1. Increased pancreatic cancer risk following radiotherapy for testicular cancer
- Author
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Sophie D. Fosså, Eric J. Holowaty, Charles F. Lynch, Michael Andersson, Tom Børge Johannesen, Alexandra W. van den Belt-Dusebout, Joseph F. Fraumeni, Hans H. Storm, Flora E. van Leeuwen, Michael Hauptmann, Marilyn Stovall, Rita E. Weathers, Magnus Kaijser, Lindsay M. Morton, Ethel S. Gilbert, Per Hall, Lois B. Travis, Heikki Joensuu, Eero Pukkala, Berthe M.P. Aleman, Ruth A. Kleinerman, Rochelle E. Curtis, Preetha Rajaraman, Leila Vaalavirta, Susan A. Smith, Frøydis Langmark, and Graça M. Dores
- Subjects
Male ,Organs at Risk ,0301 basic medicine ,Oncology ,Cancer Research ,Neoplasms, Radiation-Induced ,Epidemiology ,medicine.medical_treatment ,pancreatic cancer ,chemotherapy ,0302 clinical medicine ,Cumulative incidence ,Young adult ,Neoplasms, Second Primary ,Radiotherapy Dosage ,Middle Aged ,Combined Modality Therapy ,testicular cancer ,3. Good health ,medicine.anatomical_structure ,Chemotherapy, Adjuvant ,030220 oncology & carcinogenesis ,Pancreas ,Adult ,Risk ,medicine.medical_specialty ,Young Adult ,03 medical and health sciences ,Testicular Neoplasms ,Pancreatic cancer ,Internal medicine ,medicine ,Humans ,radiotherapy ,Testicular cancer ,Aged ,Chemotherapy ,business.industry ,logistic regression ,Dose-Response Relationship, Radiation ,Odds ratio ,medicine.disease ,Pancreatic Neoplasms ,Radiation therapy ,030104 developmental biology ,Case-Control Studies ,business ,Orchiectomy - Abstract
Background: Pancreatic cancer risk is elevated among testicular cancer (TC) survivors. However, the roles of specific treatments are unclear. Methods: Among 23 982 5-year TC survivors diagnosed during 1947–1991, doses from radiotherapy to the pancreas were estimated for 80 pancreatic cancer patients and 145 matched controls. Chemotherapy details were recorded. Logistic regression was used to estimate odds ratios (ORs). Results: Cumulative incidence of second primary pancreatic cancer was 1.1% at 30 years after TC diagnosis. Radiotherapy (72 (90%) cases and 115 (80%) controls) was associated with a 2.9-fold (95% confidence interval (CI) 1.0–7.8) increased risk. The OR increased linearly by 0.12 per Gy to the pancreas (P-trend
- Published
- 2016