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Using data from Cancer Incidence in Five Continents, we describe recent patterns and trends in incidence rates for the major cancer sites in adults aged \u226560 years and in people aged 0\u201359 for comparison in four selected population\u2010based cancer registries in Kenya (Nairobi), the Republic of South Africa (Eastern Cape Province), Uganda (Kyadondo country), and Zimbabwe (Harare blacks). Over the period 2008\u20132012, almost 9,000 new cancer cases were registered in older adults in the four populations, representing one\u2010third of all cancer cases. Prostate and esophageal cancers were the leading cancer sites in older males, while breast, cervical and esophageal cancers were the most common among older females. Among younger people, Kaposi sarcoma and non\u2010Hodgkin lymphoma were common. Over the past 20 years, incidence rates among older adults have increased in both sexes in Uganda and Zimbabwe while rates have stabilized among the younger age group. Among older adults, the largest rate increase was observed for breast cancer (estimated annual percentage change: 5% in each country) in females and for prostate cancer (6\u20137%) in males. Due to the specific needs of older adults, tailored considerations should be given to geriatric oncology when developing, funding and implementing national and regional cancer programmes.<\/jats:p>","DOI":"10.1002\/ijc.31880","type":"journal-article","created":{"date-parts":[[2018,9,22]],"date-time":"2018-09-22T01:27:24Z","timestamp":1537579644000},"page":"1824-1833","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Cancer incidence in older adults in selected regions of sub\u2010Saharan Africa, 2008\u20132012"],"prefix":"10.1002","volume":"144","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7146-4740","authenticated-orcid":false,"given":"Sophie","family":"Pilleron","sequence":"first","affiliation":[{"name":"Section of Cancer Surveillance International Agency for Research on Cancer  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Soerjomataram","sequence":"additional","affiliation":[{"name":"Section of Cancer Surveillance International Agency for Research on Cancer  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadrien","family":"Charvat","sequence":"additional","affiliation":[{"name":"Section of Cancer Surveillance International Agency for Research on Cancer  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Chokunonga","sequence":"additional","affiliation":[{"name":"Zimbabwe National Cancer Registry  Harare Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nontuthuzelo I. 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