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Titolo:
LUNG-CANCER RISK AND RADIATION-DOSE AMONG WOMEN TREATED FOR BREAST-CANCER
Autore:
INSKIP PD; STOVALL M; FLANNERY JT;
Indirizzi:
NIH,EXECUT PLAZA N,RM 408,6130 EXECUT BLVD ROCKVILLE MD 20852 NCI,DIV CANC ETIOL,RADIAT EPIDEMIOL BRANCH BETHESDA MD 00000 UNIV TEXAS,MD ANDERSON CANC CTR,DEPT RADIAT PHYS HOUSTON TX 00000 CONNECTICUT TUMOR REGISTRY,DEPT HLTH SERV HARTFORD CT 00000
Titolo Testata:
Journal of the National Cancer Institute
fascicolo: 13, volume: 86, anno: 1994,
pagine: 983 - 988
Fonte:
ISI
Lingua:
ENG
Soggetto:
A-BOMB SURVIVORS; HODGKINS-DISEASE; RADIOTHERAPY; MORTALITY; THERAPY; SURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
29
Recensione:
Indirizzi per estratti:
Citazione:
P.D. Inskip et al., "LUNG-CANCER RISK AND RADIATION-DOSE AMONG WOMEN TREATED FOR BREAST-CANCER", Journal of the National Cancer Institute, 86(13), 1994, pp. 983-988

Abstract

Background: Evidence shows ionizing radiation can cause lung cancer, but few studies have quantified risk in relation to radiation dose, Purpose: This study evaluated the longterm risk of lung cancer among women treated with radiation for breast cancer. Methods: In this case-referent study, the Connecticut Tumor Registry was used to identify womendiagnosed with histologically confirmed invasive breast cancer between 1935 and 1971 who survived for at least 10 years (8976) and to ascertain lung cancers occurring in this group between 1945 and 1981. Seventy-six cases of lung cancer were identified; however, 15 cases did notmeet the criteria for inclusion. For the 61 remaining lung cancer case patients and 120 reference subjects (selected from the same registryand matched according to race, age at breast cancer diagnosis, year of breast cancer diagnosis, and survival without a second primary tumor), hospital charts were reviewed to collect medical history and radiotherapy information. A medical physicist estimated radiation dose to different segments of the lungs on the basis of radiotherapy reports andexperimental simulations of treatments. Results: For these 10-year survivors of breast cancer, the overall relative risk (RR) of lung cancer associated with initial radiotherapy for breast cancer was 1.8 (95% confidence interval [CI] = 0.8-3.8), and the RR increased with time following treatment. The RR for periods of 15 years or more after radiotherapy was 2.8 (95% CI = 1.0-8.2). Mean dose was 15.2 Gy to the ipsilateral lung, 4.6 Gy to the contralateral lung, and 9.8 Gy for both lungs combined. The excess RR was 0.08 per Gy, based on average dose to both lungs, and 0.20 per Gy to the affected (cancerous) lung. Conclusions: Breast cancer radiotherapy regimens in use before the 1970s were associated with an elevated lung cancer risk many years following treatment. The estimated risk coefficients are lower than those reported foratomic bomb survivors. The lower than expected risk might be attributable to high-dose cell killing or the fractionated nature of the exposure. Implications: Approximately nine cases of radiotherapy-induced lung cancer per year would be expected to occur among 10 000 women who received an average lung dose of 10 Gy and survived for at least 10 years. Current radiotherapy for breast cancer results in less extensive exposure of the lungs in comparison to treatments of years past, and the risk of secondary lung cancer need not play a major role in clinicaldecisions regarding treatment for breast cancer. Nonetheless, effortsto reduce unnecessary exposure of the lungs and heart should continueto further reduce possible adverse radiation effects.

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Documento generato il 16/07/20 alle ore 04:42:04