Second primary cancers in thyroid cancer patients : A multinational record linkage study
Identifieur interne : 009C43 ( Main/Exploration ); précédent : 009C42; suivant : 009C44Second primary cancers in thyroid cancer patients : A multinational record linkage study
Auteurs : Thekkepat C. Sandeep [Royaume-Uni] ; Mark W. J. Strachan [Royaume-Uni] ; Rebecca M. Reynolds [Royaume-Uni] ; David H. Brewster [Royaume-Uni] ; Ghislaine Scelo [France] ; Eero Pukkala [Finlande] ; Kari Hemminki [Allemagne, Suède] ; Aage Anderson [Norvège] ; Elizabeth Tracey [Australie] ; S Ren Friis [Danemark] ; Mary L. Mcbride [Canada] ; Chia Kee-Seng [Singapour] ; Vera Pompe-Kirn [Slovénie] ; Erich V. Kliewer [Canada, Australie] ; Jon M. Tonita [Canada] ; Jon G. Jonasson [Islande] ; Carmen Martos [Espagne] ; Paolo Boffetta [France] ; Paul Brennan [France]Source :
- The Journal of clinical endocrinology and metabolism [ 0021-972X ] ; 2006.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Context: Increasing incidence and improved prognosis of thyroid cancer have led to concern about the development of second primary cancers, especially after radioiodine treatment. Thyroid cancer can also arise as a second primary neoplasm after other cancers. Objective: The objective of the study was to assess the risk of second primary cancer after thyroid cancer and vice versa. Design: This was a multinational record linkage study. Setting: The study was conducted at 13 population-based cancer registries in Europe, Canada, Australia, and Singapore. Patients or Other Participants: A cohort of 39,002 people (356,035 person-yr of follow-up) with primary thyroid cancer were followed up for SPN for up to 25 yr, and 1,990 cases of thyroid cancer were diagnosed after another primary cancer. Main Outcome Measures: To assess any possible excess of second primary neoplasms after thyroid cancer, the observed numbers of neoplasms were compared with expected numbers derived from age-, sex-, and calendar period-specific cancer incidence rates from each of the cancer registries, yielding standardized incidence ratios (SIRs). The SIR of second primary thyroid cancer after various types of cancer was also calculated. Results: During the observation period, there were 2821 second primary cancers (all sites combined) after initial diagnosis of thyroid cancer, SIR of1.31 (95% confidence interval 1.26-1.36) with significantly elevated risks for many specific cancers. Significantly elevated risks of second primary thyroid cancer were also seen after many types of cancer. Conclusion: Pooled data from 13 cancer registries show a 30% increased risk of second primary cancer after thyroid cancer and increased risks of thyroid cancer after various primary cancers. Although bias (detection, surveillance, misclassification) and chance may contribute to some of these observations, it seems likely that shared risk factors and treatment effects are implicated in many. When following up patients who have been treated for primary thyroid cancer, clinicians should maintain a high index of suspicion for second primary cancers.
Affiliations:
- Allemagne, Australie, Canada, Danemark, Espagne, Finlande, France, Islande, Norvège, Royaume-Uni, Singapour, Slovénie, Suède
- Aragon, Auvergne-Rhône-Alpes, Bade-Wurtemberg, District de Karlsruhe, Hovedstaden, Manitoba, Nouvelle-Galles du Sud, Rhône-Alpes, Østlandet
- Copenhague, Heidelberg, Lyon, Oslo, Sydney, Winnipeg
- Université de Sydney, Université du Manitoba
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 004390
- to stream PascalFrancis, to step Curation: 001D05
- to stream PascalFrancis, to step Checkpoint: 003D09
- to stream Main, to step Merge: 00A731
- to stream Main, to step Curation: 009C43
Le document en format XML
