Risk-reducing salpingo-oophorectomy, natural menopause, and breast cancer risk: an international prospective cohort of BRCA1 and BRCA2 mutation carriers

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Mavaddat, N (author)

Risk-reducing salpingo-oophorectomy, natural menopause, and breast cancer risk: an international prospective cohort of BRCA1 and BRCA2 mutation carriers

Article/chapterEnglish2020

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2020-01-16
Springer Science and Business Media LLC,2020

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LIBRIS-ID:oai:prod.swepub.kib.ki.se:143007088
http://kipublications.ki.se/Default.aspx?queryparsed=id:143007088URI
https://doi.org/10.1186/s13058-020-1247-4DOI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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BackgroundThe effect of risk-reducing salpingo-oophorectomy (RRSO) on breast cancer risk forBRCA1andBRCA2mutation carriers is uncertain. Retrospective analyses have suggested a protective effect but may be substantially biased. Prospective studies have had limited power, particularly forBRCA2mutation carriers. Further, previous studies have not considered the effect of RRSO in the context of natural menopause.MethodsA multi-centre prospective cohort of 2272BRCA1and 1605BRCA2mutation carriers was followed for a mean of 5.4 and 4.9 years, respectively; 426 women developed incident breast cancer. RRSO was modelled as a time-dependent covariate in Cox regression, and its effect assessed in premenopausal and postmenopausal women.ResultsThere was no association between RRSO and breast cancer forBRCA1(HR = 1.23; 95% CI 0.94–1.61) orBRCA2(HR = 0.88; 95% CI 0.62–1.24) mutation carriers. ForBRCA2mutation carriers, HRs were 0.68 (95% CI 0.40–1.15) and 1.07 (95% CI 0.69–1.64) for RRSO carried out before or after age 45 years, respectively. The HR forBRCA2mutation carriers decreased with increasing time since RRSO (HR = 0.51; 95% CI 0.26–0.99 for 5 years or longer after RRSO). Estimates for premenopausal women were similar.ConclusionWe found no evidence that RRSO reduces breast cancer risk forBRCA1mutation carriers. A potentially beneficial effect forBRCA2mutation carriers was observed, particularly after 5 years following RRSO. These results may inform counselling and management of carriers with respect to RRSO.

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Antoniou, AC (author)
Mooij, TM (author)
Hooning, MJ (author)
Heemskerk-Gerritsen, BA (author)
Nogues, C (author)
Laborde, L (author)
Breysse, E (author)
Stoppa-Lyonnet, D (author)
Gauthier-Villars, M (author)
Buecher, B (author)
Caron, O (author)
Fourme-Mouret, E (author)
Fricker, JP (author)
Lasset, C (author)
Bonadona, V (author)
Berthet, P (author)
Faivre, L (author)
Luporsi, E (author)
Mari, V (author)
Gladieff, L (author)
Gesta, P (author)
Sobol, H (author)
Eisinger, F (author)
Nogues, C (author)
Longy, M (author)
Dugast, C (author)
Colas, C (author)
Coupier, I (author)
Pujol, P (author)
Corsini, C (author)
Lortholary, A (author)
Vennin, P (author)
Adenis, C (author)
Nguyen, TD (author)
Delnatte, C (author)
Tinat, J (author)
Tennevet, I (author)
Limacher, JM (author)
Maugard, C (author)
Bignon, YJ (author)
Demange, L (author)
Penet, C (author)
Dreyfus, H (author)
Cohen-Haguenauer, O (author)
Venat-Bouvet, L (author)
Leroux, D (author)
Zattara-Cannoni, H (author)
Fert-Ferrer, S (author)
Bera, O (author)
Nogues, C (author)
Gauthier-Villars, M (author)
Caron, O (author)
Gesta, P (author)
Pujol, P (author)
Lortholary, A (author)
Ellis, S (author)
Ellis, S (author)
Barrowdale, D (author)
Frost, D (author)
Evans, DG (author)
Izatt, L (author)
Adlard, J (author)
Eeles, R (author)
Brewer, C (author)
Tischkowitz, M (author)
Henderson, A (author)
Cook, J (author)
Eccles, D (author)
Hogervorst, FBL (author)
Hogervorst, FBL (author)
Collee, JM (author)
van Asperen, CJ (author)
Mensenkamp, AR (author)
Ausems, MGEM (author)
Meijers-Heijboer, HEJ (author)
van Engelen, K (author)
Blok, MJ (author)
Oosterwijk, JC (author)
Verloop, J (author)
van den Broek, E (author)
van Engelen, K (author)
Mourits, MJE (author)
Ausems, MGEM (author)
Koppert, LB (author)
Hopper, JL (author)
John, EM (author)
Chung, WK (author)
Andrulis, IL (author)
Daly, MB (author)
Buys, SS (author)
Benitez, J (author)
Caldes, T (author)
Jakubowska, A (author)
Simard, J (author)
Singer, CF (author)
Tan, Y (author)
Olah, E (author)
Navratilova, M (author)
Foretova, L (author)
Gerdes, AM (author)
Roos-Blom, MJ (author)
Van Leeuwen, FE (author)
Arver, B (author)
Olsson, H (author)
Schmutzler, RK (author)
Engel, C (author)
Kast, K (author)
Phillips, KA (author)
Terry, MB (author)
Milne, RL (author)
Goldgar, DE (author)
Rookus, MA (author)
Andrieu, N (author)
Easton, DF (author)

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In:Breast cancer research : BCR: Springer Science and Business Media LLC22:1, s. 8-1465-542X

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By the author/editor: Mavaddat, N; Antoniou, AC; Mooij, TM; Hooning, MJ; Heemskerk-Gerrit ...; Nogues, C; show more...; Laborde, L; Breysse, E; Stoppa-Lyonnet, ...; Gauthier-Villars ...; Buecher, B; Caron, O; Fourme-Mouret, E; Fricker, JP; Lasset, C; Bonadona, V; Berthet, P; Faivre, L; Luporsi, E; Mari, V; Gladieff, L; Gesta, P; Sobol, H; Eisinger, F; Longy, M; Dugast, C; Colas, C; Coupier, I; Pujol, P; Corsini, C; Lortholary, A; Vennin, P; Adenis, C; Nguyen, TD; Delnatte, C; Tinat, J; Tennevet, I; Limacher, JM; Maugard, C; Bignon, YJ; Demange, L; Penet, C; Dreyfus, H; Cohen-Haguenauer ...; Venat-Bouvet, L; Leroux, D; Zattara-Cannoni, ...; Fert-Ferrer, S; Bera, O; Ellis, S; Barrowdale, D; Frost, D; Evans, DG; Izatt, L; Adlard, J; Eeles, R; Brewer, C; Tischkowitz, M; Henderson, A; Cook, J; Eccles, D; Hogervorst, FBL; Collee, JM; van Asperen, CJ; Mensenkamp, AR; Ausems, MGEM; Meijers-Heijboer ...; van Engelen, K; Blok, MJ; Oosterwijk, JC; Verloop, J; van den Broek, E; Mourits, MJE; Koppert, LB; Hopper, JL; John, EM; Chung, WK; Andrulis, IL; Daly, MB; Buys, SS; Benitez, J; Caldes, T; Jakubowska, A; Simard, J; Singer, CF; Tan, Y; Olah, E; Navratilova, M; Foretova, L; Gerdes, AM; Roos-Blom, MJ; Van Leeuwen, FE; Arver, B; Olsson, H; Schmutzler, RK; Engel, C; Kast, K; Phillips, KA; Terry, MB; Milne, RL; Goldgar, DE; Rookus, MA; Andrieu, N; Easton, DF; show less...

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