Secondary myelodysplastic syndrome/acute myeloid leukaemia following mitoxantrone-based therapy for breast carcinoma
2000

Risk of Blood Disorders After Breast Cancer Treatment

Sample size: 1774 publication Evidence: moderate

Author Information

Author(s): Saso R, Kulkarni S, Mitchell P, Treleaven J, Swansbury G J, Mehta J, Powles R, Ashley S, Kuan R, Powles T

Primary Institution: The Royal Marsden Hospital

Hypothesis

Does mitoxantrone-based therapy for breast cancer increase the risk of developing secondary myelodysplastic syndrome or acute myeloid leukaemia?

Conclusion

Mitoxantrone-based regimens significantly increase the risk of developing secondary blood disorders compared to the general population.

Supporting Evidence

  • Nine patients developed MDS/AML after a median of 2.5 years.
  • The crude incidence of developing MDS/AML was 15 per 100,000 patient years.
  • The actuarial risk of developing MDS/AML was 1.1% at 5 years and 1.6% at 10 years.
  • MTZ-based regimens carry a 10 times higher risk of MDS/AML compared to the general population.

Takeaway

If you get treated for breast cancer with a certain medicine called mitoxantrone, there's a higher chance you might get a serious blood problem later.

Methodology

Analysis of breast cancer patients treated with mitoxantrone and follow-up for the development of MDS/AML.

Limitations

The study may not account for all confounding factors influencing the development of MDS/AML.

Participant Demographics

Patients with breast cancer treated with mitoxantrone.

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1196

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