Prognosis of BRCA-associated breast cancer: a summary of evidence
Abstract
The purpose of the study is to review the clinical studies relevant to the prognosis and prognostic associations of BRCA1- and BRCA2-associated breast cancers. Reports of relevant studies obtained from a MEDLINE search and references from these articles were critically reviewed. A number of methodologic limitations have been identified in the early studies. More recent studies have failed to demonstrate, for the most part, a significant overall survival difference between BRCA-associated breast cancers and sporadic breast cancers. The risk of in-breast tumor recurrence also appears to be similar in the first 5 years following a breast cancer diagnosis with apparent increase in the risk after 5 years in one study. Many in-breast tumor recurrences are now considered to be second primary breast cancers. There is a significant increase in the risk of contralateral breast cancers in BRCA mutation carriers with an estimated 10-year risk ranging from 20-40%. The prognosis of BRCA-associated breast cancers appears to be similar to that of sporadic breast cancers based on the current literature. Future data from large prospective cohort studies will be of interest.
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The risk of contralateral cancer was significantly higher 5 to 10 years after first diagnosis in BRCA1/2 mutation carriers, ranging from 20 to 42%, compared with 5% and 6% in non-carriers.
“Bordeleau et al. [14] found that the risk of contralateral cancer was significantly higher 5 to 10 years after first diagnosis in carriers, ranging from 20 to 42%, compared with 5% and 6% in non-carriers.”
From Fear of cancer recurrence in breast cancer survivors carrying a BRCA1 or 2 genetic mutation : a cross-sectional study (2024) · cites this paper as [14]
Women with a BRCA1/2 genetic mutation who have been treated for breast cancer are at increased risk of having a local recurrence or a second primary cancer.
“In addition to having an increased risk of developing a first breast cancer, women with a BRCA1/2 genetic mutation and who have been treated for breast cancer are also at an increased risk of having a local recurrence or a second primary cancer.”
From Fear of cancer recurrence in breast cancer survivors carrying a BRCA1 or 2 genetic mutation : a cross-sectional study (2024) · cites this paper as [14]
Cites
Antoniou, A., Pharoah, P. D. P., Narod, S., Risch, H. A., Eyfjord, J. E., Hopper, J. L., Loman, N., Olsson, H., Johannsson, O., Borg, Å., et al. (2003) · The American Journal of Human Genetics · doi:10.1086/375033 · Cited by 3,680 · see citing works
Linkage of Early-Onset Familial Breast Cancer to Chromosome 17q21
Hall, J., Lee, M. K., Newman, B. M., Morrow, J. E., Anderson, L. A., Huey, B., & King, M. (1990) · Science · doi:10.1126/science.2270482 · Cited by 2,544 · see citing works
Localization of a Breast Cancer Susceptibility Gene, BRCA2 , to Chromosome 13q12-13
Wooster, R., Neuhausen, S. L., Mangion, J., Quirk, Y., Ford, D., Collins, N., Nguyen, K. N., Seal, S., Tran, T. D., Averill, D., et al. (1994) · Science · doi:10.1126/science.8091231 · Cited by 1,918 · see citing works
Gene-expression profiles in hereditary breast cancer.
