The incidence of leukaemia in women with BRCA1 and BRCA2 mutations: an International Prospective Cohort Study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-05

AUTHORS

Javaid Iqbal, Andre Nussenzweig, Jan Lubinski, Tomasz Byrski, Andrea Eisen, Louise Bordeleau, Nadine M Tung, Siranoush Manoukian, Catherine M Phelan, Ping Sun, Steven A Narod, Breast Cancer Research Group, Henry T Lynch, Cezary Cybulski, Susan Friedman, Leigha Senter, Jeffrey Weitzel, Christian Singer, Charis Eng, Gillian Mitchell, Tomasz Huzarski, Jeanna McCuaig, Dawna Gilchrist, Joanne L Blum, Dana Zakalik, Tuya Pal, Mary Daly, Carrie Snyder, Taya Fallen, Albert Chudley, John Lunn, Talia Donenberg, Raluca N Kurz, Howard Saal, Judy Garber, Kevin Sweet, Christine Rappaport, Jacek Gronwald, Barry Rosen, Beth Karlan, Susan L Neuhausen, Pal Moller, Peter Ainsworth, Edmond Lemire, Dominique Stoppa-Lyonnet, Olufunmilayo I Olopade, Sofia Merajver, Carey A Cullinane, Eitan Friedman, Wendy McKinnon, Marie Wood, Daniel Rayson, Wendy Meschino, Josephine Wagner Costalas, Robert E Reilly, Susan Vadaparampil, Kenneth Offit, Noah Kauff, David Euhus, Ava Kwong, Claudine Isaacs, Fergus Couch, Christine Elser, Charmain Kim-Sing, Seema Panchal, Susan Armel, Rochelle Demsky, William D Foulkes, Andre Robidoux, Ellen Warner, Lovise Maehle, Gareth Evans, Barbara Pasini, Stephanie Cohen, Anna Jakubowska, Janice Little, Sonia Nanda, Kelly Metcalfe, Joanne Kotsopoulos, Aletta Poll, Marcia Llacuachaqui, Alejandra Ragone, Ophira Ginsburg

ABSTRACT

BACKGROUND: Germline mutations in BRCA1 and BRCA2 increase the susceptibility to develop breast and ovarian cancers as well as increase the risk of some other cancers. Primary objective was to estimate the risk of leukaemia in BRCA1 and BRCA2 mutation carriers. METHODS: We followed 7243 women with a BRCA1 or a BRCA2 mutation for incident cases of leukaemia. We used the standardised incidence ratio (SIR) to estimate the relative risk of leukaemia, according to mutation and history of breast cancer. RESULTS: We identified five incident cases of leukaemia (two BRCA1, three BRCA2). All five women had a prior history of breast cancer and four had received chemotherapy. The mean time from breast cancer diagnosis to the development of leukaemia was 10.2 years (range 3-18 years). The SIR for BRCA1 carriers was 0.66 (95% CI: 0.11-2.19, P=0.61) and the SIR for BRCA2 carriers was 2.42 (95% CI: 0.61-6.58, P=0.17). The SIR was significantly higher than expected for women with a BRCA2 mutation and breast cancer (SIR=4.76, 95% CI:1.21-12.96, P=0.03), in particular for women who received chemotherapy (SIR=8.11, 2.06-22.07, P=0.007). CONCLUSIONS: We observed an increased risk of leukaemia in women with a BRCA2 mutation who receive chemotherapy for breast cancer. More... »

PAGES

1160

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/bjc.2016.58

DOI

http://dx.doi.org/10.1038/bjc.2016.58

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1005478629

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26986251


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