Cancer Causes & Control

, Volume 28, Issue 2, pp 97–105 | Cite as

Incidence of malignant mesothelioma in Germany 2009–2013

  • Martin Lehnert
  • Klaus Kraywinkel
  • Evelyn Heinze
  • Thorsten Wiethege
  • Georg Johnen
  • Julia Fiebig
  • Thomas Brüning
  • Dirk Taeger
Original paper



The malignant mesothelioma is a rare malignancy and mainly caused by occupational exposure to asbestos. German cancer registries are providing a national database to investigate temporal and regional patterns of mesothelioma incidence. These may be of interest for healthcare planning and for surveillance programs aiming at the formerly exposed workforce.


We analyzed population-based incidence data of malignant mesothelioma by site, type, sex, age, as well as district and state of patient’s residence. Age-standardized incidence rates (AIRs40+) were calculated according to the European standard population truncated to the age of 40 years and older. We present rates at national, state, and district level and trends of incidence of northern states of Germany.


In total, 7,547 malignant mesotheliomas were reported to German cancer registries diagnosed between 2009 and 2013—90% located to the pleura. On average, 1,198 men and 312 women were affected each year. We estimated AIR40+ of 4.77 in 100,000 German men and 0.98 in 100,000 German women. Regional clusters were predominantly located to the seaports of West Germany. The highest regional AIR40+ was 20 per 100,000 men. Corresponding rates in northeast Germany were between 2 and 4 per 100,000 men.


Regional clusters of high incidence indicate districts with former shipyards and steel industry, but predominantly in the western part of Germany. The West-to-East difference corresponds to patterns of mortality. Twenty years after banning asbestos in Germany, Bremen and Hamburg are presenting the highest mesothelioma incidence but show steadily decreasing trends.


Asbestos Mesothelioma Incidence Germany 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Martin Lehnert
    • 1
  • Klaus Kraywinkel
    • 2
  • Evelyn Heinze
    • 1
  • Thorsten Wiethege
    • 1
  • Georg Johnen
    • 1
  • Julia Fiebig
    • 2
  • Thomas Brüning
    • 1
  • Dirk Taeger
    • 1
  1. 1.Institute for Prevention and Occupational Medicine of the German Social Accident InsuranceInstitute of the Ruhr-Universität Bochum (IPA)BochumGermany
  2. 2.German Centre for Cancer Registry Data (ZfKD) at Robert Koch-InstituteBerlinGermany

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