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Second tumor:

contralateral breast cancer (CBC)

40-50%

of all secondary tumors are in the contralateral breast.

At 15y, 10-13%

of patients have developed contralateral tumor (2- to 5-fold

higher than general female population).

High risk for CBC is mostly unrelated to RT (

pre-disposition

).

Conflicting data

on contribution of RT: Some large studies show increased risk

for CBC due to RT, others only for young patients, others don’t show any

enhanced risk

Hormonal treatment with

tamoxifen reduces risk

for CBC by 30-40%

20

Clinical data: breast cancer

2

nd

tumors in patients treated for BREAST CANCER