Breast Cancer Profile among Patients with a History of Chemoprevention

Purpose. This study identifies women with breast cancer who utilized chemoprevention agents prior to diagnosis and describes their patterns of disease. Methods. Our database was queried retrospectively for patients with breast cancer who reported prior use of chemoprevention. Patients were divided i...

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Main Authors: Freya R. Schnabel, Sarah Pivo, Jennifer Chun, Shira Schwartz, Ana Paula Refinetti, Deborah Axelrod, Amber Guth
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:International Journal of Breast Cancer
Online Access:http://dx.doi.org/10.1155/2016/9216375
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author Freya R. Schnabel
Sarah Pivo
Jennifer Chun
Shira Schwartz
Ana Paula Refinetti
Deborah Axelrod
Amber Guth
author_facet Freya R. Schnabel
Sarah Pivo
Jennifer Chun
Shira Schwartz
Ana Paula Refinetti
Deborah Axelrod
Amber Guth
author_sort Freya R. Schnabel
collection DOAJ
description Purpose. This study identifies women with breast cancer who utilized chemoprevention agents prior to diagnosis and describes their patterns of disease. Methods. Our database was queried retrospectively for patients with breast cancer who reported prior use of chemoprevention. Patients were divided into primary (no history of breast cancer) and secondary (previous history of breast cancer) groups and compared to patients who never took chemoprevention. Results. 135 (6%) of 2430 women used chemoprevention. In the primary chemoprevention group (n = 18, 1%), 39% had completed >5 years of treatment, and fully 50% were on treatment at time of diagnosis. These patients were overwhelmingly diagnosed with ER/PR positive cancers (88%/65%) and were diagnosed with equal percentages (44%) of IDC and DCIS. 117 (87%) used secondary chemoprevention. Patients in this group were diagnosed with earlier stage disease and had lower rates of ER/PR-positivity (73%/65%) than the nonchemoprevention group (84%/72%). In the secondary group, 24% were on chemoprevention at time of diagnosis; 73% had completed >5 years of treatment. Conclusions. The majority of patients who used primary chemoprevention had not completed treatment prior to diagnosis, suggesting that the timing of initiation and compliance to prevention strategies are important in defining the pattern of disease in these patients.
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spelling doaj-art-5a97c05b4fa14191a0957fa058a792602025-02-03T06:06:06ZengWileyInternational Journal of Breast Cancer2090-31702090-31892016-01-01201610.1155/2016/92163759216375Breast Cancer Profile among Patients with a History of ChemopreventionFreya R. Schnabel0Sarah Pivo1Jennifer Chun2Shira Schwartz3Ana Paula Refinetti4Deborah Axelrod5Amber Guth6Department of Surgery, New York University Langone Medical Center, New York, NY, USASchool of Medicine, New York University Langone Medical Center, New York, NY, USADepartment of Surgery, New York University Langone Medical Center, New York, NY, USADepartment of Surgery, New York University Langone Medical Center, New York, NY, USADepartment of Breast Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USADepartment of Surgery, New York University Langone Medical Center, New York, NY, USADepartment of Surgery, New York University Langone Medical Center, New York, NY, USAPurpose. This study identifies women with breast cancer who utilized chemoprevention agents prior to diagnosis and describes their patterns of disease. Methods. Our database was queried retrospectively for patients with breast cancer who reported prior use of chemoprevention. Patients were divided into primary (no history of breast cancer) and secondary (previous history of breast cancer) groups and compared to patients who never took chemoprevention. Results. 135 (6%) of 2430 women used chemoprevention. In the primary chemoprevention group (n = 18, 1%), 39% had completed >5 years of treatment, and fully 50% were on treatment at time of diagnosis. These patients were overwhelmingly diagnosed with ER/PR positive cancers (88%/65%) and were diagnosed with equal percentages (44%) of IDC and DCIS. 117 (87%) used secondary chemoprevention. Patients in this group were diagnosed with earlier stage disease and had lower rates of ER/PR-positivity (73%/65%) than the nonchemoprevention group (84%/72%). In the secondary group, 24% were on chemoprevention at time of diagnosis; 73% had completed >5 years of treatment. Conclusions. The majority of patients who used primary chemoprevention had not completed treatment prior to diagnosis, suggesting that the timing of initiation and compliance to prevention strategies are important in defining the pattern of disease in these patients.http://dx.doi.org/10.1155/2016/9216375
spellingShingle Freya R. Schnabel
Sarah Pivo
Jennifer Chun
Shira Schwartz
Ana Paula Refinetti
Deborah Axelrod
Amber Guth
Breast Cancer Profile among Patients with a History of Chemoprevention
International Journal of Breast Cancer
title Breast Cancer Profile among Patients with a History of Chemoprevention
title_full Breast Cancer Profile among Patients with a History of Chemoprevention
title_fullStr Breast Cancer Profile among Patients with a History of Chemoprevention
title_full_unstemmed Breast Cancer Profile among Patients with a History of Chemoprevention
title_short Breast Cancer Profile among Patients with a History of Chemoprevention
title_sort breast cancer profile among patients with a history of chemoprevention
url http://dx.doi.org/10.1155/2016/9216375
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