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Childhood and Adolescent Cancer

Childhood and Adolescent Cancer

Each year in Texas, over 1,700 children and adolescents younger than 20 years of age are diagnosed with cancer. Approximately 200 children and adolescents die of cancer each year, making cancer the most common cause of disease-related mortality for Texans 0-19 years of age. The tables presented on this page were created to provide detailed information on the incidence of childhood and adolescent cancer in Texas for scientists, policy makers, and the public. These population-based data are important in helping us better understand these cancers, their causes, and ultimately, reducing cancer incidence and mortality.

Childhood and Adolescent Cancer Classification

The classification of childhood cancer is based on tumor morphology and primary site with an emphasis on morphology (cell type), rather than emphasizing primary anatomic site (as is the case for cancer classification in adults), using the International Classification of Childhood Cancer (ICCC) definitions presented by Steliarova-Foucher et al (1).

The childhood and adolescent cancer data presented in the tables below are classified using the Surveillance, Epidemiology and End Results (SEER) Program’s ICCC Recode ICD-O-3/WHO2008 site group variable (2). The data are shown as rates per 1,000,000 and are presented for ages 0-14 (childhood) and 15-19 (adolescent).


Statewide incidence rates by ICCC Major Site Groups and Extended Classification Table.

Public Health Region

Incidence rates by ICCC Major Site Groups; each Public Health Region (PHR) is listed on a separate tab.

Childhood Footnote
(1) Steliarova-Foucher E, Stiller C, Lacour B, Kaatsch P. International Classification of Childhood Cancer, Third Edition (ICCC-3). Cancer 2005; 103:1457-67.

(2) Updated for Hematopoietic codes based on WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues (Swerdlow SH, Campo E, Harris NH et al., Lyon: IARC; 2008).

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Last updated April 17, 2018