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Jonasson</name><affiliation wicri:level="1"><inist:fA14 i1="17"><s1>Icelandic Cancer Registry, Icelandic Cancer Society</s1><s2>125 Reykjavik</s2><s3>ISL</s3><sZ>16 aut.</sZ></inist:fA14><country>Islande</country><wicri:noRegion>125 Reykjavik</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="18"><s1>The Medical Faculty, University of Iceland</s1><s2>101 Reykjavik</s2><s3>ISL</s3><sZ>16 aut.</sZ></inist:fA14><country>Islande</country><wicri:noRegion>101 Reykjavik</wicri:noRegion></affiliation></author><author><name sortKey="Martos, Carmen" sort="Martos, Carmen" uniqKey="Martos C" first="Carmen" last="Martos">Carmen Martos</name><affiliation wicri:level="2"><inist:fA14 i1="19"><s1>Cancer Registry of Zaragoza, Health Department of Aragon Government</s1><s2>50004 Zaragoza</s2><s3>ESP</s3><sZ>17 aut.</sZ></inist:fA14><country>Espagne</country><placeName><region nuts="2" type="communauté">Aragon</region></placeName></affiliation></author><author><name sortKey="Boffetta, Paolo" sort="Boffetta, Paolo" uniqKey="Boffetta P" first="Paolo" last="Boffetta">Paolo Boffetta</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>International Agency for Research on Cancer</s1><s2>69372 Lyon</s2><s3>FRA</s3><sZ>5 aut.</sZ><sZ>18 aut.</sZ><sZ>19 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Brennan, Paul" sort="Brennan, Paul" uniqKey="Brennan P" first="Paul" last="Brennan">Paul Brennan</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>International Agency for Research on Cancer</s1><s2>69372 Lyon</s2><s3>FRA</s3><sZ>5 aut.</sZ><sZ>18 aut.</sZ><sZ>19 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">06-0279297</idno><date when="2006">2006</date><idno type="stanalyst">PASCAL 06-0279297 INIST</idno><idno type="RBID">Pascal:06-0279297</idno><idno type="wicri:Area/PascalFrancis/Corpus">004390</idno><idno type="wicri:Area/PascalFrancis/Curation">001D05</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">003D09</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">003D09</idno><idno type="wicri:doubleKey">0021-972X:2006:Sandeep T:second:primary:cancers</idno><idno type="wicri:Area/Main/Merge">00A731</idno><idno type="wicri:Area/Main/Curation">009C43</idno><idno type="wicri:Area/Main/Exploration">009C43</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Second primary cancers in thyroid cancer patients : A multinational record linkage study</title><author><name sortKey="Sandeep, Thekkepat C" sort="Sandeep, Thekkepat C" uniqKey="Sandeep T" first="Thekkepat C." last="Sandeep">Thekkepat C. Sandeep</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Metabolic Unit, Western General Hospital</s1><s2>Edinburgh EH4 2XU</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Edinburgh EH4 2XU</wicri:noRegion></affiliation></author><author><name sortKey="Strachan, Mark W J" sort="Strachan, Mark W J" uniqKey="Strachan M" first="Mark W. J." last="Strachan">Mark W. J. Strachan</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Metabolic Unit, Western General Hospital</s1><s2>Edinburgh EH4 2XU</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Edinburgh EH4 2XU</wicri:noRegion></affiliation></author><author><name sortKey="Reynolds, Rebecca M" sort="Reynolds, Rebecca M" uniqKey="Reynolds R" first="Rebecca M." last="Reynolds">Rebecca M. Reynolds</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Metabolic Unit, Western General Hospital</s1><s2>Edinburgh EH4 2XU</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Edinburgh EH4 2XU</wicri:noRegion></affiliation></author><author><name sortKey="Brewster, David H" sort="Brewster, David H" uniqKey="Brewster D" first="David H." last="Brewster">David H. Brewster</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Scottish Cancer Registry</s1><s2>Edinburgh EH12 9EB</s2><s3>GBR</s3><sZ>4 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Scottish Cancer Registry</wicri:noRegion></affiliation></author><author><name sortKey="Scelo, Ghislaine" sort="Scelo, Ghislaine" uniqKey="Scelo G" first="Ghislaine" last="Scelo">Ghislaine Scelo</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>International Agency for Research on Cancer</s1><s2>69372 Lyon</s2><s3>FRA</s3><sZ>5 aut.</sZ><sZ>18 aut.</sZ><sZ>19 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>69372 Lyon</wicri:noRegion><placeName><settlement type="city">Lyon</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName></affiliation></author><author><name sortKey="Pukkala, Eero" sort="Pukkala, Eero" uniqKey="Pukkala E" first="Eero" last="Pukkala">Eero Pukkala</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research</s1><s2>00170 Helsinki</s2><s3>FIN</s3><sZ>6 aut.