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Risk of second prim...
Risk of second primary cancers in women diagnosed with endometrial cancer in German and Swedish cancer registries
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- Chen, Tianhui (author)
- Ningbo University,Zhejiang Academy of Medical Sciences,German Cancer Research Centre
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- Brenner, Hermann (author)
- German Cancer Research Centre
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- Fallah, Mahdi (author)
- German Cancer Research Centre
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- Jansen, Lina (author)
- German Cancer Research Centre
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- Castro, Felipe A (author)
- German Cancer Research Centre
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- Geiss, Karla (author)
- Bavarian Health and Food Safety Authority
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- Holleczek, Bernd (author)
- Saarland Cancer Registry
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- Katalinic, Alexander (author)
- University of Lübeck
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- Luttmann, Sabine (author)
- Leibniz Institute for Prevention Research and Epidemiology - BIPS GmbH
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- Sundquist, Kristina (author)
- Lund University,Lunds universitet,Allmänmedicin, kardiovaskulär epidemiologi och levnadsvanor,Forskargrupper vid Lunds universitet,Family Medicine, Cardiovascular Epidemiology and Lifestyle,Lund University Research Groups,Stanford University
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- Ressing, Meike (author)
- Johannes-Gutenberg University Mainz
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- Xu, Leiting (author)
- Ningbo University
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- Hemminki, Kari (author)
- Lund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups,German Cancer Research Centre
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(creator_code:org_t)
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- 2017-08-29
- 2017
- English 11 s.
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In: International Journal of Cancer. - : Wiley. - 0020-7136 .- 1097-0215. ; 141:11, s. 2270-2280
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Abstract
Subject headings
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- Along with the increasing incidence and favorable prognosis, more women diagnosed with endometrial cancer may develop second primary cancers (SPCs). We aimed at investigating risk of SPCs after endometrial cancer in Germany and Sweden to provide insight into prevention strategies for SPCs. Endometrial cancer patients diagnosed at age ≥15 years in Germany during 1997–2011 and in Sweden nationwide during 1997–2012 were selected. Standardized incidence ratios (SIRs), calculated as the ratio of observed to expected numbers of cases, were used to assess the risk of a specific second cancer after endometrial cancer for both German and Swedish datasets. Among 46,929 endometrial cancer survivors in Germany and 18,646 in Sweden, overall 2,897 and 1,706 SPCs were recorded, respectively. Significantly elevated SIRs were observed in Germany for ovarian (SIR = 1.3; 95%CI:1.1–1.5) and kidney cancers [1.6 (1.3–1.8)], while in Sweden the SIRs were 5.4 (4.6–6.3) and1.4 (1.0–1.9), respectively. Elevated risk for second ovarian endometrioid carcinoma was pronounced after early (<55 years) onset endometrial cancer in Germany [9.0 (4.8–15)] and Sweden [7.7 (5.1–11)]. In Germany elevated risks were found for second ovarian endometrioid carcinoma after endometrioid histology of first endometrial cancer [6.3 (4.0–9.4)] and for second kidney cancer after clear cell histology of endometrial cancer [4.9 (1.6–11)]. We found exceptionally elevated risk of second ovarian endometrioid carcinoma after endometrial cancer of the same histology or of early onset. Risk for second kidney cancer was also increased, particularly after endometrial cancer of clear cell histology. Cancer prevention strategies should focus on these cancers after endometrial cancer diagnosis.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Keyword
- cancer registry
- endometrial cancer
- etiology
- second primary cancer
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Chen, Tianhui
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Brenner, Hermann
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Fallah, Mahdi
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Jansen, Lina
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Castro, Felipe A
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Geiss, Karla
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show more...
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Holleczek, Bernd
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Katalinic, Alexa ...
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Luttmann, Sabine
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Sundquist, Krist ...
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Ressing, Meike
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Xu, Leiting
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Hemminki, Kari
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
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International Jo ...
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Lund University