Title
Breast cancer associated pathogenic variants among women 61 years and older with triple negative breast cancer
Date Issued
01 June 2021
Access level
open access
Resource Type
journal article
Author(s)
Chávarri-Guerra Y.
Marcum C.A.
Hendricks C.B.
Wilbur D.
Cescon T.
Hake C.
Rodriguez Y.
Villarreal-Garza C.
Yang K.
Cervantes A.
Sand S.
Castillo D.
Herzog J.
Mokhnatkin J.
Sedrak M.S.
Soto-Perez-de-Celis E.
Weitzel J.N.
Publisher(s)
Elsevier B.V.
Abstract
Women with triple negative breast cancer (TNBC) have a high prevalence of BRCA1 mutations, and current clinical guidelines recommend genetic testing for patients with TNBC aged ≤60 years. However, studies supporting this recommendation have included few older women with TNBC. Methods: Genetic testing results from women aged >60 years with TNBC enrolled in the Clinical Cancer Genomics Community Research Network (CCGCRN) registry were included in this analysis. Prevalence of breast cancer-associated pathogenic variants (PVs) was compared across age groups. Results: We identified 151 women with TNBC aged >60 years (median 65 years; SD 5.3). Of these, 130 (86%) underwent genetic testing, and a breast cancer–associated PV was identified in 16 (12.3%; 95% CI 7–19): BRCA1 (n = 6), BRCA2 (n = 5), PALB2 (n = 2), ATM (n = 1) and RAD51C (n = 2). We found no differences in the proportion of patients with close blood relatives with breast (≤50 years) or ovarian cancer (any age) between PV carriers (37.5%) and non-carriers (34.2%) (p = 0.79). Among PV's carriers, the proportion of older women with a BRCA1 PV was lower when compared to younger women (37.5% vs 77.2%; p < 0.01). Conclusion: Breast cancer-associated PVs were found in an important proportion of women aged >60 years with TNBC undergoing genetic testing, including greater representation of BRCA2. These results suggest that older women with TNBC should be offered genetic testing, and that their exclusion based on chronologic age alone may not be appropriate.
Start page
749
End page
751
Volume
12
Issue
5
Language
English
OCDE Knowledge area
Geriatría, Gerontología
Oncología
Subjects
Scopus EID
2-s2.0-85097068180
PubMed ID
Source
Journal of Geriatric Oncology
ISSN of the container
18794068
Sponsor(s)
This research was supported in part by a grants from the Breast Cancer Research Foundation #19-172 , and the Conquer Cancer Research Professorship in Breast Cancer Disparities (J. Weitzel), as well as National Institutes of Health grant RC4 CA 153828 (J. Weitzel), and a supplement, “Strengthening capacity to promote cancer risk assessment dissemination and implementation research and translation among underserved populations in the Americas” (Rosen/Weitzel), to award number P30CA33572. Some sequencing was performed in the functional Genomics Core, supported by P30CA033572. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Health. We wish to thank the participants who enabled this research.
Chavarri-Guerra: research support from Roche.This research was supported in part by a grants from the Breast Cancer Research Foundation #19-172, and the Conquer Cancer Research Professorship in Breast Cancer Disparities (J. Weitzel), as well as National Institutes of Health grant RC4 CA 153828 (J. Weitzel), and a supplement, ?Strengthening capacity to promote cancer risk assessment dissemination and implementation research and translation among underserved populations in the Americas? (Rosen/Weitzel), to award number P30CA33572. Some sequencing was performed in the functional Genomics Core, supported by P30CA033572. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Health. We wish to thank the participants who enabled this research. This study was presented as an oral abstract at the annual meeting of the International Society of Geriatric Oncology in 2018.
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