Risk of second malignant neoplasms after childhood leukemia and lymphoma: An international study
Identifieur interne : 003B14 ( PascalFrancis/Corpus ); précédent : 003B13; suivant : 003B15Risk of second malignant neoplasms after childhood leukemia and lymphoma: An international study
Auteurs : Milena Maule ; Ghislaine Scelo ; Guido Pastore ; Paul Brennan ; Kari Hemminki ; Elizabeth Tracey ; Risto Sankila ; Elisabete Weiderpass ; Jorgen H. Olsen ; Mary L. Mcbride ; David H. Brewster ; Vera Pompe-Kirn ; Erich V. Kliewer ; KEE SENG CHIA ; Jon M. Tonita ; Carmen Martos ; Jon G. Jonasson ; Franco Merletti ; Paolo BoffettaSource :
- Journal of the National Cancer Institute [ 0027-8874 ] ; 2007.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Background Survivors of childhood leukemia and lymphoma experience high risks of second malignant neoplasms. We quantified such risk using a large dataset from 13 population-based cancer registries. Methods The registries provided individual data on cases of leukemia, Hodgkin lymphoma, and non-Hodgkin lymphoma occurring in children aged 0-14 years and on subsequent second malignant neoplasms for different time periods from 1943 to 2000. Risks of second malignant neoplasms were assessed through standardized incidence ratios (SIRs) and corresponding 95% confidence intervals (Cls), using the incidence rates in the general populations covered by the registries as a reference. Cumulative absolute risks were also calculated. Results A total of 133 second malignant neoplasms were observed in 16540 patients (12731 leukemias, 1246 Hodgkin lymphomas, and 2563 non-Hodgkin lymphomas) after an average follow-up of 6.5 years. The most frequent second malignancies after leukemia were brain cancer (19 cases, SIR = 8.52, 95% Cl = 5.13 to 13.3), non-Hodgkin lymphoma (nine cases, SIR = 9.41, 95% Cl = 4.30 to 17.9), and thyroid cancer (nine cases, SIR = 18.8, 95% Cl = 8.60 to 35.7); the most frequent after Hodgkin lymphoma were thyroid cancer (nine cases, SIR = 52.5, 95% Cl = 24.0 to 99.6), breast cancer (six cases, SIR = 20.9, 95% Cl = 7.66 to 45.4), and neoplasms of skin (non-melanoma) (six cases, SIR = 34.0, 95% Cl = 12.5 to 74.0); and the most frequent after non-Hodgkin lymphoma were thyroid cancer (six cases, SIR = 40.4, 95% Cl = 14.8 to 88.0) and brain cancer (four cases, SIR = 6.97, 95% Cl = 1.90 to 17.9). Cumulative incidence of any second malignant neoplasm was 2.43% (95% Cl = 1.09 to 3.78), 12.7% (95% Cl = 8.29 to 17.2), and 2.50% (95% Cl = 1.04 to 3.96) within 30 years from diagnosis of leukemia, Hodgkin lymphoma, and non-Hodgkin lymphoma, respectively. Conclusions This population-based study provides, to our knowledge, the most precise and up-to-date estimates for relative and absolute risks of second malignant neoplasms after childhood leukemia and lymphoma.
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Format Inist (serveur)
NO : | PASCAL 07-0344444 INIST |
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ET : | Risk of second malignant neoplasms after childhood leukemia and lymphoma: An international study |
AU : | MAULE (Milena); SCELO (Ghislaine); PASTORE (Guido); BRENNAN (Paul); HEMMINKI (Kari); TRACEY (Elizabeth); SANKILA (Risto); WEIDERPASS (Elisabete); OLSEN (Jorgen H.); MCBRIDE (Mary L.); BREWSTER (David H.); POMPE-KIRN (Vera); KLIEWER (Erich V.); KEE SENG CHIA; TONITA (Jon M.); MARTOS (Carmen); JONASSON (Jon G.); MERLETTI (Franco); BOFFETTA (Paolo) |
AF : | Childhood Cancer Registry of Piedmont, Cancer Epidemiology Unit, Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica in Piemonte, Centro di Ricerca in Medicina Sperimentale, University of Turin/Turin/Italie (1 aut., 3 aut., 18 aut.); International Agency for Research on Cancer/Lyon/France (2 aut., 4 aut., 19 aut.); Division of Pediatrics, Department of Medical Sciences, University of Eastern Piedmont at Novara/Novara/Italie (3 aut.); Division of Molecular Genetic Epidemiology, German Cancer Research Center/Heidelberg/Allemagne (5 aut.); Center of Family Medicine, Karolinska Institutet/Huddinge/Suède (5 aut.); New South Wales Cancer Registry/Eveleigh, New South Wales/Australie (6 aut.); Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research/Helsinki/Finlande (7 aut.); The Cancer Registry of Norway/Oslo/Norvège (8 aut.); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet/Stockholm/Suède (8 aut.); Institute of Cancer Epidemiology, Danish Cancer Society/Copenhagen/Danemark (9 aut.); British Columbia Cancer Agency/Vancouver, BC/Canada (10 aut.); Scottish Cancer Registry, Information Services Division, NHS National Services Scotland/Edinburgh/Royaume-Uni (11 aut.); Cancer Registry of Slovenia, Institute of Oncology/Ljubljana/Slovénie (12 aut.); Epidemiology and Cancer Registry, CancerCare Manitoba/Winnipeg, MB/Canada (13 aut.); Department of Community Health Sciences, University of Manitoba/Winnipeg, MB/Canada (13 aut.); Center for Molecular Epidemiology/Singapore/Singapour (14 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Journal of the National Cancer Institute; ISSN 0027-8874; Etats-Unis; Da. 2007; Vol. 99; No. 10; Pp. 790-800; Bibl. 60 ref. |