Hedenfalk, I., Duggan, D., Chen, Y.-D., Radmacher, M., Bittner, M., Simon, R., Meltzer, P., Gusterson, B., Esteller, M., Raffeld, M., et al. (2001) · New England Journal of Medicine · doi:10.1056/nejm200102223440801 · Cited by 978 · see citing works
BRCA1 and BRCA2: 1994 and beyond
Narod, S. A., & Foulkes, W. D. (2004) · Nature Reviews Cancer · doi:10.1038/nrc1431 · Cited by 967 · see citing works
Lakhani, S. R., Jacquemier, J., Sloane, J. P., Gusterson, B. A., Anderson, T. J., van de Vijver, M. J., Farid, L. M., Venter, D., Antoniou, A., Storfer-Isser, A., et al. (1998) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/90.15.1138 · Cited by 707 · see citing works
Contralateral Breast Cancer in BRCA1 and BRCA2 Mutation Carriers
Metcalfe, K. A., Lynch, H. T., Ghadirian, P., Tung, N., Olivotto, I. A., Warner, E., Olopade, O. I., Eisen, A. F., Weber, B., McLennan, J., et al. (2004) · Journal of Clinical Oncology · doi:10.1200/jco.2004.04.033 · Cited by 620 · see citing works
Narod, S., Brunet, J., Ghadirian, P., Robson, M., Heimdal, K., Neuhausen, S., Stoppa-Lyonnet, D., Lerman, C., Pasini, B., Ríos, P. D. L., et al. (2000) · The Lancet · doi:10.1016/s0140-6736(00)03258-x · Cited by 557 · see citing works
Familial breast-ovarian cancer locus on chromosome 17q12-q23
Lenoir, G. M. (1991) · The Lancet · doi:10.1016/0140-6736(91)90076-2 · Cited by 519 · see citing works
An overview of prognostic factors for long-term survivors of breast cancer
Soerjomataram, I., Louwman, M. W. J., Ribot, J. G., Roukema, J. A., & Coebergh, J. W. W. (2007) · Breast Cancer Research and Treatment · doi:10.1007/s10549-007-9556-1 · Cited by 513 · see citing works
Survival and tumour characteristics of breast-cancer patients with germline mutations of BRCA1
Verhoog, L., Brekelmans, C., Seynaeve, C., van den Bosch, L., Dahmen, G., van Geel, A., Tilanus-Linthorst, M., Bartels, C., Wagner, A., van den Ouweland, A., et al. (1998) · The Lancet · doi:10.1016/s0140-6736(97)07065-7 · Cited by 452 · see citing works
Atchley, D. P. D., Albarracin, C., López, A., Valero, V., Amos, C., González-Angulo, A., Hortobagyi, G., & Arun, B. (2008) · Journal of Clinical Oncology · doi:10.1200/jco.2008.16.6231 · Cited by 411 · see citing works
Pierce, L. J., Levin, A. M., Rebbeck, T. R., Ben-David, M. A., Friedman, E., Solin, L. J., Harris, E. E., Gaffney, D. K., Haffty, B. G., Dawson, L. A., et al. (2006) · Journal of Clinical Oncology · doi:10.1200/jco.2005.02.7888 · Cited by 340 · see citing works
Robson, M. E., Chappuis, P. O., Satagopan, J., Wong, N., Boyd, J., Goffin, J. R., Hudis, C., Roberge, D., Norton, L., Bégin, L. R., et al. (2003) · Breast Cancer Research · doi:10.1186/bcr658 · Cited by 307 · see citing works
Outcome of conservatively managed early-onset breast cancer by BRCA1/2 status
Haffty, B. G., Harrold, E., Khan, A. J., Pathare, P., Smith, T. E., Turner, B. C., Glazer, P. M., Ward, B., Carter, D., Matloff, E., et al. (2002) · The Lancet · doi:10.1016/s0140-6736(02)08434-9 · Cited by 307 · see citing works
BRCA-associated breast cancer in young women.
Robson, M. E., Gilewski, T., Haas, B. R., Levin, D. R., Borgen, P. I., Rajan, P., Hirschaut, Y., Pressman, P., Rosen, P. P., LESSER, M. L., et al. (1998) · Journal of Clinical Oncology · doi:10.1200/jco.1998.16.5.1642 · Cited by 303 · see citing works
Clinical Outcomes of Breast Cancer in Carriers of BRCA1 and BRCA2 Mutations
Rennert, G., Bisland-Naggan, S., Barnett‐Griness, O., Bar-Joseph, N., Zhang, S., Rennert, H. S., & Narod, S. A. (2007) · New England Journal of Medicine · doi:10.1056/nejmoa070608 · Cited by 300 · see citing works
van Sprundel, T. C., Schmidt, M. K., Rookus, M. A., Brohet, R. M., van Asperen, C. J., Rutgers, E. J. T., Veer, L. J. V., & Tollenaar, R. A. �. �. (2005) · British Journal of Cancer · doi:10.1038/sj.bjc.6602703 · Cited by 291 · see citing works
Pierce, L., Strawderman, M., Narod, S., Oliviotto, I., Eisen, A., Dawson, L., Gaffney, D., Solin, L., Nixon, A., Garber, J., et al. (2000) · Journal of Clinical Oncology · doi:10.1200/jco.2000.18.19.3360 · Cited by 270 · see citing works
Survival of BRCA1 breast and ovarian cancer patients: a population-based study from southern Sweden.
