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        • Вторые злокачественные опухоли у лиц, перенесших онкологическое заболевание в детстве

        Вторые злокачественные опухоли у лиц, перенесших онкологическое заболевание в детстве

        Павлова Т.Ю., Валиев Т.Т. Вторые злокачественные опухоли у лиц, перенесших онкологическое заболевание в детстве. Педиатрия. Consilium Medicum. 2020; 2: 12–16. DOI: 10.26442/26586630.2020.2.200234

        ________________________________________________

        Pavlova T.Yu., Valiev T.T. Second malignant tumors in pediatric cancer survivors. Pediatrics. Consilium Medicum. 2020; 2: 12–16. DOI: 10.26442/26586630.2020.2.200234

        Вторые злокачественные опухоли у лиц, перенесших онкологическое заболевание в детстве

        Павлова Т.Ю., Валиев Т.Т. Вторые злокачественные опухоли у лиц, перенесших онкологическое заболевание в детстве. Педиатрия. Consilium Medicum. 2020; 2: 12–16. DOI: 10.26442/26586630.2020.2.200234

        ________________________________________________

        Pavlova T.Yu., Valiev T.T. Second malignant tumors in pediatric cancer survivors. Pediatrics. Consilium Medicum. 2020; 2: 12–16. DOI: 10.26442/26586630.2020.2.200234

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          Вторые злокачественные опухоли у лиц, перенесших онкологическое заболевание  в детстве

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        • Аннотация
        • Список литературы
        • Авторы
        Аннотация
        Развитие второго злокачественного новообразования (ЗНО) является одним из наиболее серьезных отдаленных осложнений у детей, перенесших лечение по поводу первой злокачественной опухоли. Проводимое химиолучевое лечение является канцерогенным фактором развития второго ЗНО. Органы и ткани детского организма с учетом степени зрелости, микроокружения, возраста и факторов образа жизни по-разному восприимчивы к канцерогенному воздействию химиопрепаратов и лучевой терапии. С учетом увеличения числа больных, излеченных от первого ЗНО, совершенствование терапии направлено на уменьшение риска развития вторых ЗНО по мере роста и развития детского организма. Определение факторов риска вторых ЗНО и разработка мер, направленных на снижение частоты развития вторых опухолей у лиц, излеченных от первого онкологического заболевания, являются важной задачей современной онкопедиатрии. В настоящей работе представлены наиболее часто встречающиеся опухоли детского возраста, после терапии которых происходит развитие вторых ЗНО. Освещены факторы риска и сроки развития вторых опухолей. Отдельное внимание уделено рекомендациям по наблюдению лиц, излеченных от ЗНО в детском возрасте. 

        Ключевые слова: острый лейкоз, ретинобластома, лимфома, химиотерапия, лучевая терапия, вторые опухоли, лечение, дети. 

        ________________________________________________

        The development of a second malignancy is one of the most serious late effect for children who have been cured from the first malignancy. Chemoradiotherapy is a carcinogenic factor of the developing of the second malignancy. Organs and tissues of the child's body, taking into account the degree of maturity, microenvironment, age and life factors, are differently susceptible to the carcinogenic effects of chemo- and radiation therapy. Given the increase in the number of patients cured from the first malignancy, improving therapy is aimed at reducing the risk of developing a second malignancy as the child's body grows and develops. Determining the risk factors for secondary malignancy and developing measures aimed at reducing the frequency of secondary tumors in pediatric cancer survivors is an important task of modern oncopediatry. This paper presents the most common childhood tumors, after treatment of which the development of the second malignancy occurs. Risk factors and timing of secondary tumors are highlighted. Special attention is paid to recommendations for monitoring people who have been cured of malignancy in childhood.

        Key words: acute leukemia, retinoblastoma, lymphoma, chemotherapy, radiation therapy, second tumors, treatment, children.

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        ________________________________________________

