Summary
Patients cured of a malignant germ-cell tumor are at a significantly increased relative risk (RR, 1.3–2.1) of developing a new malignancy, the most frequent second cancer being a new germ-cell cancer. The exact role of modern treatment of germ-cell malignancies as an etiological factor of a subsequent cancer has not yet been defined. The relative risk of developing a new non-germ-cell cancer, however, seems especially high after intensive cytotoxic treatment.
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Fosså, S.D., Wanderås, E.H. & Heimdal, K. Second cancer after treatment of malignant germ-cell tumors. World J Urol 12, 151–154 (1994). https://doi.org/10.1007/BF00192277
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DOI: https://doi.org/10.1007/BF00192277