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Second primary cancers of endometrial carcinoma

✍ Scribed by Vitune Vongtama; Samuel S. Kurohara; Ahmed O. Badib; John H. Webster


Publisher
John Wiley and Sons
Year
1970
Tongue
English
Weight
325 KB
Volume
26
Category
Article
ISSN
0008-543X

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✦ Synopsis


Of 984 patients with corpus cancer treated at Roswell Park Memorial Institute (between 1940 and 1960), 116 (11.8%) were found to have second primaries; of these, 47 had breast cancer, 15 skin cancer, 27 other pelvic cancers, 15 abdominal cancer, 3 head and neck cancer, and 3 lymphoma or leukemia.

The incidence of second cancers increased with time and age, especially in the sixth and seventh decades. T h e risk of developing mammary cancer was found to be high within 5 years before the development of the uterine cancer. This time relationship is very interesting in that it supports the presumed association between corpus and breast cancer. T h e results of the present study also suggest that there is a subgroup of women who have abnormal estrogen stimulation of both the corpus and the breasts, leading to the development of both corpus and breast cancer.

ULTIPLE PRIMARY MALIGNANCIES WERE CON-M sidered rare and unusual when first described by Billroth4 in 1879. In recent years, not only has the number of reported cases increased, but also the frequency of occurrence of this phenomenon seems to have increased. T h e incidence of multiple primaries varies with different types of initial malignancies, with different sites of their origin, and the age of patients at the time of occurrence of each specific neoplasm.

T h e aim of this study was to determine the frequency distribution of second primaries associated with uterine cancers and to compare the incidence with those reported by other centers. The results indicate the high risk of occurrence of such cancers in these patients, particularly carcinoma of the breast.

Methods

During 1940 through 1960, 984 primary cases of histo!ogically proven endometrial car-


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