Serveur d'exploration sur les relations entre la France et l'Australie

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Risk of second cancer among women with breast cancer

Identifieur interne : 009C55 ( Main/Exploration ); précédent : 009C54; suivant : 009C56

Risk of second cancer among women with breast cancer

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

Source :

RBID : Pascal:06-0288916

Descripteurs français

English descriptors

Abstract

A large number of women survive a diagnosis of breast cancer. Knowledge of their risk of developing a new primary cancer is important not only in relation to potential side effects of their cancer treatment, but also in relation to the possibility of shared etiology with other types of cancer. A cohort of 525,527 women with primary breast cancer was identified from 13 population-based cancer registries in Europe, Canada, Australia and Singapore, and followed for second primary cancers within the period 1943-2000. We used cancer incidence rates of first primary cancer for the calculation of standardized incidence ratios (SIRs) of second primary cancer. Risk of second primary breast cancer after various types of nonbreast cancer was also computed. For all second cancer sites combined, except contralateral breast cancer, we found a SIR of 1.25 (95% CI = 1.24-1.26) on the basis of 31,399 observed cases after first primary breast cancer. The overall risk increased with increasing time since breast cancer diagnosis and decreased by increasing age at breast cancer diagnosis. There were significant excesses of many different cancer sites; among these the excess was larger than 150 cases for stomach (SIR = 1.35), colorectal (SIR = 1.22), lung (SIR = 1.24), soft tissue sarcoma (SIR = 2.25), melanoma (SIR = 1.29), non-melanoma skin (SIR = 1.58), endometrium (SIR = 1.52), ovary (SIR = 1.48), kidney (SIR = 1.27), thyroid gland (SIR = 1.62) and leukaemia (SIR = 1.52). The excess of cancer after a breast cancer diagnosis is likely to be explained by treatment for breast cancer and by shared genetic or environmental risk factors, although the general excess of cancer suggests that there may be additional explanations such as increased surveillance and general cancer susceptibility.


Affiliations:


