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. 2021 Oct 5;23(Suppl 3):iii1–iii105. doi: 10.1093/neuonc/noab200

Table 5.

Five-Year Total, Annual Average Totala, and Average Annual Age-Adjusted Incidence Ratesb with 95% Confidence Intervals for All Brain and Other Central Nervous System Tumors by Major Histology Grouping, Histology, Behavior, and Sex, CBTRUS Statistical Report: U.S. Cancer Statistics – NPCR and SEER,2014–2018

Histology Total Male Female
5-Year Total Annual Average % of all tumors Median Age Rate (95% CI) 5-Year
Total
Annual Average % Malignantc Rate (95% CI) 5-Year Total Annual Average % Malignantc Rate (95% CI)
Diffuse Astrocytic and Oligodendroglial Tumors 83,124 16,625 19.3 62 4.52 (4.49–4.55) 47,749 9,550 100.0 5.51 (5.46–5.56) 35,375 7,075 100.0 3.65 (3.61–3.69)
Diffuse astrocytoma 7,729 1,546 1.8 46 0.46 (0.45–0.48) 4,336 867 100.0 0.54 (0.52–0.55) 3,393 679 100.0 0.40 (0.39–0.41)
Anaplastic astrocytoma 7,175 1,435 1.7 53 0.42 (0.41–0.43) 3,938 788 100.0 0.48 (0.46–0.49) 3,237 647 100.0 0.36 (0.35–0.38)
Glioblastoma 61,699 12,340 14.3 65 3.23 (3.20–3.26) 35,874 7,175 100.0 4.04 (4.00–4.09) 25,825 5,165 100.0 2.53 (2.50–2.56)
Oligodendroglioma 3,706 741 0.9 43 0.23 (0.23–0.24) 2,054 411 100.0 0.26 (0.25–0.27) 1,652 330 100.0 0.21 (0.20–0.22)
Anaplastic oligodendroglioma 1,839 368 0.4 49 0.11 (0.11–0.12) 1,014 203 99.8 0.12 (0.12–0.13) 825 165 100.0 0.10 (0.09–0.10)
Oligoastrocytic tumors 976 195 0.2 43 0.06 (0.06-0.06) 533 107 100.0 0.07 (0.06–0.07) 443 89 99.8 0.05 (0.05–0.06)
Other Astrocytic Tumors 6,213 1,243 1.4 12 0.42 (0.41–0.43) 3,218 644 93.5 0.43 (0.41–0.44) 2,995 599 94.8 0.41 (0.40–0.43)
Pilocytic astrocytoma 5,303 1,061 1.2 11 0.36 (0.35–0.37) 2,728 546 100.0 0.36 (0.35–0.38) 2,575 515 100.0 0.36 (0.34–0.37)
Unique astrocytoma variants 910 182 0.2 17 0.06 (0.06-0.06) 490 98 57.3 0.06 (0.06–0.07) 420 84 62.6 0.06 (0.05–0.06)
Malignant 544 109 0.1 -- 0.04 (0.03–0.04) 281 56 -- 0.04 (0.03–0.04) 263 53 -- 0.03 (0.03–0.04)
Non-Malignant 366 73 0.1 -- 0.02 (0.02–0.03) 209 42 -- 0.03 (0.02–0.03) 157 31 -- 0.02 (0.02–0.03)
Ependymal Tumors 6,926 1,385 1.6 45 0.42 (0.41–0.43) 3,989 798 54.8 0.49 (0.48–0.51) 2,937 587 60.6 0.36 (0.34–0.37)
Malignant 3,967 793 0.9 -- 0.24 (0.24–0.25) 2,187 437 -- 0.27 (0.26–0.28) 1,780 356 -- 0.22 (0.21–0.23)
Non-Malignant 2,959 592 0.7 -- 0.18 (0.17–0.18) 1,802 360 -- 0.22 (0.21–0.23) 1,157 231 -- 0.14 (0.13–0.14)
Other Gliomas 8,575 1,715 2.0 36 0.53 (0.52–0.54) 4,326 865 99.6 0.55 (0.54–0.57) 4,249 850 99.6 0.51 (0.50–0.53)
Glioma malignant, NOS 8,471 1,694 2.0 36 0.53 (0.51–0.54) 4,289 858 100.0 0.55 (0.53–0.57) 4,182 836 100.0 0.51 (0.49–0.52)
Other neuroepithelial tumors 104 21 <0.1 30 0.01 (0.01-0.01) 37 7 56.8 0.00 (0.00–0.01) 67 13 73.1 0.01 (0.01-0.01)
Neuronal and Mixed Neuronal-Glial Tumors 5,150 1,030 1.2 26 0.33 (0.32–0.34) 2,753 551 19.8 0.35 (0.34–0.37) 2,397 479 18.1 0.31 (0.30–0.32)