Jóhannsson, O. T., Ranstam, J., Borg, A., & Olsson, H. (1998) · Journal of Clinical Oncology · doi:10.1200/jco.1998.16.2.397 · Cited by 254 · see citing works
Effect of germ-line genetic variation on breast cancer survival in a population-based study.
Goode, E. L., Dunning, A. M., Kuschel, B., Healey, C. S., Day, N., Ponder, B. A. J., Easton, D. F., & Pharoah, P. D. P. (2002) · PubMed · Cited by 239 · see citing works
Brekelmans, C. T. M., Tilanus-Linthorst, M. M. A., Seynaeve, C., vd Ouweland, A., Menke-Pluymers, M. B. E., Bartels, C. C. M., Kriege, M., van Geel, A. N., Burger, C. W., Eggermont, A. M. M., et al. (2007) · European Journal of Cancer · doi:10.1016/j.ejca.2006.12.009 · Cited by 233 · see citing works
Familial invasive breast cancers: worse outcome related to BRCA1 mutations.
Stoppa-Lyonnet, D., Ansquer, Y., Dreyfus, H., Gautier, C., Gauthier-Villars, M., Bourstyn, E., Clough, K., Magdelénat, H., Pouillart, P., Vincent-Salomon, A., et al. (2000) · Journal of Clinical Oncology · doi:10.1200/jco.2000.18.24.4053 · Cited by 224 · see citing works
Closing in on a breast cancer gene on chromosome 17q.
Hall, J., Friedman, L. S., Guenther, C. A., et al. (1992) · PubMed · Cited by 215 · see citing works
Survival in hereditary breast cancer associated with germline mutations of BRCA2.
Verhoog, L., Brekelmans, C., Seynaeve, C., Dahmen, G., van Geel, A. V., Bartels, C., Tilanus-Linthorst, M., Wagner, A., Devilee, P., Halley, D., et al. (1999) · Journal of Clinical Oncology · doi:10.1200/jco.1999.17.11.3396 · Cited by 197 · see citing works
Robson, M., Levin, D., Federici, M. G., Satagopan, J. M., Bogolminy, F., Heerdt, A., Borgen, P., Mccormick, B., Hudis, C., Norton, L., et al. (1999) · Journal of the National Cancer Institute · doi:10.1093/jnci/91.24.2112 · Cited by 181 · see citing works
Palacios, J., Honrado, E., Osório, A., Cazorla, A., Sarrió, D., Barroso, A., Rodríguez, S., Cigudosa, J. C., Dı́ez, O., Alonso, C., et al. (2003) · PubMed · Cited by 175 · see citing works
Lucas, K. G., Brown, A. E., Armstrong, D., Chapman, D. S., & Heller, G. (1996) · Cancer · doi:10.1002/(sici)1097-0142(19960215)77:4 · Cited by 174 · see citing works
Survival and prognostic factors in BRCA1-associated breast cancer.
Brekelmans, C., Seynaeve, C., Menke-Pluymers, M., Brüggenwirth, H., Tilanus-Linthorst, M., Bartels, C., Kriege, M., van Geel, A. V., Crepin, C., Blom, J., et al. (2006) · Annals of Oncology · doi:10.1093/annonc/mdj095 · Cited by 147 · see citing works
Natural history of hereditary cancer of the breast and colon
Albano, W. A., Recabaren, J. A., Lynch, H. T., et al. (1982) · Cancer · doi:10.1002/1097-0142(19820715)50:2 · Cited by 143 · see citing works
Kirova, Y. M., Stoppa-Lyonnet, D., Savignoni, A., Sigal-Zafrani, B., Fabre, N., & Fourquet, A. (2005) · European Journal of Cancer · doi:10.1016/j.ejca.2005.02.037 · Cited by 129 · see citing works
Porter, D., Cohen, B. B., Wallace, M. R., Smyth, E., Chetty, U., Dixon, J. M., Steel, C. M., & Carter, D. C. (1994) · British journal of surgery · doi:10.1002/bjs.1800811038 · Cited by 122 · see citing works
Foulkes, W. D., Wong, N., Brunet, J., Bégin, L. R., Zhang, J. C., Martinez, J. J., Rozen, F., Tonin, P. N., Narod, S. A., Karp, S. E., et al. (1997) · PubMed · Cited by 122 · see citing works
Chappuis, P. O., Kapusta, L. R., Bégin, L. R., Wong, N., Brunet, J., Narod, S. A., Slingerland, J. M., & Foulkes, W. D. (2000) · Journal of Clinical Oncology · doi:10.1200/jco.2000.18.24.4045 · Cited by 119 · see citing works
Møller, P., Borg, Å., Evans, D. G., Kingsbury, N., Reis, M. M., Vasen, H. F. A., Anderson, E. D. C., Steel, C. M., Apold, J., Goudie, D. R., et al. (2002) · International Journal of Cancer · doi:10.1002/ijc.10641 · Cited by 113 · see citing works
Survival after breast cancer in Ashkenazi Jewish BRCA1 and BRCA2 mutation carriers.
