{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T01:10:28Z","timestamp":1790730628019,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,10,6]],"date-time":"2015-10-06T00:00:00Z","timestamp":1444089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>The authors describe the incidence and characteristics of secondary malignant neoplasms (SMNs) in adolescent and young adult (AYA) cancer survivors compared with those in younger and older cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Children aged \u226414 years, AYAs aged 15 to 39, and older adults aged \u226540 years at the time of primary diagnosis who were reported as cancer survivors in the Surveillance, Epidemiology, and End Results (SEER) program between 1973 and 2011 were compared in this population\u2010based analysis. The primary analysis was the risk that an SMN would occur \u22655 years after the original diagnosis for patients who had the more common AYA cancers (leukemia, lymphoma, testicular malignancy, ovarian malignancy, melanoma, and cancers of the thyroid, breast, soft tissue, or bone). The standardized incidence ratio (SIR), absolute excess risk (AER), and cumulative incidence of SMN for the selected cancers were assessed. The risk of SMN for the entire cohort also was analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Of the 148,558 AYA survivors who were diagnosed with a selected cancer, 7384 developed an SMN 5 years after their original diagnosis. The SIRs (95% confidence intervals [CIs]) were 1.58 (95% CI, 1.55\u20101.62) for AYAs, 4.26 (95% CI, 3.77\u20104.80) for children, and 1.10 (95% CI, 1.09\u20101.11) for older adults, and the AERs were 22.9, 16.6, and 14.7, respectively. The cumulative incidence of SMN at 30 years was 13.9% for the AYA group. The most common SMNs in AYAs were breast cancer, gastrointestinal cancer, genital cancers, and melanoma. AYAs who had received radiation therapy had a higher cumulative incidence of SMN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>\n                      AYAs who survive cancer for more than 5 years have a higher relative risk of SMN compared with the general population and have a higher absolute risk of SMN compared with younger or older cancer survivors.\n                      <jats:bold>\n                        <jats:italic>Cancer<\/jats:italic>\n                        2016;122:116\u2013123.\n                      <\/jats:bold>\n                      \u00a9\n                      <jats:italic>2015 American Cancer Society<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.29685","type":"journal-article","created":{"date-parts":[[2015,10,6]],"date-time":"2015-10-06T09:13:18Z","timestamp":1444122798000},"page":"116-123","source":"Crossref","is-referenced-by-count":176,"title":["Increased risk of second malignant neoplasms in adolescents and young adults with cancer"],"prefix":"10.1002","volume":"122","author":[{"given":"Jean S.","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of California San Francisco Benioff Children's Hospital San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven G.","family":"DuBois","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of California San Francisco Benioff Children's Hospital San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter F.","family":"Coccia","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Nebraska Medical Center Omaha Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archie","family":"Bleyer","sequence":"additional","affiliation":[{"name":"Department of Radiation Medicine Oregon Health and Science University Portland Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca L.","family":"Olin","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert E.","family":"Goldsby","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of California San Francisco Benioff Children's Hospital San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2012.0112"},{"key":"e_1_2_7_3_1","unstructured":"National Cancer Institute.A Snapshot of Adolescent and Young Adult Cancers. Available at:http:\/\/www.cancer.gov\/researchandfunding\/snapshots\/adolescent-young-adult. 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SEER*Stat Database (www.seer.cancer.gov): Incidence\u2010SEER 9 Regs Research Data Nov 2013 Sub (1973\u20102011)\u2009<\u2009Katrina\/Rita Population Adjustment>\u2010Linked To County Attributes\u2010Total U.S. 1969\u20102012 Counties. Bethesda MD: National Cancer Institute Division of Cancer Control and Population Sciences Surveillance Research Program Surveillance Systems Branch; released April 2014."},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2014.0004"},{"key":"e_1_2_7_18_1","unstructured":"AlbrittonK CaligiuriM AndersonB NicholsC UlmanD.Closing the Gap: Research and Care Imperatives for Adolescents and Young Adults With Cancer. Report of the Adolescent and Young Adult Oncology Progress Review Group 2006. Available at:http:\/\/planning.cancer.gov\/library\/AYAO_PRG_Report_2006_FINAL.pdf. 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Bethesda MD: National Cancer Institute Division of Cancer Control and Population Sciences Surveillance Research Program Surveillance Systems Branch; released April 2014 (updated May 7 2014)."},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0215(20001115)88:4<672::AID-IJC24>3.0.CO;2-N"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/93.8.618"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/103032"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.23283"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.24555"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsr1501341"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1038\/nm.2407"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/94.3.182"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.41.8681"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.23.8097"},{"key":"e_1_2_7_33_1","volume-title":"New Malignancies Among Cancer Survivors: SEER Cancer Registries, 1973\u20102000. 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