Malignant 978 196 0.2 -- 0.06 (0.05–0.06) 545 109 -- 0.07 (0.06–0.07) 433 87 -- 0.05 (0.04–0.05)
Non-Malignant 4,172 834 1.0 -- 0.27 (0.26–0.28) 2,208 442 -- 0.29 (0.27–0.30) 1,964 393 -- 0.26 (0.25–0.27)
Choroid Plexus Tumors 847 169 0.2 20 0.05 (0.05–0.06) 429 86 17.2 0.06 (0.05–0.06) 418 84 13.6 0.05 (0.05–0.06)
Malignant 131 26 0.0 -- 0.01 (0.01-0.01) 74 15 -- 0.01 (0.01-0.01) 57 11 -- 0.01 (0.01-0.01)
Non-Malignant 716 143 0.2 -- 0.05 (0.04–0.05) 355 71 -- 0.05 (0.04–0.05) 361 72 -- 0.05 (0.04–0.05)
Tumors of the Pineal Region 743 149 0.2 32 0.05 (0.04–0.05) 319 64 67.1 0.04 (0.04-0.04) 424 85 49.1 0.05 (0.05–0.06)
Malignant 422 84 0.1 -- 0.03 (0.02–0.03) 214 43 -- 0.03 (0.02–0.03) 208 42 -- 0.03 (0.02–0.03)
Non-Malignant 321 64 0.1 -- 0.02 (0.02-0.02) 105 21 -- 0.01 (0.01–0.02) 216 43 -- 0.03 (0.02–0.03)
Embryonal Tumors 3,252 650 0.8 8 0.22 (0.21–0.23) 1,947 389 100.0 0.26 (0.25–0.27) 1,305 261 99.8 0.18 (0.17–0.19)
Tumors of Cranial and Paraspinal Nerves 36,684 7,337 8.5 57 2.05 (2.03–2.07) 17,651 3,530 0.6 2.06 (2.03–2.09) 19,033 3,807 0.5 2.05 (2.02–2.08)
Nerve sheath tumors 36,647 7,329 8.5 57 2.05 (2.03–2.07) 17,629 3,526 0.6 2.06 (2.03–2.09) 19,018 3,804 0.5 2.05 (2.02–2.08)
Malignant 208 42 <0.1 -- 0.01 (0.01-0.01) 107 21 -- 0.01 (0.01–0.02) 101 20 -- 0.01 (0.01-0.01)
Non-Malignant 36,439 7,288 8.4 -- 2.04 (2.02–2.06) 17,522 3,504 -- 2.04 (2.01–2.08) 18,917 3,783 -- 2.04 (2.01–2.07)
Other tumors of cranial and paraspinal nerves 37 7 <0.1 55 0.00 (0.00-0.00) -- -- -- -- -- -- -- --
Tumors of Meninges 174,568 34,914 40.4 66 9.49 (9.44–9.53) 48,596 9,719 2.5 5.79 (5.74–5.84) 125,972 25,194 1.1 12.76 (12.69–12.84)
Meningiomas 168,432 33,686 39.0 66 9.12 (9.08–9.17) 45,494 9,099 1.7 5.41 (5.36–5.46) 122,938 24,588 0.8 12.41 (12.34–12.49)
Malignant 1,699 340 0.4 -- 0.09 (0.09–0.10) 754 151 -- 0.09 (0.08–0.09) 945 189 -- 0.10 (0.09–0.10)
Non-Malignant 166,733 33,347 38.6 -- 9.03 (8.99–9.08) 44,740 8,948 -- 5.33 (5.27–5.38) 121,993 24,399 -- 12.32 (12.25–12.39)
Mesenchymal tumors 6,003 1,201 1.4 51 0.35 (0.34–0.36) 3,029 606 13.4 0.37 (0.35–0.38) 2,974 595 12.2 0.34 (0.33–0.36)
Malignant 769 154 0.2 -- 0.05 (0.04–0.05) 405 81 100.0 0.05 (0.04–0.05) 364 73 -- 0.04 (0.04–0.05)
Non-Malignant 5,234 1,047 1.2 -- 0.31 (0.30–0.32) 2,624 525 <0.1 0.32 (0.31–0.33) 2,610 522 -- 0.30 (0.29–0.31)
Primary melanocytic lesions 133 27 <0.1 60 0.01 (0.01-0.01) 73 15 76.7 0.01 (0.01-0.01) 60 12 55.0 0.01 (0.00–0.01)
Lymphomas and Hematopoietic Neoplasms 8,558 1,712 2.0 67 0.46 (0.45–0.47) 4,359 872 99.9 0.50 (0.49–0.52) 4,199 840 99.7 0.42 (0.40–0.43)
Lymphoma 8,478 1,696 2.0 67 0.45 (0.44–0.46) 4,317 863 99.9 0.50 (0.48–0.52) 4,161 832 99.8 0.41 (0.40–0.43)
Other hematopoietic neoplasms 80 16 <0.1 61 0.00 (0.00–0.01) 42 8 97.6 0.00 (0.00–0.01) 38 8 94.7 0.00 (0.00–0.01)
