Male breast cancer in BRCA1 and BRCA2 mutation carriers: pathology data from the Consortium of Investigators of Modifiers of BRCA1/2 View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-12

AUTHORS

Valentina Silvestri, Daniel Barrowdale, Anna Marie Mulligan, Susan L. Neuhausen, Stephen Fox, Beth Y. Karlan, Gillian Mitchell, Paul James, Darcy L. Thull, Kristin K. Zorn, Natalie J. Carter, Katherine L. Nathanson, Susan M. Domchek, Timothy R. Rebbeck, Susan J. Ramus, Robert L. Nussbaum, Olufunmilayo I. Olopade, Johanna Rantala, Sook-Yee Yoon, Maria A. Caligo, Laura Spugnesi, Anders Bojesen, Inge Sokilde Pedersen, Mads Thomassen, Uffe Birk Jensen, Amanda Ewart Toland, Leigha Senter, Irene L. Andrulis, Gord Glendon, Peter J. Hulick, Evgeny N. Imyanitov, Mark H. Greene, Phuong L. Mai, Christian F. Singer, Christine Rappaport-Fuerhauser, Gero Kramer, Joseph Vijai, Kenneth Offit, Mark Robson, Anne Lincoln, Lauren Jacobs, Eva Machackova, Lenka Foretova, Marie Navratilova, Petra Vasickova, Fergus J. Couch, Emily Hallberg, Kathryn J. Ruddy, Priyanka Sharma, Sung-Won Kim, kConFab Investigators, Manuel R. Teixeira, Pedro Pinto, Marco Montagna, Laura Matricardi, Adalgeir Arason, Oskar Th Johannsson, Rosa B. Barkardottir, Anna Jakubowska, Jan Lubinski, Angel Izquierdo, Miguel Angel Pujana, Judith Balmaña, Orland Diez, Gabriella Ivady, Janos Papp, Edith Olah, Ava Kwong, Hereditary Breast and Ovarian Cancer Research Group Netherlands (HEBON), Heli Nevanlinna, Kristiina Aittomäki, Pedro Perez Segura, Trinidad Caldes, Tom Van Maerken, Bruce Poppe, Kathleen B. M. Claes, Claudine Isaacs, Camille Elan, Christine Lasset, Dominique Stoppa-Lyonnet, Laure Barjhoux, Muriel Belotti, Alfons Meindl, Andrea Gehrig, Christian Sutter, Christoph Engel, Dieter Niederacher, Doris Steinemann, Eric Hahnen, Karin Kast, Norbert Arnold, Raymonda Varon-Mateeva, Dorothea Wand, Andrew K. Godwin, D. Gareth Evans, Debra Frost, Jo Perkins, Julian Adlard, Louise Izatt, Radka Platte, Ros Eeles, Steve Ellis, EMBRACE, Ute Hamann, Judy Garber, Florentia Fostira, George Fountzilas, Barbara Pasini, Giuseppe Giannini, Piera Rizzolo, Antonio Russo, Laura Cortesi, Laura Papi, Liliana Varesco, Domenico Palli, Ines Zanna, Antonella Savarese, Paolo Radice, Siranoush Manoukian, Bernard Peissel, Monica Barile, Bernardo Bonanni, Alessandra Viel, Valeria Pensotti, Stefania Tommasi, Paolo Peterlongo, Jeffrey N. Weitzel, Ana Osorio, Javier Benitez, Lesley McGuffog, Sue Healey, Anne-Marie Gerdes, Bent Ejlertsen, Thomas V. O. Hansen, Linda Steele, Yuan Chun Ding, Nadine Tung, Ramunas Janavicius, David E. Goldgar, Saundra S. Buys, Mary B. Daly, Anita Bane, Mary Beth Terry, Esther M. John, Melissa Southey, Douglas F. Easton, Georgia Chenevix-Trench, Antonis C. Antoniou, Laura Ottini

