Family history of cancer as a risk factor for second malignancies after Hodgkin's lymphoma
2008

Family History of Cancer and Risk of Second Malignancies After Hodgkin's Lymphoma

Sample size: 6946 publication 10 minutes Evidence: moderate

Author Information

Author(s): Andersson A, Enblad G, Tavelin B, Björkholm M, Linderoth J, Lagerlöf I, Merup M, Sender M, Malmer B

Primary Institution: Umeå University Hospital

Hypothesis

Does a family history of cancer increase the risk of second primary malignancies after Hodgkin's lymphoma?

Conclusion

Hodgkin's lymphoma survivors with a family history of cancer have an increased risk of developing second malignancies.

Supporting Evidence

  • Survival in HL patients treated at 40 years or younger was decreased compared with the general population.
  • Among the 6946 HL patients, 696 (15%) developed a total of 781 second malignancies.
  • The risk for developing second malignancies increased with the number of first-degree relatives with cancer.

Takeaway

If someone has had Hodgkin's lymphoma and their family has a history of cancer, they might be more likely to get another type of cancer later on.

Methodology

The study analyzed data from 6946 Hodgkin's lymphoma patients treated in Sweden from 1965 to 1995, assessing their family history of cancer and the incidence of second malignancies.

Potential Biases

Potential bias due to reliance on patient interviews and medical records for family history data.

Limitations

The study did not have therapy data from the cancer register, which may affect the results.

Participant Demographics

The cohort included 2873 female and 4073 male patients with a mean age at diagnosis of 52 years.

Statistical Information

P-Value

2.62

Confidence Interval

95% CI: 2.32–2.96

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604244

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