LA : | Anglais |
EA : | Background Survivors of childhood leukemia and lymphoma experience high risks of second malignant neoplasms. We quantified such risk using a large dataset from 13 population-based cancer registries. Methods The registries provided individual data on cases of leukemia, Hodgkin lymphoma, and non-Hodgkin lymphoma occurring in children aged 0-14 years and on subsequent second malignant neoplasms for different time periods from 1943 to 2000. Risks of second malignant neoplasms were assessed through standardized incidence ratios (SIRs) and corresponding 95% confidence intervals (Cls), using the incidence rates in the general populations covered by the registries as a reference. Cumulative absolute risks were also calculated. Results A total of 133 second malignant neoplasms were observed in 16540 patients (12731 leukemias, 1246 Hodgkin lymphomas, and 2563 non-Hodgkin lymphomas) after an average follow-up of 6.5 years. The most frequent second malignancies after leukemia were brain cancer (19 cases, SIR = 8.52, 95% Cl = 5.13 to 13.3), non-Hodgkin lymphoma (nine cases, SIR = 9.41, 95% Cl = 4.30 to 17.9), and thyroid cancer (nine cases, SIR = 18.8, 95% Cl = 8.60 to 35.7); the most frequent after Hodgkin lymphoma were thyroid cancer (nine cases, SIR = 52.5, 95% Cl = 24.0 to 99.6), breast cancer (six cases, SIR = 20.9, 95% Cl = 7.66 to 45.4), and neoplasms of skin (non-melanoma) (six cases, SIR = 34.0, 95% Cl = 12.5 to 74.0); and the most frequent after non-Hodgkin lymphoma were thyroid cancer (six cases, SIR = 40.4, 95% Cl = 14.8 to 88.0) and brain cancer (four cases, SIR = 6.97, 95% Cl = 1.90 to 17.9). Cumulative incidence of any second malignant neoplasm was 2.43% (95% Cl = 1.09 to 3.78), 12.7% (95% Cl = 8.29 to 17.2), and 2.50% (95% Cl = 1.04 to 3.96) within 30 years from diagnosis of leukemia, Hodgkin lymphoma, and non-Hodgkin lymphoma, respectively. Conclusions This population-based study provides, to our knowledge, the most precise and up-to-date estimates for relative and absolute risks of second malignant neoplasms after childhood leukemia and lymphoma. |
CC : | 002B04B; 002B19B; 235 |
FD : | Second cancer; Facteur risque; Epidémiologie; Leucémie; Homme; Etude multicentrique; Lymphome; Cancérologie; Australie; Canada; Europe; Pays Scandinaves; Singapour; Enfance |
FG : | Océanie; Amérique du Nord; Amérique; Asie; Tumeur maligne; Hémopathie maligne; Lymphoprolifératif syndrome; Santé publique; Hémopathie maligne lymphoïde |
ED : | Second cancer; Risk factor; Epidemiology; Leukemia; Human; Multicenter study; Lymphoma; Cancerology; Australia; Canada; Europe; Scandinavia; Singapore |
EG : | Oceania; North America; America; Asia; Malignant tumor; Malignant hemopathy; Lymphoproliferative syndrome; Public health; Lymphoid neoplasm |
SD : | Segundo cáncer; Factor riesgo; Epidemiología; Leucemia; Hombre; Estudio multicéntrico; Linfoma; Cancerología; Australia; Canadá; Europa; Países escandinavos; Singapur |
LO : | INIST-3364.354000162294460060 |
ID : | 07-0344444 |
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Pascal:07-0344444Le document en format XML
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<author><name sortKey="Weiderpass, Elisabete" sort="Weiderpass, Elisabete" uniqKey="Weiderpass E" first="Elisabete" last="Weiderpass">Elisabete Weiderpass</name>
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<affiliation><inist:fA14 i1="09"><s1>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet</s1>
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<author><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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<author><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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<author><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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<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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<s3>SVN</s3>
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</inist:fA14>
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<author><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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<s3>CAN</s3>