</sZ></inist:fA14><country>Finlande</country><wicri:noRegion>00170 Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Hemminki, Kari" sort="Hemminki, Kari" uniqKey="Hemminki K" first="Kari" last="Hemminki">Kari Hemminki</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Division of Molecular Genetic Epidemiology, German Cancer Research Center</s1><s2>69120 Heidelberg</s2><s3>DEU</s3><sZ>7 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Biosciences at Novum, Karolinska Institute</s1><s2>171 77 Hudinge</s2><s3>SWE</s3><sZ>7 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>171 77 Hudinge</wicri:noRegion></affiliation></author><author><name sortKey="Anderson, Aage" sort="Anderson, Aage" uniqKey="Anderson A" first="Aage" last="Anderson">Aage Anderson</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Institute of Population-Based Cancer Research</s1><s2>0310 Oslo</s2><s3>NOR</s3><sZ>8 aut.</sZ></inist:fA14><country>Norvège</country><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Tracey, Elizabeth" sort="Tracey, Elizabeth" uniqKey="Tracey E" first="Elizabeth" last="Tracey">Elizabeth Tracey</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Central Cancer Registry, Woolloomooloo</s1><s2>New South Wales 2011</s2><s3>AUS</s3><sZ>9 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>New South Wales 2011</wicri:noRegion></affiliation></author><author><name sortKey="Friis, S Ren" sort="Friis, S Ren" uniqKey="Friis S" first="S Ren" last="Friis">S Ren Friis</name><affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Institute of Cancer Epidemiology, Danish Cancer Society</s1><s2>2100 Copenhagen</s2><s3>DNK</s3><sZ>10 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Mcbride, Mary L" sort="Mcbride, Mary L" uniqKey="Mcbride M" first="Mary L." last="Mcbride">Mary L. Mcbride</name><affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Cancer Control Research Programme, British Columbia Cancer Agency</s1><s2>Vancouver, British Columbia, V5Z 4E6</s2><s3>CAN</s3><sZ>11 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Vancouver, British Columbia, V5Z 4E6</wicri:noRegion></affiliation></author><author><name sortKey="Kee Seng, Chia" sort="Kee Seng, Chia" uniqKey="Kee Seng C" first="Chia" last="Kee-Seng">Chia Kee-Seng</name><affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Center for Molecular Epidemiology</s1><s2>Singapore 6874 4971</s2><s3>SGP</s3><sZ>12 aut.</sZ></inist:fA14><country>Singapour</country><wicri:noRegion>Center for Molecular Epidemiology</wicri:noRegion></affiliation></author><author><name sortKey="Pompe Kirn, Vera" sort="Pompe Kirn, Vera" uniqKey="Pompe Kirn V" first="Vera" last="Pompe-Kirn">Vera Pompe-Kirn</name><affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Cancer Registry of Slovenia, Institute of Oncology</s1><s2>Ljubljana, 1000</s2><s3>SVN</s3><sZ>13 aut.</sZ></inist:fA14><country>Slovénie</country><wicri:noRegion>Ljubljana, 1000</wicri:noRegion></affiliation></author><author><name sortKey="Kliewer, Erich V" sort="Kliewer, Erich V" uniqKey="Kliewer E" first="Erich V." last="Kliewer">Erich V. Kliewer</name><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Epidemiology and Cancer Registry, CancerCare Manitoba</s1><s2>Winnipeg, R3E 0V9</s2><s3>CAN</s3><sZ>14 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Winnipeg, R3E 0V9</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="14"><s1>Community Health Sciences, University of Manitoba</s1><s2>Winnipeg, R3T 2N2</s2><s3>CAN</s3><sZ>14 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName><orgName type="university">Université du Manitoba</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="15"><s1>School of Public Health, University of Sydney</s1><s2>Sydney 2006</s2><s3>AUS</s3><sZ>14 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region><settlement type="city">Sydney</settlement></placeName><orgName type="university">Université de Sydney</orgName></affiliation></author><author><name sortKey="Tonita, Jon M" sort="Tonita, Jon M" uniqKey="Tonita J" first="Jon M." last="Tonita">Jon M. Tonita</name><affiliation wicri:level="1"><inist:fA14 i1="16"><s1>Program Evaluation and Surveillance, Saskatchewan Cancer Agency</s1><s2>Regina, Saskatchewan, S7N 4H4</s2><s3>CAN</s3><sZ>15 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Regina, Saskatchewan, S7N 4H4</wicri:noRegion></affiliation></author><author><name sortKey="Jonasson, Jon G" sort="Jonasson, Jon G" uniqKey="Jonasson J" first="Jon G." last="Jonasson">Jon G. Jonasson</name><affiliation wicri:level="1"><inist:fA14 i1="17"><s1>Icelandic Cancer Registry, Icelandic Cancer Society</s1><s2>125 Reykjavik</s2><s3>ISL</s3><sZ>16 aut.