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Associations between small intestine cancer and other primary cancers : An international population-based study

Identifieur interne : 00A077 ( Main/Exploration ); précédent : 00A076; suivant : 00A078

Associations between small intestine cancer and other primary cancers : An international population-based study

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

Source :

RBID : Pascal:06-0126919

Descripteurs français

English descriptors

Abstract

Cancer of the small intestine is a rare neoplasm, and its etiology remains poorly understood. Analysis of other primary cancers in individuals with small intestine cancer may help elucidate the causes of this neoplasm and the underlying mechanisms. We included 10,946 cases of first primary small intestine cancer from 13 cancer registries in a pooled analysis. The observed numbers of 44 types of second primary cancer were compared to the expected numbers derived from the age-, gender- and calendar period-specific cancer incidence rates in each registry. We also calculated the standardized incidence ratios (SIR) for small intestine cancer as a second primary after other cancers. There was a 68% overall increase in the risk of a new primary cancer after small intestine carcinoma (SIR = 1.68, 95% confidence interval [CI] = 1.47-1.71), that remained constant over time. The overall SIR was 1.18 (95% CI = 1.05-1.32) after carcinoid, 1.29 (1.01-1.63) after sarcoma, and 1.27 (0.78-1.94) after lymphoma. Significant (p < 0.05) increases were observed for cancers of the oropharynx, colon, rectum, ampulla of Vater, pancreas, corpus uteri, ovary, prostate, kidney, thyroid gland, skin and soft tissue sarcomas. Small intestine cancer as a second primary was increased significantly after all these cancers, except after oropharyngeal and kidney cancers. Although some of the excess may be attributable to overdiagnosis, it is plausible that most additional cases of second primary cancers were clinically relevant and were due to common genetic (e.g., defects in mismatch or other DNA repair pathways) and environmental (e.g., dietary) factors.


Affiliations:


