Five-year Colorectal Cancer Incidence by Stage at Diagnosis
Macomb County 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	2,205	45	2.0	784	35.6	795	36.1	462	21.0	119	5.4
2015-2019	2,271	40	1.8	829	36.5	798	35.1	470	20.7	134	5.9
2014-2018	2,284	37	1.6	835	36.6	790	34.6	497	21.8	125	5.5
2013-2017	2,224	32	1.4	820	36.9	755	33.9	496	22.3	121	5.4
2012-2016	2,211	32	1.4	827	37.4	758	34.3	469	21.2	125	5.7
2011-2015	2,199	31	1.4	826	37.6	752	34.2	475	21.6	115	5.2
2010-2014	2,218	36	1.6	817	36.8	778	35.1	471	21.2	116	5.2
2009-2013	2,198	41	1.9	821	37.4	773	35.2	439	20.0	124	5.6
2008-2012	2,242	45	2.0	836	37.3	792	35.3	434	19.4	135	6.0
2007-2011	2,310	42	1.8	882	38.2	799	34.6	435	18.8	152	6.6
2006-2010	2,356	47	2.0	888	37.7	826	35.1	419	17.8	176	7.5
2005-2009	2,389	48	2.0	899	37.6	836	35.0	437	18.3	169	7.1
2004-2008	2,380	52	2.2	894	37.6	847	35.6	403	16.9	184	7.7
2003-2007	2,391	61	2.6	911	38.1	853	35.7	378	15.8	188	7.9
2002-2006	2,392	71	3.0	903	37.8	840	35.1	388	16.2	190	7.9
2001-2005	2,451	69	2.8	931	38.0	855	34.9	396	16.2	200	8.2
2000-2004	2,525	86	3.4	951	37.7	881	34.9	373	14.8	234	9.3
1999-2003	2,601	97	3.7	984	37.8	901	34.6	397	15.3	222	8.5
1998-2002	2,651	106	4.0	984	37.1	931	35.1	406	15.3	224	8.4
1997-2001	2,701	116	4.3	970	35.9	968	35.8	434	16.1	213	7.9
1996-2000	2,652	132	5.0	937	35.3	975	36.8	417	15.7	191	7.2
1995-1999	2,629	134	5.1	917	34.9	975	37.1	430	16.4	173	6.6
1994-1998	2,576	146	5.7	882	34.2	958	37.2	418	16.2	172	6.7
1993-1997	2,547	144	5.7	854	33.5	954	37.5	434	17.0	161	6.3
1992-1996	2,510	153	6.1	834	33.2	964	38.4	404	16.1	155	6.2
1991-1995	2,542	153	6.0	849	33.4	976	38.4	414	16.3	150	5.9
1990-1994	2,478	142	5.7	823	33.2	968	39.1	409	16.5	136	5.5
1989-1993	2,553	128	5.0	857	33.6	1,002	39.2	431	16.9	135	5.3
1988-1992	2,570	135	5.3	879	34.2	982	38.2	430	16.7	144	5.6
1987-1991	2,539	144	5.7	888	35.0	940	37.0	428	16.9	139	5.5
1986-1990	2,492	147	5.9	854	34.3	902	36.2	440	17.7	149	6.0
1985-1989	2,474	149	6.0	841	34.0	880	35.6	441	17.8	163	6.6

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