Decreased risk of radiation-associated second malignant neoplasms in actinomycin-D-treated patients.

Abstract:

:One hundred two long-term survivors of childhood cancers with second malignant neoplasms (SMNs) were collected from 10 institutions. Forty-seven cases fulfilling study criteria were studied to determine the risk of developing a SMN in irradiated fields after exposure to various chemotherapeutic agents. The case control method was used. The risk of developing such tumors was decreased by a factor of 7 in patients receiving actinomycin-D (AMD). The "protective" effect of AMD was more pronounced in patients receiving repeated courses of the agent. No change in relative risk was found for children given antifolates, the vinca alkaloids, or alkylating agents. AMD "protection" is an unexpected finding because the agent is an oncogen in animals and an enhancer of radiation, the latter being a known carcinogen. Possible mechanisms, which remain speculative, are discussed. These results indicate the need for careful long-term observation of cancer survivors to gain understanding of the late effects of multimodal treatments.

journal_name

Cancer

journal_title

Cancer

authors

D'Angio GJ,Meadows A,Miké V,Harris C,Evans A,Jaffe N,Newton W,Schweisguth O,Sutow W,Morris-Jones P

doi

10.1002/1097-0142(197602)37:2+<1177::aid-cncr28203

subject

Has Abstract

pub_date

1976-02-01 00:00:00

pages

1177-85

issue

2 Suppl

eissn

0008-543X

issn

1097-0142

journal_volume

37

pub_type

杂志文章

相关文献

CANCER文献大全
  • Bronchogenic carcinoma and secondary aspergillosis--common yet unexplored: evaluation of the role of bronchoalveolar lavage-polymerase chain reaction and some nonvalidated serologic methods to establish early diagnosis.

    abstract:BACKGROUND:More cases of bronchogenic carcinoma have been reported in recent years, and these patients are more prone to secondary aspergillosis. However, the frequency of secondary aspergillosis in bronchogenic carcinoma still has not been defined clearly in the literature. METHODS:The current study population was co...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23570

    authors: Shahid M,Malik A,Bhargava R

    更新日期:2008-08-01 00:00:00

  • Pilot phase IIA study for evaluation of the efficacy of folic acid in the treatment of laryngeal leucoplakia.

    abstract:BACKGROUND:It has been previously observed that patients with head and neck squamous cell carcinoma or with laryngeal leucoplakia present a significant reduction in plasma folate levels. The current Phase IIA pilot study assessed the effectiveness of folic acid as a chemopreventive agent in patients affected by glottic...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.22003

    authors: Almadori G,Bussu F,Navarra P,Galli J,Paludetti G,Giardina B,Maurizi M

    更新日期:2006-07-15 00:00:00

  • DNA content and other prognostic features in childhood medulloblastoma. Proposal of a scoring system.

    abstract::The authors reviewed clinical features, surgical extent of resection, histologic parameters, and DNA content in 55 children with medulloblastomas and found that complete or near total resection, absence of tumor dissemination, tumor DNA aneuploidy, and low proliferative index correlated with a favorable clinical outco...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.2820690539

    authors: Schofield DE,Yunis EJ,Geyer JR,Albright AL,Berger MS,Taylor SR

    更新日期:1992-03-01 00:00:00

  • Resection alone in 58 children with limited stage, lymphocyte-predominant Hodgkin lymphoma-experience from the European network group on pediatric Hodgkin lymphoma.

    abstract:BACKGROUND:Lymphocyte-predominant Hodgkin lymphoma (LPHL) is a rare, CD20-positive, good prognostic lymphoma in children. Patients with early-stage LPHL who underwent successful surgical lymph node resection alone have been reported. To clarify the optimum treatment strategy in children, European study groups were aske...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.22762

    authors: Mauz-Körholz C,Gorde-Grosjean S,Hasenclever D,Shankar A,Dörffel W,Wallace WH,Schellong G,Robert A,Körholz D,Oberlin O,Hall GW,Landman-Parker J

    更新日期:2007-07-01 00:00:00

  • Multivariate analysis of T-cell functional defects and circulating serum factors in Hodgkin's disease.

    abstract::A comprehensive immunologic and serologic analysis was performed on 31 untreated patients with Hodgkin's disease. Immune evaluations stressed T-cell functional activity and included traditional parameters (PHA responsiveness and delayed hypersensitivity skin reactivity), as well as newer functional assays (T-cell colo...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19810815)48:4<964::aid-cncr28204

    authors: Schulof RS,Bockman RS,Garofalo JA,Cirrincione C,Cunningham-Rundles S,Fernandes G,Day NK,Pinsky CM,Incefy GS,Thaler HT,Good RA,Gupta S

    更新日期:1981-08-15 00:00:00

  • Chronic myeloid leukemia among patients with a history of prior malignancies: A tale of dual survivorship.

