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    Area of Science:

    • Oncology
    • Cancer Epidemiology

    Background:

    • Cancer survival rates are improving, increasing the number of individuals living with or after a cancer diagnosis.
    • The incidence of multiple primary cancers (synchronous or metachronous) is rising due to factors like increased survivor numbers, treatment side effects, and enhanced diagnostic capabilities.

    Purpose of the Study:

    • To review the literature on multiple primary cancers.
    • To highlight clinical scenarios where physicians should consider the possibility of multiple primary cancers.

    Main Methods:

    • Literature review analyzing existing studies on multiple primary cancers.
    • Examination of definitions from SEER (Surveillance, Epidemiology, and End Results) Program and IACR/IARC (International Association of Cancer Registries and International Agency for Research on Cancer).

    Main Results:

    • Reported frequencies of multiple primary cancers range from 2.4% to 17%, depending on the definition used.
    • Identified contributing factors include host/lifestyle, environmental/genetic, and treatment-related elements.
    • Temporal changes in risk factors (smoking, obesity) and improved screening impact second cancer incidence.

    Conclusions:

    • Multiple primary cancers represent a growing clinical challenge in oncology.
    • Awareness of risk factors and diagnostic advancements is essential for managing cancer survivors.
    • Physicians must remain vigilant for multiple primary cancers in clinical practice.