Table 4.
Relationship between radiation dose and risk of second primary solid tumors by time since the first primary cancer diagnosis
Colon dose, Gy | Number of 2nd primary cases | RR* | 95% CI |
---|---|---|---|
Second primary diagnosed 180 days to 5 years after the first primary cancer | |||
<0.005 | 194 | 1.00 | ref |
0.005–0.49 | 238 | 1.08 | 0.89–1.31 |
0.50–0.99 | 28 | 1.12 | 0.75–1.67 |
1.00–1.99 | 30 | 1.88 | 1.28–2.76† |
≥2.00 | 10 | 1.44 | 0.76–2.73 |
ERR per gray | 0.37 | 0.10–0.71† | |
Second primary diagnosed 5 to 10 years after the first primary cancer | |||
<0.005 | 62 | 1.00 | ref |
0.005–0.49 | 104 | 1.40 | 1.02–1.93† |
0.50–0.99 | 11 | 1.18 | 0.62–2.25 |
1.00–1.99 | 17 | 3.19 | 1.85–5.49† |
≥2.00 | 13 | 5.25 | 2.86–9.65† |
ERR per gray | 1.25 | 0.64–2.09† | |
Second primary diagnosed >10 years after the first primary cancer | |||
<0.005 | 145 | 1.00 | ref |
0.005–0.49 | 133 | 0.73 | 0.57–0.92 |
0.50–0.99 | 16 | 0.76 | 0.45–1.29 |
1.00–1.99 | 15 | 1.48 | 0.84–2.53 |
≥2.00 | 15 | 2.59 | 1.49–4.41† |
ERR per gray | 0.45 | 0.13–0.87† |
Relative risks (RR) and excess RR per Gray (ERR/Gy) are adjusted for sex, city, attained age, age at time of bombing, and age at first cancer diagnosis.
p<0.05.