1996
DOI: 10.1136/bmj.313.7059.716
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Familial risks of squamous cell carcinoma of the head and neck: retrospective case-control study

Abstract: These data suggest that genetic factors are important in the aetiology of head and neck cancer, in particular for patients with multiple primary cancers. Given the prolonged exposure of these subjects to carcinogens, these genetic factors may have a role in modifying carcinogen activity or in host resistance to carcinogens. Inherited factors may be important in persons with environmentally induced cancers.

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Cited by 136 publications
(99 citation statements)
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References 32 publications
(39 reference statements)
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“…[3][4][5] An inherited component of susceptibility to oral and pharyngeal cancer has been suggested by case reports of families with multiple affected members, [14][15][16] by epidemiologic studies indicating familial tendency to oral and pharyngeal cancer or other cancers of upper aerodigestive tract, 1,[17][18][19][20][21][22][23] by segregation analysis in firstdegree relatives, 24 by elevated risks associated with polymorphic genes involved in the metabolism of tobacco and alcohol (i.e., ALDH2), [25][26][27][28][29] and by elevated risks associated with genes involved in DNA repair maintenance of genetic stability. 30,31 Familial aggregation of oral and pharyngeal cancers may also be due to shared environmental exposure to the main risk factors, i.e., alcohol and tobacco.…”
Section: Discussionmentioning
confidence: 99%
“…[3][4][5] An inherited component of susceptibility to oral and pharyngeal cancer has been suggested by case reports of families with multiple affected members, [14][15][16] by epidemiologic studies indicating familial tendency to oral and pharyngeal cancer or other cancers of upper aerodigestive tract, 1,[17][18][19][20][21][22][23] by segregation analysis in firstdegree relatives, 24 by elevated risks associated with polymorphic genes involved in the metabolism of tobacco and alcohol (i.e., ALDH2), [25][26][27][28][29] and by elevated risks associated with genes involved in DNA repair maintenance of genetic stability. 30,31 Familial aggregation of oral and pharyngeal cancers may also be due to shared environmental exposure to the main risk factors, i.e., alcohol and tobacco.…”
Section: Discussionmentioning
confidence: 99%
“…In an historical cohort study the relative risk (RR) for SSCHN was 7.89 (95% confidence interval -CI-1.50 to 41.6) in first degree relatives of patients with multiple primary head and neck cancer. 19 In a more recent pooled analysis with 8.967 SCCHN cases and 13.627 controls, having a family history of SCCHN in first-degree relative increased the risk of SCCHN 1.7, which was higher when the affected relative was a sibling (ORD 2.2, 95% CI 1.6-3.1) rather than a parent (OR D 1.5, 95% CI 1.1-1.8) and for more distal SCCHN anatomic sites (hypopharynx and larynx). 20 Genetic polymorphisms variants in tobacco carcinogen and alcohol metabolism genes may increase SCCHN risk.…”
Section: Genetic Susceptibilitymentioning
confidence: 99%
“…18 Moreover, T4 primary extension and more than 2 cm tumoral invasion of the base of the tongue were shown to be associated with increased salvage laryngectomy in the Veterans study. 19 …”
Section: Introductionmentioning
confidence: 99%
“…In addition, second primary tumors, which are often a hallmark of inherited susceptibility to cancer, occur in up to 30% of patients with SCCHN (Day and Blot, 1992;Jones et al, 1995). A family history of SCCHN is more common for these cases than for single primary cases (Bongers et al, 1995;Foulkes et al, 1996) and it has been reported that non-smoking SCCHN patients are significantly more likely to be mutagen-sensitive than current smokers . It is, therefore, reasonable to suspect a role for inherited factors in determining predisposition to SCCHN.…”
mentioning
confidence: 99%
“…However, recent case-control studies indicate that SCCHN is also associated with a family history of this cancer (Copper et al, 1995;Foulkes et al, 1995Foulkes et al, , 1996. In addition, second primary tumors, which are often a hallmark of inherited susceptibility to cancer, occur in up to 30% of patients with SCCHN (Day and Blot, 1992;Jones et al, 1995).…”
mentioning
confidence: 99%