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Cited by 340

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Second Cancers Among Long-Term Survivors of Hodgkin’s Disease Diagnosed in Childhood and Adolescence

Metayer, Catherine, Lynch, Charles F., Clarke, E. Aileen, Glimelius, Bengt, Storm, Hans, Pukkala, Eero, Joensuu, Timo, van Leeuwen, Flora E., van’t Veer, Mars B., Curtis, Rochelle E., Holowaty, Eric J., Andersson, Michael, Wiklund, Tom, Gospodarowicz, Mary, Travis, Lois B.·2000·Journal of Clinical Oncology

Abstract

PURPOSE: To quantify the risk of second cancers among long-term survivors of Hodgkin’s disease (HD) diagnosed before 21 years of age and to explore sex-, age-, and site-related differences. PATIENTS AND METHODS: We analyzed data from 5,925 pediatric HD patients, including 2,646 10-year and 755 20-year survivors, who were reported to 16 population-based cancer registries in North America and Europe between 1935 and 1994. RESULTS: A total of 157 solid tumors (observed/expected ratio [O/E] = 7.0; 95% confidence interval [CI], 5.9 to 8.2.) and 26 acute leukemias (O/E = 27.4; 95% CI, 17.9 to 40.2) were reported. Risk of solid tumors remained significantly increased among 20-year survivors (O/E = 6.6, observed [O] = 40, cumulative risk = 6.5%) and persisted for 25 years (O/E = 4.6, O = 15, cumulative risk = 11.7%). Temporal trends for cancers of thyroid, female breast, bone/connective tissue, stomach, and esophagus were consistent with the late effects of radiotherapy. Greater than 50-fold increased risks were observed for tumors of the thyroid and respiratory tract (one lung and one pleura) among children treated before age 10. At older ages (10 to 16 years), the largest number of second cancers occurred in the digestive tract (O/E = 19.3) and breast (O/E = 22.9). Risk of solid tumors increased with decreasing age at HD on a relative but not absolute scale. CONCLUSION: Children and adolescents treated for HD experience significantly increased risks of second cancers at various sites for 2 to 3 decades. Although our results reflect the late effects of past therapeutic modalities, they underscore the importance of lifelong follow-up of pediatric HD patients given early, more aggressive treatments.

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Metadata

Authors
Metayer, C., Lynch, C. F., Clarke, E. A., Glimelius, B., Storm, H., Pukkala, E., Joensuu, T., van Leeuwen, F. E., van’t Veer, M. B., Curtis, R. E., Holowaty, E. J., Andersson, M., Wiklund, T., Gospodarowicz, M., & Travis, L. B.
Venue
Journal of Clinical Oncology
Published
2000-06-12
Volume
18
Issue
12
Pages
2435-2443
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W1955391915
Cited by
340
References
38
FWCI
13.65
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Second Cancers Among Long-Term Survivors of Hodgkin’s Disease Diagnosed in Childhood and Adolescence. https://app.cochat.ai/papers/10.1200/jco.2000.18.12.2435
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Metayer, C., Lynch, C. F., Clarke, E. A., Glimelius, B., Storm, H., Pukkala, E., Joensuu, T., van Leeuwen, F. E., van’t Veer, M. B., Curtis, R. E., Holowaty, E. J., Andersson, M., Wiklund, T., Gospodarowicz, M., & Travis, L. B. (2000). Second Cancers Among Long-Term Survivors of Hodgkin’s Disease Diagnosed in Childhood and Adolescence. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2000.18.12.2435

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

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