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ABSTRACT: Lung cancer risks in women with previous breast cancer
Evaluation of the adverse effects of breast cancer treatment is
becoming increasingly important in light of the earlier detection
and prolonged survival of the patients.
The beneficial effect
of post-surgical radiotherapy has lately been challenged.
The
Swedish Cancer Registry (SCR) was used to identify approximately
141,000 women with breast cancer, diagnosed between 1958 and
1997, followed-up for the occurrence of lung cancer. Standardised
incidence ratios and expected number of lung cancers were calculated
using incidence rates from the SCR.
There were 613 subsequent
lung cancers and a statistically significant increased risk of
lung cancer was seen 5 years after breast cancer diagnosis, in
contrast to a significantly decreased risk the first five years
after the breast cancer diagnosis.
The latter finding was confined
to those 60 years of age when diagnosed with breast cancer. When
restricting the analyses to those cases with information on the
laterality of breast and lung cancer, an increased risk of a
lung cancer on the same side as the breast cancer was seen 10
years after the breast cancer diagnosis.
Birth cohorts with a
higher smoking prevalence, i.e. 1930-1949, revealed a higher
risk of lung cancer, than previous birth cohorts.
Women with
breast cancer have a significantly increased risk of developing
a subsequent lung cancer possibly related to an interaction between
radiotherapy and smoking.
[07/29/2002; European Journal of Cancer]
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