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pubmed-article:12651207pubmed:abstractTextThe aim of this study was to determine therapy-related risk factors for the development of second malignant neoplasm (SMN) after childhood cancer. The German Childhood Cancer Registry (GCCR) registers all childhood malignancies since 1980 including SMN. A nested case-control study with 238 SMN cases and 450 controls was conducted. A confirmatory, as well as an explorative, analysis was performed. Radiotherapy showed a small effect on the risk of SMN for doses >or=65 Gy. Regarding the chemotherapeutical agents, we saw increased Odds Ratios (OR) for high doses of cyclophosphamide (CP >8000 mg/m(2) OR=6.3 (95% Confidence Interval (CI): 1.3-30.2)), cisplatinum (DDP >435 mg/m(2) OR=2.8 (95% CI: 1.1-6.7)) and mercaptopurine (MP >5000 mg/m(2) OR=4.5 (95% CI: 1.1-18.9)). Patients jointly receiving high doses of MP (>5000 mg/m(2)) and dexamethasone (DEXA >or=1200 mg/m(2)) had an OR=6.9 (95% CI: 1.2-40.3). Our results could be added to those of other investigations to give indications for modifying future therapeutic strategies for childhood cancer.lld:pubmed
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pubmed-article:12651207pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:12651207pubmed:year2003lld:pubmed
pubmed-article:12651207pubmed:articleTitleSecond malignant neoplasms after treatment of childhood cancer.lld:pubmed
pubmed-article:12651207pubmed:affiliationGerman Childhood Cancer Registry, Institute for Medical Biometrics, Epidemiology and Informatics, University Mainz, Germany.lld:pubmed
pubmed-article:12651207pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:12651207pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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