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Incidence Rate Report for North Carolina by County

Breast (All Stages^), 2018-2022

All Races (includes Hispanic), Female, All Ages

Sorted by Recentaapc

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
North Carolina 2 N/A 144.3 (142.9, 145.6) N/A 9,621 stable stable trend -0.3 (-1.7, 1.0)
US (SEER+NPCR) 1 N/A 131.3 (131.1, 131.6) N/A 270,245 rising rising trend 0.6 (0.5, 0.8)
Clay County 2 Rural 101.1 (72.7, 139.9) 97 (13, 100) 11 stable stable trend -25.3 (-50.5, 1.6)
Carteret County 2 Rural 138.8 (124.0, 155.2) 52 (6, 87) 79 falling falling trend -12.6 (-18.3, -7.8)
Caswell County 2 Rural 108.3 (86.3, 135.2) 93 (31, 100) 20 falling falling trend -12.6 (-22.0, -1.1)
Pasquotank County 2 Rural 118.4 (99.8, 139.6) 87 (20, 98) 32 falling falling trend -6.2 (-14.9, -0.5)
Rowan County 2 Urban 148.0 (137.0, 159.8) 27 (5, 69) 144 stable stable trend -4.5 (-9.5, 0.6)
Gates County 2 Urban 66.1 (41.3, 102.2) 100 (86, 100) 5 falling falling trend -3.6 (-7.5, -0.2)
Guilford County 2 Urban 151.1 (145.1, 157.4) 19 (8, 47) 502 stable stable trend -1.7 (-5.3, 1.1)
Durham County 2 Urban 149.4 (141.5, 157.7) 25 (7, 59) 281 stable stable trend -1.2 (-6.0, 0.5)
Hyde County 2 Rural 88.9 (46.8, 160.6) 98 (2, 100) 3 stable stable trend -1.2 (-5.8, 3.3)
Camden County 2 Urban 108.9 (76.0, 152.5) 92 (4, 100) 7 stable stable trend -0.8 (-5.2, 3.9)
Perquimans County 2 Rural 128.6 (96.3, 169.6) 71 (1, 99) 14 stable stable trend -0.8 (-4.2, 2.6)
Currituck County 2 Urban 81.0 (63.2, 102.6) 99 (85, 100) 16 stable stable trend -0.7 (-2.9, 1.8)
Macon County 2 Rural 122.5 (103.5, 144.3) 80 (15, 97) 40 stable stable trend -0.6 (-2.1, 0.8)
Watauga County 2 Rural 115.6 (97.9, 135.8) 89 (27, 98) 35 stable stable trend -0.5 (-2.2, 1.4)
Lee County 2 Rural 120.3 (105.1, 137.1) 84 (30, 97) 49 stable stable trend -0.4 (-2.1, 1.4)
Montgomery County 2 Rural 120.7 (98.6, 146.9) 82 (10, 99) 24 stable stable trend -0.3 (-2.2, 1.6)
Swain County 2 Rural 122.8 (92.4, 160.8) 79 (2, 99) 12 stable stable trend -0.3 (-2.9, 2.2)
Scotland County 2 Rural 127.0 (105.7, 151.5) 74 (6, 98) 28 stable stable trend -0.2 (-2.6, 2.1)
Yadkin County 2 Urban 107.5 (89.7, 128.1) 94 (46, 99) 29 stable stable trend -0.2 (-2.1, 1.7)
Catawba County 2 Urban 118.1 (108.8, 128.1) 88 (57, 95) 129 stable stable trend -0.1 (-1.0, 0.8)
Warren County 2 Rural 144.0 (115.7, 178.1) 38 (1, 96) 23 stable stable trend 0.0 (-2.7, 2.7)
Burke County 2 Urban 121.8 (109.4, 135.4) 81 (38, 96) 79 stable stable trend 0.1 (-0.8, 1.1)
Halifax County 2 Rural 139.0 (120.7, 159.5) 50 (3, 91) 50 stable stable trend 0.1 (-1.2, 1.4)
