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In addition, the fact that we observed consistently stronger, though non-significant, associations between family history and TNBC among younger women compared to older women may also be indicative of the high prevalence of BRCA mutation carriers in this population, who tend to be diagnosed with breast cancer at a younger age than do those with sporadic cancers Weitzel et al. These findings underscore the importance of collecting a thorough family history in the oncology clinic and primary care setting, as it can affect approaches to prevention, treatment, and overall risk assessment Murff et al.
A recent American Society of Clinical Oncology consensus statement provides guidelines on the collection and use of cancer family history data Lu et al. According to the guidelines, a minimum adequate family history for patients with cancer should include any family history in first- or second-degree relatives, with the type and age at diagnosis of each primary cancer. The history should be taken at the initial visit and updated periodically, with appropriate referrals made to genetic counseling for high-risk individuals.
Identification of a strong family history can ultimately affect treatment plans, screening practices, and prevention options both for patients and their relatives, which may include genetic testing for BRCA mutations.
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Strengths of this study include the unique population comprising a large case series of women of Mexican descent residing in the U. Though our sample size was large, it was not sufficiently powered to allow for subset analyses based on age of diagnosis for both the participant and their affected first-degree relative. We had relatively few women reporting more than one affected relative and were thus unable to conduct analyses based on number of affected relatives.
A further limitation of our study is that family history was self-reported and unable to be verified, which may have led to an underestimation of family history prevalence, as noted above. Competing interests. KA and MEM conceived of the study, created the analytical plan, and drafted the manuscript.
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MEM oversaw all activities. PT contributed to the design and analytical plan. LM and BW conducted the variable derivation and carried out the statistical analysis and generated preliminary results. All authors contributed by reviewing and providing revisions on drafts of the manuscript.
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All authors hereby contributed to the interpretation of the data and reviewed the manuscript for intellectual content, and they all approved the final version. All authors have read and approved the manuscript. Kristin Anderson, Email: ude. Patricia A Thompson, Email: ude. Betsy C Wertheim, Email: ude. Lorena Martin, Email: ude. Ian K Komenaka, Email: moc. Melissa Bondy, Email: ude. Adrian Daneri-Navarro, Email: xm. Maria Mercedes Meza-Montenegro, Email: xm. Luis Enrique Gutierrez-Millan, Email: xm. Abenaa Brewster, Email: gro.
Lisa Madlensky, Email: ude. Malaika Tobias, Email: ude. Loki Natarajan, Email: ude. National Center for Biotechnology Information , U. Published online Dec Abenaa Brewster University of Texas M. Author information Article notes Copyright and License information Disclaimer. University of Texas M. Corresponding author. Received Nov 6; Accepted Nov This article is published under license to BioMed Central Ltd. This article has been cited by other articles in PMC.
Abstract Familial breast and ovarian cancer prevalence was assessed among women of Mexican descent enrolled in a case-only, binational breast cancer study. Electronic supplementary material The online version of this article doi Keywords: Triple negative breast cancer, Hispanic, Family history, Risk factor heterogeneity. Data collection and variable definition Risk factor data were ascertained from an interview-administered questionnaire that included sociodemographics, reproductive history, family history of cancer, and other risk factor data. Clinical data Age at diagnosis and tumor marker data for estrogen receptor ER , progesterone receptor PR , and HER2 were abstracted from medical records.
Results A family history of breast cancer in a first-degree relative was reported by Open in a separate window. Discussion Our results support heterogeneity in risk of tumor subtype by family history, with TNBC having a stronger association with a positive family history than non-TNBC in this case series of women of Mexican descent. Footnotes Competing interests The authors declare that they have no competing interests. Contributor Information Kristin Anderson, Email: ude. Reproductive risk factors and breast cancer subtypes: a review of the literature.
Breast Cancer Res Treat. Am J Epidemiol. Risk of breast cancer classified by joint estrogen receptor and progesterone receptor status among women 20—44 years of age.
Family history of breast and ovarian cancer and triple negative subtype in hispanic/latina women
Risk factors for breast cancer according to estrogen and progesterone receptor status. J Natl Cancer Inst. Hormonal factors and the risk of breast cancer according to estrogen- and progesterone-receptor subgroup. Cancer Epidemiol Biomarkers Prev. Risk factors for triple-negative breast cancer in women under the age of 45 years. Familial breast cancer in southern Finland: how prevalent are breast cancer families and can we trust the family history reported by patients?
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