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Original Article
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Cancer screening practices of adult survivors of retinoblastoma at risk of second cancers
Article first published online: 12 MAY 2008
DOI: 10.1002/cncr.23564
Copyright © 2008 American Cancer Society
Additional Information
How to Cite
Sheen, V., Tucker, M. A., Abramson, D. H., Seddon, J. M. and Kleinerman, R. A. (2008), Cancer screening practices of adult survivors of retinoblastoma at risk of second cancers. Cancer, 113: 434–441. doi: 10.1002/cncr.23564
Publication History
- Issue published online: 8 JUL 2008
- Article first published online: 12 MAY 2008
- Manuscript Accepted: 19 FEB 2008
- Manuscript Revised: 8 FEB 2008
- Manuscript Received: 30 NOV 2007
Funded by
- Intramural Research Program
- National Institutes of Health
- National Cancer Institute
- Division of Cancer Epidemiology and Genetics
- Abstract
- Article
- References
- Cited By
Keywords:
- retinoblastoma;
- cancer survivor;
- cancer screening;
- retrospective cohort study;
- mammography;
- radiation
Self-reported cancer screening practices of adult retinoblastoma survivors are similar to other childhood cancer survivors and national screening patterns. Survivors should be encouraged to maintain current screening practices to ensure the early detection of second cancers in this high-risk population.
Abstract
BACKGROUND.
The aim of the current study was to investigate the pattern of cancer screening behavior in adult retinoblastoma survivors, who are at high risk of developing second cancers.
METHODS.
Self-reported cancer screening practices were investigated in a cohort of retinoblastoma survivors to evaluate whether they were receiving adequate screening for specific cancers and compare these rates with those of other adult survivors of childhood cancer and the general population. The prevalence of breast self-examination, clinical breast examination, mammography, Papanicolaou (Pap) test, testicular self-examination, and magnetic resonance imaging (MRI) or computed tomography (CT) scanning was determined from computer-aided telephone interviews with 836 retinoblastoma survivors aged >18 years.
RESULTS.
Among female survivors, 87% had a Pap test within the past 2 years, and 76% of females age >40 years reported having a mammogram within the past 2 years; 17.4% of male survivors had performed monthly testicular self-examinations. A significantly higher proportion of hereditary compared with nonhereditary survivors reported having undergone an MRI or CT scan in the past 5 years. Higher education, greater contact with the medical care system, and having a second cancer were found to be associated positively with most screening practices. Cancer screening practices reported by retinoblastoma survivors were similar to national screening rates for breast, cervical, and testicular cancer.
CONCLUSIONS.
To the authors' knowledge, the current study provides the first report of cancer screening practices of retinoblastoma survivors. Survivors of hereditary retinoblastoma should be encouraged to maintain, if not increase, their current screening practices to ensure early detection of second cancers in this high-risk population. Cancer 2008. © 2008 American Cancer Society.