Moore County 2 Urban 144.0 (131.1, 158.0) 37 (5, 78) 109 stable stable trend 0.1 (-0.8, 1.0)
Cherokee County 2 Rural 127.8 (106.5, 152.8) 72 (5, 98) 35 stable stable trend 0.2 (-1.6, 2.3)
Edgecombe County 2 Urban 120.4 (103.9, 138.9) 83 (24, 97) 44 stable stable trend 0.2 (-1.3, 1.7)
McDowell County 2 Rural 135.3 (116.8, 156.1) 61 (4, 94) 44 stable stable trend 0.2 (-1.6, 2.1)
Pamlico County 2 Rural 126.9 (92.7, 171.7) 75 (1, 99) 14 stable stable trend 0.2 (-2.4, 2.6)
Wilkes County 2 Rural 111.1 (97.4, 126.3) 91 (59, 98) 56 stable stable trend 0.2 (-1.6, 2.1)
Alleghany County 2 Rural 104.5 (75.6, 143.4) 96 (10, 100) 11 stable stable trend 0.3 (-2.8, 3.6)
Dare County 2 Rural 151.4 (130.0, 175.8) 18 (1, 84) 43 stable stable trend 0.3 (-1.3, 1.9)
Graham County 2 Rural 143.8 (101.5, 200.0) 39 (1, 99) 9 stable stable trend 0.3 (-5.0, 3.6)
Harnett County 2 Rural 123.6 (112.3, 135.8) 78 (38, 94) 91 stable stable trend 0.3 (-0.7, 1.3)
Rutherford County 2 Rural 135.5 (120.6, 151.9) 60 (10, 91) 69 stable stable trend 0.3 (-0.5, 1.1)
Nash County 2 Urban 145.0 (131.4, 159.7) 35 (4, 80) 93 stable stable trend 0.4 (-0.8, 1.6)
Forsyth County 2 Urban 141.3 (134.5, 148.4) 45 (20, 69) 346 stable stable trend 0.5 (-0.2, 1.3)
Polk County 2 Rural 156.1 (126.9, 191.2) 12 (1, 92) 28 stable stable trend 0.5 (-2.5, 3.5)
Stokes County 2 Urban 119.8 (103.2, 138.7) 85 (26, 97) 43 stable stable trend 0.5 (-1.3, 2.3)
Lenoir County 2 Rural 150.8 (133.0, 170.6) 20 (1, 80) 60 stable stable trend 0.6 (-0.6, 1.8)
Madison County 2 Urban 143.4 (117.5, 174.1) 40 (1, 96) 25 stable stable trend 0.6 (-1.6, 3.1)
Northampton County 2 Rural 130.5 (102.8, 164.5) 70 (1, 98) 21 stable stable trend 0.6 (-1.7, 3.0)
Wilson County 2 Rural 143.1 (128.8, 158.7) 41 (4, 84) 80 stable stable trend 0.6 (-0.4, 1.7)
Craven County 2 Rural 142.6 (129.2, 157.2) 43 (6, 80) 97 stable stable trend 0.7 (-0.3, 1.6)
Transylvania County 2 Rural 127.5 (108.9, 149.2) 73 (6, 97) 43 stable stable trend 0.7 (-1.0, 2.6)
Caldwell County 2 Urban 134.1 (120.6, 148.8) 66 (13, 91) 80 stable stable trend 0.8 (-0.9, 2.6)
Chatham County 2 Urban 144.6 (130.4, 160.0) 36 (4, 80) 90 stable stable trend 0.8 (-0.4, 2.1)
Onslow County 2 Urban 136.6 (125.3, 148.7) 56 (12, 84) 112 stable stable trend 0.8 (-0.2, 1.9)
Orange County 2 Urban 150.5 (138.8, 163.1) 21 (3, 67) 129 stable stable trend 0.8 (-0.4, 2.1)
Surry County 2 Rural 130.5 (116.5, 146.0) 69 (15, 93) 70 stable stable trend 0.8 (-0.5, 2.3)
Washington County 2 Rural 134.2 (101.4, 176.2) 64 (1, 99) 13 stable stable trend 0.8 (-1.7, 3.4)
Buncombe County 2 Urban 155.3 (147.1, 163.9) 13 (3, 46) 298 rising rising trend 0.9 (0.2, 1.6)
Cabarrus County 2 Urban 137.4 (128.4, 146.9) 55 (22, 80) 178 stable stable trend 0.9 (0.0, 2.0)
