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Cited by 448

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

Acute Leukemia after Alkylating-Agent Therapy of Ovarian Cancer

Reimer, Ronald R., Hoover, Robert, Fraumeni, Joseph F., Young, Robert C.·1977·New England Journal of Medicine

Abstract

To estimate the leukemogenic potential of alkylating agents, we surveyed 70 institutions using these drugs for the frequency of second cancers in patients with advanced ovarian cancer. Thirteen cases of acute nonlymphocytic leukemia occurred among 5455 patients, as compared to 0.62 cases expected (relative risk = 21.0). All 13 had received alkylating agents. Nine also received radiotherapy. The relative risk for patients given chemotherapy was 36.1 and rose to 171.4 for those surviving for two years (rate = 13.75 per 1000 patients per year). To evaluate the role of therapy versus underlying disease, a historical control of 13,309 patients with ovarian cancer in the National Cancer Institute's End Results Program was analyzed. No excess of leukemia was noted in this group, even among 6596 women receiving radiation. The excess of acute nonlymphocytic leukemia, therefore, appears attribute to alkylating agents, although the effect may be enhanced by exposure to radiation, as previously suggested for Hodgkin's disease.

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Metadata

Authors
Reimer, R. R., Hoover, R., Fraumeni, J. F., & Young, R. C.
Venue
New England Journal of Medicine
Published
1977-07-28
Volume
297
Issue
4
Pages
177-181
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2336358779
Cited by
448
References
3
FWCI
45.82
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Acute Leukemia after Alkylating-Agent Therapy of Ovarian Cancer. https://app.cochat.ai/papers/10.1056/nejm197707282970402
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Reimer, R. R., Hoover, R., Fraumeni, J. F., & Young, R. C. (1977). Acute Leukemia after Alkylating-Agent Therapy of Ovarian Cancer. New England Journal of Medicine. https://doi.org/10.1056/nejm197707282970402

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.