Table 12-A
Single-year Colorectal Cancer Incidence by Stage at Diagnosis
Michigan Residents, 1985-2020

Year of Diagnosis	Total	In Situ		Localized		Regional		Distant		Unknown
		Number	Percent	Number	Percent	Number	Percent	Number	Percent	Number	Percent
2020	4,190	153	3.7	1,276	30.5	1,524	36.4	967	23.1	270	6.4
2019	4,969	148	3.0	1,595	32.1	1,826	36.7	1,019	20.5	381	7.7
2018	4,886	179	3.7	1,611	33.0	1,785	36.5	1,014	20.8	297	6.1
2017	5,201	292	5.6	1,728	33.2	1,786	34.3	984	18.9	411	7.9
2016	5,191	283	5.5	1,718	33.1	1,802	34.7	962	18.5	426	8.2
2015	4,973	241	4.8	1,731	34.8	1,615	32.5	1,011	20.3	375	7.5
2014	4,922	190	3.9	1,770	36.0	1,606	32.6	969	19.7	387	7.9
2013	4,871	239	4.9	1,770	36.3	1,584	32.5	966	19.8	312	6.4
2012	4,938	232	4.7	1,771	35.9	1,632	33.0	968	19.6	335	6.8
2011	4,889	189	3.9	1,780	36.4	1,611	33.0	1,016	20.8	293	6.0
2010	5,000	159	3.2	1,915	38.3	1,556	31.1	972	19.4	398	8.0
2009	5,146	157	3.1	2,027	39.4	1,635	31.8	939	18.2	388	7.5
2008	5,180	169	3.3	2,010	38.8	1,562	30.2	920	17.8	519	10.0
2007	5,493	178	3.2	2,187	39.8	1,675	30.5	955	17.4	498	9.1
2006	5,572	186	3.3	2,186	39.2	1,731	31.1	958	17.2	511	9.2
2005	5,594	193	3.5	2,128	38.0	1,788	32.0	964	17.2	521	9.3
2004	5,546	230	4.1	2,170	39.1	1,715	30.9	768	13.8	663	12.0
2003	5,895	272	4.6	2,139	36.3	1,923	32.6	870	14.8	691	11.7
2002	5,912	269	4.6	2,202	37.2	1,981	33.5	862	14.6	598	10.1
2001	5,804	246	4.2	2,162	37.3	1,920	33.1	835	14.4	641	11.0
2000	5,743	300	5.2	2,056	35.8	1,959	34.1	816	14.2	612	10.7
1999	5,753	280	4.9	2,041	35.5	2,001	34.8	842	14.6	589	10.2
1998	6,059	265	4.4	2,043	33.7	2,160	35.6	914	15.1	677	11.2
1997	5,725	262	4.6	1,873	32.7	2,012	35.1	979	17.1	599	10.5
1996	5,643	259	4.6	1,902	33.7	1,933	34.3	869	15.4	680	12.1
1995	5,447	273	5.0	1,675	30.8	1,926	35.4	828	15.2	745	13.7
1994	5,540	299	5.4	1,780	32.1	1,906	34.4	822	14.8	733	13.2
1993	5,583	321	5.7	1,800	32.2	1,904	34.1	866	15.5	692	12.4
1992	5,844	293	5.0	1,872	32.0	2,002	34.3	887	15.2	790	13.5
1991	5,947	323	5.4	1,855	31.2	1,980	33.3	875	14.7	914	15.4
1990	5,791	332	5.7	1,639	28.3	1,922	33.2	903	15.6	995	17.2
1989	5,954	380	6.4	1,717	28.8	1,947	32.7	901	15.1	1,009	16.9
1988	5,482	348	6.3	1,643	30.0	1,784	32.5	915	16.7	792	14.4
1987	5,612	379	6.8	1,686	30.0	1,630	29.0	876	15.6	1,041	18.5
1986	5,502	363	6.6	1,644	29.9	1,736	31.6	858	15.6	901	16.4
1985	5,599	330	5.9	1,767	31.6	1,734	31.0	927	16.6	841	15.0

Table 12-B
Five-year Colorectal Cancer Incidence by Stage at Diagnosis
Michigan Residents, 1985-2020

