What is cancer of the brain and central nervous system?
Brain cancer and cancer of the central nervous system starts in the
cells of the brain, spinal cord, the thick layer of protective tissue
covering the brain and spinal cord (meninges), the cerebrospinal fluid
and the pituitary gland. Tumours of the CNS are often classified as
having benign or malignant behaviour. Benign tumours usually grow slowly
and rarely spread, whereas malignant tumours may be fast growing and
spread within the brain and the spinal cord. The statistics provided in
this report only include patients diagnosed with primary brain and CNS
cancers, where the tumour has started in the brain and CNS. When cancer
starts in another area of the body and spreads to the brain and CNS it
is referred to as secondary or metastatic brain and CNS cancer.
In this Fact Sheet, statistics reported for benign brain and CNS
tumours also include tumours classified as being of uncertain
behaviour.
You can access further information about cancer of the brain and
central nervous system, including risk factors, symptoms, diagnosis and
treatment from
Cancer
Council Victoria. You can also
call
our trusted cancer nurses on 13 11 20 for support and to learn about
our range of services for people affected by cancer.
The Victorian Cancer Registry also operates an interactive web
portal,
Data
Explorer, which provides more trends and statistics than published
here.
How common is cancer of the brain and central nervous system?
In 2024, 1305 Victorians were diagnosed with brain and CNS cancer. Of
these, there were 594 males and 711 females, representing 59% and 41% of
the total Victorian brain and CNS cancer diagnoses, respectively.
In 2024, 753 Victorians were diagnosed with benign brain and CNS
tumours. Of these, there were 268 males and 485 females, representing
36% and 64% of the total Victorian non-malignant brain and CNS cancer
diagnoses, respectively. Currently, benign brain and CNS cancer is
diagnosed at a rate of 7.2 per 100,000 males and 12 per 100,000 females.
The median age at diagnosis of benign brain and CNS cancer is 58 years
in males and 59 in females (Figure 1 & 2).
In 2024, 552 Victorians were diagnosed with malignant brain and CNS
tumours. Of these, there were 326 males and 226 females, representing
59% and 41% of the total Victorian malignant brain and CNS cancer
diagnoses, respectively. Currently, brain and CNS cancer classified as
malignant is diagnosed at a rate of 8.6 per 100,000 males and 5.3 per
100,000 females.The median age at diagnosis of malignant brain and CNS
cancer is 61 years in males and 62 in females (Figure 1 & 2).
Accounting for 1.4% of all cancers diagnosed and 3.6% of all
cancer-related deaths in 2024, malignant brain and CNS cancer was the
17th most commonly diagnosed cancer and the 7th most common cause of
cancer-related deaths in Victoria in 2024.
Trends in cancer of the brain and central nervous system over
time
Figure 3a shows that for males between 2010 to 2024 the age
standardised incidence rate of benign brain and CNS cancer declined by
an average of 1.1% per year.
For females between 2010 to 2024 the age standardised incidence rate
of benign brain and CNS cancer declined by an average of 1.8% per
year.
Brain and CNS cancer morphology
Figure 4a provides a summary of the different types of cells
(morphology) which have caused brain and CNS tumours classified as
benign or of uncertain behaviour. Most, 59%, present as meningioma
tumours. Figure 4b provides a summary of the different types of cells
(morphology) which have caused malignant brain and CNS tumours. Most
malignant brain and CNS tumours, 64%, present as glioblastoma
tumours.
Geographical variance in cancer of the brain and central nervous
system by local government area
Figure 5 demonstrates variation in the estimated risk of being
diagnosed with brain and CNS cancer, including malignant tumours and
those classified as benign or of uncertain behaviour, by local
government area, relative to the Victorian average. Red shading
indicates areas with higher risk and blue shading indicates areas with
lower risk relative to Victoria.
Cancer of the brain and central nervous system in people born
overseas
Figure 6 shows the standardised incidence ratios (SIRs) of brain and
CNS cancer, including malignant tumours and those classified as benign
or of uncertain behaviour, in Australian-born Victorians compared to
other major migrant groups over the five-year period 2019 to 2023. The
highest standardised incidence ratio (SIR) for brain and CNS cancer was
1.0 for males born in the Other Europe region and the lowest SIR of 0.53
was observed in males born in the South-East Asia region. The highest
standardised incidence ratio (SIR) for brain and CNS cancer was 1.7 for
females born in the North America region and the lowest SIR of 0.34 was
observed in females born in the South-East Asia region.
Cancer of the brain and central nervous system five-year relative
survival
Figure 7 shows the change in 5-year survival for brain and CNS cancer
and the 5-year survival trend for all cancers over the same time period.
It demonstrates that five-year relative survival has increased for
benign brain and CNS cancer between 1984-1988 and 2019-2023 from 86% to
95%. Five-year relative survival has increased for malignant brain and
CNS cancer between 1984-1988 and 2019-2023 from 24% to 28%.
Cancer of the brain and central nervous system in people born
overseas
Figure 6 shows the age standardised incidence rates of brain and CNS
cancer, including malignant tumours and those classified as benign or of
uncertain behaviour, in Australian-born Victorians compared to other
major migrant groups over the five-year period 2018 to 2022. The highest
age standardised incidence rate for brain and CNS cancer was 10.1 for
males born in the Other Europe region and the lowest rate of 4.2 was
observed in males born in the South-East Asia region. The highest age
standardised incidence rate for brain and CNS cancer was 9.5 for females
born in the North America region and the lowest rate of 1.7 was observed
in females born in the South-East Asia region.
Cancer of the brain and central nervous system five-year relative
survival
Figure 7 shows the change in 5-year survival for brain and CNS cancer
and the 5-year survival trend for all cancers over the same time period.
It demonstrates that five-year relative survival has increased for
benign brain and CNS cancer between 1983-1987 and 2018-2022 from 86% to
95%. Five-year relative survival has increased for malignant brain and
CNS cancer between 1983-1987 and 2018-2022 from 22% to 28%.