Surveillance for Breast Cancer After Childhood Cancer
- Aliki J. Taylor, MD, MPH, PhD;
- Roger E. Taylor, MD, MA
- Author Affiliations: Department of Public Health, Epidemiology and Bio Statistics, University of Birmingham, Birmingham (Dr A. J. Taylor); and Department of Clinical Oncology, Swansea University, Swansea (Dr R. E. Taylor), United Kingdom.
Since this article does not have an abstract, we have provided the first 150 words of the full text.
- KEYWORDS:
- BREAST NEOPLASMS
- CHILDREN'S HEALTH
- HODGKIN DISEASE
- MAMMOGRAPHY
- NEOPLASMS
- RADIATION EFFECTS
- RADIOTHERAPY
- RISK FACTORS
- WILMS TUMOR
- WOMEN'S HEALTH
Breast cancer is a recognized complication of chest irradiation for childhood cancer,1,2 and surveillance for breast cancer with regular clinical examination and annual screening mammography starting at age 25 years or 8 years after radiation is recommended.3 However, uptake of screening mammograms in this high-risk group is suboptimal, as shown in the report by Oeffinger and colleagues4 in this issue of JAMA. The authors examined breast cancer surveillance practices in a survey of 625 female survivors of pediatric cancer who were between 25 and 50 years and participants in the longitudinal Childhood Cancer Survivor Study (CCSS).5 These survivors were at a significantly increased risk of breast cancer as a result of treatment they received in the form of moderate- to high-dose (>20 Gy) irradiation to the chest for treatment of a childhood cancer (chest RT group). The women in the chest RT group …