<sZ>13 aut.</sZ>
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</affiliation>
<affiliation><inist:fA14 i1="15"><s1>Department of Community Health Sciences, University of Manitoba</s1>
<s2>Winnipeg, MB</s2>
<s3>CAN</s3>
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</inist:fA14>
</affiliation>
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<author><name sortKey="Kee Seng Chia" sort="Kee Seng Chia" uniqKey="Kee Seng Chia" last="Kee Seng Chia">KEE SENG CHIA</name>
<affiliation><inist:fA14 i1="16"><s1>Center for Molecular Epidemiology</s1>
<s2>Singapore</s2>
<s3>SGP</s3>
<sZ>14 aut.</sZ>
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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>
</author>
<author><name sortKey="Martos, Carmen" sort="Martos, Carmen" uniqKey="Martos C" first="Carmen" last="Martos">Carmen Martos</name>
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<author><name sortKey="Jonasson, Jon G" sort="Jonasson, Jon G" uniqKey="Jonasson J" first="Jon G." last="Jonasson">Jon G. Jonasson</name>
</author>
<author><name sortKey="Merletti, Franco" sort="Merletti, Franco" uniqKey="Merletti F" first="Franco" last="Merletti">Franco Merletti</name>
<affiliation><inist:fA14 i1="01"><s1>Childhood Cancer Registry of Piedmont, Cancer Epidemiology Unit, Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica in Piemonte, Centro di Ricerca in Medicina Sperimentale, University of Turin</s1>
<s2>Turin</s2>
<s3>ITA</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>18 aut.</sZ>
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</author>
<author><name sortKey="Boffetta, Paolo" sort="Boffetta, Paolo" uniqKey="Boffetta P" first="Paolo" last="Boffetta">Paolo Boffetta</name>
<affiliation><inist:fA14 i1="02"><s1>International Agency for Research on Cancer</s1>
<s2>Lyon</s2>
<s3>FRA</s3>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>19 aut.</sZ>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Risk of second malignant neoplasms after childhood leukemia and lymphoma: An international study</title>
<author><name sortKey="Maule, Milena" sort="Maule, Milena" uniqKey="Maule M" first="Milena" last="Maule">Milena Maule</name>
<affiliation><inist:fA14 i1="01"><s1>Childhood Cancer Registry of Piedmont, Cancer Epidemiology Unit, Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica in Piemonte, Centro di Ricerca in Medicina Sperimentale, University of Turin</s1>
<s2>Turin</s2>
<s3>ITA</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>18 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Scelo, Ghislaine" sort="Scelo, Ghislaine" uniqKey="Scelo G" first="Ghislaine" last="Scelo">Ghislaine Scelo</name>
<affiliation><inist:fA14 i1="02"><s1>International Agency for Research on Cancer</s1>
<s2>Lyon</s2>
<s3>FRA</s3>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>19 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Pastore, Guido" sort="Pastore, Guido" uniqKey="Pastore G" first="Guido" last="Pastore">Guido Pastore</name>
<affiliation><inist:fA14 i1="01"><s1>Childhood Cancer Registry of Piedmont, Cancer Epidemiology Unit, Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica in Piemonte, Centro di Ricerca in Medicina Sperimentale, University of Turin</s1>
<s2>Turin</s2>
<s3>ITA</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>18 aut.</sZ>
</inist:fA14>
</affiliation>
<affiliation><inist:fA14 i1="03"><s1>Division of Pediatrics, Department of Medical Sciences, University of Eastern Piedmont at Novara</s1>
<s2>Novara</s2>
<s3>ITA</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Brennan, Paul" sort="Brennan, Paul" uniqKey="Brennan P" first="Paul" last="Brennan">Paul Brennan</name>
<affiliation><inist:fA14 i1="02"><s1>International Agency for Research on Cancer</s1>
<s2>Lyon</s2>
<s3>FRA</s3>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>19 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Hemminki, Kari" sort="Hemminki, Kari" uniqKey="Hemminki K" first="Kari" last="Hemminki">Kari Hemminki</name>
<affiliation><inist:fA14 i1="04"><s1>Division of Molecular Genetic Epidemiology, German Cancer Research Center</s1>
<s2>Heidelberg</s2>
<s3>DEU</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
</affiliation>
<affiliation><inist:fA14 i1="05"><s1>Center of Family Medicine, Karolinska Institutet</s1>
<s2>Huddinge</s2>
<s3>SWE</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Tracey, Elizabeth" sort="Tracey, Elizabeth" uniqKey="Tracey E" first="Elizabeth" last="Tracey">Elizabeth Tracey</name>
<affiliation><inist:fA14 i1="06"><s1>New South Wales Cancer Registry</s1>
<s2>Eveleigh, New South Wales</s2>
<s3>AUS</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Sankila, Risto" sort="Sankila, Risto" uniqKey="Sankila R" first="Risto" last="Sankila">Risto Sankila</name>
