Possible Mechanisms of Subsequent Neoplasia Development in Childhood Cancer Survivors: A Review

Advances in medicine have improved outcomes in children diagnosed with cancer, with overall 5-year survival rates for these children now exceeding 80%. Two-thirds of childhood cancer survivors have at least one late effect of cancer therapy, with one-third having serious or even life-threatening eff...

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Main Authors: Jarmila Kruseova, Ales Vicha, Barbara Feriancikova, Tomas Eckschlager
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/20/5064
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author Jarmila Kruseova
Ales Vicha
Barbara Feriancikova
Tomas Eckschlager
author_facet Jarmila Kruseova
Ales Vicha
Barbara Feriancikova
Tomas Eckschlager
author_sort Jarmila Kruseova
collection DOAJ
description Advances in medicine have improved outcomes in children diagnosed with cancer, with overall 5-year survival rates for these children now exceeding 80%. Two-thirds of childhood cancer survivors have at least one late effect of cancer therapy, with one-third having serious or even life-threatening effects. One of the most serious late effects is a development of subsequent malignant neoplasms (histologically different cancers, which appear after the treatment for primary cancer), which occur in about 3–10% of survivors and are associated with high mortality. In cancers with a very good prognosis, subsequent malignant neoplasms significantly affect long-term survival. Therefore, there is an effort to reduce particularly hazardous treatments. This review discusses the importance of individual factors (gender, genetic factors, cytostatic drugs, radiotherapy) in the development of subsequent malignant neoplasms and the possibilities of their prediction and prevention in the future.
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spelling doaj.art-c4930d00804149228895fb121f5d35e02023-11-22T17:39:43ZengMDPI AGCancers2072-66942021-10-011320506410.3390/cancers13205064Possible Mechanisms of Subsequent Neoplasia Development in Childhood Cancer Survivors: A ReviewJarmila Kruseova0Ales Vicha1Barbara Feriancikova2Tomas Eckschlager3Department of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University and University Hospital Motol, V Uvalu 84/1, 150 06 Prague 5, Czech RepublicDepartment of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University and University Hospital Motol, V Uvalu 84/1, 150 06 Prague 5, Czech RepublicDepartment of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University and University Hospital Motol, V Uvalu 84/1, 150 06 Prague 5, Czech RepublicDepartment of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, Charles University and University Hospital Motol, V Uvalu 84/1, 150 06 Prague 5, Czech RepublicAdvances in medicine have improved outcomes in children diagnosed with cancer, with overall 5-year survival rates for these children now exceeding 80%. Two-thirds of childhood cancer survivors have at least one late effect of cancer therapy, with one-third having serious or even life-threatening effects. One of the most serious late effects is a development of subsequent malignant neoplasms (histologically different cancers, which appear after the treatment for primary cancer), which occur in about 3–10% of survivors and are associated with high mortality. In cancers with a very good prognosis, subsequent malignant neoplasms significantly affect long-term survival. Therefore, there is an effort to reduce particularly hazardous treatments. This review discusses the importance of individual factors (gender, genetic factors, cytostatic drugs, radiotherapy) in the development of subsequent malignant neoplasms and the possibilities of their prediction and prevention in the future.https://www.mdpi.com/2072-6694/13/20/5064subsequent malignant neoplasmschildhood cancer survivorsgenetic factorscancer predisposition syndromeschemotherapyradiotherapy
spellingShingle Jarmila Kruseova
Ales Vicha
Barbara Feriancikova
Tomas Eckschlager
Possible Mechanisms of Subsequent Neoplasia Development in Childhood Cancer Survivors: A Review
Cancers
subsequent malignant neoplasms
childhood cancer survivors
genetic factors
cancer predisposition syndromes
chemotherapy
radiotherapy
title Possible Mechanisms of Subsequent Neoplasia Development in Childhood Cancer Survivors: A Review
title_full Possible Mechanisms of Subsequent Neoplasia Development in Childhood Cancer Survivors: A Review
title_fullStr Possible Mechanisms of Subsequent Neoplasia Development in Childhood Cancer Survivors: A Review
title_full_unstemmed Possible Mechanisms of Subsequent Neoplasia Development in Childhood Cancer Survivors: A Review
title_short Possible Mechanisms of Subsequent Neoplasia Development in Childhood Cancer Survivors: A Review
title_sort possible mechanisms of subsequent neoplasia development in childhood cancer survivors a review
topic subsequent malignant neoplasms
childhood cancer survivors
genetic factors
cancer predisposition syndromes
chemotherapy
radiotherapy
url https://www.mdpi.com/2072-6694/13/20/5064
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