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[The problem of multiple cancers]

W Kegel, A Schmieder

    Rontgen-Blatter; Zeitschrift Fur Rontgen-Technik Und Medizinisch-Wissenschaftliche Photographie
    |November 1, 1982
    PubMed
    Summary
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    Multiple carcinomas occurred in 5.8% of radiotherapy patients between 1978-1980. These secondary or tertiary tumors were most common in the breast, female reproductive organs, and respiratory system, with women affected twice as often as men.

    Area of Science:

    • Oncology
    • Radiotherapy
    • Epidemiology

    Background:

    • Assessing the incidence of multiple primary and secondary malignant neoplasms in patients undergoing radiotherapy.
    • Understanding the patterns and risk factors associated with synchronous and metachronous tumors.

    Observation:

    • A retrospective review of 1290 patients treated between 1978 and 1980.
    • Identified 76 cases (5.8%) with multiple carcinomas, diagnosed simultaneously or successively.

    Findings:

    • Multiple tumors were most frequently observed in the mammary gland, female genital organs, and respiratory system.
    • Women exhibited a twofold higher incidence of multiple carcinomas compared to men.
    • Early detection of multicentric and bilateral breast cancer is crucial.

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    Implications:

    • Clinical practice must account for the potential of multiple carcinomas in diagnosis and treatment planning.
    • Radiotherapy patients require vigilant monitoring for secondary or tertiary malignancies.
    • Further research into iatrogenic factors and genetic predispositions for multiple cancers is warranted.