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Le document en format XML

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<name sortKey="Andersen, Aage" sort="Andersen, Aage" uniqKey="Andersen A" first="Aage" last="Andersen">Aage Andersen</name>
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<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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<name sortKey="Pukkala, Eero" sort="Pukkala, Eero" uniqKey="Pukkala E" first="Eero" last="Pukkala">Eero Pukkala</name>
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<name sortKey="Mcbride, Mary L" sort="Mcbride, Mary L" uniqKey="Mcbride M" first="Mary L." last="Mcbride">Mary L. Mcbride</name>
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<name sortKey="Kliewer, Erich V" sort="Kliewer, Erich V" uniqKey="Kliewer E" first="Erich V." last="Kliewer">Erich V. Kliewer</name>
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<name sortKey="Tonita, Jon M" sort="Tonita, Jon M" uniqKey="Tonita J" first="Jon M." last="Tonita">Jon M. Tonita</name>
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<name sortKey="Kee Seng, Chia" sort="Kee Seng, Chia" uniqKey="Kee Seng C" first="Chia" last="Kee-Seng">Chia Kee-Seng</name>
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<name sortKey="Pompe Kirn, Vera" sort="Pompe Kirn, Vera" uniqKey="Pompe Kirn V" first="Vera" last="Pompe-Kirn">Vera Pompe-Kirn</name>
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<s1>Cancer Registry of Slovenia, institute of Oncology</s1>
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<country>Slovénie</country>
<wicri:noRegion>Ljubljana</wicri:noRegion>
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<name sortKey="Martos, Carmen" sort="Martos, Carmen" uniqKey="Martos C" first="Carmen" last="Martos">Carmen Martos</name>
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<s1>Cancer Registry of Zaragoza, Health Department of Aragon Government</s1>
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<name sortKey="Jonasson, Jon G" sort="Jonasson, Jon G" uniqKey="Jonasson J" first="Jon G." last="Jonasson">Jon G. Jonasson</name>
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<s1>The Medical Faculty, University of Iceland</s1>
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<name sortKey="Boffetta, Paolo" sort="Boffetta, Paolo" uniqKey="Boffetta P" first="Paolo" last="Boffetta">Paolo Boffetta</name>
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<s1>Gene-Environment Epidemiology Group, Genetics and Epidemiology Cluster, International Agency for Research on Cancer (IARC)</s1>
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<name sortKey="Brennan, Paul" sort="Brennan, Paul" uniqKey="Brennan P" first="Paul" last="Brennan">Paul Brennan</name>
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<s1>Gene-Environment Epidemiology Group, Genetics and Epidemiology Cluster, International Agency for Research on Cancer (IARC)</s1>
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<country>France</country>
<placeName>
<region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
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<idno type="wicri:source">INIST</idno>
<idno type="inist">06-0288916</idno>
<date when="2006">2006</date>
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<idno type="RBID">Pascal:06-0288916</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">004380</idno>
<idno type="wicri:Area/PascalFrancis/Curation">001D15</idno>
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<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">003D24</idno>
<idno type="wicri:doubleKey">0020-7136:2006:Mellemkjaer L:risk:of:second</idno>
<idno type="wicri:Area/Main/Merge">00A746</idno>
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<title xml:lang="en" level="a">Risk of second cancer among women with breast cancer</title>
<author>
<name sortKey="Mellemkjaer, Lene" sort="Mellemkjaer, Lene" uniqKey="Mellemkjaer L" first="Lene" last="Mellemkjaer">Lene Mellemkjaer</name>
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<inist:fA14 i1="01">
<s1>Institute of Cancer Epidemiology, Danish Cancer Society</s1>
<s2>Copenhagen</s2>
<s3>DNK</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Danemark</country>
<placeName>
<settlement type="city">Copenhague</settlement>
<region type="région" nuts="2">Hovedstaden</region>
</placeName>
</affiliation>
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<name sortKey="Friis, S Ren" sort="Friis, S Ren" uniqKey="Friis S" first="S Ren" last="Friis">S Ren Friis</name>
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<sZ>3 aut.</sZ>
</inist:fA14>
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<settlement type="city">Copenhague</settlement>
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</author>
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<name sortKey="Olsen, J Rgen H" sort="Olsen, J Rgen H" uniqKey="Olsen J" first="J Rgen H." last="Olsen">J Rgen H. Olsen</name>
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<name sortKey="Scelo, Ghislaine" sort="Scelo, Ghislaine" uniqKey="Scelo G" first="Ghislaine" last="Scelo">Ghislaine Scelo</name>
