Predictors and outcomes in breast cancer patients who did or did not pursue fertility preservation.


Journal

Breast cancer research and treatment
ISSN: 1573-7217
Titre abrégé: Breast Cancer Res Treat
Pays: Netherlands
ID NLM: 8111104

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 16 07 2020
accepted: 18 11 2020
pubmed: 5 1 2021
medline: 24 6 2021
entrez: 4 1 2021
Statut: ppublish

Résumé

Breast cancer is the most common cancer in reproductive age women, and treatment can affect fertility; however, there is often concern regarding the safety of increased estradiol (E We reviewed charts of women with breast cancer who contacted the FP patient navigator (PN) at Northwestern University from 01/2005-01/2018. Oncology and fertility outcome data were collected. Data were analyzed by Chi-square test or regression, as appropriate. Kaplan-Meier curves were used to examine breast cancer recurrence and survival. Statistical analyses were performed with SPSS IBM Statistics 26.0 for Windows. 332 patients were included, of which 157 (47.3%) underwent FP. Median days to treatment after consulting the PN was 35 in the FP group and 21 in non-FP (p < 0.05). Cancer recurrence was noted in 7 (4.7%) FP patients and 13 (7.9%) non-FP patients (NS), and mortality in 5 (3.2%) FP patients and 7 (4.2%) non-FP patients (NS). Within the FP group, no significant differences were found in recurrence or mortality based on ER status, age, BMI, peak E FP is safe and effective in breast cancer patients, regardless of receptor status; E

Identifiants

pubmed: 33392838
doi: 10.1007/s10549-020-06031-4
pii: 10.1007/s10549-020-06031-4
doi:

Substances chimiques

Letrozole 7LKK855W8I

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

429-437

Subventions

Organisme : NIH HHS
ID : P50 HD076188
Pays : United States
Organisme : NIH HHS
ID : P50 HD076188
Pays : United States

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Auteurs

Molly B Moravek (MB)

Department of Obstetrics and Gynecology, University of Michigan Health System, Ann Arbor, MI, 48109, USA.

Rafael Confino (R)

Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.

Angela K Lawson (AK)

Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.

Kristin N Smith (KN)

Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.

Ralph R Kazer (RR)

Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.

Susan C Klock (SC)

Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.

William J Gradishar (WJ)

Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA.

Jacqueline S Jeruss (JS)

Department of Surgery, University of Michigan Health System, Ann Arbor, MI, 48109, USA.

Mary Ellen Pavone (ME)

Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA. MaryEllen.Pavone@nm.org.
Northwestern Feinberg School of Medicine, Northwestern Memorial Hospital, 676 N. St Clair Ave, Suite 2310, Chicago, IL, 60611, USA. MaryEllen.Pavone@nm.org.

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