Rising Incidence of Therapy-Related Leukemia Post-Breast Cancer Treatment
Synopsis
Key Takeaways
New Delhi, April 6 (NationPress) A comprehensive study conducted in Japan has indicated a steady rise in the incidence of therapy-related acute myeloid leukemia (tAML) in recent years, particularly following treatments for breast cancer, as reported on Monday.
Published in the peer-reviewed journal Cancer by Wiley, affiliated with the American Cancer Society, the research highlights that certain cancer therapies might elevate the risk of developing subsequent blood-related cancers.
tAML is an aggressive form of blood cancer that originates in the bone marrow and typically occurs after chemotherapy or radiation for an earlier primary cancer, likely resulting from DNA damage caused by these treatments.
“This study marks a significant advancement in understanding the evolving nature of tAML amidst the rising population of cancer survivors,” stated the lead researcher, Kenji Kishimoto from the Osaka International Cancer Institute.
To determine if tAML is becoming more prevalent as a complication of post-cancer therapies, researchers examined data from the Osaka Cancer Registry, focusing on patients diagnosed with AML between 1990 and 2020.
Out of nearly 9,841 AML patients, 636 (6.5 percent) were found to have tAML. The annual incidence of tAML rose from 0.13 per 100,000 individuals in 1990 to 0.36 per 100,000 individuals in 2020. The share of tAML cases within overall AML cases nearly doubled during this timeframe.
The predominant primary cancer treated before the emergence of tAML was another blood cancer (23.1 percent), followed by breast cancer (14.6 percent), colorectal cancer (11.5 percent), and gastric cancer (8.7 percent).
The study also noted a shift in the types of primary cancers over time, showing a marked increase in breast cancer cases and a decline in gastric cancer cases.