<affiliation><inist:fA14 i1="07"><s1>Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research</s1>
<s2>Helsinki</s2>
<s3>FIN</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Weiderpass, Elisabete" sort="Weiderpass, Elisabete" uniqKey="Weiderpass E" first="Elisabete" last="Weiderpass">Elisabete Weiderpass</name>
<affiliation><inist:fA14 i1="08"><s1>The Cancer Registry of Norway</s1>
<s2>Oslo</s2>
<s3>NOR</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
</affiliation>
<affiliation><inist:fA14 i1="09"><s1>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet</s1>
<s2>Stockholm</s2>
<s3>SWE</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Olsen, Jorgen H" sort="Olsen, Jorgen H" uniqKey="Olsen J" first="Jorgen H." last="Olsen">Jorgen H. Olsen</name>
<affiliation><inist:fA14 i1="10"><s1>Institute of Cancer Epidemiology, Danish Cancer Society</s1>
<s2>Copenhagen</s2>
<s3>DNK</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
</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><inist:fA14 i1="11"><s1>British Columbia Cancer Agency</s1>
<s2>Vancouver, BC</s2>
<s3>CAN</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
</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><inist:fA14 i1="12"><s1>Scottish Cancer Registry, Information Services Division, NHS National Services Scotland</s1>
<s2>Edinburgh</s2>
<s3>GBR</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
</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><inist:fA14 i1="13"><s1>Cancer Registry of Slovenia, Institute of Oncology</s1>
<s2>Ljubljana</s2>
<s3>SVN</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
</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><inist:fA14 i1="14"><s1>Epidemiology and Cancer Registry, CancerCare Manitoba</s1>
<s2>Winnipeg, MB</s2>
<s3>CAN</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
</affiliation>
<affiliation><inist:fA14 i1="15"><s1>Department of Community Health Sciences, University of Manitoba</s1>
<s2>Winnipeg, MB</s2>
<s3>CAN</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Kee Seng Chia" sort="Kee Seng Chia" uniqKey="Kee Seng Chia" last="Kee Seng Chia">KEE SENG CHIA</name>
<affiliation><inist:fA14 i1="16"><s1>Center for Molecular Epidemiology</s1>
<s2>Singapore</s2>
<s3>SGP</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Tonita, Jon M" sort="Tonita, Jon M" uniqKey="Tonita J" first="Jon M." last="Tonita">Jon M. Tonita</name>
</author>
<author><name sortKey="Martos, Carmen" sort="Martos, Carmen" uniqKey="Martos C" first="Carmen" last="Martos">Carmen Martos</name>
</author>
<author><name sortKey="Jonasson, Jon G" sort="Jonasson, Jon G" uniqKey="Jonasson J" first="Jon G." last="Jonasson">Jon G. Jonasson</name>
</author>
<author><name sortKey="Merletti, Franco" sort="Merletti, Franco" uniqKey="Merletti F" first="Franco" last="Merletti">Franco Merletti</name>
<affiliation><inist:fA14 i1="01"><s1>Childhood Cancer Registry of Piedmont, Cancer Epidemiology Unit, Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica in Piemonte, Centro di Ricerca in Medicina Sperimentale, University of Turin</s1>
<s2>Turin</s2>
<s3>ITA</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>18 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Boffetta, Paolo" sort="Boffetta, Paolo" uniqKey="Boffetta P" first="Paolo" last="Boffetta">Paolo Boffetta</name>
<affiliation><inist:fA14 i1="02"><s1>International Agency for Research on Cancer</s1>
<s2>Lyon</s2>
<s3>FRA</s3>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>19 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Journal of the National Cancer Institute</title>
<title level="j" type="abbreviated">J. Natl. Cancer Inst.</title>
<idno type="ISSN">0027-8874</idno>
<imprint><date when="2007">2007</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Journal of the National Cancer Institute</title>
<title level="j" type="abbreviated">J. Natl. Cancer Inst.</title>
<idno type="ISSN">0027-8874</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>Leukemia</term>
<term>Lymphoma</term>
<term>Multicenter study</term>
<term>Risk factor</term>
<term>Scandinavia</term>
<term>Second cancer</term>
<term>Singapore</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Second cancer</term>
<term>Facteur risque</term>
<term>Epidémiologie</term>
<term>Leucémie</term>
<term>Homme</term>
<term>Etude multicentrique</term>
<term>Lymphome</term>
<term>Cancérologie</term>
<term>Australie</term>
<term>Canada</term>
<term>Europe</term>
<term>Pays Scandinaves</term>
<term>Singapour</term>
