2020-2024 North Carolina Preliminary Cancer Incidence by County for Selected Sites: Table 1

Per 100,000 Population

Age-Adjusted to the 2000 U.S. Standard Population

Back to Cancer Incidence Reports

County Colon/Rectum Lung/Bronchus Melanoma (Skin) All Cancers
Cases Rate Lower_CI Upper_CI Cases Rate Lower_CI Upper_CI Cases Rate Lower_CI Upper_CI Cases Rate Lower_CI Upper_CI
NORTH CAROLINA 22,493 35.1 34.6 35.6 41,686 58.6 58.0 59.2 19,578 30.3 29.8 30.7 327,890 490.2 488.5 492.0
Alamance 435 40.4 36.6 44.5 773 65.6 61.0 70.5 285 26.3 23.2 29.6 5,766 519.6 505.9 533.6
Alexander 77 29.7 23.2 37.7 188 66.0 56.7 76.7 110 45.2 36.7 55.3 1,156 437.7 411.6 465.1
Alleghany 27 31.6 19.7 48.9 64 58.7 44.1 77.8 24 20.5 13.0 32.9 414 415.7 372.6 463.4
Anson 69 46.6 35.8 59.7 121 72.0 59.4 86.8 29 21.1 13.8 31.0 868 569.9 531.0 611.1
Ashe 55 24.9 18.3 33.5 142 53.6 44.7 64.2 92 45.1 35.4 56.9 1,071 461.0 431.2 492.7
Avery 38 29.6 20.5 41.8 79 51.5 40.4 65.3 44 30.0 21.4 41.6 643 455.2 418.8 494.3
Beaufort 129 38.2 31.3 46.3 238 58.3 50.8 66.9 93 27.0 21.2 34.0 1,928 526.7 501.1 553.3
Bertie 51 43.0 31.1 58.4 89 59.2 47.0 74.3 19 15.8 8.7 26.6 693 501.1 461.0 544.2
Bladen 82 40.8 31.8 51.8 144 54.6 45.9 65.0 48 23.4 16.7 32.0 1,073 474.1 444.0 505.8
Brunswick 491 36.9 33.1 41.1 916 53.3 49.5 57.4 625 40.5 36.9 44.5 7,439 493.3 479.9 507.0
Buncombe 623 33.2 30.6 36.1 1,160 54.9 51.8 58.3 612 32.9 30.3 35.8 9,184 466.6 456.7 476.7
Burke 236 38.6 33.6 44.3 476 66.0 60.0 72.4 207 33.4 28.8 38.7 3,065 465.4 448.2 483.2
Cabarrus 406 32.6 29.5 36.0 732 56.5 52.4 60.8 313 24.7 22.0 27.6 6,041 471.7 459.6 483.9
Caldwell 239 43.6 37.9 50.0 465 70.8 64.4 77.8 205 37.0 31.8 42.9 3,147 529.4 510.1 549.3
Camden 33 47.9 32.5 68.7 30 40.6 27.1 59.3 23 36.6 22.6 56.3 281 397.7 351.0 449.4
Carteret 187 34.4 29.1 40.5 394 60.1 54.0 66.9 325 58.3 51.5 66.0 2,928 499.2 479.3 519.9
Caswell 63 41.4 31.0 54.3 168 86.1 73.2 101.1 40 24.6 16.9 34.9 850 493.0 457.8 530.3
Catawba 323 31.0 27.5 34.7 629 53.1 49.0 57.5 454 42.3 38.3 46.5 4,856 440.9 428.1 454.0
Chatham 216 36.2 31.2 42.0 336 45.4 40.5 50.8 249 39.2 34.0 45.0 3,267 493.7 475.7 512.4
Cherokee 107 42.0 33.3 52.6 189 58.2 49.7 68.4 58 24.7 17.9 33.6 1,176 432.4 404.0 462.6
Chowan 42 36.0 25.1 50.8 67 54.2 41.4 70.7 26 21.2 13.4 32.9 558 485.8 442.5 532.8
Clay 37 35.7 23.3 53.7 72 60.1 45.6 79.4 18 15.9 8.7 28.6 472 391.1 351.4 435.3
Cleveland 295 46.0 40.6 51.9 556 76.0 69.6 82.9 195 29.5 25.3 34.2 3,515 521.8 503.8 540.3
Columbus 127 38.1 31.5 45.9 251 64.1 56.2 72.9 101 29.2 23.5 36.0 1,755 497.1 473.0 522.3
Craven 228 36.1 31.3 41.5 540 71.4 65.3 78.1 209 30.0 25.8 34.7 3,576 507.9 490.3 526.0
Cumberland 454 28.5 25.9 31.3 954 55.3 51.8 59.0 266 16.3 14.4 18.5 7,377 442.7 432.4 453.1
Currituck 46 25.6 18.4 34.8 110 49.6 40.3 60.7 47 24.6 17.7 33.4 732 361.0 333.7 390.1
Dare 99 33.7 26.9 42.0 181 52.8 45.0 61.9 125 44.0 35.8 53.7 1,462 473.5 447.3 501.1
Davidson 461 41.9 38.0 46.1 915 71.7 67.0 76.6 367 31.8 28.5 35.4 6,151 518.4 505.0 532.1
Davie 120 37.4 30.6 45.3 231 64.9 56.6 74.3 126 39.6 32.6 47.7 1,754 528.7 502.9 555.6