    abstract:BACKGROUND:Some patients with chronic myeloid leukemia (CML) have a history of previous malignancies. To the authors' knowledge, outcomes for CML diagnosed in these patients have not been well described. The current study was conducted to determine the outcome of patients with CML and a history of prior malignancies. ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30362

    authors: Koller PB,Kantarjian HM,Nogueras-Gonzalez GM,Jabbour E,Verstovsek S,Borthakur G,Estrov Z,Wierda WG,Garcia-Manero G,Ferrajoli A,Ravandi F,O'Brien SM,Cortes JE

    更新日期:2017-02-15 00:00:00

  • Natural history and therapy of metastatic renal cell carcinoma: the role of interleukin-2.

    abstract:BACKGROUND:Despite significant advances in understanding the biology of renal cell carcinoma (RCC) during the past decade, metastatic disease remains nearly incurable and a major medical challenge. Because RCC is known to be immunogenic, immunotherapeutic agents such as recombinant human interleukin-2 (rIL-2) and inter...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/(sici)1097-0142(19971001)80:7<1198::aid-cn

    authors: Bukowski RM

    更新日期:1997-10-01 00:00:00

  • Autoradiographic and fluorescent staining studies of bone marrow chromosomes from a patient with acute granulocytic leukemia.

    abstract::Results of cytogenetic studies of a patient with acute granulocytic leukemia are described. The modal number of chromosomes in cells from bone marrow samples was 43; the karyotype was characterized by missing chromosomes in groups B, C, and E. According to successive studies of the same metaphases by fluorescent stain...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197502)35:2<378::aid-cncr2820350

    authors: Sofuni T,Okada H

    更新日期:1975-02-01 00:00:00

  • Vitamin A, carotenoids, and retinoids.

    abstract::One promising area of current research in chemoprevention is the possibility that micronutrients, including vitamin A analogues, may decrease cancer incidence. The term "vitamin A" refers either to retinol (preformed vitamin A) and its synthetic analogues, or to certain carotenoids (provitamin A), which are converted ...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/1097-0142(19861015)58:8+<1837::aid-cncr282

    authors: Hennekens CH,Mayrent SL,Willett W

    更新日期:1986-10-15 00:00:00

  • Chemotherapy of malignant thymoma. Case report and review of the literature.

    abstract::The authors report the case of a patient with malignant thymoma unresponsive to combination chemotherapy (cyclophosphamide, doxorubicin, vincristine, and prednisone [CHOP] and cisplatin/VP-16) who subsequently achieved clinical response to continuous daily prednisone. A review of the literature indicates that predniso...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19860315)57:6<1101::aid-cncr2820

    authors: Hu E,Levine J

    更新日期:1986-03-15 00:00:00

  • Randomized phase 2 trial of erlotinib in combination with high-dose celecoxib or placebo in patients with advanced non-small cell lung cancer.

    abstract:BACKGROUND:Cyclooxygenase 2 (COX-2)-dependent signaling represents a potential mechanism of resistance to therapy with epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors. This is mediated in part through an EGFR-independent activation of mitogen-activated protein kinase (MAPK)/extracellular signal-regul...

    journal_title:Cancer

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/cncr.29480

    authors: Reckamp KL,Koczywas M,Cristea MC,Dowell JE,Wang HJ,Gardner BK,Milne GL,Figlin RA,Fishbein MC,Elashoff RM,Dubinett SM

    更新日期:2015-09-15 00:00:00

  • Influence of delay to diagnosis on prognostic indicators of screen-detected breast carcinoma.

    abstract:BACKGROUND:Although delay to diagnosis after a breast screening abnormality causes anxiety, its effect on prognosis is unknown. METHODS:Using pooled data from five Canadian organized breast cancer screening programs, the authors used unconditional logistic regression to evaluate the effect of delay to diagnosis on pro...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.10453

    authors: Olivotto IA,Gomi A,Bancej C,Brisson J,Tonita J,Kan L,Mah Z,Harrison M,Shumak R

    更新日期:2002-04-15 00:00:00

  • Flow cytometric analysis of deparaffinized nuclei in urinary bladder carcinoma. Comparison with cytogenetic analysis.

    abstract::Both cytogenetic analysis and flow cytometry (FCM) have prognostic efficacy in the analysis of transitional cell carcinoma (TCC) of urinary bladder. To correlate results of the two methods, we studied a unique group of patients whose tumors had undergone prospective conventional cytogenetic analysis. Paraffin blocks o...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19860415)57:8<1594::aid-cncr2820

    authors: Coon JS,Schwartz D,Summers JL,Miller AW 3rd,Weinstein RS

    更新日期:1986-04-15 00:00:00

  • Prognostic factors in the nonsurgical treatment of esophageal carcinoma with radiotherapy or radiochemotherapy: the importance of pretreatment hemoglobin levels.

