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器官移植长期效应期刊

每年出版 4 

ISSN 打印: 1050-6934

ISSN 在线: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

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Cancer Risk Among Pacemaker Recipients in Denmark, 1982–1996

卷 12, 册 4, 2002, 8 pages
DOI: 10.1615/JLongTermEffMedImplants.v12.i4.50
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摘要

To address concerns about the potential carcinogenicity of pacemakers, we launched the first epidemiologic study of cancer incidence among pacemaker recipients. A nationwide cohort of 16,357 pacemaker recipients in Denmark from 1982 through 1996 was identified. The Danish Cancer Registry was used to identify all incident cancers within the cohort, with almost 75,000 person-years of observation. The cohort had a slight excess of cancer overall (SIR = 1.19, 95% confidence interval [95% CI, 1.1–1.2]). This was largely caused by an elevated SIR for multiple myeloma among men (SIR = 1.78, 95% CI, 1.1–2.8), which increased to 2.60 (95% CI, 0.9–5.7) 5–9 years after implantation, and to a similarly increased SIR for kidney cancer among women (SIR = 2.05, 95% CI, 1.3–3.0), which increased to 3.39 (95% CI, 1.6–6.2) after a latency period of 5–9 years. An excess of urinary bladder cancer was also seen after 10 years. No excess risk was observed for breast cancer or sarcomas, although the SIRs for sarcomas tended to increase over time, based on small numbers. Our results are largely reassuring but, as pacemakers become more common and are implanted at earlier ages and as survival following implantation improves, the excesses of bladder cancer, multiple myeloma among men, and kidney cancer among women with long-term followup warrant further investigation.

对本文的引用
  1. González-Vela M. Carmen, Salcedo Waleska, Neira Carlos, González-López Marcos A., Ayala Higinio, Val-Bernal J. Fernando, Atypical fibroxanthoma developing on a pacemaker pocket mimicking a pyogenic granuloma, Cardiovascular Pathology, 22, 1, 2013. Crossref

  2. González-Vela Carmen M., Val-Bernal Fernando J., Rubio Susana, Olalla Juan J., González-López Marcos A., Cutaneous Leiomyosarcoma Developing on a Pacemaker Pocket, Dermatologic Surgery, 35, 5, 2009. Crossref

  3. NEMEC JAN, SWERDLOW STEVEN H, BAZAZ RAVEEN, SABA SAMIR F, SHALABY ALA A, B-Cell Lymphoproliferative Disorder of an ICD Pocket: A Diagnostic Puzzle in an Immunosuppressed Patient, Pacing and Clinical Electrophysiology, 31, 6, 2008. Crossref

  4. McComb Janet M., Implanted defibrillators and cancer: the power of registries, Europace, 17, 12, 2015. Crossref

  5. Pedersen Susanne Bendesgaard, Nielsen Jens Cosedis, Bøtker Hans Erik, Farkas Dóra Körmendiné, Schmidt Morten, Sørensen Henrik Toft, Implantable cardioverter-defibrillators and subsequent cancer risk: a nationwide population-based cohort study, EP Europace, 17, 6, 2015. Crossref

  6. Yong Angeline A, Stefanato Catherine M, Attard Natalie R, Mackenzie Ross Alastair, Mallipeddi Raj, An ulcerated nodule over an implanted cardiac defibrillator: A journey from presumed infection to leiomyosarcoma, Australasian Journal of Dermatology, 58, 3, 2017. Crossref

  7. Zarifi Ceyda, Deutsch Steven, Dullet Navjit, Mukherjee Kishore K., Mukherjee Ashis, Abubaker Firas, An enlarging pacemaker pocket: A case report of a plasmablastic lymphoma arising as a primary tumor around a cardiac pacemaker and systematic literature review of various malignancies arising at the pacemaker pocket, Journal of Cardiology Cases, 17, 2, 2018. Crossref

  8. Khamooshian Arash, Klinkenberg Theo J., Maass Alexander H., Mariani Massimo A., Management of device-related malignant sarcoma, HeartRhythm Case Reports, 3, 8, 2017. Crossref

  9. Tripathi Shivani V., Hurst Eva A., Pacemakers, Deep Brain Stimulators, Cochlear Implants, and Nerve Stimulators: A Review of Common Devices Encountered in the Dermatologic Surgery Patient, Dermatologic Surgery, 45, 10, 2019. Crossref

  10. D’Arienzo Girolamo, Sicuranza Monica, Ziccardi Luigi, Di Biase Matteo, Brunetti Natale Daniele, Leadless implantation as alternative for pacemaker replacement in infiltrative breast cancer, Journal of Cardiovascular Medicine, 22, 3, 2021. Crossref

  11. Milner James, Gonçalves Francisco, Gonçalves Lino, A pacemaker pocket mass has many faces, Journal of Cardiology Cases, 24, 5, 2021. Crossref

  12. Roy Ignacio, Malagon Lorena, Martínez Javier, Romero Javier, Munarriz Aitziber, Basterra Nuria, Cáncer y desfibrilador automático implantable ¿causalidad, confusión o casualidad?, Medicina Clínica, 157, 10, 2021. Crossref

  13. Roy Ignacio, Malagon Lorena, Martínez Javier, Romero Javier, Munarriz Aitziber, Basterra Nuria, Cancer and implantable cardiac defibrillator. Causality, confusion or chance?, Medicina Clínica (English Edition), 157, 10, 2021. Crossref

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