<term>Enfance</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background Survivors of childhood leukemia and lymphoma experience high risks of second malignant neoplasms. We quantified such risk using a large dataset from 13 population-based cancer registries. Methods The registries provided individual data on cases of leukemia, Hodgkin lymphoma, and non-Hodgkin lymphoma occurring in children aged 0-14 years and on subsequent second malignant neoplasms for different time periods from 1943 to 2000. Risks of second malignant neoplasms were assessed through standardized incidence ratios (SIRs) and corresponding 95% confidence intervals (Cls), using the incidence rates in the general populations covered by the registries as a reference. Cumulative absolute risks were also calculated. Results A total of 133 second malignant neoplasms were observed in 16540 patients (12731 leukemias, 1246 Hodgkin lymphomas, and 2563 non-Hodgkin lymphomas) after an average follow-up of 6.5 years. The most frequent second malignancies after leukemia were brain cancer (19 cases, SIR = 8.52, 95% Cl = 5.13 to 13.3), non-Hodgkin lymphoma (nine cases, SIR = 9.41, 95% Cl = 4.30 to 17.9), and thyroid cancer (nine cases, SIR = 18.8, 95% Cl = 8.60 to 35.7); the most frequent after Hodgkin lymphoma were thyroid cancer (nine cases, SIR = 52.5, 95% Cl = 24.0 to 99.6), breast cancer (six cases, SIR = 20.9, 95% Cl = 7.66 to 45.4), and neoplasms of skin (non-melanoma) (six cases, SIR = 34.0, 95% Cl = 12.5 to 74.0); and the most frequent after non-Hodgkin lymphoma were thyroid cancer (six cases, SIR = 40.4, 95% Cl = 14.8 to 88.0) and brain cancer (four cases, SIR = 6.97, 95% Cl = 1.90 to 17.9). Cumulative incidence of any second malignant neoplasm was 2.43% (95% Cl = 1.09 to 3.78), 12.7% (95% Cl = 8.29 to 17.2), and 2.50% (95% Cl = 1.04 to 3.96) within 30 years from diagnosis of leukemia, Hodgkin lymphoma, and non-Hodgkin lymphoma, respectively. Conclusions This population-based study provides, to our knowledge, the most precise and up-to-date estimates for relative and absolute risks of second malignant neoplasms after childhood leukemia and lymphoma.</div>
</front>
</TEI>
<inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0027-8874</s0>
</fA01>
<fA03 i2="1"><s0>J. Natl. Cancer Inst.</s0>
</fA03>
<fA05><s2>99</s2>
</fA05>
<fA06><s2>10</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG"><s1>Risk of second malignant neoplasms after childhood leukemia and lymphoma: An international study</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>MAULE (Milena)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>SCELO (Ghislaine)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>PASTORE (Guido)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>BRENNAN (Paul)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>HEMMINKI (Kari)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>TRACEY (Elizabeth)</s1>
</fA11>
<fA11 i1="07" i2="1"><s1>SANKILA (Risto)</s1>
</fA11>
<fA11 i1="08" i2="1"><s1>WEIDERPASS (Elisabete)</s1>
</fA11>
<fA11 i1="09" i2="1"><s1>OLSEN (Jorgen H.)</s1>
</fA11>
<fA11 i1="10" i2="1"><s1>MCBRIDE (Mary L.)</s1>
</fA11>
<fA11 i1="11" i2="1"><s1>BREWSTER (David H.)</s1>
</fA11>
<fA11 i1="12" i2="1"><s1>POMPE-KIRN (Vera)</s1>
</fA11>
<fA11 i1="13" i2="1"><s1>KLIEWER (Erich V.)</s1>
</fA11>
<fA11 i1="14" i2="1"><s1>KEE SENG CHIA</s1>
</fA11>
<fA11 i1="15" i2="1"><s1>TONITA (Jon M.)</s1>
</fA11>
<fA11 i1="16" i2="1"><s1>MARTOS (Carmen)</s1>
</fA11>
<fA11 i1="17" i2="1"><s1>JONASSON (Jon G.)</s1>
</fA11>
<fA11 i1="18" i2="1"><s1>MERLETTI (Franco)</s1>
</fA11>
<fA11 i1="19" i2="1"><s1>BOFFETTA (Paolo)</s1>
</fA11>
<fA14 i1="01"><s1>Childhood Cancer Registry of Piedmont, Cancer Epidemiology Unit, Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica in Piemonte, Centro di Ricerca in Medicina Sperimentale, University of Turin</s1>
<s2>Turin</s2>
<s3>ITA</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>18 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>International Agency for Research on Cancer</s1>
<s2>Lyon</s2>
<s3>FRA</s3>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>19 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Division of Pediatrics, Department of Medical Sciences, University of Eastern Piedmont at Novara</s1>
<s2>Novara</s2>
<s3>ITA</s3>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="04"><s1>Division of Molecular Genetic Epidemiology, German Cancer Research Center</s1>
<s2>Heidelberg</s2>
<s3>DEU</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="05"><s1>Center of Family Medicine, Karolinska Institutet</s1>
<s2>Huddinge</s2>
<s3>SWE</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="06"><s1>New South Wales Cancer Registry</s1>
<s2>Eveleigh, New South Wales</s2>
