Multiple primary tumours in women following breast cancer, 1973–2000
2006

Risk of Second Cancers in Women After Breast Cancer

Sample size: 335191 publication Evidence: high

Author Information

Author(s): Raymond J S, Hogue C J R

Primary Institution: Rollins School of Public Health, Emory University

Hypothesis

Do women diagnosed with breast cancer have an increased risk of developing subsequent cancers compared to women of equal age without an initial breast cancer diagnosis?

Conclusion

Breast cancer survivors are at an increased risk for developing certain cancers in their lifetime.

Supporting Evidence

  • 12.3% of breast cancer survivors were diagnosed with second primary malignant tumours.
  • Women diagnosed with breast cancer before age 50 had a higher risk of developing second cancers.
  • The mean time until a second cancer occurred was 6.2 years.
  • Survival rates for women with multiple primary cancers were poorer compared to those with only breast cancer.
  • Breast cancer survivors showed a protective effect against cervical cancer.

Takeaway

Women who have had breast cancer might get other types of cancer later on, so they need to be careful and check with doctors.

Methodology

The study analyzed data from the SEER database, comparing observed and expected cancer incidences among breast cancer survivors.

Potential Biases

Potential bias due to missing data on second tumors and variations in data quality across registries.

Limitations

The study lacked some important variables such as smoking status and specific treatment doses, which may affect the results.

Participant Demographics

The study included 335,191 women diagnosed with breast cancer between 1973 and 2000.

Statistical Information

Confidence Interval

95% CI=13.7, 21.6

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6603172

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