Germ Cell Tumors 1,252 250 0.3 15 0.08 (0.08–0.09) 936 187 89.1 0.12 (0.11–0.13) 316 63 79.4 0.04 (0.04–0.05)
Malignant 1,085 217 0.3 -- 0.07 (0.07–0.08) 834 167 -- 0.11 (0.10–0.12) 251 50 -- 0.04 (0.03–0.04)
Non-Malignant 167 33 <0.1 -- 0.01 (0.01-0.01) 102 20 -- 0.01 (0.01–0.02) 65 13 -- 0.01 (0.01-0.01)
Tumors of Sellar Region 77,084 15,417 17.9 51 4.55 (4.52–4.59) 34,600 6,920 0.3 4.11 (4.07–4.16) 42,484 8,497 0.1 5.08 (5.03–5.13)
Tumors of the pituitary 73,945 14,789 17.1 51 4.36 (4.33–4.40) 32,991 6,598 0.2 3.92 (3.87–3.96) 40,954 8,191 0.1 4.90 (4.85–4.95)
Malignant 125 25 <0.1 -- 0.01 (0.01-0.01) 80 16 -- 0.01 (0.01-0.01) 45 9 -- 0.00 (0.00–0.01)
Non-Malignant 73,820 14,764 17.1 -- 4.36 (4.32–4.39) 32,911 6,582 -- 3.91 (3.86–3.95) 40,909 8,182 -- 4.89 (4.84–4.94)
Craniopharyngioma 3,139 628 0.7 44 0.19 (0.18–0.20) 1,609 322 0.6 0.20 (0.19–0.21) 1,530 306 0.2 0.18 (0.17–0.19)
Unclassified Tumors 18,797 3,759 4.4 65 1.07 (1.05–1.08) 8,630 1,726 37.7 1.07 (1.05–1.10) 10,167 2,033 34.7 1.07 (1.05–1.09)
Hemangioma 4,141 828 1.0 49 0.25 (0.24–0.26) 1,909 382 0.1 0.24 (0.23–0.25) 2,232 446 0.1 0.26 (0.25–0.27)
Neoplasm, unspecified 14,093 2,819 3.3 70 0.78 (0.77–0.80) 6,420 1,284 50.0 0.80 (0.78–0.82) 7,673 1,535 45.4 0.78 (0.76–0.79)
Malignant 6,692 1,338 1.5 -- 0.36 (0.35–0.37) 3,209 642 -- 0.40 (0.39–0.41) 3,483 697 -- 0.33 (0.32–0.34)
Non-Malignant 7,401 1,480 1.7 -- 0.42 (0.41–0.43) 3,211 642 -- 0.40 (0.39–0.41) 4,190 838 -- 0.45 (0.43–0.46)
All other 563 113 0.1 34 0.04 (0.03–0.04) 301 60 13.0 0.04 (0.03–0.04) 262 52 16.8 0.03 (0.03–0.04)
Malignant 83 17 <0.1 -- 0.01 (0.00–0.01) 39 8 -- 0.01 (0.00–0.01) 44 9 -- 0.01 (0.00–0.01)
Non-Malignant 480 96 0.1 -- 0.03 (0.03-0.03) 262 52 -- 0.03 (0.03–0.04) 218 44 -- 0.03 (0.02–0.03)
TOTAL e 431,773 86,355 100.0 61 24.25 (24.17–24.32) 179,502 35,900 38.9 21.35 (21.25–21.46) 252,271 50,454 22.1 26.95 (26.85–27.06)
Malignant 125,524 25,105 29.1 -- 7.06 (7.02–7.10) 69,866 13,973 -- 8.28 (8.22–8.34) 55,658 11,132 -- 5.98 (5.93–6.03)
Non-Malignant 306,249 61,250 70.9 -- 17.19 (17.12–17.25) 109,636 21,927 -- 13.07 (12.99–13.15) 196,613 39,323 -- 20.97 (20.88–21.07)

aAnnual average cases are calculated by dividing the five-year total by five.

bRates are per 100,000 and are age-adjusted to the 2000 US standard population.

cAssigned behavior code of /3 (see Table 2).

dAssigned behavior code of /0 or /1 (see Table 2).

eRefers to all brain tumors including histologies not presented in this table.

-- Counts and rates are not presented when fewer than 16 cases were reported for the specific category. The suppressed cases are included in the counts and rates for totals.

Abbreviations: CBTRUS, Central Brain Tumor Registry of the United States; NPCR, National Program of Cancer Registries; SEER, Surveillance, Epidemiology, and End Results Program; CI, confidence interval; NOS, not otherwise specified