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首页> 外文期刊>British Journal of Cancer >Outcome of ovarian cancer after breast cancer in BRCA1 and BRCA2 mutation carriers
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Outcome of ovarian cancer after breast cancer in BRCA1 and BRCA2 mutation carriers

机译: BRCA1 BRCA2 突变携带者患乳腺癌后卵巢癌的结果

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Background: It is unknown whether a history of breast cancer (BC) affects the outcome of BRCA1/2 -associated epithelial ovarian cancer (EOC). This was investigated in the current analysis. Methods: We included 386 BRCA1/2 -associated EOC patients diagnosed between 1980 and 2015. Progression-free survival (PFS), progression-free interval (PFI), overall survival (OS) and ovarian cancer-specific survival (OCSS) were compared between EOC patients with and without previous BC. Results: BRCA -associated EOC patients with, vs without, a BC history had a significantly worse PFS and PFI (multivariate hazard ratio (HR_(mult)) 1.47; 95% confidence interval (CI) 1.03–2.08 and HR_(mult)1.43; 95% CI 1.01–2.03), and a non-significantly worse OS (HR_(mult)1.15; 95% CI 0.84–1.57) and OCSS (HR_(mult)1.18; 95% CI 0.85–1.62). Ovarian cancer-specific survival was significantly worse for the subgroup treated with adjuvant chemotherapy for BC (HR_(mult)1.99; 95% CI 1.21–3.31). Conclusions: Our results suggest that BRCA1/2 -associated EOC patients with a previous BC have a worse outcome than EOC patients without BC, especially when treated with adjuvant chemotherapy.
机译:背景:乳腺癌(BC)的病史是否影响BRCA1 / 2相关的上皮性卵巢癌(EOC)的结果尚不清楚。在当前分析中对此进行了调查。方法:我们纳入了1980年至2015年期间诊断出的386例BRCA1 / 2相关的EOC患者。比较了无进展生存期(PFS),无进展间隔(PFI),总生存期(OS)和卵巢癌特异性生存期(OCSS)在有或没有先前BC的EOC患者之间。结果:无论有无BC史,与BRCA相关的EOC患者的PFS和PFI均明显较差(多元危险比(HR_(mult))1.47; 95%置信区间(CI)1.03-2.08和HR_(mult)1.43 ; 95%CI 1.01–2.03),以及较差的OS(HR_(mult)1.15; 95%CI 0.84–1.57)和OCSS(HR_(mult)1.18; 95%CI 0.85–1.62)差得多。对于接受BC辅助化疗的亚组,卵巢癌特异性生存率显着降低(HR_(mult)1.99; 95%CI 1.21-3.31)。结论:我们的结果表明,BRCA1 / 2相关的EOC合并有BC的患者比没有BC的EOC患者的预后更差,尤其是在辅助化疗的情况下。

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