    abstract:BACKGROUND:The current study was performed to evaluate prognostic factors for overall survival (OS), distant metastasis (DM), and local failure (LF) in patients with Stage II/III esophageal carcinoma. METHODS:The following potential prognostic factors were retrospectively investigated in 124 patients treated with radi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.20952

    authors: Rades D,Schild SE,Bahrehmand R,Zschenker O,Alberti WA,Rudat VR

    更新日期:2005-04-15 00:00:00

  • Symptom profiles in children with advanced cancer: Patient, family caregiver, and oncologist ratings.

    abstract:BACKGROUND:Systematic symptom assessment is not routinely performed in pediatric oncology. The objectives of the current study were to characterize the symptoms of pediatric oncology outpatients and evaluate agreement between patient and proxy reports and the association between children's ratings and oncologists' trea...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.29597

    authors: Zhukovsky DS,Rozmus CL,Robert RS,Bruera E,Wells RJ,Chisholm GB,Allo JA,Cohen MZ

    更新日期:2015-11-15 00:00:00

  • Comparison of Akt/mTOR signaling in primary breast tumors and matched distant metastases.

    abstract:BACKGROUND:The Akt/mammalian target of the rapamycin (mTOR) signaling pathway represents a promising target for cancer therapy. The phosphorylation status of Akt and of mTOR's phosphorylation target eukaryotic initiation factor 4E-binding protein 1 (4E-BP1) is often used to assess the activity of Akt and mTOR signaling...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23456

    authors: Akcakanat A,Sahin A,Shaye AN,Velasco MA,Meric-Bernstam F

    更新日期:2008-06-01 00:00:00

  • Transbronchial lung biopsy in the diagnosis of lymphangitic carcinomatosis.

    abstract::The clinical diagnosis of lymphangitic carcinomatosis of the lung has generally been confirmed by open lung or transthoracic needle biopsy, precedures with significant morbidity and mortality, particularly in patients with respiratory insufficiency. We present six cases of lymphangitic carcinomatosis diagnosed by tran...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197810)42:4<1995::aid-cncr282042

    authors: Aranda C,Sidhu G,Sasso LA,Adams FV

    更新日期:1978-10-01 00:00:00

  • Identification of circulating micromegakaryocytes in a case of erythroleukemia.

    abstract::A 26-year-old man with erythroleukemia was found to have circulating micromegakaryocytes . Megakaryocytic features were defined by morphologic and cytochemical studies using light and electron microscopy with platelet-megakaryocyte peroxidase staining. This appears to be the first reported instance of erythroleukemia ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840615)53:12<2668::aid-cncr282

    authors: Yamauchi K,Miyauchi J,Nagao T

    更新日期:1984-06-15 00:00:00

  • The role of lymph node dissection in the treatment of gallbladder carcinoma.

    abstract:BACKGROUND:Lymph node involvement is an important prognostic factor in gallbladder carcinoma (GBC). The lymph node involvement pattern, extent, and indications for systematic lymph node dissection for patients with advanced GBC were investigated. METHODS:Forty-one patients with GBC who underwent radical resection with...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19970301)79:5<892::aid-cnc

    authors: Shimada H,Endo I,Togo S,Nakano A,Izumi T,Nakagawara G

    更新日期:1997-03-01 00:00:00

  • A phase I study to assess the feasibility and oncologic safety of axillary reverse mapping in breast cancer patients.

    abstract:BACKGROUND:Axillary reverse mapping (ARM) is a novel technique to preserve upper extremity lymphatics that may reduce the incidence of lymphedema after axillary lymph node dissection. Early reports have suggested that ARM lymph nodes do not contain metastatic disease from breast cancer; however, these studies were cond...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25096

    authors: Bedrosian I,Babiera GV,Mittendorf EA,Kuerer HM,Pantoja L,Hunt KK,Krishnamurthy S,Meric-Bernstam F

    更新日期:2010-06-01 00:00:00

  • Linked claims and medical records for cancer case management : evaluation of mammography abnormalities.

    abstract:BACKGROUND:Failure to obtain the requisite follow-up of patients with abnormal mammograms may delay cancer diagnosis and impact outcome. Up to 20% of women do not receive timely recommended follow-up. The current study tested the accuracy of the linkage of payer claims and clinical data to identify the appropriate trea...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.22808

    authors: Eberl MM,Watroba N,Reinhardt M,Pomerantz J,Serghany J,Broffman G,Fox CH,Mahoney MC,Edge SB

    更新日期:2007-08-01 00:00:00

  • Characteristics of patients with stage III colon adenocarcinoma who fail to receive guideline-recommended treatment.

