“…The incidence of metachronous second cancer varies among studies, and the discrepancies in the type of second cancer is influenced by several factors including race, hormone status, environment, and genetic disposition. Studies have provided consistent findings in terms of excesses of various cancer sites for cancer of the endometrium [ 7 , 10 , 14 ], thyroid cancer [ 2 , 7 , 9 - 12 , 14 , 15 ], and ovarian cancer [ 2 , 9 , 10 , 12 , 13 , 16 , 17 ]. Breast, ovary, and endometrial cancers may have a common etiology, with high fat diet, effect of sex hormone levels, and reduced fertility being candidate factors [ 9 ].…”