18 2019 Skin Cancer Prevention Progress Report Disease Surveillance Indicators Basal and squamous cell carcinomas are the most common forms of skin cancer.These types of skin cancer are not reported to central cancer registries, so data on trends is limited. However, research from medical claims data suggest that incidence rates for these skin cancers are increasing, particularly among adults over the age of 65 years.16 Melanoma is the third most common form of skin cancer, and health care providers and pathologists who diagnose or treat melanomas are required to report those cases to a central cancer registry in all 50 states, the District of Columbia, and Puerto Rico.These melanoma surveillance data allow for long-term evaluation of skin cancer prevention efforts. Because melanomas often develop after years of exposure to UV radiation, it will likely be decades before melanoma incidence rates reflect the impact of current prevention efforts. Table 2 shows invasive melanoma incidence rates by sex and race/ethnicity.The highest rates are among non-Hispanic white males (34.9 per 100,000) and lowest are among black (1.0 per 100,000) and Asian/Pacific Islander individuals (1.3 per 100,000). As shown inTable 3, non-Hispanic white males also have the highest death rates (4.7 per 100,000). Table 2 Average Annual Number and Rateª of Invasive Melanoma Cases by Sex and Race/Ethnicity, United States, 2012–2016 Race/Ethnicity US Count Rate Male Count Rate Female Count Rate All Racesb 77,698 21.8 45,854 27.9 31,845 17.2 White 73,395 24.9 43,561 31.4 29,834 20.0 White, Hispanic 1,591 4.6 733 5.0 858 4.5 White, non-Hispanic 71,801 28.0 42,826 34.9 28,975 22.8 Black 372 1.0 179 1.1 193 0.9 American Indian/ Alaska Native 190 5.6 104 7.1 886 4.6 Asian/Pacific Islander 239 1.3 120 1.5 120 1.2 Hispanicb 1,725 4.6 794 5.0 931 4.4 Source: Data are from population-based registries that participate in CDC’s National Program of Cancer Registries and/or the National Cancer Institute’s Surveillance, Epidemiology, and End Results Program and meet high-quality data for the November 2018 data submission, covering 100% of the U.S. population.17 aRates are per 100,000 population and are age adjusted to the 2000 U.S. Standard Population. bRace and ethnicity are not mutually exclusive, except for “White, Hispanic” and “White, non-Hispanic.” Counts may not always sum to the total because of rounding and because cases with other and unknown race are included in totals.
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