“…This individual had been treated with multiple chemotherapeutic agents (including cyclophosphamide, doxorubicin, vincristine, prednisolone, chlorambucil, bleomycin and etoposide) for lymphoma and subsequently developed caecal adenocarcinoma. SBSD resembles SBS25, (cosine similarity 0.9), previously found in Hodgkin lymphoma cell lines from two chemotherapy–treated patients 31,37 . To our knowledge this is the first time that the mutational consequences of chemotherapy have been demonstrated in normal human cells in vivo .…”