Duplin 133 41.0 34.0 49.1 243 65.5 57.4 74.7 65 20.7 15.7 26.8 1,712 506.6 481.8 532.6
Durham 489 28.4 25.9 31.1 824 44.6 41.5 47.8 509 28.5 26.0 31.1 8,199 452.3 442.4 462.5
Edgecombe 111 33.3 27.0 40.7 259 67.2 59.0 76.4 46 12.1 8.8 16.5 1,753 502.5 477.7 528.3
Forsyth 748 32.7 30.3 35.2 1,513 59.6 56.6 62.8 606 26.1 24.0 28.4 12,147 504.3 495.1 513.6
Franklin 153 33.1 27.9 39.1 308 60.2 53.5 67.6 126 27.9 23.0 33.5 2,377 494.5 474.0 515.7
Gaston 584 41.2 37.9 44.8 1,033 67.1 63.0 71.5 527 37.8 34.6 41.3 7,678 530.8 518.6 543.1
Gates 26 34.9 21.9 53.5 38 43.5 30.4 61.8 12 ** ** ** 253 298.2 260.7 340.4
Graham 21 33.3 19.7 54.0 47 64.1 46.8 87.5 14 ** ** ** 273 423.0 370.2 482.2
Granville 205 53.2 45.9 61.4 298 68.7 61.0 77.3 111 27.9 22.7 34.0 2,192 535.5 512.5 559.4
Greene 51 38.4 28.3 51.2 99 69.8 56.5 85.7 23 18.3 11.5 28.0 663 496.3 458.1 537.0
Guilford 1,045 33.7 31.6 35.8 1,971 58.8 56.2 61.5 906 28.5 26.6 30.4 16,216 502.6 494.7 510.6
Halifax 119 34.0 27.8 41.4 228 59.1 51.4 67.8 62 17.6 13.3 23.1 1,844 518.0 493.0 543.9
Harnett 262 36.3 31.9 41.1 496 64.6 59.0 70.7 149 20.9 17.6 24.6 3,475 469.4 453.6 485.6
Haywood 185 38.2 32.4 44.8 378 66.4 59.6 73.9 175 34.8 29.4 41.1 2,617 499.4 479.0 520.6
Henderson 322 35.4 31.3 40.0 565 51.6 47.2 56.3 356 35.7 31.8 40.0 4,775 480.6 465.9 495.7
Hertford 57 40.6 30.2 53.8 104 60.1 48.9 73.7 13 ** ** ** 736 494.3 456.7 534.5
Hoke 91 38.4 30.6 47.6 196 77.0 66.1 89.1 43 18.3 13.1 24.8 1,276 499.5 471.2 529.1
Hyde 21 55.0 33.2 89.1 26 61.3 39.2 95.3 14 ** ** ** 192 499.2 426.6 582.8
Iredell 399 33.1 29.9 36.7 735 56.7 52.6 61.0 440 36.6 33.1 40.3 5,823 469.5 457.1 482.1
Jackson 95 35.0 27.9 43.4 158 49.1 41.4 57.9 90 31.7 25.1 39.7 1,288 442.0 416.6 468.6
Johnston 461 36.9 33.5 40.6 971 73.6 68.8 78.5 345 27.8 24.8 31.0 6,879 533.3 520.3 546.4
Jones 26 39.8 24.5 61.9 66 75.7 58.1 98.7 10 ** ** ** 366 475.7 423.9 533.0
Lee 145 35.9 30.1 42.5 289 65.3 57.9 73.6 80 20.3 16.0 25.5 1,926 467.4 446.1 489.5
Lenoir 125 35.0 28.7 42.3 310 73.1 64.9 82.1 101 26.3 21.1 32.5 1,946 496.6 473.4 520.7
Lincoln 227 37.9 32.9 43.5 414 60.1 54.3 66.5 282 45.2 39.8 51.2 3,275 502.2 484.4 520.6
McDowell 132 42.6 35.3 51.1 303 82.9 73.6 93.3 103 33.8 27.2 41.7 1,782 538.4 512.3 565.5
Macon 135 42.7 35.0 51.7 224 59.4 51.3 68.6 121 38.5 31.0 47.4 1,659 494.6 468.3 522.1
Madison 69 42.9 32.9 55.3 127 69.3 57.4 83.5 54 34.5 25.3 46.3 814 495.0 459.4 532.9
Martin 51 31.5 22.7 42.9 143 73.8 61.8 88.1 32 19.9 13.0 29.5 958 544.2 507.3 583.4
Mecklenburg 1,827 32.5 31.0 34.1 2,591 46.7 44.9 48.6 1,501 26.8 25.5 28.3 27,447 481.7 475.9 487.5
Mitchell 46 41.1 29.0 56.9 99 71.0 57.3 87.9 44 40.3 28.3 56.1 637 522.0 478.8 568.6
Montgomery 76 38.6 30.1 49.1 144 66.6 55.9 79.2 46 25.4 18.0 35.0 965 492.7 460.0 527.4
Moore 225 29.6 25.6 34.1 527 57.9 52.9 63.3 318 40.9 36.2 46.1 4,011 497.2 480.8 514.0
Nash 195 31.7 27.2 36.8 414 57.1 51.6 63.0 113 18.2 14.8 22.2 3,103 473.6 456.3 491.5
New Hanover 421 29.0 26.2 32.0 853 51.2 47.7 54.8 621 42.9 39.4 46.6 7,660 495.5 484.0 507.1
