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A Pooled Analysis of Second Primary Pancreatic Cancer

Identifieur interne : 009A65 ( Main/Exploration ); précédent : 009A64; suivant : 009A66

A Pooled Analysis of Second Primary Pancreatic Cancer

Auteurs : Min Shen [France, États-Unis] ; Paolo Boffetta [France] ; J Rgen H. Olsen [Danemark] ; Aage Andersen [Norvège] ; Kari Hemminki [Allemagne, Suède] ; Eero Pukkala [Finlande] ; Elizabeth Tracey [Australie] ; David H. Brewster [Royaume-Uni] ; Mary L. Mcbride [Canada] ; Vera Pompe-Kirn [Slovénie] ; Erich V. Kliewer [Canada] ; Jon M. Tonita [Canada] ; Kee-Seng Chia [Singapour] ; Carmen Martos [Espagne] ; Jon G. Jonasson [Islande] ; Didier Colin [France] ; Ghislaine Sce Lo [France] ; Paul Brennan [France]

Source :

RBID : ISTEX:1DF212587EA2CE94F736816CEB3D094A57C5FC8F

Descripteurs français

English descriptors

Abstract

Studies of pancreatic cancer in the setting of second primary malignant neoplasms can provide etiologic clues. An international multicenter study was carried out using data from 13 cancer registries with a registration period up to year 2000. Cancer patients were followed up from the initial cancer diagnosis, and the occurrence of second primary malignant neoplasms was compared with expected values derived from local rates, adjusting for age, sex, and period of diagnosis. Results from individual registries were pooled by use of a fixed-effects model. People were at higher risk of developing pancreatic cancer within 10 years of a diagnosis of cancers of the pharynx, stomach, gallbladder, larynx, lung, cervix, corpus uteri, bladder, and eye and 10 years or later following a diagnosis of cancers of the stomach, colon, gallbladder, breast, cervix, placenta, corpus uteri, ovary, testis, bladder, kidney, and eye, as well as Hodgkin's and non-Hodgkin's lymphomas. Pancreatic cancer was connected with smoking-related cancers, confirming the etiologic role of tobacco. The associations with uterine and ovarian cancers suggest that reproductive factors might be implicated in pancreatic carcinogenesis. The elevated pancreatic cancer risk in young patients observed among several types of cancer implies a role of genetic factors. Radiotherapy is also suggested as a risk factor.

Url:
DOI: 10.1093/aje/kwj073


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Studies of pancreatic cancer in the setting of second primary malignant neoplasms can provide etiologic clues. An international multicenter study was carried out using data from 13 cancer registries with a registration period up to year 2000. Cancer patients were followed up from the initial cancer diagnosis, and the occurrence of second primary malignant neoplasms was compared with expected values derived from local rates, adjusting for age, sex, and period of diagnosis. Results from individual registries were pooled by use of a fixed-effects model. People were at higher risk of developing pancreatic cancer within 10 years of a diagnosis of cancers of the pharynx, stomach, gallbladder, larynx, lung, cervix, corpus uteri, bladder, and eye and 10 years or later following a diagnosis of cancers of the stomach, colon, gallbladder, breast, cervix, placenta, corpus uteri, ovary, testis, bladder, kidney, and eye, as well as Hodgkin's and non-Hodgkin's lymphomas. Pancreatic cancer was connected with smoking-related cancers, confirming the etiologic role of tobacco. The associations with uterine and ovarian cancers suggest that reproductive factors might be implicated in pancreatic carcinogenesis. The elevated pancreatic cancer risk in young patients observed among several types of cancer implies a role of genetic factors. Radiotherapy is also suggested as a risk factor.</div>
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<li>Hovedstaden</li>
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<name sortKey="Hemminki, Kari" sort="Hemminki, Kari" uniqKey="Hemminki K" first="Kari" last="Hemminki">Kari Hemminki</name>
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</country>
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<region name="Écosse">
<name sortKey="Brewster, David H" sort="Brewster, David H" uniqKey="Brewster D" first="David H." last="Brewster">David H. Brewster</name>
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