Second Primary Cancer after Diagnosis and Treatment of Cervical Cancer.
- Author:
Myong Cheol LIM
1
;
Young Joo WON
;
Jiwon LIM
;
Yeon Joo KIM
;
Sang Soo SEO
;
Sokbom KANG
;
Eun Sook LEE
;
Jae Hwan OH
;
Joo Young KIM
;
Sang Yoon PARK
Author Information
- Publication Type:Original Article
- Keywords: Second primary neoplasm; Cervix uteri; Neoplasms; Korean
- MeSH: Anal Canal; Bronchi; Cervix Uteri; Diagnosis*; Esophagus; Female; Follow-Up Studies; Humans; Incidence; Joints; Kaplan-Meier Estimate; Korea; Liver; Lung; Neoplasms, Second Primary*; Rectum; Survival Rate; Urinary Bladder; Uterine Cervical Neoplasms*; Uterus; Vagina; Vulva
- From:Cancer Research and Treatment 2016;48(2):641-649
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: This study was conducted to investigate the incidence and survival outcomes of second primary cancers after the diagnosis of cervical cancer. MATERIALS AND METHODS: Data from the Korea Central Cancer Registry between 1993 and 2010 were reviewed and analyzed. Standardized incidence ratios (SIRs) of second primary cancers among women with cervical cancer were analyzed. Kaplan-Meier survival curves were constructed for cervical cancer patients with or without a second primary cancer. RESULTS: Among 72,805 women with cervical cancer, 2,678 (3.68%) developed a second primary cancer within a mean follow-up period of 7.34 years. The overall SIR for a second cancer was 1.08 (95% confidence interval, 1.04 to 1.12). The most frequent sites of second primary cancers were the vagina, bone and joints, vulva, anus, bladder, lung and bronchus, corpus uteri, and esophagus. However, the incidence rates of four second primary cancers (breast, rectum, liver, and brain) were decreased. The 5-year and 10-year overall survival rates were 78.3% and 72.7% in all women with cervical cancer, and for women with a second primary cancer, these rates were 83.2% and 65.5% from the onset of cervical cancer and 54.9% and 46.7% from the onset of the second primary cancer, respectively. CONCLUSION: The incidence rates of second primary cancers were increased in women with cervical cancer compared to the general population, with the exception of four decreasing cancers. The 10-year overall survival rates were decreased in cervical cancer patients with a second primary cancer.