    abstract:BACKGROUND:Many patients with stage III colon adenocarcinoma do not receive adjuvant chemotherapy despite the proven survival advantage it offers. To enhance the provision of optimal cancer care, patient characteristics associated with not receiving guideline-adherent treatment must be identified among patients with op...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25250

    authors: Winget M,Hossain S,Yasui Y,Scarfe A

    更新日期:2010-10-15 00:00:00

  • Prognostic significance of histologic parameters of soft tissue sarcomas.

    abstract:BACKGROUND AND METHODS:A univariate and multivariate analysis for the correlation between histomorphologic factors and prognosis was made using data from 1116 patients with soft tissue sarcoma, including 1005 cases available with complete histologic and follow-up data. RESULTS:The overall 5-year survival rate was 43.6...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19921215)70:12<2816::aid-cncr282

    authors: Hashimoto H,Daimaru Y,Takeshita S,Tsuneyoshi M,Enjoji M

    更新日期:1992-12-15 00:00:00

  • High Ki-67 proliferative index predicts disease specific survival in patients with high-risk soft tissue sarcomas.

    abstract:BACKGROUND:Soft tissue sarcomas (STSs) are heterogeneous neoplasms that have variable clinical outcome. Several clinical parameters and few molecular markers, including Ki-67 proliferative index, have been shown to correlate with patient prognosis. To the authors' knowledge, no definitive report exists to identify one ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(20010815)92:4<869::aid-cncr1395>

    authors: Hoos A,Stojadinovic A,Mastorides S,Urist MJ,Polsky D,Di Como CJ,Brennan MF,Cordon-Cardo C

    更新日期:2001-08-15 00:00:00

  • Symptoms and rehabilitation needs of patients with early stage breast cancer during primary therapy.

    abstract::The treatment for women diagnosed with early breast cancer is complex, dynamic, and controversial. More choices are available for local control and indications for systemic adjuvant therapy have changed dramatically. Knowledge of predictable physical and psychological responses through the various phases of primary tr...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19900915)66:14+<1392::aid-cncr28

    authors: Knobf MT

    更新日期:1990-09-15 00:00:00

  • External beam radiation treatment for rectal cancer is associated with a decrease in subsequent prostate cancer diagnosis.

    abstract:BACKGROUND:External beam radiation therapy (EBRT) for rectal cancer unavoidably delivers significant radiation dose to the prostate gland. The effect of this incidental exposure on subsequent prostate cancer diagnosis was investigated using the Surveillance, Epidemiology, and End Results (SEER) cancer registry. METHOD...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23241

    authors: Hoffman KE,Hong TS,Zietman AL,Russell AH

    更新日期:2008-02-15 00:00:00

  • Evaluation of fluorescence polarization of human blood lymphocytes (SCM test) in the diagnosis of cancer.

    abstract::Fluorescence polarization was performed on 82 individuals: 32 patients with malignant diseases, 30 apparently healthy individuals, and 20 patients with nonmalignant diseases. The blood lymphocytes from these cases were isolated and challenged with cancer basic protein (CaBP). Stimulation occurred in the majority of th...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19800901)46:5<1164::aid-cncr2820

    authors: Schnuda ND

    更新日期:1980-09-01 00:00:00

  • Maryland's Special Populations Network. A model for cancer disparities research, education, and training.

    abstract::The unequal burden of cancer in minority and underserved communities nationally and in Maryland is a compelling crisis. The Maryland Special Populations Cancer Research Network (MSPN) developed an infrastructure covering Maryland's 23 jurisdictions and Baltimore City through formal partnerships between the University ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.22158

    authors: Baquet CR,Mack KM,Mishra SI,Bramble J,Deshields M,Datcher D,Savoy M,Brooks SE,Boykin-Brown S,Hummel K

    更新日期:2006-10-15 00:00:00

  • Sequential testicular biopsies in childhood acute lymphocytic leukemia.

    abstract::Between August 1978 and November 1981, 33 boys with acute lymphocytic leukemia (ALL) (26 non-T, 7 T-cell) younger than 16 years underwent bilateral wedge testicular biopsies at the time of initial diagnosis. Seven (4 non-T, 3 T-cell) demonstrated focal leukemic infiltrates. Rebiopsy after successful induction therapy ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19860301)57:5<1038::aid-cncr2820

    authors: Kim TH,Hargreaves HK,Chan WC,Brynes RK,Alvarado C,Woodard J,Ragab AH

    更新日期:1986-03-01 00:00:00

  • Primary care providers' perspectives on discontinuing prostate cancer screening.

    abstract:BACKGROUND:Clinical guidelines recommend against routine prostate-specific antigen (PSA) screening for older men and for those with lower life expectancies. The authors of this report examined providers' decision-making regarding discontinuing PSA screening. METHODS:A survey of primary providers from a large, universi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.27577

    authors: Pollack CE,Platz EA,Bhavsar NA,Noronha G,Green GE,Chen S,Carter HB

    更新日期:2012-11-15 00:00:00