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Trends in Risks for Second Primary Cancers Associated With Index Human Papillomavirus-Associated Cancers.

JAMA Netw Open · 2018 · PMC6324459 · PMID 30646145

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a decreasing trendno p-value reported
We also found a decreasing trend in the risk of vulvar and oropharyngeal SPCs after index cervical cancer.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.