Northampton 58 41.5 29.9 56.5 118 71.0 57.1 87.9 29 18.3 11.6 28.4 775 511.4 470.7 555.1
Onslow 276 35.5 31.3 40.0 675 79.9 73.9 86.4 261 32.5 28.6 36.8 4,505 545.1 528.8 561.7
Orange 245 29.5 25.8 33.6 412 45.2 40.9 50.0 294 35.4 31.3 39.9 4,161 482.9 467.8 498.3
Pamlico 45 40.2 27.7 57.6 81 57.6 45.3 74.1 43 32.5 22.7 46.8 606 512.6 466.8 562.6
Pasquotank 95 36.9 29.6 45.7 159 54.3 46.0 63.8 64 27.9 21.2 36.0 1,092 411.1 386.1 437.4
Pender 160 39.2 33.1 46.1 316 68.2 60.7 76.5 149 37.3 31.4 44.2 2,364 553.7 530.7 577.4
Perquimans 33 30.4 19.8 45.5 74 55.8 43.0 72.5 23 19.1 11.6 30.9 517 438.0 396.5 483.4
Person 122 43.5 35.8 52.6 227 70.6 61.4 81.0 94 33.7 26.9 41.9 1,530 524.2 496.7 552.9
Pitt 301 34.0 30.2 38.1 563 57.1 52.4 62.2 173 18.7 16.0 21.8 4,696 500.1 485.6 515.1
Polk 75 37.0 28.1 48.7 92 43.8 34.4 55.9 61 30.5 22.3 41.6 837 438.9 404.6 476.0
Randolph 340 37.2 33.2 41.6 774 72.6 67.5 78.0 299 31.8 28.1 35.8 4,948 507.8 493.2 522.8
Richmond 117 44.4 36.4 53.8 263 86.8 76.4 98.4 56 20.7 15.4 27.2 1,559 558.1 529.8 587.7
Robeson 291 41.7 36.9 47.0 557 76.6 70.2 83.5 71 11.0 8.5 14.0 3,349 482.1 465.4 499.3
Rockingham 257 39.7 34.7 45.3 598 78.4 72.1 85.2 180 27.1 23.1 31.6 3,597 525.0 506.9 543.5
Rowan 366 39.5 35.4 43.9 696 66.8 61.8 72.1 258 28.0 24.5 31.8 4,841 494.4 480.0 509.0
Rutherford 199 40.4 34.7 47.0 356 66.3 59.4 74.0 178 38.3 32.5 45.0 2,499 512.5 491.3 534.5
Sampson 126 33.2 27.5 39.8 316 75.0 66.8 84.0 84 23.6 18.6 29.6 1,951 508.7 485.6 532.8
Scotland 87 40.5 32.2 50.5 209 90.4 78.2 104.0 27 11.8 7.7 17.5 1,183 537.6 506.4 570.4
Stanly 184 44.0 37.6 51.2 317 68.2 60.8 76.4 141 32.7 27.3 38.9 2,171 504.0 482.1 526.6
Stokes 130 38.5 31.7 46.5 333 83.9 75.0 93.9 106 32.5 26.2 40.0 1,848 516.6 491.8 542.5
Surry 213 41.5 35.9 47.9 410 71.9 65.0 79.5 164 32.6 27.5 38.4 2,728 521.5 501.2 542.5
Swain 69 77.1 59.1 99.1 84 78.8 62.6 98.5 29 35.5 23.0 52.5 576 603.8 553.3 658.0
Transylvania 88 28.7 22.2 36.7 184 49.3 42.1 57.9 108 32.9 26.3 41.1 1,383 420.7 396.0 446.9
Tyrrell 12 ** ** ** 22 68.8 42.8 110.0 6 ** ** ** 151 553.1 461.8 659.6
Union 448 33.2 30.1 36.5 737 53.4 49.5 57.5 469 35.1 31.9 38.5 6,924 498.0 486.0 510.2
Vance 128 45.2 37.5 54.2 223 70.4 61.2 80.8 59 21.8 16.3 28.5 1,544 539.9 511.9 569.0
Wake 1,914 31.7 30.3 33.2 2,679 44.7 42.9 46.4 1,983 32.5 31.0 34.0 29,341 476.2 470.7 481.8
Warren 58 38.1 28.1 51.0 117 66.6 54.6 81.3 33 23.2 15.1 34.5 806 493.8 456.7 533.5
Washington 48 56.0 39.2 78.4 68 69.9 52.9 91.9 12 ** ** ** 493 537.9 485.7 594.8
Watauga 92 31.1 24.7 38.8 141 42.9 36.0 51.1 139 45.8 38.1 54.7 1,385 440.8 416.6 466.2
Wayne 314 45.4 40.3 50.9 577 74.2 68.1 80.7 174 25.5 21.7 29.8 3,943 545.8 528.3 563.8
Wilkes 174 35.1 29.8 41.1 360 65.2 58.5 72.7 154 31.1 26.0 36.9 2,328 463.2 443.3 483.8
Wilson 184 35.2 30.2 41.0 373 64.2 57.7 71.3 112 22.8 18.6 27.7 2,641 490.3 471.1 510.2
Yadkin 74 28.4 21.9 36.3 258 85.9 75.5 97.5 82 31.9 25.0 40.3 1,400 509.7 481.9 538.8
Yancey 49 36.9 26.3 50.8 109 63.2 51.4 77.6 60 40.8 30.5 54.0 793 507.6 469.8 548.1