Lee, J. S., Wacholder, S., Struewing, J., McAdams, M., Pee, D., Brody, L., Tucker, M. A., & Hartge, P. (1999) · Journal of the National Cancer Institute · doi:10.1093/jnci/91.3.259 · Cited by 113 · see citing works
Response to radiation therapy and prognosis in breast cancer patients with BRCA1 and BRCA2 mutations
Gaffney, D. K., Brohet, R. M., Lewis, C. M., et al. (1998) · Radiotherapy and Oncology · doi:10.1016/s0167-8140(98)00023-1 · Cited by 110 · see citing works
Surveillance for familial breast cancer: Differences in outcome according to BRCA mutation status
Møller, P., Evans, D. G., Reis, M. M., Gregory, H., Anderson, E. D. C., Mæhle, L., Lalloo, F. I., Howell, A., Apold, J., Clark, N., et al. (2007) · International Journal of Cancer · doi:10.1002/ijc.22789 · Cited by 95 · see citing works
Familial breast cancer: characteristics and outcome of BRCA 1–2 positive and negative cases
Veronesi, A., de Giacomi, C., Magri, M. D., Lombardi, D., Zanetti, M., Scuderi, C., Dolcetti, R., Viel, A., Crivellari, D., Bidoli, E., et al. (2005) · BMC Cancer · doi:10.1186/1471-2407-5-70 · Cited by 94 · see citing works
Primary node negative breast cancer in BRCA1 mutation carriers has a poor outcome
Foulkes, W. D., Chappuis, P. O., Wong, N., Brunet, J.-S., Vesprini, D., Rozen, F., Yuan, Z. Q., Pollak, M. N., Kuperstein, G., Narod, S. A., et al. (2000) · Annals of Oncology · doi:10.1023/a:1008340723974 · Cited by 86 · see citing works
Prognosis of Breast Cancer in Carriers ofBRCA1andBRCA2Mutations
Goodwin, P. J., Phillips, K.-A., & West, D. W. (2007) · New England Journal of Medicine · doi:10.1056/nejmc072301 · Cited by 82 · see citing works
Self-citationSurvival in early-onset BRCA1 breast-cancer patients
Ansquer, Y., Gautier, C., Fourquet, A., Asselain, B. J. R., & Stoppa‐Lyonnet, D. (1998) · The Lancet · doi:10.1016/s0140-6736(05)79248-5 · Cited by 80 · see citing works
Mai, P. L., Chatterjee, N., Hartge, P. A., Tucker, M. A., Brody, L. C., Struewing, J. P., & Wacholder, S. (2009) · PLoS ONE · doi:10.1371/journal.pone.0004812 · Cited by 71 · see citing works
Eerola, H., Vahteristo, P., Sarantaus, L., nen, P. K., Pyrh�nen, S., BLOMQVIST, C. P., Pukkala, ., Nevanlinna, H. A., & Sankila, R. J. (2001) · International Journal of Cancer · doi:10.1002/ijc.1341 · Cited by 65 · see citing works
Bonadona, V., Dussart, S., Voirin, N., Sinilnikova, O. M., Mignotte, H., Mathevet, P., Bremond, A. G., Treilleux, I., Martin, A., Romestaing, P., et al. (2006) · Breast Cancer Research and Treatment · doi:10.1007/s10549-006-9288-7 · Cited by 51 · see citing works
Survival and tumor characteristics of German hereditary breast cancer patients
Hamann, U., & Sinn, H.-P. (2000) · Breast Cancer Research and Treatment · doi:10.1023/a:1006350518190 · Cited by 48 · see citing works
Prognosis and clinical presentation of BRCA2-associated breast cancer
Loman, N., Johannsson, O., Bendahl, P.-O., Dahl, N., Einbeigi, Z., Gerdes, A.-M., Borg, Å., & Olsson, H. (2000) · European Journal of Cancer · doi:10.1016/s0959-8049(00)00098-8 · Cited by 46 · see citing works
