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Risk of subsequent gliomas and meningiomas among 69,460 5-year survivors of childhood and adolescent cancer in Europe : the PanCareSurFup study

Heymer, Emma J. (author)
University of Birmingham
Hawkins, Michael M. (author)
University of Birmingham
Winter, David L. (author)
University of Birmingham
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Teepen, Jop C. (author)
Princess Maxima Center for Pediatric Oncology/Hematology
Sunguc, Ceren (author)
University of Birmingham
Ronckers, Cécile M. (author)
Johannes-Gutenberg University Mainz,Princess Maxima Center for Pediatric Oncology/Hematology
Allodji, Rodrigue S. (author)
Centre for Research in Epidemiology and Population Health (CESP)
Alessi, Daniela (author)
University of Turin
Sugden, Elaine (author)
University of Birmingham
Belle, Fabiën N. (author)
University of Bern,University of Lausanne
Bagnasco, Francesca (author)
Gaslini Children's Hospital
Byrne, Julianne (author)
Boyne Research Institute
Bárdi, Edit (author)
St. Anna Children's Hospital,Kepler University Hospital Linz
Garwicz, Stanislaw (author)
Lund University,Lunds universitet,Sena effekter efter barncancerbehandling,Forskargrupper vid Lunds universitet,Late effects after childhood cancer treatment,Lund University Research Groups
Grabow, Desiree (author)
Johannes-Gutenberg University Mainz
Jankovic, Momcilo (author)
University of Milano-Bicocca
Kaatsch, Peter (author)
Johannes-Gutenberg University Mainz
Kaiser, Melanie (author)
Johannes-Gutenberg University Mainz
Michel, Gisela (author)
University of Lucerne
Schindera, Christina (author)
University Children's Hospital, Basel,University of Bern
Haddy, Nadia (author)
Centre for Research in Epidemiology and Population Health (CESP)
Journy, Neige (author)
Centre for Research in Epidemiology and Population Health (CESP)
Česen Mazić, Maja (author)
University Children's Hospital, Ljubljana
Skinner, Roderick (author)
University of Newcastle upon Tyne
Kok, Judith L. (author)
Princess Maxima Center for Pediatric Oncology/Hematology
Gunnes, Maria W. (author)
Cancer Registry of Norway, Institute of Population-Based Cancer Research,Norwegian Radium Hospital
Wiebe, Thomas (author)
Lund University,Lunds universitet,Sena effekter efter barncancerbehandling,Forskargrupper vid Lunds universitet,Late effects after childhood cancer treatment,Lund University Research Groups
Sacerdote, Carlotta (author)
University of Turin
Maule, Milena M. (author)
University of Turin
Terenziani, Monica (author)
Istituto Nazionale dei Tumori
Jakab, Zsuzsanna (author)
Semmelweis University
Winther, Jeanette F. (author)
Aarhus University Hospital,Danish Cancer Society
Lähteenmäki, Päivi M. (author)
Turku University Hospital
Zadravec Zaletel, Lorna (author)
Institute of Oncology, Ljubljana
Haupt, Riccardo (author)
Gaslini Children's Hospital
Kuehni, Claudia E. (author)
University of Bern,University Children's Hospital Bern
Kremer, Leontien C. (author)
Academic Medical Center of University of Amsterdam (AMC),Princess Maxima Center for Pediatric Oncology/Hematology
de Vathaire, Florent (author)
Centre for Research in Epidemiology and Population Health (CESP)
Hjorth, Lars (author)
Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Sena effekter efter barncancerbehandling,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Late effects after childhood cancer treatment,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Skåne University Hospital
Reulen, Raoul C. (author)
University of Birmingham
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 (creator_code:org_t)
2024
2024
English.
In: British Journal of Cancer. - 0007-0920. ; 130:6, s. 976-986
Related links:
http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
https://doi.org/10.1...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Childhood cancer survivors are at risk of subsequent gliomas and meningiomas, but the risks beyond age 40 years are uncertain. We quantified these risks in the largest ever cohort. Methods: Using data from 69,460 5-year childhood cancer survivors (diagnosed 1940–2008), across Europe, standardized incidence ratios (SIRs) and cumulative incidence were calculated. Results: In total, 279 glioma and 761 meningioma were identified. CNS tumour (SIR: 16.2, 95% CI: 13.7, 19.2) and leukaemia (SIR: 11.2, 95% CI: 8.8, 14.2) survivors were at greatest risk of glioma. The SIR for CNS tumour survivors was still 4.3-fold after age 50 (95% CI: 1.9, 9.6), and for leukaemia survivors still 10.2-fold after age 40 (95% CI: 4.9, 21.4). Following cranial radiotherapy (CRT), the cumulative incidence of a glioma in CNS tumour survivors was 2.7%, 3.7% and 5.0% by ages 40, 50 and 60, respectively, whilst for leukaemia this was 1.2% and 1.7% by ages 40 and 50. The cumulative incidence of a meningioma after CRT in CNS tumour survivors doubled from 5.9% to 12.5% between ages 40 and 60, and in leukaemia survivors increased from 5.8% to 10.2% between ages 40 and 50. Discussion: Clinicians following up survivors should be aware that the substantial risks of meningioma and glioma following CRT are sustained beyond age 40 and be vigilant for symptoms.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

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