2011
DOI: 10.1200/jco.2011.34.8268
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Second Cancer Risk After Chemotherapy for Hodgkin's Lymphoma: A Collaborative British Cohort Study

Abstract: Although chemotherapy alone leads to raised risk of second malignancy, this risk is lower and affects fewer anatomic sites than that after combined modalities, and it is slight if at all after 15 years follow-up. The mechanism of lung cancer etiology may differ between chemotherapy and radiotherapy.

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Cited by 184 publications
(162 citation statements)
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References 49 publications
(20 reference statements)
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“…Both radiotherapy and alkylating chemotherapy contribute to the risk of lung cancer after HL. 5 The risk of lung cancer is directly related to radiation dose, as shown in a case-control study in which patients who received a dose of 30 Gy or higher had a 7-to 9-fold higher lung cancer risk compared with those who received ,5 Gy to the area of the lung in which the cancer developed (P , .001 for trend). 19 Similarly, a significant correlation between number of cycles of alkylating chemotherapy for HL and lung cancer risk has also been demonstrated.…”
Section: Second Malignancymentioning
confidence: 99%
“…Both radiotherapy and alkylating chemotherapy contribute to the risk of lung cancer after HL. 5 The risk of lung cancer is directly related to radiation dose, as shown in a case-control study in which patients who received a dose of 30 Gy or higher had a 7-to 9-fold higher lung cancer risk compared with those who received ,5 Gy to the area of the lung in which the cancer developed (P , .001 for trend). 19 Similarly, a significant correlation between number of cycles of alkylating chemotherapy for HL and lung cancer risk has also been demonstrated.…”
Section: Second Malignancymentioning
confidence: 99%
“…Treatment-related factors are presumed to be responsible for the elevated risk of myelodysplastic syndrome, lung cancer, nonHodgkin's lymphoma and acute myeloid leukemia in patients treated with chemotherapy for distinct primary malignancies, such as hematologic and non-hematologic malignancies and Hodgkin's lymphoma (Swerdlow et al 2011, Godley and Larson 2008, Leone et al 2007). These studies show that there is a need for careful long-term monitoring of patients receiving chemotherapy for a primary condition, for the early detection and treatment of secondary cancers (Freeman et al 2012, Papanikolaou et al 2011, Swerdlow et al 2011, Yamada et al 1999 …”
Section: Discussionmentioning
confidence: 99%
“…Общими тенденциями тера-пии являются адаптация объема терапии к риску про-грессии, отказ или снижение объема лучевой терапии, использование препаратов, обладающих минималь-ным канцерогенным потенциалом, сохранение фер-тильности [9][10][11][12][13][14]. Наше исследование показывает, что применение этих принципов на практике нуждается в совершенствовании.…”
Section: вторая опухольunclassified