Evidence map›Paper›PMID 42518015›Full record

ArticleCancer causes & control : CCC2026

Second primary cancers among females with a first primary cervical, uterine and ovarian cancer: a population-based study in North Portugal.

Elisabete Gonçalves, Filipa Fontes, Jéssica Rocha Rodrigues, Rita Calisto, Maria José Bento, Nuno Lunet, Samantha Morais

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Article in Cancer causes & control : CCC, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Elisabete GonçalvesEPIUnit ITR, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.
Filipa FontesEPIUnit ITR, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.
Jéssica Rocha RodriguesEpidemiology, Outcomes, Economics and Management Group, IPO Porto Research Center (CI-IPO Porto), Portuguese Oncology Institute of Porto (IPO Porto), RISE - Associate Laboratory (Health Research Network), Porto Comprehensive Cancer Centre Raquel Seruca (Porto.CCC, Porto, Portugal.
Rita CalistoEpidemiology, Outcomes, Economics and Management Group, IPO Porto Research Center (CI-IPO Porto), Portuguese Oncology Institute of Porto (IPO Porto), RISE - Associate Laboratory (Health Research Network), Porto Comprehensive Cancer Centre Raquel Seruca (Porto.CCC, Porto, Portugal.
Maria José BentoEpidemiology, Outcomes, Economics and Management Group, IPO Porto Research Center (CI-IPO Porto), Portuguese Oncology Institute of Porto (IPO Porto), RISE - Associate Laboratory (Health Research Network), Porto Comprehensive Cancer Centre Raquel Seruca (Porto.CCC, Porto, Portugal.
Nuno LunetEPIUnit ITR, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.
Samantha MoraisEPIUnit ITR, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. samantha.morais@ispup.up.pt.ORCID http://orcid.org/0000-0001-5808-0179

Funding

European Regional Development Fund POCI-01-0145-FEDER-032358; ref. PTDC/SAU-EPI/32358/2017Fundação para a Ciência e a Tecnologia UIDB/04750/2020
6 · The paper itself

Abstract

purposeTo estimate the incidence rates of second primary cancers (SCPs) [diagnosed > 2 months after a first primary cancer (FPC)], and cumulative incidence and mortality of metachronous SPCs in patients with a cervical, uterine, or ovarian FPC, and to compare the incidence of SPCs with that expected in the general female population.

methodsA cohort of patients with cervical, uterine, or ovarian FPC from the North Region Cancer Registry of Portugal, diagnosed in 2000-2010 (n = 5846) was followed until 31/12/2015 for synchronous and metachronous SPCs. Cumulative incidence of metachronous SPCs considering death as a competing event, and incidence rates and standardized incidence ratios (SIR) of SPCs were estimated.

resultsDiagnosis of an SPC occurred in 541 (9.3%) patients at a median age of 60 years. SPCs were more frequent among patients with uterine cancers. Colon, breast, and corpus uteri were the most common sites for an SPC among patients with a gynecological FPC. A higher incidence of all and individual SPCs compared to the general female population was found (SIR = 1.96, 95% CI 1.79-2.12) with the most relevant sites being cancers of the colon (SIR = 2.32, 95% CI 1.82-2.89), lung (SIR = 2.70, 95% CI 1.88, 3.66), cervix (SIR = 4.87, 95% CI 3.43, 6.56), corpus uteri (SIR = 5.37, 95% CI 4.16, 6.73) and ovary (SIR = 6.06, 95% CI 4.12-8.37). The 10-year cumulative incidence of a metachronous SPC and death for patients with a gynecological FPC was 7.4% and 39.2%, respectively.

conclusionIn Portugal, patients with a gynecological FPC have a higher incidence of SPCs compared to the general female population, particularly elderly females. Increased surveillance and counselling among these patients are needed.

Indexed as

Neoplasms, Second PrimaryOvarian NeoplasmsUterine Cervical NeoplasmsUterine NeoplasmsAdultAgedAged, 80 and overFemaleHumansIncidenceMiddle AgedPortugalRegistriesCervical neoplasmsCorpus uteri neoplasmsEpidemiologyOvary neoplasmsPopulation registerSecond primary neoplasm

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.