Table 5.

Risk of a secondary neoplasm associated with chemotherapeutic agents

Therapeutic Elements Number of Patients (%)Number of SN Cumulative Incidence after 15 Years (95% CI)
Anthracycline dose (f)   P = .11  
 ≤ 240 mg/m2 3965 (79.2)  37  3.0% (1.1%-4.9%)  
 > 240 mg/m2 1041 (20.8)  9  1.2% (0%-2.5%) 
Anthracycline dose (+r)    P = .38 
 ≤ 240 mg/m2 3147 (62.9)  3715 3.9% (2.0%-5.8%)  
 > 240 mg/m2 1859 (37.1)   2.2% (0%-5.6%)  
Epipodophyllotoxin (f)    P = .99  
 No  4527 (90.4) 37  2.8% (0.9%-4.7%)  
 Yes  479 (9.6)  2.8% (0%-6.6%)  
Epipodophyllotoxin (+r)   P = .42  
 No  3569 (71.3) 3715  3.7% (1.8%-5.5%)  
 Yes  1437 (28.7)  2.1% (0%-5.4%)  
Cyclophosphamide (f)   P = .45  
 ≤ 3000 mg/m2 4584 (91.6)  39  3.1% (0.9%-5.2%)  
 > 3000 mg/m2 422 (8.4)  7  1.9% (0-4%.1%) 
Cyclophosphamide (+r)    P = .14 
 ≤ 3000 mg/m2 3560 (71.1)  3913 4.1% (1.9%-6.2%)  
 > 3000 mg/m2 1446 (28.9)   1.6% (0%-4.1%) 
Therapeutic Elements Number of Patients (%)Number of SN Cumulative Incidence after 15 Years (95% CI)
Anthracycline dose (f)   P = .11  
 ≤ 240 mg/m2 3965 (79.2)  37  3.0% (1.1%-4.9%)  
 > 240 mg/m2 1041 (20.8)  9  1.2% (0%-2.5%) 
Anthracycline dose (+r)    P = .38 
 ≤ 240 mg/m2 3147 (62.9)  3715 3.9% (2.0%-5.8%)  
 > 240 mg/m2 1859 (37.1)   2.2% (0%-5.6%)  
Epipodophyllotoxin (f)    P = .99  
 No  4527 (90.4) 37  2.8% (0.9%-4.7%)  
 Yes  479 (9.6)  2.8% (0%-6.6%)  
Epipodophyllotoxin (+r)   P = .42  
 No  3569 (71.3) 3715  3.7% (1.8%-5.5%)  
 Yes  1437 (28.7)  2.1% (0%-5.4%)  
Cyclophosphamide (f)   P = .45  
 ≤ 3000 mg/m2 4584 (91.6)  39  3.1% (0.9%-5.2%)  
 > 3000 mg/m2 422 (8.4)  7  1.9% (0-4%.1%) 
Cyclophosphamide (+r)    P = .14 
 ≤ 3000 mg/m2 3560 (71.1)  3913 4.1% (1.9%-6.2%)  
 > 3000 mg/m2 1446 (28.9)   1.6% (0%-4.1%) 

SN: secondary neoplasm; f: frontline therapy, sek.mal. as first event; +r: frontline + relapse therapy.

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