Sarcoma as Second Cancer in a Childhood Cancer Survivor: Case Report, Large Population Analysis and Literature Review

The majority of pediatric patients are cured of their primary cancer with current advanced developments in pediatric cancer therapy. However, survivors often experience long-term complications from therapies for primary cancer. The delayed mortality rate has been decreasing with the effort to reduce...

Full description

Bibliographic Details
Main Authors: Thinh H. Nguyen, Monish Ram Makena, Siddhartha Yavvari, Maninder Kaur, Teresia Pham, Eduardo Urias, Narendra Panapitiya, Mohamad M. Al-Rahawan
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/56/5/224
_version_ 1797728434593464320
author Thinh H. Nguyen
Monish Ram Makena
Siddhartha Yavvari
Maninder Kaur
Teresia Pham
Eduardo Urias
Narendra Panapitiya
Mohamad M. Al-Rahawan
author_facet Thinh H. Nguyen
Monish Ram Makena
Siddhartha Yavvari
Maninder Kaur
Teresia Pham
Eduardo Urias
Narendra Panapitiya
Mohamad M. Al-Rahawan
author_sort Thinh H. Nguyen
collection DOAJ
description The majority of pediatric patients are cured of their primary cancer with current advanced developments in pediatric cancer therapy. However, survivors often experience long-term complications from therapies for primary cancer. The delayed mortality rate has been decreasing with the effort to reduce the therapeutic exposure of patients with pediatric cancers. Our study investigates the incidence of sarcoma as second cancer in pediatric cancer survivors. We present a 9-year-old male who survived embryonal hepatoblastoma diagnosed at 22 months of age. At 4.5 years of age, he presented with a non-metastatic primitive neuroectodermal tumor (PNET) of the left submandibular area. He has no evidence of recurrence of either cancer for 51 months after finishing all chemotherapy and radiotherapy. We used the Surveillance, Epidemiology, and End Results (SEER) database to identify the current rate of second sarcomas in pediatric cancer survivors. Our literature review and large population analysis emphasize the impact of sarcoma as a second malignancy and provide help to physicians caring for pediatric cancer survivors.
first_indexed 2024-03-12T11:13:56Z
format Article
id doaj.art-acc31685a85347888d8d94ae8babaeb3
institution Directory Open Access Journal
issn 1010-660X
language English
last_indexed 2024-03-12T11:13:56Z
publishDate 2020-05-01
publisher MDPI AG
record_format Article
series Medicina
spelling doaj.art-acc31685a85347888d8d94ae8babaeb32023-09-02T02:26:58ZengMDPI AGMedicina1010-660X2020-05-015622422410.3390/medicina56050224Sarcoma as Second Cancer in a Childhood Cancer Survivor: Case Report, Large Population Analysis and Literature ReviewThinh H. Nguyen0Monish Ram Makena1Siddhartha Yavvari2Maninder Kaur3Teresia Pham4Eduardo Urias5Narendra Panapitiya6Mohamad M. Al-Rahawan7Department of Pediatrics, Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX 79430, USADepartment of Physiology, Johns Hopkins School of Medicine, Baltimore, MD 21205, USADepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USADepartment of Pediatrics, Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX 79430, USADepartment of Pediatrics, Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX 79430, USADepartment of Pediatrics, Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX 79430, USADepartment of Pediatrics, Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX 79430, USADepartment of Pediatrics, Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX 79430, USAThe majority of pediatric patients are cured of their primary cancer with current advanced developments in pediatric cancer therapy. However, survivors often experience long-term complications from therapies for primary cancer. The delayed mortality rate has been decreasing with the effort to reduce the therapeutic exposure of patients with pediatric cancers. Our study investigates the incidence of sarcoma as second cancer in pediatric cancer survivors. We present a 9-year-old male who survived embryonal hepatoblastoma diagnosed at 22 months of age. At 4.5 years of age, he presented with a non-metastatic primitive neuroectodermal tumor (PNET) of the left submandibular area. He has no evidence of recurrence of either cancer for 51 months after finishing all chemotherapy and radiotherapy. We used the Surveillance, Epidemiology, and End Results (SEER) database to identify the current rate of second sarcomas in pediatric cancer survivors. Our literature review and large population analysis emphasize the impact of sarcoma as a second malignancy and provide help to physicians caring for pediatric cancer survivors.https://www.mdpi.com/1010-660X/56/5/224sarcomasecond cancerhepatoblastomapediatricSEER
spellingShingle Thinh H. Nguyen
Monish Ram Makena
Siddhartha Yavvari
Maninder Kaur
Teresia Pham
Eduardo Urias
Narendra Panapitiya
Mohamad M. Al-Rahawan
Sarcoma as Second Cancer in a Childhood Cancer Survivor: Case Report, Large Population Analysis and Literature Review
Medicina
sarcoma
second cancer
hepatoblastoma
pediatric
SEER
title Sarcoma as Second Cancer in a Childhood Cancer Survivor: Case Report, Large Population Analysis and Literature Review
title_full Sarcoma as Second Cancer in a Childhood Cancer Survivor: Case Report, Large Population Analysis and Literature Review
title_fullStr Sarcoma as Second Cancer in a Childhood Cancer Survivor: Case Report, Large Population Analysis and Literature Review
title_full_unstemmed Sarcoma as Second Cancer in a Childhood Cancer Survivor: Case Report, Large Population Analysis and Literature Review
title_short Sarcoma as Second Cancer in a Childhood Cancer Survivor: Case Report, Large Population Analysis and Literature Review
title_sort sarcoma as second cancer in a childhood cancer survivor case report large population analysis and literature review
topic sarcoma
second cancer
hepatoblastoma
pediatric
SEER
url https://www.mdpi.com/1010-660X/56/5/224
work_keys_str_mv AT thinhhnguyen sarcomaassecondcancerinachildhoodcancersurvivorcasereportlargepopulationanalysisandliteraturereview
AT monishrammakena sarcomaassecondcancerinachildhoodcancersurvivorcasereportlargepopulationanalysisandliteraturereview
AT siddharthayavvari sarcomaassecondcancerinachildhoodcancersurvivorcasereportlargepopulationanalysisandliteraturereview
AT maninderkaur sarcomaassecondcancerinachildhoodcancersurvivorcasereportlargepopulationanalysisandliteraturereview
AT teresiapham sarcomaassecondcancerinachildhoodcancersurvivorcasereportlargepopulationanalysisandliteraturereview
AT eduardourias sarcomaassecondcancerinachildhoodcancersurvivorcasereportlargepopulationanalysisandliteraturereview
AT narendrapanapitiya sarcomaassecondcancerinachildhoodcancersurvivorcasereportlargepopulationanalysisandliteraturereview
AT mohamadmalrahawan sarcomaassecondcancerinachildhoodcancersurvivorcasereportlargepopulationanalysisandliteraturereview