1998 Report Index

RECTUM

Incidence and Mortality Summary
Male Female Total
Age-adjusted incidence
rate per 100,000

# of new invasive cases
# of new in-situ cases
# of deaths

13.6

83
6
29

9.3

68
5
15


11.2

151
11
44


Total Cases by County
Ada
Adams
Bannock
Bear Lake
Benewah
Bingham
Blaine
Boise
Bonner
Bonneville
Boundary
Butte
Camas
Canyon
Caribou
33
0
8
1
3
2
3
0
5
4
1
0
0
12
1
Cassia
Clark
Clearwater
Custer
Elmore
Franklin
Fremont
Gem
Gooding
Idaho
Jefferson
Jerome
Kootenai
Latah
Lemhi
3
1
1
2
3
0
1
4
2
1
4
4
18
2
4
Lewis
Lincoln
Madison
Minidoka
Nez Perce
Oneida
Owyhee
Payette
Power
Shoshone
Teton
Twin Falls
Valley
Washington
Unknown
0
1
3
2
14
0
0
3
1
2
2
7
1
3


Risk and Associated Factors
Age Rates increase with age and the vast majority of cases occur after age 50.
Gender Incidence rates are higher in males.
Genetics Specific genetic alterations have been recognized in several hereditary conditions with high risk of rectal cancer. These conditions account for about six percent of rectal cancer cases.
Diet Strong evidence exists that diets high in fat and low in fiber contribute to increased risk of rectal cancer.
Other Individuals with a close family history of this cancer and those with a personal history of certain other cancers are at increased risk. Regular, moderate physical activity is associated with lower rates of this cancer.

Special Notes
Mean age-adjusted incidence rate across health districts:
95% confidence interval on the mean age-adjusted incidence rate:
Median age-adjusted incidence rate of health districts:
Range of age-adjusted incidence rate for health districts:
SEER rate (1991-1995):
11.2
9.9
12.0
8.2-13.1
12.4

There were no cases of rectal cancer among persons aged less than 25 years. The age-specific incidence rates of rectal cancer generally increased with age, peaking in the 85+ age group for males and 70-74 age group for females. No health districts had significantly more cases than expected based upon rates for the remainder of Idaho.


Stage at Diagnosis