Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2008-7-30
pubmed:abstractText
Little is known about long-term outcomes following a second breast cancer diagnosis. We describe the epidemiology, characteristics and prognosis of second breast cancers in an Italian cohort. We identified women with two breast cancer diagnoses from 24 278 histology records at a Tuscan breast cancer service between 1980 and 2005, and determined their survival status. Disease-specific survival from second diagnosis was examined using Cox regression analyses. Second cancers were identified in 1044 women with a median age of 60 years. In all 455 were ipsilateral relapses and 589 were contralateral cancers. Median time between first and second diagnosis was 63.4 months. The majority of second cancers was small invasive or in situ tumours. Estimated 10-year survival from a second cancer diagnosis was 78%. Survival was poorest when the second cancer was large (HR=2.26) or node-positive (HR=3.43), when the time between the two diagnoses was <5 years (HR=1.45), or when the diagnosis was in an earlier epoch (HR=2.20). Second tumours were more likely to be large or node-positive if the first breast cancer had these features. Prognosis following a second breast cancer in this cohort was generally good. However, large or node-positive second tumours, and shorter intervals between diagnoses were indicators of poorer survival.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-10071303, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-14692652, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-14965672, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-15196532, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-15761078, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-16305821, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-16555124, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-17033037, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-17303426, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-17533401, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-17548838, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-17899293, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-17962200, http://linkedlifedata.com/resource/pubmed/commentcorrection/18628762-3136104
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
1532-1827
pubmed:author
pubmed:issnType
Electronic
pubmed:day
5
pubmed:volume
99
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
539-44
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
2008
pubmed:articleTitle
Second breast cancers in a Tuscan case series: characteristics, prognosis, and predictors of survival.
pubmed:affiliation
Centro per lo Studio e la Prevenzione Oncologica, Istituto Scientifico della Regione Toscana, Florence, Italy. s.ciatto@cspo.it
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't