Cumberland County 2 Urban 139.3 (131.5, 147.5) 49 (18, 75) 248 rising rising trend 0.9 (0.2, 1.6)
Hertford County 2 Rural 146.9 (118.9, 180.1) 30 (1, 94) 23 stable stable trend 0.9 (-0.9, 2.9)
Iredell County 2 Urban 138.9 (129.2, 149.1) 51 (15, 81) 164 stable stable trend 0.9 (0.0, 2.0)
Alamance County 2 Urban 147.3 (137.1, 158.1) 29 (5, 67) 165 stable stable trend 1.0 (-0.2, 1.8)
Ashe County 2 Rural 111.2 (90.0, 136.6) 90 (29, 99) 24 stable stable trend 1.0 (-2.4, 4.6)
Bladen County 2 Rural 134.9 (113.3, 159.9) 63 (3, 95) 32 stable stable trend 1.0 (-1.6, 3.8)
Cleveland County 2 Rural 141.4 (128.4, 155.4) 44 (6, 83) 97 stable stable trend 1.0 (-0.2, 2.4)
Franklin County 2 Urban 134.0 (118.7, 150.8) 67 (9, 92) 61 stable stable trend 1.0 (-0.2, 2.5)
Gaston County 2 Urban 135.8 (127.4, 144.7) 59 (23, 81) 204 stable stable trend 1.0 (0.0, 2.0)
Lincoln County 2 Urban 139.9 (126.4, 154.6) 46 (6, 85) 85 rising rising trend 1.0 (0.2, 1.9)
Mecklenburg County 2 Urban 150.0 (145.6, 154.6) 24 (11, 44) 898 rising rising trend 1.0 (0.5, 1.6)
Randolph County 2 Urban 139.8 (128.9, 151.5) 47 (10, 81) 133 rising rising trend 1.0 (0.1, 2.1)
Stanly County 2 Rural 136.3 (120.0, 154.4) 57 (5, 92) 56 stable stable trend 1.0 (-0.2, 2.3)
Yancey County 2 Rural 146.3 (117.4, 180.9) 31 (1, 97) 22 stable stable trend 1.0 (-0.7, 2.7)
New Hanover County 2 Urban 150.5 (141.6, 159.8) 22 (5, 57) 236 stable stable trend 1.1 (0.0, 2.3)
Pitt County 2 Urban 165.8 (154.2, 178.0) 3 (1, 35) 161 stable stable trend 1.1 (0.0, 2.4)
Rockingham County 2 Urban 138.7 (125.9, 152.7) 53 (9, 84) 97 rising rising trend 1.1 (0.1, 2.2)
Wake County 2 Urban 156.5 (152.1, 161.0) 11 (4, 31) 985 rising rising trend 1.1 (0.7, 1.5)
Alexander County 2 Urban 125.9 (106.6, 148.2) 77 (9, 97) 33 stable stable trend 1.2 (-0.5, 3.0)
Granville County 2 Rural 137.5 (120.9, 156.0) 54 (5, 92) 54 stable stable trend 1.2 (-0.6, 3.2)
Haywood County 2 Rural 139.3 (123.4, 157.0) 48 (6, 89) 69 stable stable trend 1.2 (-0.4, 2.8)
Beaufort County 2 Rural 150.1 (130.9, 171.7) 23 (1, 84) 54 stable stable trend 1.3 (0.0, 2.6)
Brunswick County 2 Urban 153.0 (141.8, 165.0) 16 (3, 60) 206 rising rising trend 1.3 (0.2, 2.6)
Davidson County 2 Urban 134.1 (124.4, 144.4) 65 (23, 84) 155 rising rising trend 1.3 (0.4, 2.4)
Duplin County 2 Rural 136.2 (117.9, 156.7) 58 (4, 94) 45 stable stable trend 1.3 (-0.6, 3.2)
Jackson County 2 Rural 118.8 (99.6, 140.9) 86 (22, 98) 32 stable stable trend 1.3 (-0.4, 3.2)
Chowan County 2 Rural 142.8 (109.8, 183.7) 42 (1, 98) 16 stable stable trend 1.5 (-1.9, 5.1)
Richmond County 2 Rural 156.7 (136.5, 179.3) 9 (1, 78) 46 stable stable trend 1.5 (-0.5, 3.7)