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Le document en format XML

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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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<country>Canada</country>
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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="Chia, Kee Seng" sort="Chia, Kee Seng" uniqKey="Chia K" first="Kee-Seng" last="Chia">Kee-Seng Chia</name>
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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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<country>Islande</country>
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<s1>Faculty of Medicine, University of Iceland</s1>
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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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<name sortKey="Colin, Didier" sort="Colin, Didier" uniqKey="Colin D" first="Didier" last="Colin">Didier Colin</name>
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<s1>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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<title xml:lang="en" level="a">Associations between small intestine cancer and other primary cancers : An international population-based study</title>
<author>
<name sortKey="Scelo, Ghislaine" sort="Scelo, Ghislaine" uniqKey="Scelo G" first="Ghislaine" last="Scelo">Ghislaine Scelo</name>
<affiliation wicri:level="3">
<inist:fA14 i1="01">
<s1>International Agency for Research on Cancer (IARC)</s1>
<s2>Lyon</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>16 aut.</sZ>
<sZ>17 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="Boffetta, Paolo" sort="Boffetta, Paolo" uniqKey="Boffetta P" first="Paolo" last="Boffetta">Paolo Boffetta</name>
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<s1>International Agency for Research on Cancer (IARC)</s1>
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<country>France</country>
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<region type="region">Auvergne-Rhône-Alpes</region>
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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>Department of Biosciences at Novum, Karolinska Institute</s1>
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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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</inist:fA14>
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<name sortKey="Olsen, Jorgen H" sort="Olsen, Jorgen H" uniqKey="Olsen J" first="Jorgen H." last="Olsen">Jorgen H. Olsen</name>
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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="Tracey, Elizabeth" sort="Tracey, Elizabeth" uniqKey="Tracey E" first="Elizabeth" last="Tracey">Elizabeth Tracey</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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<country>Royaume-Uni</country>
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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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<s1>British Columbia Cancer Agency</s1>
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<country>Canada</country>
<wicri:noRegion>British Columbia Cancer Agency</wicri:noRegion>
</affiliation>
</author>
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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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<s1>Epidemiology and Cancer Registry, CancerCare Manitoba</s1>
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<country>Canada</country>
<wicri:noRegion>Winnipeg</wicri:noRegion>
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<s1>Community Health Sciences, University of Manitoba</s1>
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<s3>CAN</s3>
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<country>Canada</country>
<placeName>
<settlement type="city">Winnipeg</settlement>
<region type="state">Manitoba</region>
</placeName>
<orgName type="university">Université du Manitoba</orgName>
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<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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</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Saskatchewan Cancer Agency</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>
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<s1>Cancer Registry of Slovenia, Institute of Oncology</s1>
<s2>Ljubljana</s2>
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</inist:fA14>
<country>Slovénie</country>
<wicri:noRegion>Ljubljana</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Chia, Kee Seng" sort="Chia, Kee Seng" uniqKey="Chia K" first="Kee-Seng" last="Chia">Kee-Seng Chia</name>
<affiliation wicri:level="1">
<inist:fA14 i1="14">
<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>
</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="15">
<s1>Icelandic Cancer Registry, Icelandic Cancer Society</s1>
<s2>Reykjavik</s2>
<s3>ISL</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Islande</country>
<wicri:noRegion>Reykjavik</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="16">
<s1>Faculty of Medicine, University of Iceland</s1>
<s2>Reykjavik</s2>
<s3>ISL</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Islande</country>
<wicri:noRegion>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="1">
<inist:fA14 i1="17">
<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="Colin, Didier" sort="Colin, Didier" uniqKey="Colin D" first="Didier" last="Colin">Didier Colin</name>
<affiliation wicri:level="3">
<inist:fA14 i1="01">
<s1>International Agency for Research on Cancer (IARC)</s1>
<s2>Lyon</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>16 aut.</sZ>
<sZ>17 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="01">
<s1>International Agency for Research on Cancer (IARC)</s1>
<s2>Lyon</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>16 aut.</sZ>
<sZ>17 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>Australia</term>
<term>Canada</term>
<term>Cancerology</term>
<term>Epidemiology</term>
<term>Europe</term>
<term>Human</term>
<term>Intestinal cancer</term>
<term>Register</term>
<term>Risk factor</term>
<term>Second cancer</term>
<term>Singapore</term>
<term>Small intestine</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Intestin grêle</term>
<term>Facteur risque</term>
<term>Second cancer</term>
<term>Epidémiologie</term>
<term>Homme</term>
<term>Cancer intestin</term>
<term>Registre</term>
<term>Cancérologie</term>
<term>Europe</term>
<term>Australie</term>
<term>Canada</term>
<term>Singapour</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Australie</term>
<term>Canada</term>
<term>Singapour</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Cancer of the small intestine is a rare neoplasm, and its etiology remains poorly understood. Analysis of other primary cancers in individuals with small intestine cancer may help elucidate the causes of this neoplasm and the underlying mechanisms. We included 10,946 cases of first primary small intestine cancer from 13 cancer registries in a pooled analysis. The observed numbers of 44 types of second primary cancer were compared to the expected numbers derived from the age-, gender- and calendar period-specific cancer incidence rates in each registry. We also calculated the standardized incidence ratios (SIR) for small intestine cancer as a second primary after other cancers. There was a 68% overall increase in the risk of a new primary cancer after small intestine carcinoma (SIR = 1.68, 95% confidence interval [CI] = 1.47-1.71), that remained constant over time. The overall SIR was 1.18 (95% CI = 1.05-1.32) after carcinoid, 1.29 (1.01-1.63) after sarcoma, and 1.27 (0.78-1.94) after lymphoma. Significant (p < 0.05) increases were observed for cancers of the oropharynx, colon, rectum, ampulla of Vater, pancreas, corpus uteri, ovary, prostate, kidney, thyroid gland, skin and soft tissue sarcomas. Small intestine cancer as a second primary was increased significantly after all these cancers, except after oropharyngeal and kidney cancers. Although some of the excess may be attributable to overdiagnosis, it is plausible that most additional cases of second primary cancers were clinically relevant and were due to common genetic (e.g., defects in mismatch or other DNA repair pathways) and environmental (e.g., dietary) factors.</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="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>
<name sortKey="Colin, Didier" sort="Colin, Didier" uniqKey="Colin D" first="Didier" last="Colin">Didier Colin</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="Finlande">
<noRegion>
<name sortKey="Pukkala, Eero" sort="Pukkala, Eero" uniqKey="Pukkala E" first="Eero" last="Pukkala">Eero Pukkala</name>
</noRegion>
</country>
<country name="Danemark">
<region name="Hovedstaden">
<name sortKey="Olsen, Jorgen H" sort="Olsen, Jorgen H" uniqKey="Olsen J" first="Jorgen H." last="Olsen">Jorgen H. Olsen</name>
</region>
</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="Australie">
<noRegion>
<name sortKey="Tracey, Elizabeth" sort="Tracey, Elizabeth" uniqKey="Tracey E" first="Elizabeth" last="Tracey">Elizabeth Tracey</name>
</noRegion>
</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="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="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="Singapour">
<noRegion>
<name sortKey="Chia, Kee Seng" sort="Chia, Kee Seng" uniqKey="Chia K" first="Kee-Seng" last="Chia">Kee-Seng Chia</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">
<noRegion>
<name sortKey="Martos, Carmen" sort="Martos, Carmen" uniqKey="Martos C" first="Carmen" last="Martos">Carmen Martos</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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