Year of Diagnosis	Total	In Situ		Localized		Regional		Distant		Unknown
		Number	Percent	Number	Percent	Number	Percent	Number	Percent	Number	Percent
2016-2020	24,437	1,055	4.3	7,928	32.4	8,723	35.7	4,946	20.2	1,785	7.3
2015-2019	25,220	1,143	4.5	8,383	33.2	8,814	34.9	4,990	19.8	1,890	7.5
2014-2018	25,173	1,185	4.7	8,558	34.0	8,594	34.1	4,940	19.6	1,896	7.5
2013-2017	25,158	1,245	4.9	8,717	34.6	8,393	33.4	4,892	19.4	1,911	7.6
2012-2016	24,895	1,185	4.8	8,760	35.2	8,239	33.1	4,876	19.6	1,835	7.4
2011-2015	24,593	1,091	4.4	8,822	35.9	8,048	32.7	4,930	20.0	1,702	6.9
2010-2014	24,620	1,009	4.1	9,006	36.6	7,989	32.4	4,891	19.9	1,725	7.0
2009-2013	24,844	976	3.9	9,263	37.3	8,018	32.3	4,861	19.6	1,726	6.9
2008-2012	25,153	906	3.6	9,503	37.8	7,996	31.8	4,815	19.1	1,933	7.7
2007-2011	25,708	852	3.3	9,919	38.6	8,039	31.3	4,802	18.7	2,096	8.2
2006-2010	26,391	849	3.2	10,325	39.1	8,159	30.9	4,744	18.0	2,314	8.8
2005-2009	26,985	883	3.3	10,538	39.1	8,391	31.1	4,736	17.6	2,437	9.0
2004-2008	27,385	956	3.5	10,681	39.0	8,471	30.9	4,565	16.7	2,712	9.9
2003-2007	28,100	1,059	3.8	10,810	38.5	8,832	31.4	4,515	16.1	2,884	10.3
2002-2006	28,519	1,150	4.0	10,825	38.0	9,138	32.0	4,422	15.5	2,984	10.5
2001-2005	28,751	1,210	4.2	10,801	37.6	9,327	32.4	4,299	15.0	3,114	10.8
2000-2004	28,900	1,317	4.6	10,729	37.1	9,498	32.9	4,151	14.4	3,205	11.1
1999-2003	29,107	1,367	4.7	10,600	36.4	9,784	33.6	4,225	14.5	3,131	10.8
1998-2002	29,271	1,360	4.6	10,504	35.9	10,021	34.2	4,269	14.6	3,117	10.6
1997-2001	29,084	1,353	4.7	10,175	35.0	10,052	34.6	4,386	15.1	3,118	10.7
1996-2000	28,923	1,366	4.7	9,915	34.3	10,065	34.8	4,420	15.3	3,157	10.9
1995-1999	28,627	1,339	4.7	9,534	33.3	10,032	35.0	4,432	15.5	3,290	11.5
1994-1998	28,414	1,358	4.8	9,273	32.6	9,937	35.0	4,412	15.5	3,434	12.1
1993-1997	27,938	1,414	5.1	9,030	32.3	9,681	34.7	4,364	15.6	3,449	12.3
1992-1996	28,057	1,445	5.2	9,029	32.2	9,671	34.5	4,272	15.2	3,640	13.0
1991-1995	28,361	1,509	5.3	8,982	31.7	9,718	34.3	4,278	15.1	3,874	13.7
1990-1994	28,705	1,568	5.5	8,946	31.2	9,714	33.8	4,353	15.2	4,124	14.4
1989-1993	29,119	1,649	5.7	8,883	30.5	9,755	33.5	4,432	15.2	4,400	15.1
1988-1992	29,018	1,676	5.8	8,726	30.1	9,635	33.2	4,481	15.4	4,500	15.5
1987-1991	28,786	1,762	6.1	8,540	29.7	9,263	32.2	4,470	15.5	4,751	16.5
1986-1990	28,341	1,802	6.4	8,329	29.4	9,019	31.8	4,453	15.7	4,738	16.7
1985-1989	28,149	1,800	6.4	8,457	30.0	8,831	31.4	4,477	15.9	4,584	16.3

Notes:
In Situ Stage represents the presence of malignant cells within the cell group from which they arose, with no penetration of basement membrane of the tissue and no stromal invasion.
Localized Stage represents invasive cancer confined to the organ of origin or intralumenal extension where specified as an intralumenal extension to immediately contiguous segments of the large bowel.
Regional Stage represents direct extension to adjacent organs or tissues or involvement of the regional lymph nodes.
Distant Stage represents direct continuity to non-adjacent organs, discontinuous metastasis or involvement of the distant lymph nodes.
COVID-19 Pandemic: In 2020, the highly publicized impact of the COVID-19 pandemic on health services and the consequential delays and reductions in cancer screening and diagnosis led to a decline in the 2020 incidence rates for most cancer sites. Because 2020 was a temporary, anomalous year, it can bias estimates such as cancer incidence trends.
Source : Michigan Resident Cancer Incidence File. Updated with cases processed through November 30, 2022. Division for Vital Records & Health Statistics, Michigan Department of Health & Human Services.
Last Updated : April 13, 2023