170

5

10

15

20

25

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Stomach Both Sexes

Figure 242

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Figure 243

Cancer of the Stomach5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

• Trends in SEER Incidence and US Mortality Both Sexes
• Trends in SEER Incidence and US Mortality Males
• Trends in SEER Incidence and US Mortality Females
• Annual Delay-adjusted Incidence Rates
• Annual Incidence Rates
• Annual Death Rates
• Incidence and Mortality Rates by Age
• 5-year Relative and Period Survival
• Relative Survival by Year of Diagnosis Both Sexes
• Relative Survival by Year of Diagnosis Males
• Relative Survival by Year of Diagnosis Females
• Risk of DevelopingDying Both Sexes
• Risk of DevelopingDying Males
• Risk of DevelopingDying Females
• Rates and Trends by RaceEthnicity
• Age-Adjusted SEER Incidence Rates by Registry
• Age-Adjusted SEER Death Rates by Registry
• Age-Adjusted Cancer Death Rates By State Both Sexes
• Age-Adjusted Cancer Death Rates By State Males
• Age-Adjusted Cancer Death Rates By State Females
• US Prevalence Estimates
• Case Distribution by Histology
• Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
• Graph - SEER Incidence and US Death Rates by RaceEthnicity
• Graph - 5-Year SEER Conditional Relative Survival

Joinpoint Analyses for Whites and Blacks from 1975-2017and for AsianPacific Islanders American IndiansAlaska Natives and Hispanics from 2000-2017

0

5

10

15

20

25

1975 1985 1995 2005 20170

5

10

15

20

25

1975 1985 1995 2005 2017

White

Black

API

AIAN

Hispanic

SEER Incidence and US Death RatesCancer of the Stomach Both Sexes

Figure 242

Source Incidence data for whites and blacks are from the SEER 9 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah Atlanta)Incidence data for AsianPacific Islanders American IndiansAlaska Natives and Hispanics are from the SEER 21 areas (SEER 9 areas San Jose-MontereyLos Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLA Kentucky Louisiana New Jersey Georgia excluding ATLRG Idaho New York andMassachusetts)Mortality data are from US Mortality Files National Center for Health Statistics CDCRates are age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1103)Regression lines are calculated using the Joinpoint Regression Program Version 48 April 2020 National Cancer Institute Joinpoint analyses for Whites andBlacks during the 1975-2017 period allow a maximum of 5 joinpoints Analyses for other ethnic groups during the period 2000-2017 allow a maximum of 3 joinpointsAPI = AsianPacific IslanderAIAN = American IndianAlaska Native Rates for American IndianAlaska Native are based on the PurchasedReferred Care Delivery Area (PRCDA) countiesHispanic is not mutually exclusive from whites blacks AsianPacific Islanders and American IndiansAlaska Natives Incidence data for Hispanics are based onNHIA and exclude cases from the Alaska Native Registry

Incidence MortalityRate per 100000 Rate per 100000

Year of Diagnosis Year of Death

a

d

a

b

c

c

b

d

SEE

R C

ancer Statistics Review

1975-2017N

ational Cancer Institute

Figure 243

Cancer of the Stomach5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

• Trends in SEER Incidence and US Mortality Both Sexes
• Trends in SEER Incidence and US Mortality Males
• Trends in SEER Incidence and US Mortality Females
• Annual Delay-adjusted Incidence Rates
• Annual Incidence Rates
• Annual Death Rates
• Incidence and Mortality Rates by Age
• 5-year Relative and Period Survival
• Relative Survival by Year of Diagnosis Both Sexes
• Relative Survival by Year of Diagnosis Males
• Relative Survival by Year of Diagnosis Females
• Risk of DevelopingDying Both Sexes
• Risk of DevelopingDying Males
• Risk of DevelopingDying Females
• Rates and Trends by RaceEthnicity
• Age-Adjusted SEER Incidence Rates by Registry
• Age-Adjusted SEER Death Rates by Registry
• Age-Adjusted Cancer Death Rates By State Both Sexes
• Age-Adjusted Cancer Death Rates By State Males
• Age-Adjusted Cancer Death Rates By State Females
• US Prevalence Estimates
• Case Distribution by Histology
• Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
• Graph - SEER Incidence and US Death Rates by RaceEthnicity
• Graph - 5-Year SEER Conditional Relative Survival

Figure 243

Cancer of the Stomach5-Year SEER Conditional Relative Survival and

95 Confidence Intervals

Source SEER 18 areas (San Francisco Connecticut Detroit Hawaii Iowa New Mexico Seattle Utah AtlantaSan Jose-Monterey Los Angeles Alaska Native Registry Rural Georgia California excluding SFSJMLAKentucky Louisiana New Jersey and Georgia excluding ATLRG)Percent surviving is not shown if based on less than 25 casesConfidence intervals are not shown if length of the confidence interval is greater than 5 times the standard error

0

20

40

60

80

100Percent Surviving Next 5 Years

Stage at Diagnosis

Probabilty of surviving the next 5 years given the cohort has already survived 0 1 or 3 years

2000-2015 by stage at diagnosis

Survival Time Since Diagnosis

Localized Regional Distant Unstaged

0 year (at diagnosis) 1 year 3 years

SEER Cancer Statistics Review 1975-2017 National Cancer Institute

• Trends in SEER Incidence and US Mortality Both Sexes
• Trends in SEER Incidence and US Mortality Males
• Trends in SEER Incidence and US Mortality Females
• Annual Delay-adjusted Incidence Rates
• Annual Incidence Rates
• Annual Death Rates
• Incidence and Mortality Rates by Age
• 5-year Relative and Period Survival
• Relative Survival by Year of Diagnosis Both Sexes
• Relative Survival by Year of Diagnosis Males
• Relative Survival by Year of Diagnosis Females
• Risk of DevelopingDying Both Sexes
• Risk of DevelopingDying Males
• Risk of DevelopingDying Females
• Rates and Trends by RaceEthnicity
• Age-Adjusted SEER Incidence Rates by Registry
• Age-Adjusted SEER Death Rates by Registry
• Age-Adjusted Cancer Death Rates By State Both Sexes
• Age-Adjusted Cancer Death Rates By State Males
• Age-Adjusted Cancer Death Rates By State Females
• US Prevalence Estimates
• Case Distribution by Histology
• Graph - SEER Incidence Delay Adjusted Incidence and US Death Rates by Race and Sex
• Graph - SEER Incidence and US Death Rates by RaceEthnicity
• Graph - 5-Year SEER Conditional Relative Survival