2006
DOI: 10.1093/jnci/djj001
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Cancer Survivorship—Genetic Susceptibility and Second Primary Cancers: Research Strategies and Recommendations

Abstract: Cancer survivors constitute 3.5% of the United States population, but second primary malignancies among this high-risk group now account for 16% of all cancer incidence. Although few data currently exist regarding the molecular mechanisms for second primary cancers and other late outcomes after cancer treatment, the careful measurement and documentation of potentially carcinogenic treatments (chemotherapy and radiotherapy) provide a unique platform for in vivo research on gene-environment interactions in human… Show more

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Cited by 300 publications
(222 citation statements)
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“…In 1889, Billroth documented several such cases as rare events. However, in recent years, several studies have noted multiple primary cancers frequently due to the prolonged survival of patients who have previously been cured of a primary cancer [1] . Multiple primary cancers are defined as either synchronous tumors or metachronous tumors, according to whether the diagnostic intervals of the lesions are shorter or longer than six months, respectively [2,3] .…”
Section: Introductionmentioning
confidence: 99%
“…In 1889, Billroth documented several such cases as rare events. However, in recent years, several studies have noted multiple primary cancers frequently due to the prolonged survival of patients who have previously been cured of a primary cancer [1] . Multiple primary cancers are defined as either synchronous tumors or metachronous tumors, according to whether the diagnostic intervals of the lesions are shorter or longer than six months, respectively [2,3] .…”
Section: Introductionmentioning
confidence: 99%
“…in organs adjacent to the tumor [reviewed in (Curtis et al, 2006;Hall, 2006;Little, 2001;Ron, 2003)]. With screening resulting in patients being treated at younger ages, and withincreasing patient survival times, second cancers are becoming of increasing concern (Travis et al, 2006). The long time lag between radiotherapy and second cancer incidence means that few direct data, or none, are available on second cancers induced by recently introduced treatment modalities, so that model-based predictions are important.…”
Section: Introductionmentioning
confidence: 99%
“…The predisposing risk factors for dual malignancy include field cancerization, tobacco and alcohol, genetic predisposition (Li-Fraumeni syndrome and Beckwith-Weidemann syndrome, Cowden syndrome), history of prior external radiation, radioiodine ablation or chemotherapy, environmental risk factors and improved survival [8].…”
Section: Discussionmentioning
confidence: 99%