<s3>AUS</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="07"><s1>Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research</s1>
<s2>Helsinki</s2>
<s3>FIN</s3>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="08"><s1>The Cancer Registry of Norway</s1>
<s2>Oslo</s2>
<s3>NOR</s3>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="09"><s1>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet</s1>
<s2>Stockholm</s2>
<s3>SWE</s3>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="10"><s1>Institute of Cancer Epidemiology, Danish Cancer Society</s1>
<s2>Copenhagen</s2>
<s3>DNK</s3>
<sZ>9 aut.</sZ>
</fA14>
<fA14 i1="11"><s1>British Columbia Cancer Agency</s1>
<s2>Vancouver, BC</s2>
<s3>CAN</s3>
<sZ>10 aut.</sZ>
</fA14>
<fA14 i1="12"><s1>Scottish Cancer Registry, Information Services Division, NHS National Services Scotland</s1>
<s2>Edinburgh</s2>
<s3>GBR</s3>
<sZ>11 aut.</sZ>
</fA14>
<fA14 i1="13"><s1>Cancer Registry of Slovenia, Institute of Oncology</s1>
<s2>Ljubljana</s2>
<s3>SVN</s3>
<sZ>12 aut.</sZ>
</fA14>
<fA14 i1="14"><s1>Epidemiology and Cancer Registry, CancerCare Manitoba</s1>
<s2>Winnipeg, MB</s2>
<s3>CAN</s3>
<sZ>13 aut.</sZ>
</fA14>
<fA14 i1="15"><s1>Department of Community Health Sciences, University of Manitoba</s1>
<s2>Winnipeg, MB</s2>
<s3>CAN</s3>
<sZ>13 aut.</sZ>
</fA14>
<fA14 i1="16"><s1>Center for Molecular Epidemiology</s1>
<s2>Singapore</s2>
<s3>SGP</s3>
<sZ>14 aut.</sZ>
</fA14>
<fA20><s1>790-800</s1>
</fA20>
<fA21><s1>2007</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>3364</s2>
<s5>354000162294460060</s5>
</fA43>
<fA44><s0>0000</s0>
<s1>© 2007 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>60 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>07-0344444</s0>
</fA47>
<fA60><s1>P</s1>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>Journal of the National Cancer Institute</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Background Survivors of childhood leukemia and lymphoma experience high risks of second malignant neoplasms. We quantified such risk using a large dataset from 13 population-based cancer registries. Methods The registries provided individual data on cases of leukemia, Hodgkin lymphoma, and non-Hodgkin lymphoma occurring in children aged 0-14 years and on subsequent second malignant neoplasms for different time periods from 1943 to 2000. Risks of second malignant neoplasms were assessed through standardized incidence ratios (SIRs) and corresponding 95% confidence intervals (Cls), using the incidence rates in the general populations covered by the registries as a reference. Cumulative absolute risks were also calculated. Results A total of 133 second malignant neoplasms were observed in 16540 patients (12731 leukemias, 1246 Hodgkin lymphomas, and 2563 non-Hodgkin lymphomas) after an average follow-up of 6.5 years. The most frequent second malignancies after leukemia were brain cancer (19 cases, SIR = 8.52, 95% Cl = 5.13 to 13.3), non-Hodgkin lymphoma (nine cases, SIR = 9.41, 95% Cl = 4.30 to 17.9), and thyroid cancer (nine cases, SIR = 18.8, 95% Cl = 8.60 to 35.7); the most frequent after Hodgkin lymphoma were thyroid cancer (nine cases, SIR = 52.5, 95% Cl = 24.0 to 99.6), breast cancer (six cases, SIR = 20.9, 95% Cl = 7.66 to 45.4), and neoplasms of skin (non-melanoma) (six cases, SIR = 34.0, 95% Cl = 12.5 to 74.0); and the most frequent after non-Hodgkin lymphoma were thyroid cancer (six cases, SIR = 40.4, 95% Cl = 14.8 to 88.0) and brain cancer (four cases, SIR = 6.97, 95% Cl = 1.90 to 17.9). Cumulative incidence of any second malignant neoplasm was 2.43% (95% Cl = 1.09 to 3.78), 12.7% (95% Cl = 8.29 to 17.2), and 2.50% (95% Cl = 1.04 to 3.96) within 30 years from diagnosis of leukemia, Hodgkin lymphoma, and non-Hodgkin lymphoma, respectively. Conclusions This population-based study provides, to our knowledge, the most precise and up-to-date estimates for relative and absolute risks of second malignant neoplasms after childhood leukemia and lymphoma.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B04B</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B19B</s0>
</fC02>
