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Lancet 2005; 366: 2087–2106

meta analysis of 78 randomized trials

32.800 patients in studies evaluating addition of RT (50% irradiated)

ERR

2p

contralateral breast cancer

18% 0,002

lung cancer

61% 0,0007

oesophagus cancer

106% 0,05

leukemia

71% 0,04

soft-tissue carcinoma

134% 0,03

INCIDENCE

Exces cancer risk due to

radiotherapy

Close to irradiated tumor

19

Clinical data: breast cancer

2

nd

tumors in patients treated for BREAST CANCER