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WFRF:(Brunet J. M.)
 

Sökning: WFRF:(Brunet J. M.) > (1995-1999) > Pregnancy and risk ...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003617naa a2200409 4500
001oai:lup.lub.lu.se:a57c2e1a-c8f1-4551-b3dd-c1a92e34aeac
003SwePub
008160401s1999 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/11146392 URI
024a https://doi.org/10.1016/S0140-6736(99)04336-62 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Jernström, Helenau Lund University,Lunds universitet,Bröstcancer-genetik,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Breastcancer-genetics,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)onk-hje
2451 0a Pregnancy and risk of early breast cancer in carriers of BRCA1 and BRCA2
264 1c 1999
520 a BACKGROUND: Early age at first full-term pregnancy and increasing parity are associated with a reduced risk of breast cancer. However, whether pregnancy decreases the risk of early-onset hereditary breast cancer is unknown. There is concern that pregnancy may increase breast-cancer risk in carriers of BRCA1 and BRCA2 germline mutations. We aimed to establish whether pregnancy is a risk factor for hereditary breast cancer. METHODS: We did a matched case-control study of breast cancer in women who carry deleterious BRCA1 or BRCA2 mutations. Cases were carriers who developed breast cancer by age 40 years, and controls were carriers of the same age without breast cancer, or who were diagnosed with breast cancer after age 40 years. Women who had undergone preventive mastectomy, hysterectomy, or oophorectomy, or who were diagnosed with ovarian cancer before the age at which breast cancer was diagnosed in the matched case were excluded. Information about pregnancies and pregnancy outcome was derived from a questionnaire completed by women in the course of genetic counselling. FINDINGS: A higher proportion of cases than controls had had a full term pregnancy (173/236 vs 146/236; odds ratio 1.71 [95% CI 1.13-2.62], p=0.01). The mean number of births was also greater for cases than for controls (1.62 vs 1.38, p=0.04). The risk increased with the number of births and did not diminish with time since last pregnancy. There were no significant differences in age at first birth or age at last birth between cases and controls. INTERPRETATION: Carriers of the BRCA1 and BRCA2 mutations who have children are significantly more likely to develop breast cancer by age 40 than carriers who are nulliparous. Each pregnancy is associated with an increased cancer risk. An early first pregnancy does not confer protection for carriers of BRCA1 or BRCA2 mutations.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
700a Lerman, C4 aut
700a Ghadirian, P4 aut
700a Lynch, H T4 aut
700a Weber, B4 aut
700a Garber, J4 aut
700a Daly, M4 aut
700a Olopade, O I4 aut
700a Foulkes, W D4 aut
700a Warner, E4 aut
700a Brunet, J S4 aut
700a Narod, S A4 aut
710a Bröstcancer-genetikb Sektion I4 org
773t The Lancetg 354:9193, s. 1846-1850q 354:9193<1846-1850x 1474-547X
856u http://dx.doi.org/10.1016/S0140-6736(99)04336-6y FULLTEXT
8564 8u https://lup.lub.lu.se/record/1114639
8564 8u https://doi.org/10.1016/S0140-6736(99)04336-6

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