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Table 4 Secondary cancer risk after radiotherapy for breast cancer

From: Can the risk of secondary cancer induction after breast conserving therapy be reduced using intraoperative radiotherapy (IORT) with low-energy x-rays?

Authors, journal, year

No. of patients

Follow up time

organs

Risk for secondary cancer

Berrington de Gonzalez

Br J Cancer

(2010) [22]

182,057

69,181 treated with radiotherapy

13 years

Lung, oesophagus, pleura, bone and soft tissue

Contralateral breast

RR = 1·38 (95% CI 1·26-1·51)

RR = 1.09 (95% CI 1.04-1.15)

Kirova

Int J Radiat Oncol Biol Phys

(2007) [53]

16,705

13,472 treated with radiotherapy

10 years

Lung

Contralateral breast

RR = 3.09 (95% CI 1.12-8.53)

RR = 1.1 (95% CI 0.96-1.27)

Roychoudhuri

Br J Cancer

(2004) [54]

64,782

33,763 received radiotherapy

> 10 years

Lung

RR = 1.65 (95% CI 1.05-2.54)

Zablotska

Cancer

(2003) [31]

260,541

76,467 treated with radiotherapy

10 years

lung

0.30%

RR = 2.06 (95% CI 1.53-2.78)

Prochazka

Eur J Cancer

(2002) [55]

141,053

141,053 treated with radiotherapy

> 10 years

lung

RR = 2.3 (95% CI 1.97-2.63)

Fowble

Int J Radiat Oncol Biol Phys

(2001) [28]

1,253

977 treated with radiotherapy

10 years

Contralateral breast

7%

Obedian

J Clin Oncol

(2000) [29]

2,416

1,029 treated with radiotherapy

15 years

Contralateral breast

10%