Citation
Menegaux, Florence; Olshan, Andrew F.; Reitnauer, Pamela J.; Blatt, Julie; & Cohn, Susan L. (2005). Positive Association between Congenital Anomalies and Risk of Neuroblastoma. Pediatric Blood & Cancer, 45(5), 649-655.Abstract
Background: Case reports and epiderniological studies have suggested a relationship between congenital anomalies and childhood cancer, but some potential associations remain inconsistent. In this study, we investigated the association between congenital anomalies and neuroblastoma.Procedure: We used data of a case-control study on neuroblastoma conducted from 1992 to 1994, including 538 children aged 0-19 years with newly diagnosed, histologically confirmed neuroblastoma and 504 controls identified by telephone random-digit dialing and matched to cases on date of birth. Information on congenital anomalies and potential confounding factors was collected through maternal telephone interviews using a structured questionnaire. We estimated odds ratios (OR) and 95% confidence intervals (Cl), adjusted for reference age at diagnosis, mother's educational level, mother's race, and household income at birth.
Results: An association between the maternal report of any congenital anomalies and neuroblastoma (OR = 2.58; Cl = 1.57-4.25) was observed. Neuroblastoma risk increased with increasing number of anomalies per child (OR = 3.90, CI =1.27-11.9 for two anomalies or more), and when we restricted analyses to major anomalies (OR = 7.53, CI=2.23-25.5). Genitourinary anomalies (OR = 5.84, CI = 1.67-20.4) and cardiac anomalies (OR=4.27, CI = 1.22-15.0) had an elevated, but imprecise neuroblastoma risk.
Conclusions: Our findings support the hypothesis of an association between neuroblastoma and congenital, especially urogenital and cardiac, anomalies.
URL
http://dx.doi.org/10.1002/pbc.20263Reference Type
Journal ArticleYear Published
2005Journal Title
Pediatric Blood & CancerAuthor(s)
Menegaux, FlorenceOlshan, Andrew F.
Reitnauer, Pamela J.
Blatt, Julie
Cohn, Susan L.