Childhood and Adolescent Cancer

"Group of diverse children posing together outdoors on grass"

Each year in Texas, over 1,800 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 (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 years (childhood) and 15-19 years (adolescent).

Texas Statewide

Age-Adjusted Incidence Rates by Cancer Site and Age at Diagnosis; Major Site Groups and Extended Classification Table

Public Health Region

Age-Adjusted Incidence Rates by Cancer Site and Age at Diagnosis; Major Site Groups for each Public Health Region (PHR)

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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