<fC02 i1="03" i2="X"><s0>235</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Second cancer</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Second cancer</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Segundo cáncer</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Facteur risque</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Risk factor</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Factor riesgo</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Epidémiologie</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Epidemiology</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Epidemiología</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Leucémie</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Leukemia</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Leucemia</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Homme</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Human</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Hombre</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Etude multicentrique</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Multicenter study</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Estudio multicéntrico</s0>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Lymphome</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Lymphoma</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Linfoma</s0>
<s5>07</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Cancérologie</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Cancerology</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Cancerología</s0>
<s5>08</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Australie</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Australia</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Australia</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Canada</s0>
<s2>NG</s2>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Canada</s0>
<s2>NG</s2>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Canadá</s0>
<s2>NG</s2>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>Europe</s0>
<s2>NG</s2>
<s5>12</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>Europe</s0>
<s2>NG</s2>
<s5>12</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>Europa</s0>
<s2>NG</s2>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Pays Scandinaves</s0>
<s2>NG</s2>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG"><s0>Scandinavia</s0>
<s2>NG</s2>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA"><s0>Países escandinavos</s0>
<s2>NG</s2>
<s5>17</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE"><s0>Singapour</s0>
<s2>NG</s2>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG"><s0>Singapore</s0>
<s2>NG</s2>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA"><s0>Singapur</s0>
<s2>NG</s2>
<s5>18</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE"><s0>Enfance</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Océanie</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Oceania</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Oceania</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Amérique du Nord</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>North America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>America del norte</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Amérique</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Asie</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Tumeur maligne</s0>
<s5>37</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Malignant tumor</s0>
<s5>37</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Tumor maligno</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Hémopathie maligne</s0>
<s5>38</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Malignant hemopathy</s0>
<s5>38</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Hemopatía maligna</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Lymphoprolifératif syndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Lymphoproliferative syndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Linfoproliferativo síndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE"><s0>Santé publique</s0>
<s5>40</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG"><s0>Public health</s0>
<s5>40</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA"><s0>Salud pública</s0>
<s5>40</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE"><s0>Hémopathie maligne lymphoïde</s0>
<s4>CD</s4>
<s5>96</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG"><s0>Lymphoid neoplasm</s0>
<s4>CD</s4>
<s5>96</s5>
</fC07>
<fN21><s1>218</s1>
</fN21>
</pA>
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<server><NO>PASCAL 07-0344444 INIST</NO>
<ET>Risk of second malignant neoplasms after childhood leukemia and lymphoma: An international study</ET>
<AU>MAULE (Milena); SCELO (Ghislaine); PASTORE (Guido); BRENNAN (Paul); HEMMINKI (Kari); TRACEY (Elizabeth); SANKILA (Risto); WEIDERPASS (Elisabete); OLSEN (Jorgen H.); MCBRIDE (Mary L.); BREWSTER (David H.); POMPE-KIRN (Vera); KLIEWER (Erich V.); KEE SENG CHIA; TONITA (Jon M.); MARTOS (Carmen); JONASSON (Jon G.); MERLETTI (Franco); BOFFETTA (Paolo)</AU>