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<s1>Gene-Environment Epidemiology Group, Genetics and Epidemiology Cluster, International Agency for Research on Cancer (IARC)</s1>
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<region type="region">Auvergne-Rhône-Alpes</region>
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</placeName>
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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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<s1>Division of Molecular Genetic Epidemiology, German Cancer Research Center (DKFZ)</s1>
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<s3>DEU</s3>
<sZ>5 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>
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<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>Department of Biosciences at Novum, Karolinska Institute</s1>
<s2>Hudinge</s2>
<s3>SWE</s3>
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</inist:fA14>
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<name sortKey="Tracey, Elizabeth" sort="Tracey, Elizabeth" uniqKey="Tracey E" first="Elizabeth" last="Tracey">Elizabeth Tracey</name>
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<s1>New South Wales Cancer Registry</s1>
<s2>Eveleigh, NSW</s2>
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</inist:fA14>
<country>Australie</country>
<wicri:noRegion>New South Wales Cancer Registry</wicri:noRegion>
</affiliation>
</author>
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<name sortKey="Andersen, Aage" sort="Andersen, Aage" uniqKey="Andersen A" first="Aage" last="Andersen">Aage Andersen</name>
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<s1>Institute of Population-Based Cancer Research</s1>
<s2>Oslo</s2>
<s3>NOR</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Norvège</country>
<placeName>
<settlement type="city">Oslo</settlement>
<region nuts="2">Østlandet</region>
</placeName>
</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="07">
<s1>Scottish Cancer Registry Information Services, NHS National Services Scotland</s1>
<s2>Edinburgh, Scotland</s2>
<s3>GBR</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<wicri:noRegion>Edinburgh, Scotland</wicri:noRegion>
</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="08">
<s1>Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research</s1>
<s2>Helsinki</s2>
<s3>FIN</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Finlande</country>
<wicri:noRegion>Helsinki</wicri:noRegion>
</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="09">
<s1>Cancer Control Research Programme, British Columbia Cancer Agency</s1>
<s2>Vancouver, BC</s2>
<s3>CAN</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Vancouver, BC</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">
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<s1>Epidemiology and Cancer Registry, CancerCare Manitoba</s1>
<s2>Winnipeg, MB</s2>
<s3>CAN</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Winnipeg, MB</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4">
<inist:fA14 i1="11">
<s1>Community Health Sciences, University of Manitoba</s1>
<s2>Winnipeg, MB</s2>
<s3>CAN</s3>
<sZ>11 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>
</author>
<author>
<name sortKey="Tonita, Jon M" sort="Tonita, Jon M" uniqKey="Tonita J" first="Jon M." last="Tonita">Jon M. Tonita</name>
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<s3>CAN</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Regina, SK</wicri:noRegion>
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<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="13">
<s1>Center for Molecular Epidemiology</s1>
<s3>SGP</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Singapour</country>
<wicri:noRegion>Center for Molecular Epidemiology</wicri:noRegion>
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<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">
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<s1>Cancer Registry of Slovenia, institute of Oncology</s1>
<s2>Ljubljana</s2>
<s3>SVN</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Slovénie</country>
<wicri:noRegion>Ljubljana</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="1">
<inist:fA14 i1="15">
<s1>Cancer Registry of Zaragoza, Health Department of Aragon Government</s1>
<s2>Zaragoza</s2>
<s3>ESP</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<wicri:noRegion>Zaragoza</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="16">
<s1>Icelandic Cancer Registry, Icelandic Cancer Society</s1>
<s2>Reykjavik</s2>
<s3>ISL</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Islande</country>
<wicri:noRegion>Reykjavik</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="17">
<s1>The Medical Faculty, University of Iceland</s1>
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<s3>ISL</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Islande</country>
<wicri:noRegion>Reykjavik</wicri:noRegion>
</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="02">
<s1>Gene-Environment Epidemiology Group, Genetics and Epidemiology Cluster, International Agency for Research on Cancer (IARC)</s1>
<s2>Lyon</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
<sZ>17 aut.</sZ>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">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="02">
