Journal of Clinical Epidemiology
Volume 55, Issue 2 , Pages 111-114, February 2002

Parental cancer as a risk factor for bone cancer:

A nation-wide study from Sweden

Department of Biosciences at Novum, Karolinska Institute, 141 57 Huddinge, Sweden

Received 27 November 2000; received in revised form 18 July 2001; accepted 19 July 2001.

Abstract 

We used the nation-wide Swedish Family-Cancer Database to analyze the risk for bone cancer in offspring by parental cancers and in siblings of bone cancer probands. Additionally, the risk of second cancer following childhood bone cancer was investigated. In offspring, 1,190 bone cancers were diagnosed between years 1958 and 1996. Groups of offspring were compared by calculating standardized incidence ratios (SIRs) for bone cancer. Most bone cancer cases occurred sporadically. Parental breast (SIR 1.7) and prostate (SIR 1.7) cancers were associated with early-onset (<25 years) osteosarcoma in offspring, probably due to Li-Fraumeni syndrome. Giant cell sarcoma was increased by parental breast cancer (SIR 2.9), and early-onset chondrosarcoma by parental kidney cancers (SIR 6.8). Bone cancers conveyed a high risk of second bone and connective tissue cancer.

Keywords:  Osteosarcoma, Ewing's sarcoma, Chondrosarcoma, Retinoblastoma, Giant cell sarcoma, Second cancer

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PII: S0895-4356(01)00435-8

Journal of Clinical Epidemiology
Volume 55, Issue 2 , Pages 111-114, February 2002