</sZ></inist:fA14><country>Islande</country><wicri:noRegion>125 Reykjavik</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="18"><s1>The Medical Faculty, University of Iceland</s1><s2>101 Reykjavik</s2><s3>ISL</s3><sZ>16 aut.</sZ></inist:fA14><country>Islande</country><wicri:noRegion>101 Reykjavik</wicri:noRegion></affiliation></author><author><name sortKey="Martos, Carmen" sort="Martos, Carmen" uniqKey="Martos C" first="Carmen" last="Martos">Carmen Martos</name><affiliation wicri:level="2"><inist:fA14 i1="19"><s1>Cancer Registry of Zaragoza, Health Department of Aragon Government</s1><s2>50004 Zaragoza</s2><s3>ESP</s3><sZ>17 aut.</sZ></inist:fA14><country>Espagne</country><placeName><region nuts="2" type="communauté">Aragon</region></placeName></affiliation></author><author><name sortKey="Boffetta, Paolo" sort="Boffetta, Paolo" uniqKey="Boffetta P" first="Paolo" last="Boffetta">Paolo Boffetta</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>International Agency for Research on Cancer</s1><s2>69372 Lyon</s2><s3>FRA</s3><sZ>5 aut.</sZ><sZ>18 aut.</sZ><sZ>19 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Brennan, Paul" sort="Brennan, Paul" uniqKey="Brennan P" first="Paul" last="Brennan">Paul Brennan</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>International Agency for Research on Cancer</s1><s2>69372 Lyon</s2><s3>FRA</s3><sZ>5 aut.</sZ><sZ>18 aut.</sZ><sZ>19 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">The Journal of clinical endocrinology and metabolism</title><title level="j" type="abbreviated">J. clin. endocrinol. metab.</title><idno type="ISSN">0021-972X</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The Journal of clinical endocrinology and metabolism</title><title level="j" type="abbreviated">J. clin. endocrinol. metab.</title><idno type="ISSN">0021-972X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Endocrinology</term><term>Genetic linkage</term><term>Human</term><term>Second cancer</term><term>Thyroid cancer</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Second cancer</term><term>Homme</term><term>Liaison génétique</term><term>Cancer thyroïde</term><term>Endocrinologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Context: Increasing incidence and improved prognosis of thyroid cancer have led to concern about the development of second primary cancers, especially after radioiodine treatment. Thyroid cancer can also arise as a second primary neoplasm after other cancers. Objective: The objective of the study was to assess the risk of second primary cancer after thyroid cancer and vice versa. Design: This was a multinational record linkage study. Setting: The study was conducted at 13 population-based cancer registries in Europe, Canada, Australia, and Singapore. Patients or Other Participants: A cohort of 39,002 people (356,035 person-yr of follow-up) with primary thyroid cancer were followed up for SPN for up to 25 yr, and 1,990 cases of thyroid cancer were diagnosed after another primary cancer. Main Outcome Measures: To assess any possible excess of second primary neoplasms after thyroid cancer, the observed numbers of neoplasms were compared with expected numbers derived from age-, sex-, and calendar period-specific cancer incidence rates from each of the cancer registries, yielding standardized incidence ratios (SIRs). The SIR of second primary thyroid cancer after various types of cancer was also calculated. Results: During the observation period, there were 2821 second primary cancers (all sites combined) after initial diagnosis of thyroid cancer, SIR of1.31 (95% confidence interval 1.26-1.36) with significantly elevated risks for many specific cancers. Significantly elevated risks of second primary thyroid cancer were also seen after many types of cancer. Conclusion: Pooled data from 13 cancer registries show a 30% increased risk of second primary cancer after thyroid cancer and increased risks of thyroid cancer after various primary cancers. Although bias (detection, surveillance, misclassification) and chance may contribute to some of these observations, it seems likely that shared risk factors and treatment effects are implicated in many. When following up patients who have been treated for primary thyroid cancer, clinicians should maintain a high index of suspicion for second primary cancers.