Cancer risk after radiotherapy for breast cancer

Among women with breast cancer, we compared the relative and absolute rates of subsequent cancers in 1541 women treated with radiotherapy (RT) to 4570 women not so treated (NRT), using all registered in the Swiss Vaud Cancer Registry in the period between 1978 and 1998, and followed up to December 2002. Standardised incidence ratios (SIRs) and the corresponding 95% confidence intervals (CIs) were based on age- and calendar year-specific incidence rates in the Vaud general population. There were 11 lung cancers in RT (SIR=1.40; 95% CI: 0.70-2.51) and 17 in NRT women (SIR=0.76; 95% CI: 0.44-1.22), 72 contralateral breast cancers in RT (SIR=1.85; 95% CI: 1.45-2.33) and 150 in NRT women (SIR=1.38; 95% CI: 1.16-1.61), and 90 other neoplasms in RT (SIR=1.37; 95% CI: 1.10-1.68) and 224 in NRT women (SIR=1.05; 95% CI: 0.91-1.19). Overall, there were 173 second neoplasms in RT women (SIR=1.54, 95% CI: 1.32-1.78) and 391 among NRT women (SIR=1.13, 95% CI: 1.02-1.25). The estimates were significantly heterogeneous. After 15 years, 20% of RT cases vs 16% of NRT cases had developed a second neoplasm. The appreciable excess risk of subsequent neoplasms after RT for breast cancer must be weighed against the approximately 5% reduction of breast cancer mortality at 15 years after RT. [Authors]]]> Breast Neoplasms ; Neoplasms, Second Primary ; Switzerland https://serval.unil.ch/resource/serval:BIB_92952AF90C0F.P001/REF.pdf http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_92952AF90C0F2 info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_92952AF90C0F2 info:eu-repo/semantics/submittedVersion info:eu-repo/semantics/openAccess Copying allowed only for non-profit organizations https://serval.unil.ch/disclaimer application/pdf oai:serval.unil.ch:BIB_92959C645DA8 2023-07-29T01:30:16Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_92959C645DA8 Les défis de la communication interculturelle en milieu médical : le cas de l'oncologie Singy, Pascal Sulstarova, Brikela info:eu-repo/semantics/conferenceObject inproceedings 2021 Actas del XL congreso internacional de linguistica fonctional fre oai:serval.unil.ch:BIB_92963CC0C356 2023-07-29T01:30:16Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_92963CC0C356 Heavenly Nature : Towards New Imaginary and Desirable Worlds https://www.fotografiska.com/nyc/shop/all/david-lachapelle-make-believe-exhibition-catalogue Dietschy, Nathalie info:eu-repo/semantics/bookPart incollection 2022 David LaChapelle : make BELIEVE, pp. 9-14 David LaChapelle; photography; religion; ecology; nature; sacred; Christ eng https://serval.unil.ch/resource/serval:BIB_92963CC0C356.P001/REF.pdf info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/restrictedAccess Restricted: indefinite embargo Copying allowed only for non-profit organizations https://serval.unil.ch/disclaimer application/pdf oai:serval.unil.ch:BIB_9296622BD783 2023-07-29T01:30:16Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_9296622BD783 Autism in schizophrenia revisited. info:eu-repo/semantics/altIdentifier/pmid/2001623 Parnas, J. Bovet, P. info:eu-repo/semantics/article article 1991 Comprehensive Psychiatry, vol. 32, no. 1, pp. 7-21 info:eu-repo/semantics/altIdentifier/pissn/0010-440X urn:issn:0010-440X <![CDATA[The concept of autism is reviewed in its historical evolution. It is suggested that the Bleulerian insistence on the withdrawal component in autism contributed to the decline of its use in adult psychiatry. Phenomenology offers another approach to grasping the nature of autism as a relational (subject-outer world) phenomenon. European phenomenological psychiatry in the field of schizophrenia is introduced and its attempts to reveal the essence of autism are presented. Autism is here considered as a "loss of vital contact with reality" (Minkowski), "inconsistency of natural experience" (Binswanger), or "the global crisis of common sense" (Blankenburg). It is proposed that autism represents dysfunctional perceptual/expressive attunement to the outer world. The usefulness of this concept is briefly examined in relation to the diagnosis and etiopathogenesis of schizophrenia