Demoor-Goldschmidt Charlotte, Fayech Chiraz, Girard Pauline, Plantaz Dominique
Institut de cancérologie de l'Ouest, ICO-René Gauducheau, service de radiothérapie, boulevard J-Monod, 44800 Saint-Herblain, France; Faculté de médecine de Nantes, 44000 Nantes, France.
Institut Gustave-Roussy, service d'oncologie pédiatrique, rue Camille-Des-Moulins, 94805 Villejuif, France.
Bull Cancer. 2015 Jul-Aug;102(7-8):656-64. doi: 10.1016/j.bulcan.2015.03.011. Epub 2015 Apr 23.
Cure rates for most childhood cancers and adolescents have made remarkable progress over the last thirty to forty years. The development of secondary malignancies has become an important question for these patients. The frequency is low, but the risk is significantly higher (between 3 and 10 times) and it is the leading cause of long-term mortality off relapse. In this literature review, we discuss the epidemiological aspect and the risk factors contributing to this increased risk, and conclude with a summary of current recommendations for screening and surveillance. We also discuss briefly the constitutional predisposing genetic contributions to other cancers.
在过去的三四十年来,大多数儿童癌症和青少年癌症的治愈率都取得了显著进展。继发性恶性肿瘤的发生已成为这些患者的一个重要问题。其发生率较低,但风险显著更高(高出3至10倍),并且是长期非复发死亡率的主要原因。在这篇文献综述中,我们讨论了流行病学方面以及导致这种风险增加的危险因素,并以当前筛查和监测建议的总结作为结论。我们还简要讨论了其他癌症的体质性遗传易感性因素。