Avery County 2 Rural 105.8 (80.2, 138.1) 95 (15, 100) 14 stable stable trend 1.6 (-1.4, 4.7)
Bertie County 2 Rural 145.6 (114.8, 182.9) 33 (1, 97) 20 stable stable trend 1.6 (-0.7, 3.9)
Henderson County 2 Urban 156.6 (144.5, 169.5) 10 (1, 57) 152 rising rising trend 1.6 (0.6, 2.7)
Hoke County 2 Urban 133.7 (114.0, 155.8) 68 (4, 95) 35 rising rising trend 1.6 (0.1, 3.5)
Martin County 2 Rural 188.8 (158.4, 223.9) 1 (1, 48) 33 stable stable trend 1.6 (-0.2, 3.4)
Wayne County 2 Urban 152.2 (139.2, 166.2) 17 (3, 65) 111 rising rising trend 1.6 (0.3, 2.9)
Columbus County 2 Rural 126.6 (110.1, 145.2) 76 (15, 96) 48 stable stable trend 1.7 (-0.5, 4.2)
Pender County 2 Urban 158.4 (140.7, 177.9) 8 (1, 71) 63 stable stable trend 1.7 (-0.3, 4.1)
Union County 2 Urban 158.5 (149.1, 168.4) 7 (2, 41) 218 rising rising trend 2.0 (1.3, 3.0)
Davie County 2 Urban 135.0 (115.9, 156.7) 62 (4, 94) 41 rising rising trend 2.2 (0.4, 4.2)
Jones County 2 Rural 154.9 (112.8, 209.2) 14 (1, 98) 11 stable stable trend 2.4 (-0.5, 5.8)
Mitchell County 2 Rural 147.9 (115.6, 187.6) 28 (1, 97) 17 stable stable trend 2.4 (-0.3, 5.4)
Vance County 2 Rural 145.8 (126.0, 168.0) 32 (2, 89) 44 rising rising trend 2.4 (1.1, 3.9)
Person County 2 Urban 159.3 (137.7, 183.5) 6 (1, 78) 45 rising rising trend 2.5 (0.3, 5.1)
Anson County 2 Urban 154.7 (127.2, 187.1) 15 (1, 91) 25 stable stable trend 2.7 (-0.5, 6.2)
Sampson County 2 Rural 163.3 (144.5, 184.0) 4 (1, 66) 61 rising rising trend 2.8 (1.8, 3.9)
Tyrrell County 2 Rural 148.4 (79.3, 256.6) 26 (1, 100) 3 stable stable trend 2.8 (-2.0, 8.1)
Johnston County 2 Urban 161.2 (151.3, 171.6) 5 (1, 39) 205 rising rising trend 4.1 (2.7, 9.2)
Robeson County 2 Rural 145.0 (132.4, 158.5) 34 (5, 77) 105 rising rising trend 4.8 (2.1, 12.8)
Greene County 2 Rural 169.5 (135.2, 210.2) 2 (1, 85) 20 rising rising trend 12.9 (3.0, 37.0)

Notes:
Created by statecancerprofiles.cancer.gov on 03/11/2026 5:15 pm.

State Cancer Registries may provide more current or more local data.

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.


† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (SEER areas use 20 age groups and NPCR areas use 19 age groups). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.

‡ Incidence data come from different sources. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

Rates and trends are computed using different standards for malignancy. For more information see malignant.html.

^ All Stages refers to any stage. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.

2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).

Data for United States does not include Puerto Rico.

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