Solid malignant neoplasms after childhood irradiation: Decrease of the relative risk with time after irradiation

F. De Vathaire, A. Shamsaldin, E. Grimaud, S. Campbell, M. Guerra, M. Raquin, E. Bessa, C. Hardiman, P. Jan, N. Rumeau, I. Diallo, G. Nicolazic, A. Lamon, O. Oberlin, C. De Cervens, A. Suarez, V. Meresse, M. Hawkins, J. Bell

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    Résumé

    The pattern of he temporal distribution of solid cancer incidence after irradiation in childhood is not well known, although, its importance in radioprotection is well known. We studied a cohort of 1,055 children from 8 European cancer centres, who received radiotherapy between 1942 and 1985 for a first cancer in childhood. After a mean follow-tip of 19 years, 26 children developed a solid second malignant neoplasm (SMN), as compared to 5.6 expected from general population rates. Both the excess relative risk and the excess of absolute risk of solid SMN were higher among children who were younger at time of the irradiation. After reaching a maximum 15 to 20 years after irradiation, the excess relative risk of SMN decreased with time after irradiation, when controlling for age at irradiation and sex. The analysis of the risk of thyroid, brain and breast cancer together, as a function of the dose averaged on these 3 organs lead to similar results.

    langue originaleAnglais
    Pages (de - à)483-490
    Nombre de pages8
    journalComptes Rendus de l'Academie des Sciences - Serie III
    Volume318
    Numéro de publication4
    étatPublié - 1 janv. 1995

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