“…Developing multiple primary cancers has become a common rather than rare event that patients and clinicians encounter. 1 , 2 , 3 , 4 Of all cancer survivors, the incidence of multiple primaries is reported to be in the range of 2%–17%. 1 , 2 , 3 , 4 , 5 In our previous assessments in Osaka, Japan, 2.0% of cancer survivors developed a second primary cancer within 10 years of first diagnosis during 1966–1989, 6 and this proportion rose nearly double (3.8%) by 1985–2005.…”