Are BRCA1- and BRCA2-associated breast cancers different? Prognosis of BRCA1-associated breast cancer Journal Article

Author: Robson, M.
Article Title: Are BRCA1- and BRCA2-associated breast cancers different? Prognosis of BRCA1-associated breast cancer
Abstract: Purpose: To review the available literature regarding the outcome of breast cancer arising in the setting of a germline BRCA1 mutation. Methods: Reports of relevant studies obtained from a search of MEDLINE and studies referenced in those reports were reviewed. In addition, data from a previously published study of breast conservation therapy among women of Ashkenazi descent were reanalyzed to discern the effect of germline BRCA1 status. Results: Although BRCA1-associated breast cancers have been associated repeatedly with poor prognostic features, studies that examine the impact of germline BRCA1 status on outcome have not consistently shown an adverse effect of BRCA1 mutations. In part, this may result from methodologic limitations of earlier trials. Recent studies that examine relatively unselected groups of Ashkenazi women have indicated a negative prognostic effect of specific BRCA1 mutations. It remains to be determined, however, whether BRCA1 status is an independent prognostic factor and whether the findings can be generalized to other mutations. Conclusion: BRCA1-associated breast cancers present with histopathologic features that seem to confer an adverse prognosis, at least in certain subgroups. However, it is not clear whether BRCA1 status has an independent effect on outcome. Until further data become available, treatment for BRCA1-associated breast cancer should be determined by the same factors that influence therapy of nonhereditary disease. (C) 2000 by American Society of Clinical Oncology.
Keywords: cancer survival; gene mutation; review; cancer risk; breast cancer; neoplasm proteins; breast neoplasms; brca1 protein; brca2 protein; transcription factors; genes, brca1; germ-line mutation; humans; prognosis; human; female; priority journal
Journal Title: Journal of Clinical Oncology
Volume: 18
Issue: 21 Suppl.
ISSN: 0732-183X
Publisher: American Society of Clinical Oncology  
Date Published: 2000-11-01
Start Page: 113s
End Page: 118s
Language: English
PUBMED: 11060338
PROVIDER: scopus
Notes: Export Date: 18 November 2015 -- Source: Scopus