Skip to main content
Canadian Medical Association Journal logoLink to Canadian Medical Association Journal
. 1984 Sep 15;131(6):553–556.

Second primary cancer following treatment for cervical cancer.

E A Clarke, N Kreiger, R F Spengler
PMCID: PMC1483622  PMID: 6478337

Abstract

A follow-up study of 7535 women in Ontario was carried out to assess the occurrence of second primary cancers following the treatment of invasive carcinoma of the cervix between 1960 and 1975. The study was part of a larger international investigation of late radiation effects in patients with cervical cancer. Data were collected on the date and the type of treatment for cervical cancer and on the occurrence of second primary cancers diagnosed before 1980. Observed and expected numbers of second primary cancers, the latter determined according to Ontario incidence rates, were compared for individual sites and for all sites combined. There were significantly more primary cancers of the lung than expected (64 v. 15.52) but significantly fewer second primary cancers of the breast (56 v. 105.01) and colon (27 v. 43.31). Overall, there were significantly fewer (p less than 0.05) observed second primary cancers than expected (280 v. 394). Although the median follow-up period was less than 10 years there was no marked evidence of an excess of radiation-induced second primary cancers.

Full text

PDF
553

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arneson A. N., Schellhas H. F. Multiple primary cancers in patients treated for carcinoma of the cervix. Am J Obstet Gynecol. 1970 Apr 15;106(8):1155–1170. doi: 10.1016/0002-9378(70)90510-7. [DOI] [PubMed] [Google Scholar]
  2. BAILAR J. C., 3rd THE INCIDENCE OF INDEPENDENT TUMORS AMONG UTERINE CANCER PATIENTS. Cancer. 1963 Jul;16:842–853. doi: 10.1002/1097-0142(196307)16:7<842::aid-cncr2820160703>3.0.co;2-h. [DOI] [PubMed] [Google Scholar]
  3. Boice J. D. Cancer following medical irradiation. Cancer. 1981 Mar 1;47(5 Suppl):1081–1090. doi: 10.1002/1097-0142(19810301)47:5+<1081::aid-cncr2820471305>3.0.co;2-3. [DOI] [PubMed] [Google Scholar]
  4. Boice J. D., Hutchison G. B. Leukemia in women following radiotherapy for cervical cancer: ten-year follow-up of an international study. J Natl Cancer Inst. 1980 Jul;65(1):115–129. [PubMed] [Google Scholar]
  5. Brown W. M., Doll R. Mortality from cancer and other causes after radiotherapy for ankylosing spondylitis. Br Med J. 1965 Dec 4;2(5474):1327–1332. doi: 10.1136/bmj.2.5474.1327. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Clarke E. A., Morgan R. W., Newman A. M. Smoking as a risk factor in cancer of the cervix: additional evidence from a case-control study. Am J Epidemiol. 1982 Jan;115(1):59–66. doi: 10.1093/oxfordjournals.aje.a113279. [DOI] [PubMed] [Google Scholar]
  7. Cześnin K., Wronkowski Z. Second maligancies of the irradiated area in patients treated for uterine cervix cancer. Gynecol Oncol. 1978 Aug;6(4):309–315. doi: 10.1016/0090-8258(78)90037-9. [DOI] [PubMed] [Google Scholar]
  8. Dickson R. J. Late results of radium treatment of carcinoma of the cervix. Clin Radiol. 1972 Oct;23(4):528–535. doi: 10.1016/s0009-9260(72)80036-9. [DOI] [PubMed] [Google Scholar]
  9. Harris R. W., Brinton L. A., Cowdell R. H., Skegg D. C., Smith P. G., Vessey M. P., Doll R. Characteristics of women with dysplasia or carcinoma in situ of the cervix uteri. Br J Cancer. 1980 Sep;42(3):359–369. doi: 10.1038/bjc.1980.246. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Hempelmann L. H., Hall W. J., Phillips M., Cooper R. A., Ames W. R. Neoplasms in persons treated with x-rays in infancy: fourth survey in 20 years. J Natl Cancer Inst. 1975 Sep;55(3):519–530. doi: 10.1093/jnci/55.3.519. [DOI] [PubMed] [Google Scholar]
  11. Kleinerman R. A., Curtis R. E., Boice J. D., Jr, Flannery J. T., Fraumeni J. F., Jr Second cancers following radiotherapy for cervical cancer. J Natl Cancer Inst. 1982 Nov;69(5):1027–1033. [PubMed] [Google Scholar]
  12. Land C. E., Boice J. D., Jr, Shore R. E., Norman J. E., Tokunaga M. Breast cancer risk from low-dose exposures to ionizing radiation: results of parallel analysis of three exposed populations of women. J Natl Cancer Inst. 1980 Aug;65(2):353–376. [PubMed] [Google Scholar]
  13. Monson R. R. Analysis of relative survival and proportional mortality. Comput Biomed Res. 1974 Aug;7(4):325–332. doi: 10.1016/0010-4809(74)90010-x. [DOI] [PubMed] [Google Scholar]
  14. Morton R. F., Villasanta U. New cancers arising in 1,563 patients with carcinoma of the cervix treated by irradiation. Am J Obstet Gynecol. 1973 Feb 15;115(4):462–466. doi: 10.1016/0002-9378(73)90391-8. [DOI] [PubMed] [Google Scholar]
  15. Mould R. F., Barrett A. New primary cancers in patients originally presenting with carcinoma of the cervix. Br J Obstet Gynaecol. 1976 Jan;83(1):81–85. doi: 10.1111/j.1471-0528.1976.tb00735.x. [DOI] [PubMed] [Google Scholar]
  16. Newell G. R., Krementz E. T., Roberts J. D. Excess occurrence of cancer of the oral cavity, lung, and bladder following cancer of the cervix. Cancer. 1975 Dec;36(6):2155–2158. doi: 10.1002/cncr.2820360933. [DOI] [PubMed] [Google Scholar]
  17. Németh G., Naszály A., Takácsi-Nagy L. New primary malignant tumors in patients treated for carcinoma of the uterine cervix or corpus. Acta Radiol Oncol Radiat Phys Biol. 1979;18(1):25–30. doi: 10.3109/02841867909128187. [DOI] [PubMed] [Google Scholar]
  18. PALMER J. P., SPRATT D. W. Pelvic carcinoma following irradiation for benign gynecological diseases. Am J Obstet Gynecol. 1956 Sep;72(3):497–505. doi: 10.1016/0002-9378(56)90371-4. [DOI] [PubMed] [Google Scholar]
  19. Smith P. G., Doll R. Late effects of x irradiation in patients treated for metropathia haemorrhagica. Br J Radiol. 1976 Mar;49(579):224–232. doi: 10.1259/0007-1285-49-579-224. [DOI] [PubMed] [Google Scholar]
  20. Winkelstein W., Jr Smoking and cancer of the uterine cervix: hypothesis. Am J Epidemiol. 1977 Oct;106(4):257–259. doi: 10.1093/oxfordjournals.aje.a112460. [DOI] [PubMed] [Google Scholar]

Articles from Canadian Medical Association Journal are provided here courtesy of Canadian Medical Association

RESOURCES