<s1>Gene-Environment Epidemiology Group, Genetics and Epidemiology Cluster, International Agency for Research on Cancer (IARC)</s1>
<s2>Lyon</s2>
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<sZ>4 aut.</sZ>
<sZ>17 aut.</sZ>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">International journal of cancer</title>
<title level="j" type="abbreviated">Int. j. cancer</title>
<idno type="ISSN">0020-7136</idno>
<imprint>
<date when="2006">2006</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">International journal of cancer</title>
<title level="j" type="abbreviated">Int. j. cancer</title>
<idno type="ISSN">0020-7136</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Australia</term>
<term>Breast cancer</term>
<term>Canada</term>
<term>Cancerology</term>
<term>Cohort study</term>
<term>Epidemiology</term>
<term>Europe</term>
<term>Female</term>
<term>Multicenter study</term>
<term>Risk factor</term>
<term>Second cancer</term>
<term>United States</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Second cancer</term>
<term>Facteur risque</term>
<term>Epidémiologie</term>
<term>Etats Unis</term>
<term>Femelle</term>
<term>Adulte</term>
<term>Canada</term>
<term>Etude multicentrique</term>
<term>Etude cohorte</term>
<term>Cancérologie</term>
<term>Europe</term>
<term>Australie</term>
<term>Cancer sein</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Canada</term>
<term>Australie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Adulte</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">A large number of women survive a diagnosis of breast cancer. Knowledge of their risk of developing a new primary cancer is important not only in relation to potential side effects of their cancer treatment, but also in relation to the possibility of shared etiology with other types of cancer. A cohort of 525,527 women with primary breast cancer was identified from 13 population-based cancer registries in Europe, Canada, Australia and Singapore, and followed for second primary cancers within the period 1943-2000. We used cancer incidence rates of first primary cancer for the calculation of standardized incidence ratios (SIRs) of second primary cancer. Risk of second primary breast cancer after various types of nonbreast cancer was also computed. For all second cancer sites combined, except contralateral breast cancer, we found a SIR of 1.25 (95% CI = 1.24-1.26) on the basis of 31,399 observed cases after first primary breast cancer. The overall risk increased with increasing time since breast cancer diagnosis and decreased by increasing age at breast cancer diagnosis. There were significant excesses of many different cancer sites; among these the excess was larger than 150 cases for stomach (SIR = 1.35), colorectal (SIR = 1.22), lung (SIR = 1.24), soft tissue sarcoma (SIR = 2.25), melanoma (SIR = 1.29), non-melanoma skin (SIR = 1.58), endometrium (SIR = 1.52), ovary (SIR = 1.48), kidney (SIR = 1.27), thyroid gland (SIR = 1.62) and leukaemia (SIR = 1.52). The excess of cancer after a breast cancer diagnosis is likely to be explained by treatment for breast cancer and by shared genetic or environmental risk factors, although the general excess of cancer suggests that there may be additional explanations such as increased surveillance and general cancer susceptibility.</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>Auvergne-Rhône-Alpes</li>
<li>Bade-Wurtemberg</li>
<li>District de Karlsruhe</li>
<li>Hovedstaden</li>
<li>Manitoba</li>
<li>Rhône-Alpes</li>
<li>Østlandet</li>
</region>
<settlement>
<li>Copenhague</li>
<li>Heidelberg</li>
<li>Lyon</li>
<li>Oslo</li>
<li>Winnipeg</li>
</settlement>
<orgName>
<li>Université du Manitoba</li>
</orgName>
</list>
<tree>
<country name="Danemark">
<region name="Hovedstaden">
<name sortKey="Mellemkjaer, Lene" sort="Mellemkjaer, Lene" uniqKey="Mellemkjaer L" first="Lene" last="Mellemkjaer">Lene Mellemkjaer</name>
</region>
<name sortKey="Friis, S Ren" sort="Friis, S Ren" uniqKey="Friis S" first="S Ren" last="Friis">S Ren Friis</name>
<name sortKey="Olsen, J Rgen H" sort="Olsen, J Rgen H" uniqKey="Olsen J" first="J Rgen H." last="Olsen">J Rgen H. Olsen</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="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="Australie">
<noRegion>
<name sortKey="Tracey, Elizabeth" sort="Tracey, Elizabeth" uniqKey="Tracey E" first="Elizabeth" last="Tracey">Elizabeth Tracey</name>
</noRegion>
</country>
<country name="Norvège">
<region name="Østlandet">
<name sortKey="Andersen, Aage" sort="Andersen, Aage" uniqKey="Andersen A" first="Aage" last="Andersen">Aage Andersen</name>
</region>
</country>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Brewster, David H" sort="Brewster, David H" uniqKey="Brewster D" first="David H." last="Brewster">David H. Brewster</name>
</noRegion>
</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="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="Espagne">
<noRegion>
<name sortKey="Martos, Carmen" sort="Martos, Carmen" uniqKey="Martos C" first="Carmen" last="Martos">Carmen Martos</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>
</tree>
</affiliations>
</record>

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