ABSTRACT

BACKGROUND: BRCA1 and, more commonly, BRCA2 mutations are associated with increased risk of male breast cancer (MBC). However, only a paucity of data exists on the pathology of breast cancers (BCs) in men with BRCA1/2 mutations. Using the largest available dataset, we determined whether MBCs arising in BRCA1/2 mutation carriers display specific pathologic features and whether these features differ from those of BRCA1/2 female BCs (FBCs). METHODS: We characterised the pathologic features of 419 BRCA1/2 MBCs and, using logistic regression analysis, contrasted those with data from 9675 BRCA1/2 FBCs and with population-based data from 6351 MBCs in the Surveillance, Epidemiology, and End Results (SEER) database. RESULTS: Among BRCA2 MBCs, grade significantly decreased with increasing age at diagnosis (P = 0.005). Compared with BRCA2 FBCs, BRCA2 MBCs were of significantly higher stage (P for trend = 2 × 10(-5)) and higher grade (P for trend = 0.005) and were more likely to be oestrogen receptor-positive [odds ratio (OR) 10.59; 95 % confidence interval (CI) 5.15-21.80] and progesterone receptor-positive (OR 5.04; 95 % CI 3.17-8.04). With the exception of grade, similar patterns of associations emerged when we compared BRCA1 MBCs and FBCs. BRCA2 MBCs also presented with higher grade than MBCs from the SEER database (P for trend = 4 × 10(-12)). CONCLUSIONS: On the basis of the largest series analysed to date, our results show that BRCA1/2 MBCs display distinct pathologic characteristics compared with BRCA1/2 FBCs, and we identified a specific BRCA2-associated MBC phenotype characterised by a variable suggesting greater biological aggressiveness (i.e., high histologic grade). These findings could lead to the development of gender-specific risk prediction models and guide clinical strategies appropriate for MBC management. More... »

PAGES

15

Journal

TITLE

Breast Cancer Research

ISSUE

1

VOLUME

18

Author Affiliations

  • Sapienza University of Rome
  • University of Cambridge
  • University of Toronto
  • City Of Hope National Medical Center
  • Peter MacCallum Cancer Centre
  • Cedars-Sinai Medical Center
  • University of Melbourne
  • University of Pittsburgh
  • University of Pittsburgh Medical Center
  • University of Pennsylvania
  • University of Southern California
  • University of California, San Francisco
  • University of Chicago Medical Center
  • Karolinska University Hospital
  • Azienda Ospedaliera Universitaria Pisana
  • Vejle Sygehus
  • Aalborg Hospital
  • Odense University Hospital
  • Aarhus University Hospital
  • The Ohio State University
  • NorthShore University HealthSystem
  • Institute of Oncology NN Petrov
  • National Cancer Institute
  • Medical University of Vienna
  • Memorial Sloan Kettering Cancer Center
  • Masaryk Memorial Cancer Institute
  • Masaryk University
  • Mayo Clinic
  • University of Kansas Medical Center
  • Seoul St. Mary's Hospital
  • University of Porto
  • Portuguese Oncology Institute
  • Istituto Oncologico Veneto
  • University of Iceland
  • Pomeranian Medical University
  • Institut d'Investigació Biomèdica de Girona
  • Hospital Universitari Vall d'Hebron
  • National Institute of Oncology
  • University of Hong Kong
  • Helsinki University Central Hospital
  • Ghent University
  • Georgetown University Medical Center
  • Institute Curie
  • Centre Léon Bérard
  • Paris Descartes University
  • University of Lyon System
  • Technical University Munich
  • University of Würzburg
  • University Hospital Heidelberg
  • Leipzig University
  • Heinrich Heine University Düsseldorf
  • Hannover Medical School
  • University Hospital Cologne
  • TU Dresden
  • Charité
  • University of Bonn
  • Manchester University NHS Foundation Trust
  • Guy's and St Thomas' NHS Foundation Trust
  • German Cancer Research Center
  • Dana–Farber Cancer Institute
  • National Centre of Scientific Research Demokritos
  • Aristotle University of Thessaloniki
  • Azienda Ospedaliera Citta' Della Salute E Della Scienza Di Torino
  • University of Palermo
  • University of Modena and Reggio Emilia
  • University of Florence
  • Ospedale San Martino
  • Istituto per lo Studio e la Prevenzione Oncologica
  • Istituti Fisioterapici Ospitalieri
  • Istituto Nazionale dei Tumori
  • European Institute of Oncology
  • Centro di Riferimento Oncologico
  • Centre for Biomedical Network Research on Rare Diseases
  • Spanish National Cancer Research Centre
  • QIMR Berghofer Medical Research Institute
  • Beth Israel Deaconess Medical Center
  • State Research Institute Centre for Innovative Medicine
  • University of Utah
  • Temple University Health System
  • McMaster University
  • Columbia University
  • Cancer Prevention Institute of California
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s13058-016-0671-y

    DOI

    http://dx.doi.org/10.1186/s13058-016-0671-y

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1049716564

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26857456


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