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@ARTICLE{Chattopadhyay:148721,
author = {S. Chattopadhyay$^*$ and G. Zheng$^*$ and A. Hemminki$^*$
and A. Försti$^*$ and K. Sundquist and J. Sundquist and K.
Hemminki$^*$},
title = {{I}nfluence of family history on risk of second primary
cancers and survival in squamous cell skin cancer patients.},
journal = {British journal of dermatology},
volume = {183},
number = {3},
issn = {1365-2133},
address = {Oxford},
publisher = {Wiley-Blackwell},
reportid = {DKFZ-2019-03247},
pages = {488-494},
year = {2020},
note = {2020 Sep;183(3):488-494 /
#EA:C050#EA:C020#LA:C050#LA:C020#},
abstract = {Squamous cell skin cancer (SCC) patients have excellent
prognosis but second primary cancers (SPCs) weaken survival
prospects. Family history is a known risk factor for cancer
but whether it is a risk factor for SPC in SCC patients is
not known.Quantify the risk of family history on SPCs in SCC
patients and estimate survival probabilities of patients
with SPCs depending on family history.With 13,945
histologically verified SCCs, relative risks (RRs) were
estimated for family history using a generalized regression
model. For survival analysis, hazard ratios were assessed
using a multivariable Cox-proportional hazard model.Family
history of invasive SCC increased risk of second invasive
SCC, RR = 42.92 (confidence intervals 33.69-50.32) compared
to risk without family history RR 19.12 (17.88-21.08).
Family history of any non-skin cancer in invasive SCC
increased risk of the same cancers to be diagnosed as SPC;
RRFH = 1.48 (1.35-1.61) vs. RRno FH = 1.40 (1.32-1.48);
significant increases were observed for seven different
non-skin cancers. Most results were replicated in in situ
SCC. SPC was deleterious for survival irrespective of family
history; hazard ratio for patients with SPC was 4.28
(3.83-4.72) compared to those without SPC (1.00).Family
history of non-skin cancer was associated with approximately
a doubling of risk for SPCs in SCC patients. SPC increases
the death rate in SCC patients 3 to 4 times, irrespective of
family history. Taking family history into account at SCC
diagnosis may help prevention or early detection of SPCs.},
cin = {C050 / C020 / B062 / HD01},
ddc = {610},
cid = {I:(DE-He78)C050-20160331 / I:(DE-He78)C020-20160331 /
I:(DE-He78)B062-20160331 / I:(DE-He78)HD01-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31853941},
doi = {10.1111/bjd.18809},
url = {https://inrepo02.dkfz.de/record/148721},
}