Produced by the NC Central Cancer Registry, 02/2026.

Updated 2024 Incidence rates will be available in January 2027.

Numbers are subject to change as files are updated.

*Cell sizes with fewer than five cases of cancer incidence are suppressed for confidentiality.

** Cancer incidence rates for cell sizes with fewer than 16 cases of cancer are suppressed as they are not stable.

Cases may not sum to totals due to unknown or other values.

Cancer of the female breast include in situ cases.

Rates are based on patient county of residence at diagnosis as verified by address level geocoding, otherwise as reported by medical provider.

Rates are calculated using vintage 2024 non-bridged population estimates for 2020-2024 (based on the 2020 census).


Age-adjusted rates are point estimates. The standard error (SE) for an age-adjusted rate defines the variability in this point estimate. 95% Confidence Interval (CI) based on a formula for estimating the (SE) is provided to illustrate how precise an estimate is; the wider the CI range, the less precise the estimate and the more the estimate could vary. Age-adjusted rates for two different populations are significantly different when 95% confidence intervals for their age-adjusted rates do not overlap. CI should be framed in the following statement: We are 95 percent confident that the age-adjusted rate for the given population is between Lower_CI and Upper_CI.


Reference: Tiwari RC, Clegg LX, Zou Z. Efficient interval estimation for age-adjusted cancer rates. Statistical Methods in Medical Research. 2006;15(6):547-69.