Breast cancer survival in BRCA1 carriers
Porter, D., Dixon, M., Smyth, E., et al. (1993) · The Lancet · doi:10.1016/0140-6736(93)90052-i · Cited by 42 · see citing works
Kriege, M., Seynaeve, C., Meijers-Heijboer, H. E. J., Collee, M. J., Menke‐Pluymers, M. B. E., Bartels, C. C. M., Tilanus‐Linthorst, M. M. A., van den Ouweland, A., van Geel, B., Brekelmans, C. T. M., et al. (2007) · Breast Cancer Research and Treatment · doi:10.1007/s10549-007-9781-7 · Cited by 36 · see citing works
Low frequency of lymph-node metastasis in BRCA1-associated breast cancer
Eisinger, F., Noguès, C., Birnbaum, D., Jacquemier, J. D., & Sobol, H. (1998) · The Lancet · doi:10.1016/s0140-6736(05)77689-3 · Cited by 26 · see citing works
Vinodkumar, B., Syamala, V. S., Abraham, E. K., et al. (2007) · PubMed · Cited by 10 · see citing works
BRCA1, pathology, and survival.
Lynch, H. T., & Watson, P. A. (1998) · Journal of Clinical Oncology · doi:10.1200/jco.1998.16.2.395 · Cited by 6 · see citing works
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High risk of in-breast tumor recurrence after BRCA1/2-associated breast cancer
Nilsson, M. P., Hartman, L., Kristoffersson, U., Johannsson, O. T., Borg, Å., Henriksson, K., Lanke, E., Olsson, H., & Loman, N. (2014) · Breast Cancer Research and Treatment · doi:10.1007/s10549-014-3115-3 · Cited by 56 · see citing works
Michel, A., Dorval, M., Chiquette, J., & Savard, J. (2024) · Hereditary Cancer in Clinical Practice · doi:10.1186/s13053-024-00285-5 · Cited by 3 · see citing works
“Bordeleau et al. [14] found that the risk of contralateral cancer was significantly higher 5 to 10 years after first diagnosis in carriers, ranging from 20 to 42%, compared with 5% and 6% in non-carriers.”
Result
- Authors
- Bordeleau, L., Panchal, S., & Goodwin, P.
- Affiliations
- Juravinski Cancer Centre (CA)
- Mount Sinai Hospital (CA)
- Corresponding author
- Bordeleau, L.
- Venue
- Breast Cancer Research and Treatment
- Published
- 2009-09-30
- Volume
- 119
- Issue
- 1
- Pages
- 13-24
- ISSN
- 0167-6806 (ISSN-L)
- 1573-7217
- OpenAlex
- W1990635160
- Cited by
- 135
- References
- 52
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 9 · 2023: 3 · 2022: 7 · 2021: 6 · 2020: 10 · 2019: 7 · 2018: 8 · 2017: 8 · 2016: 9 · 2015: 7 · 2014: 14 · 2013: 12 · 2012: 9
- FWCI
- 0.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Breast Cancer Research and Treatment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
- Health Sciences › Medicine › Epidemiology › Multiple and Secondary Primary Cancers
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Breast Cancer Treatment Studies
- Keywords
- BRCA1, BRCA2, hereditary breast cancer, prognosis, overall survival, tumor recurrence, second primary breast cancer, contralateral breast cancer, BRCA mutation carriers
- MeSH terms
- Adult, Breast Neoplasms, Female, Humans, Middle Aged, Prognosis, Recurrence, Risk, Time Factors, Case-Control Studies, Treatment Outcome, BRCA1 Protein, Genes, BRCA1, Genes, BRCA2, BRCA2 Protein, Apoptosis Regulatory Proteins
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