title: Spectrum of second primary malignant neoplasms in central india: case series from a tertiary care centre.
abstract: BACKGROUND
  Cancer survivors are at an increased risk for developing second cancers than the general population. In recent times detection of a new second primary following the index primary has increased due to refinement of existing diagnostic tools and development of newer modalities of diagnosis combined with better understanding of patterns of inheritance, risk factors and environmental influences. Today with improvement in Cancer management the average lifespan of cancer survivors have increased along with the increase in detection of both synchronous and metachronous malignancy with increase in disease free survival. With the improved cancer survival, second primary malignancy has become an important issue among cancer survivors and an increased burden on the treating oncologists and health care system.
  
  
  OBJECTIVE
  To report the trends of second malignancy in a tertiary care centre in Central India with review of relevant literature.
  
  
  METHODS
  A hospital based retrospective collection of data of patients diagnosed with second primary malignancy based on Warren and Gates Criteria (1932) over 2 years in the Department of Surgical Oncology of a tertiary care centre in Central India.
  
  
  CONCLUSIONS
  Secondary primary malignancy needs to be separated from metastasis as the latter implies progression in disease and portends poor survival. Operable synchronous secondary primary malignancy can be tackled in the same sitting thereby reducing the load on the overburdened healthcare system in India. Increase in awareness of secondary primary malignancy leads to better chances of detection management and hence chances of improved survival.
authors.affiliation: From the Department of Surgical Oncology, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India.
authors.forename: Suvadip
authors.initials: S
authors.lastname: Chakrabarti
authors.forename: Preeti Rihal
authors.initials: PR
authors.lastname: Chakrabarti
authors.forename: Sanjay M
authors.initials: SM
authors.lastname: Desai
authors.forename: Deepak
authors.initials: D
authors.lastname: Agarwal
authors.forename: Dharmendra Y
authors.initials: DY
authors.lastname: Mehta
authors.forename: Shreyas
authors.initials: S
authors.lastname: Somanath