Prostate cancer survivors : Risk and mortality in second primary cancers

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Chattopadhyay, SubhayanGerman Cancer Research Centre,Heidelberg University (author)

Prostate cancer survivors : Risk and mortality in second primary cancers

Article/chapterEnglish2018

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2018-10-01
Wiley,2018

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LIBRIS-ID:oai:lup.lub.lu.se:f945df51-dd3e-4bc7-aa02-808d35dce740
https://lup.lub.lu.se/record/f945df51-dd3e-4bc7-aa02-808d35dce740URI
https://doi.org/10.1002/cam4.1764DOI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype

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To assess etiological and clinical consequences of second primary cancers (SPCs) in prostate cancer (PC) patients, we followed newly diagnosed patients to identify men who were diagnosed with a SPC and recorded their causes of death. We used the Swedish Family-Cancer Database to assess relative risks (RRs) and causes of death in SPCs until the year 2015 in patients with a PC diagnosis between 2001 and 2010. Among a total of 4.26 million men, 76 614 were diagnosed with PC at the median age of 71 years. Among them, 8659 (11.3%) received a subsequent diagnosis of SPC after a median follow-up of 4 years. The most common SPCs were colorectal, skin, bladder, and lung cancers, melanoma, and non-Hodgkin lymphoma. The ranking was almost identical with first cancers among elderly men in Sweden. The RR for SPCs in prostate-specific antigen—detected PC was approximately equal to RR in other PC. Mortality patterns of PC patients were distinct depending on the presence or absence of SPC. Among patients with SPC, 47.8% died as a result of the corresponding SPC, followed by other causes (22.2%) and PC (18.1%). For patients without SPC, PC and non-neoplastic causes almost matched each other as the main causes of death (48.5% and 47.8%). The results suggest that SPCs appear autonomous from primary PC and reflect incidence and mortality of first cancers in general. SPC was the most common cause of death in patients with SPC; close to half of the patients died due to SPC. For improved survival in PC patients, prevention and early detection of SPCs would be important, and the present results suggest that risk factors for SPC in PC are the same as those for first cancer in general.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Cancer och onkologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cancer and Oncology hsv//eng
incidence
mortality
multiple primary cancers
relative risk
screening

Added entries (persons, corporate bodies, meetings, titles ...)

Zheng, GuoqiaoGerman Cancer Research Centre,Heidelberg University(Swepub:lu)gu4135zh (author)
Hemminki, OttoUniversity of Helsinki,Helsinki University Central Hospital (author)
Försti, AstaLund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups,German Cancer Research Centre(Swepub:lu)med-asf (author)
Sundquist, KristinaLund University,Lunds universitet,Allmänmedicin, kardiovaskulär epidemiologi och levnadsvanor,Forskargrupper vid Lunds universitet,Family Medicine, Cardiovascular Epidemiology and Lifestyle,Lund University Research Groups,Shimane University,Icahn School of Medicine at Mount Sinai(Swepub:lu)med-ksq (author)
Hemminki, KariLund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups,German Cancer Research Centre(Swepub:lu)med-khk (author)
German Cancer Research CentreHeidelberg University (creator_code:org_t)

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In:Cancer Medicine: Wiley7:11, s. 5752-57592045-7634

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By the author/editor: Chattopadhyay, S ...; Zheng, Guoqiao; Hemminki, Otto; Försti, Asta; Sundquist, Krist ...; Hemminki, Kari

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By the university: Lund University

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