        1. Ries L, Melbert D, Krapcho M et al. SEER Cancer Statistics Review, 1975–2004. Bethesda: National Cancer Institute; 2007.
        2. Meadows AT, Friedman DL, Neglia JP et al. Second neoplasms in survivors of childhood cancer: findings from the Childhood Cancer Survivor Study cohort. J Clin Oncol 2009; 27 (14): 2356–62.
        3. Möller TR, Garwicz S, Barlow L et al. Decreasing late mortality among five-year survivors of cancer in childhood and adolescence: a population-based study in the Nordic countries. J Clin Oncol 2001; 19 (13): 3173–81.
        4. Skvortsova Iu.V., Balashov V.N., Shelikhova L.N. et al. Vtorichnye solidnye opukholi u detei posle allogennoi transplantatsii gemopoeticheskikh stvolovykh kletok (klinicheskie sluchai i obzor literatury). Onkogematologiia. 2017; 12 (2): 39–53 (in Russian).
        5. Travis LB, Rabkin CS, Brown LM et al. Cancer survivorship-genetic susceptibility and second primary cancers: research strategies and recommendations. J Natl Cancer Inst 2006; 98 (1): 15–25.
        6. Neglia JP, Friedman DL, Yasui Y et al. Second malignant neoplasms in five-year survivors of childhood cancer: childhood cancer survivor study. J Natl Cancer Inst 2001; 93 (8): 618–29.
        7. Curtis R, Freedman D, Ron E et al. New Malignancies Among Cancer Survivors: SEER Cancer Registriesю National Cancer Institute; Bethesda, MD: 2006; p. 1973–2000.
        8. Hijiya N, Hudson MM, Lensing S et al. Cumulative incidence of secondary neoplasms as a first event after childhood acute lymphoblastic leukemia. JAMA 2007; 297 (11): 1207–15.
        9. Neglia JP, Meadows AT, Robison LL et al. Second neoplasms after acute lymphoblastic leukemia in childhood. N Engl J Med 1991; 325 (19): 1330–6.
        10. Löning L, Zimmermann M, Reiter A et al. Secondary neoplasms subsequent to Berlin-Frankfurt-Münster therapy of acute lymphoblastic leukemia in childhood: significantly lower risk without cranial radiotherapy. Blood 2000; 95 (9): 2770–5.
        11. Bhatia S, Sather HN, Pabustan OB et al. Low incidence of second neoplasms among children diagnosed with acute lymphoblastic leukemia after 1983. Blood 2002; 99 (12): 4257–64.
        12. Neglia JP, Robison LL, Stovall M et al. New primary neoplasms of the central nervous system in survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. J Natl Cancer Inst 2006; 98 (21): 1528–37.
        13. Walter AW, Hancock ML, Pui CH et al. Secondary brain tumors in children treated for acute lymphoblastic leukemia at St Jude Children's Research Hospital. J Clin Oncol 1998; 16 (12): 3761–7.
        14. Nobuko Hijiya, Ness KK,  Ribeiro RC. Acute Leukemia as a Secondary Malignancy in Children and Adolescents: Current Findings and Issues. Cancer 2009; 115 (1): 23–35. DOI: 10.1002/cncr.23988
        15. Swerdlow SH, Campo E, Harris NL et al. WHO classification of tumours of hematopoietic and lymphoid tissues. Lyon, 2017.
        16. Smith SM, Le Beau MM, Huo D et al. Clinical-cytogenetic associations in 306 patients with therapy-related myelodysplasia and myeloid leukemia: the University of Chicago series. Blood 2003; 102 (1): 43–52.
        17. Relling MV, Rubnitz JE, Rivera GK et al. High incidence of secondary brain tumours after radiotherapy and antimetabolites. Lancet 1999; 354 (9172): 34–9.
        18. Pui CH, Relling MV, Rivera GK et al. Epipodophyllotoxin-related acute myeloid leukemia: a study of 35 cases. Leukemia 1995; 9 (12): 1990–6.
        19. Van Leeuwen FE, Chorus AM, van den Belt-Dusebout AW et al. Leukemia risk following Hodgkin's disease: relation to cumulative dose of alkylating agents, treatment with teniposide combinations, number of episodes of chemotherapy, and bone marrow damage. J Clin Oncol 1994; 12 (5): 1063–73.
        20. Le Deley MC, Vassal G, Taïbi A et al. High cumulative rate of secondary leukemia after continuous etoposide treatment for solid tumors in children and young adults. Pediatr Blood Cancer 2005; 45 (1): 25–31.
        21. Haddy N, Le Deley MC, Samand A et al. Role of radiotherapy and chemotherapy in the risk of secondary leukaemia after a solid tumour in childhood. Eur J Cancer 2006; 42 (16): 2757–64.
        22. Cavenee WK, Murphree AL, Shull MM et al. Prediction of familial predisposition to retinoblastoma. N Engl J Med 1986; 314 (19): 1201–7.
        23. Kleinerman RA, Tucker MA, Tarone RE et al. Risk of new cancers after radiotherapy in long-term survivors of retinoblastoma: an extended follow-up. J Clin Oncol 2005; 23 (10): 2272–9.
        24. Fletcher O, Easton D, Anderson K et al. Lifetime risks of common cancers among retinoblastoma survivors. J Natl Cancer Inst 2004; 96 (5): 357–63.
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        Авторы
        Т.Ю. Павлова, Т.Т. Валиев* 

        ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России, Москва, Россия
        *timurvaliev@mail.ru

        ________________________________________________

        Tatiana Yu. Pavlova, Timur T. Valiev* 

        Blokhin National Medical Research Center of Oncology, Moscow, Russia
        *timurvaliev@mail.ru


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