<AF>Childhood Cancer Registry of Piedmont, Cancer Epidemiology Unit, Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica in Piemonte, Centro di Ricerca in Medicina Sperimentale, University of Turin/Turin/Italie (1 aut., 3 aut., 18 aut.); International Agency for Research on Cancer/Lyon/France (2 aut., 4 aut., 19 aut.); Division of Pediatrics, Department of Medical Sciences, University of Eastern Piedmont at Novara/Novara/Italie (3 aut.); Division of Molecular Genetic Epidemiology, German Cancer Research Center/Heidelberg/Allemagne (5 aut.); Center of Family Medicine, Karolinska Institutet/Huddinge/Suède (5 aut.); New South Wales Cancer Registry/Eveleigh, New South Wales/Australie (6 aut.); Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research/Helsinki/Finlande (7 aut.); The Cancer Registry of Norway/Oslo/Norvège (8 aut.); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet/Stockholm/Suède (8 aut.); Institute of Cancer Epidemiology, Danish Cancer Society/Copenhagen/Danemark (9 aut.); British Columbia Cancer Agency/Vancouver, BC/Canada (10 aut.); Scottish Cancer Registry, Information Services Division, NHS National Services Scotland/Edinburgh/Royaume-Uni (11 aut.); Cancer Registry of Slovenia, Institute of Oncology/Ljubljana/Slovénie (12 aut.); Epidemiology and Cancer Registry, CancerCare Manitoba/Winnipeg, MB/Canada (13 aut.); Department of Community Health Sciences, University of Manitoba/Winnipeg, MB/Canada (13 aut.); Center for Molecular Epidemiology/Singapore/Singapour (14 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of the National Cancer Institute; ISSN 0027-8874; Etats-Unis; Da. 2007; Vol. 99; No. 10; Pp. 790-800; Bibl. 60 ref.</SO>
<LA>Anglais</LA>
<EA>Background Survivors of childhood leukemia and lymphoma experience high risks of second malignant neoplasms. We quantified such risk using a large dataset from 13 population-based cancer registries. Methods The registries provided individual data on cases of leukemia, Hodgkin lymphoma, and non-Hodgkin lymphoma occurring in children aged 0-14 years and on subsequent second malignant neoplasms for different time periods from 1943 to 2000. Risks of second malignant neoplasms were assessed through standardized incidence ratios (SIRs) and corresponding 95% confidence intervals (Cls), using the incidence rates in the general populations covered by the registries as a reference. Cumulative absolute risks were also calculated. Results A total of 133 second malignant neoplasms were observed in 16540 patients (12731 leukemias, 1246 Hodgkin lymphomas, and 2563 non-Hodgkin lymphomas) after an average follow-up of 6.5 years. The most frequent second malignancies after leukemia were brain cancer (19 cases, SIR = 8.52, 95% Cl = 5.13 to 13.3), non-Hodgkin lymphoma (nine cases, SIR = 9.41, 95% Cl = 4.30 to 17.9), and thyroid cancer (nine cases, SIR = 18.8, 95% Cl = 8.60 to 35.7); the most frequent after Hodgkin lymphoma were thyroid cancer (nine cases, SIR = 52.5, 95% Cl = 24.0 to 99.6), breast cancer (six cases, SIR = 20.9, 95% Cl = 7.66 to 45.4), and neoplasms of skin (non-melanoma) (six cases, SIR = 34.0, 95% Cl = 12.5 to 74.0); and the most frequent after non-Hodgkin lymphoma were thyroid cancer (six cases, SIR = 40.4, 95% Cl = 14.8 to 88.0) and brain cancer (four cases, SIR = 6.97, 95% Cl = 1.90 to 17.9). Cumulative incidence of any second malignant neoplasm was 2.43% (95% Cl = 1.09 to 3.78), 12.7% (95% Cl = 8.29 to 17.2), and 2.50% (95% Cl = 1.04 to 3.96) within 30 years from diagnosis of leukemia, Hodgkin lymphoma, and non-Hodgkin lymphoma, respectively. Conclusions This population-based study provides, to our knowledge, the most precise and up-to-date estimates for relative and absolute risks of second malignant neoplasms after childhood leukemia and lymphoma.</EA>
<CC>002B04B; 002B19B; 235</CC>
<FD>Second cancer; Facteur risque; Epidémiologie; Leucémie; Homme; Etude multicentrique; Lymphome; Cancérologie; Australie; Canada; Europe; Pays Scandinaves; Singapour; Enfance</FD>
<FG>Océanie; Amérique du Nord; Amérique; Asie; Tumeur maligne; Hémopathie maligne; Lymphoprolifératif syndrome; Santé publique; Hémopathie maligne lymphoïde</FG>
<ED>Second cancer; Risk factor; Epidemiology; Leukemia; Human; Multicenter study; Lymphoma; Cancerology; Australia; Canada; Europe; Scandinavia; Singapore</ED>
<EG>Oceania; North America; America; Asia; Malignant tumor; Malignant hemopathy; Lymphoproliferative syndrome; Public health; Lymphoid neoplasm</EG>
<SD>Segundo cáncer; Factor riesgo; Epidemiología; Leucemia; Hombre; Estudio multicéntrico; Linfoma; Cancerología; Australia; Canadá; Europa; Países escandinavos; Singapur</SD>
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<ID>07-0344444</ID>
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