Renal Cell Carcinoma as First and Second Primary Cancer: Etiological Clues From the Swedish Family-Cancer Database

医学 肾细胞癌 癌症 流行病学 肾癌 入射(几何) 病因学 癌症登记处 肿瘤科 内科学 家庭医学 妇科 光学 物理
作者
Hao Liu,Kari Hemminki,Jan Sundquist
出处
期刊:The Journal of Urology [Lippincott Williams & Wilkins]
卷期号:185 (6): 2045-2049 被引量:29
标识
DOI:10.1016/j.juro.2011.02.001
摘要

No AccessJournal of UrologyAdult Urology1 Jun 2011Renal Cell Carcinoma as First and Second Primary Cancer: Etiological Clues From the Swedish Family-Cancer Database Hao Liu, Kari Hemminki, and Jan Sundquist Hao LiuHao Liu Division of Molecular Genetic Epidemiology, German Cancer Research Centre, Heidelberg, Germany , Kari HemminkiKari Hemminki Division of Molecular Genetic Epidemiology, German Cancer Research Centre, Heidelberg, Germany Center for Primary Health Care Research, Lund University, Malmö, Sweden , and Jan SundquistJan Sundquist Center for Primary Health Care Research, Lund University, Malmö, Sweden Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, California View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.001AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: An increasing incidence and improved prognosis of kidney cancer have led to concern about second primary malignancies. The study of multiple primary malignancies is also important since the association of certain malignancies may guide the search for germline alterations and environmental risk factors. We evaluated bidirectional associations between renal cell carcinoma and other primary cancers. Materials and Methods: We studied 8,030 patients with renal cell carcinoma based on the Swedish Family-Cancer Database. The SIR of second cancer was calculated by comparing it to the rate of first cancers. Followup was started in 1993 and continued through 2006. Results: A total of 677 patients had second cancers after the first renal cell carcinoma, including 89 second renal cell carcinomas. In 776 patients renal cell carcinoma was diagnosed after another primary cancer. Histology concordant renal cell carcinoma pairs showed a SIR of 31.04 and 15.15 after clear cell and total renal cell carcinoma, respectively. The highest SIR of 132.46 was noted for synchronous contralateral clear cell renal cell carcinoma. A reciprocally increased risk of renal cell carcinoma was seen after lung, breast, prostate, bladder, thyroid gland, adrenal gland and nervous system cancer as well as after melanoma and nonHodgkin's lymphoma. Clear cell renal cell carcinoma was also in excess after brain hemangioblastoma with a SIR of 70.79. Conclusions: High risk was found for histology concordant renal cell carcinoma pairs and contralateral renal cell carcinoma. Bidirectional associations of renal cell carcinoma with many other cancers may imply etiological sharing. von Hippel-Lindau syndrome may explain the excess of renal cell carcinoma after brain hemangioblastoma. References 1 : Epidemiology of renal cell carcinoma. Scand J Surg2004; 93: 88. Google Scholar 2 : The changing pattern of kidney cancer incidence and mortality in Europe. BJU Int2008; 101: 949. Google Scholar 3 : Risks of cancer in BRCA1-mutation carriers: Breast Cancer Linkage Consortium . Lancet1994; 343: 692. 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Google Scholar © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByGuo B and Liu M (2021) Renal Cell Carcinoma: Comparison between Variant Histology and Clear Cell Carcinoma across All Stages and Treatment Modalities. Letter.Journal of Urology, VOL. 205, NO. 5, (1525-1525), Online publication date: 1-May-2021.Laguna M (2015) Re: International Variations and Trends in Renal Cell Carcinoma Incidence and MortalityJournal of Urology, VOL. 194, NO. 4, (950-951), Online publication date: 1-Oct-2015.Laguna M (2013) Re: An Investigation of Risk Factors for Renal Cell Carcinoma by Histologic Subtype in Two Case-Control StudiesJournal of Urology, VOL. 191, NO. 1, (55-55), Online publication date: 1-Jan-2014. Volume 185Issue 6June 2011Page: 2045-2049 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.Keywordsriskneoplasmsrenal cellkidneycarcinomaetiologysecond primaryAcknowledgmentsThe Family-Cancer Database was created by linking registries maintained at Statistics Sweden and the Swedish Cancer Registry.MetricsAuthor Information Hao Liu Division of Molecular Genetic Epidemiology, German Cancer Research Centre, Heidelberg, Germany More articles by this author Kari Hemminki Division of Molecular Genetic Epidemiology, German Cancer Research Centre, Heidelberg, Germany Center for Primary Health Care Research, Lund University, Malmö, Sweden More articles by this author Jan Sundquist Center for Primary Health Care Research, Lund University, Malmö, Sweden Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, California More articles by this author Expand All Advertisement PDF DownloadLoading ...
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