Risk of second primary cancer in oral squamous cell carcinoma.


Journal

Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541

Informations de publication

Date de publication:
08 2020
Historique:
received: 07 10 2019
revised: 06 01 2020
accepted: 28 01 2020
pubmed: 15 2 2020
medline: 22 6 2021
entrez: 15 2 2020
Statut: ppublish

Résumé

The incidence and survival of oral squamous cell carcinoma (OSCC) patients have increased in recent years. Understanding their long-term survival aspects is essential for optimal treatment and follow-up planning. Almost one in five cancers diagnosed occurs nowadays in individuals with a previous diagnosis of cancer. Patients diagnosed with primary OSCC during 1953-2015 were retrieved from the Finnish Cancer Registry. Both standardized incidence ratios (SIR) and excess absolute risk (EAR) per 1000 person-years at risk (PYR) of second primary cancer (SPC) were calculated relative to the general population. Among 6602 first primary OSCC patients there were 640 (10%) SPCs. The SIR for SPCs was 1.85 (95% CI: 1.71-1.99, P < .001) corresponding to an EAR of 8.78 (95% CI: 7.29-10.26). Health care professionals should be aware of the second primary cancer risk after management of primary OSCC and patients need to be counseled about this phenomenon.

Sections du résumé

BACKGROUND
The incidence and survival of oral squamous cell carcinoma (OSCC) patients have increased in recent years. Understanding their long-term survival aspects is essential for optimal treatment and follow-up planning. Almost one in five cancers diagnosed occurs nowadays in individuals with a previous diagnosis of cancer.
METHODS
Patients diagnosed with primary OSCC during 1953-2015 were retrieved from the Finnish Cancer Registry. Both standardized incidence ratios (SIR) and excess absolute risk (EAR) per 1000 person-years at risk (PYR) of second primary cancer (SPC) were calculated relative to the general population.
RESULTS
Among 6602 first primary OSCC patients there were 640 (10%) SPCs. The SIR for SPCs was 1.85 (95% CI: 1.71-1.99, P < .001) corresponding to an EAR of 8.78 (95% CI: 7.29-10.26).
CONCLUSIONS
Health care professionals should be aware of the second primary cancer risk after management of primary OSCC and patients need to be counseled about this phenomenon.

Identifiants

pubmed: 32057158
doi: 10.1002/hed.26107
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1848-1858

Informations de copyright

© 2020 Wiley Periodicals, Inc.

Références

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Auteurs

Rayan Mroueh (R)

Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland.

Aapeli Nevala (A)

Finnish Cancer Registry, Helsinki, Finland.

Aaro Haapaniemi (A)

Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland.

Janne Pitkäniemi (J)

Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer and Research, Helsinki, Finland.
Faculty of Social Sciences, University of Tampere, Tampere, Finland.
Department of Public Health, School of Medicine, University of Helsinki, Helsinki, Finland.

Tuula Salo (T)

Cancer and Translational Medicine Unit, University of Oulu, Medical Research Unit, Oulu University Hospital, Helsinki, Finland.
Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland.
Haartman Institute, University of Helsinki, Helsinki, Finland.

Antti A Mäkitie (AA)

Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland.
Division of Ear, Nose and Throat Diseases, Department of Clinical Sciences, Intervention and Technology, Karolinska Institutet and Karolinska Hospital, Stockholm, Sweden.
Research Program in Systems Oncology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.

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