Cancer incidence after radiotherapy for skin haemangioma during infancy

Acta Oncol. 1995;34(6):735-40. doi: 10.3109/02841869509127180.

Abstract

An infant cohort treated for skin haemangioma with 226Ra between 1930 and 1965 (n = 11,807) was studied. The median age at treatment was 5-months and 88% were treated before 12 months of age. This cohort was followed up in the Swedish Cancer Registry during the years 1958 to 1989, giving 370,517 person-years at risk. A total number of 248 malignancies have been observed and the standardized incidence ratio (SIR) was 1.21 (confidence interval (CI) 95%, 1.06-1.37). Significantly increased numbers of cancers were found in the central nervous system, 34 cases (SIR = 1.85, CI 95% 1.28-2.59), the thyroid, 15 cases (SIR = 1.88, CI 95% 1.05-3.09) and other endocrine glands, 23 cases (SIR = 2.58, CI 95% 1.64-3.87). The absorbed dose in 11 specified risk organs has been estimated using a phantom of the size of a 5-6-month-old child. The mean absorbed dose in the thyroid was 0.12 Gy and the excess relative risk (ERR) for thyroid cancer was 7.5 per Gy (CI 95% 0.4-18.1). The mean dose in the central nervous system was 0.077 Gy and the ERR for brain tumours was 10.9 per Gy (CI 95% 3.7-20.5). This cohort gives a unique opportunity to analyse long-term effects of low-dose irradiation during infancy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Brain Neoplasms / epidemiology
  • Central Nervous System Neoplasms / epidemiology
  • Child
  • Cohort Studies
  • Confidence Intervals
  • Endocrine Gland Neoplasms / epidemiology
  • Female
  • Follow-Up Studies
  • Hemangioma / radiotherapy*
  • Humans
  • Incidence
  • Infant
  • Male
  • Middle Aged
  • Neoplasms, Radiation-Induced / epidemiology*
  • Radiotherapy / adverse effects
  • Radiotherapy Dosage
  • Radium / adverse effects*
  • Registries
  • Risk
  • Skin Neoplasms / radiotherapy*
  • Sweden / epidemiology
  • Thyroid Neoplasms / epidemiology

Substances

  • Radium