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Canada</li><li>Danemark</li><li>Espagne</li><li>Finlande</li><li>France</li><li>Islande</li><li>Norvège</li><li>Royaume-Uni</li><li>Singapour</li><li>Slovénie</li><li>Suède</li></country><region><li>Aragon</li><li>Auvergne-Rhône-Alpes</li><li>Bade-Wurtemberg</li><li>District de Karlsruhe</li><li>Hovedstaden</li><li>Manitoba</li><li>Nouvelle-Galles du Sud</li><li>Rhône-Alpes</li><li>Østlandet</li></region><settlement><li>Copenhague</li><li>Heidelberg</li><li>Lyon</li><li>Oslo</li><li>Sydney</li><li>Winnipeg</li></settlement><orgName><li>Université de Sydney</li><li>Université du Manitoba</li></orgName></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Sandeep, Thekkepat C" sort="Sandeep, Thekkepat C" uniqKey="Sandeep T" first="Thekkepat C." last="Sandeep">Thekkepat C. Sandeep</name></noRegion><name sortKey="Brewster, David H" sort="Brewster, David H" uniqKey="Brewster D" first="David H." last="Brewster">David H. Brewster</name><name sortKey="Reynolds, Rebecca M" sort="Reynolds, Rebecca M" uniqKey="Reynolds R" first="Rebecca M." last="Reynolds">Rebecca M. Reynolds</name><name sortKey="Strachan, Mark W J" sort="Strachan, Mark W J" uniqKey="Strachan M" first="Mark W. J." last="Strachan">Mark W. J. Strachan</name></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Scelo, Ghislaine" sort="Scelo, Ghislaine" uniqKey="Scelo G" first="Ghislaine" last="Scelo">Ghislaine Scelo</name></region><name sortKey="Boffetta, Paolo" sort="Boffetta, Paolo" uniqKey="Boffetta P" first="Paolo" last="Boffetta">Paolo Boffetta</name><name sortKey="Brennan, Paul" sort="Brennan, Paul" uniqKey="Brennan P" first="Paul" last="Brennan">Paul Brennan</name></country><country name="Finlande"><noRegion><name sortKey="Pukkala, Eero" sort="Pukkala, Eero" uniqKey="Pukkala E" first="Eero" last="Pukkala">Eero Pukkala</name></noRegion></country><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Hemminki, Kari" sort="Hemminki, Kari" uniqKey="Hemminki K" first="Kari" last="Hemminki">Kari Hemminki</name></region></country><country name="Suède"><noRegion><name sortKey="Hemminki, Kari" sort="Hemminki, Kari" uniqKey="Hemminki K" first="Kari" last="Hemminki">Kari Hemminki</name></noRegion></country><country name="Norvège"><region name="Østlandet"><name sortKey="Anderson, Aage" sort="Anderson, Aage" uniqKey="Anderson A" first="Aage" last="Anderson">Aage Anderson</name></region></country><country name="Australie"><noRegion><name sortKey="Tracey, Elizabeth" sort="Tracey, Elizabeth" uniqKey="Tracey E" first="Elizabeth" last="Tracey">Elizabeth Tracey</name></noRegion><name sortKey="Kliewer, Erich V" sort="Kliewer, Erich V" uniqKey="Kliewer E" first="Erich V." last="Kliewer">Erich V. Kliewer</name></country><country name="Danemark"><region name="Hovedstaden"><name sortKey="Friis, S Ren" sort="Friis, S Ren" uniqKey="Friis S" first="S Ren" last="Friis">S Ren Friis</name></region></country><country name="Canada"><noRegion><name sortKey="Mcbride, Mary L" sort="Mcbride, Mary L" uniqKey="Mcbride M" first="Mary L." last="Mcbride">Mary L. Mcbride</name></noRegion><name sortKey="Kliewer, Erich V" sort="Kliewer, Erich V" uniqKey="Kliewer E" first="Erich V." last="Kliewer">Erich V. Kliewer</name><name sortKey="Kliewer, Erich V" sort="Kliewer, Erich V" uniqKey="Kliewer E" first="Erich V." last="Kliewer">Erich V. Kliewer</name><name sortKey="Tonita, Jon M" sort="Tonita, Jon M" uniqKey="Tonita J" first="Jon M." last="Tonita">Jon M. Tonita</name></country><country name="Singapour"><noRegion><name sortKey="Kee Seng, Chia" sort="Kee Seng, Chia" uniqKey="Kee Seng C" first="Chia" last="Kee-Seng">Chia Kee-Seng</name></noRegion></country><country name="Slovénie"><noRegion><name sortKey="Pompe Kirn, Vera" sort="Pompe Kirn, Vera" uniqKey="Pompe Kirn V" first="Vera" last="Pompe-Kirn">Vera Pompe-Kirn</name></noRegion></country><country name="Islande"><noRegion><name sortKey="Jonasson, Jon G" sort="Jonasson, Jon G" uniqKey="Jonasson J" first="Jon G." last="Jonasson">Jon G. Jonasson</name></noRegion><name sortKey="Jonasson, Jon G" sort="Jonasson, Jon G" uniqKey="Jonasson J" first="Jon G." last="Jonasson">Jon G. Jonasson</name></country><country name="Espagne"><region name="Aragon"><name sortKey="Martos, Carmen" sort="Martos, Carmen" uniqKey="Martos C" first="Carmen" last="Martos">Carmen Martos</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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