Breast Cancer



Relevance: High
Most relevant for: people with inherited PALB2 mutations
Study: Cancer risks of people with inherited PALB2 mutations
In the largest study of people with inherited PALB2 mutations to date, the gene was linked to increased lifetime risk of breast cancer in women and men, ovarian and pancreatic cancer but not prostate or colorectal cancer. (posted 7/1/21)
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Relevance: High
Most relevant for: Women who have had breast cancer who are considering pregnancy.
Study: Women can have safe pregnancies after breast cancer treatment
In a large analysis of all published studies to date, most women who become pregnant after breast cancer treatment had safe pregnancies, with no increase in their cancer recurrence risk. Infants of mothers treated for breast cancer were more likely to have low birth weight, preterm birth and small size at birth but there was no increase in birth defects. Breast cancer survivors who became pregnant had a similar risk of recurrence and survival as survivors who did not become pregnant. (posted 6/24/21)
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Relevance: High
Most relevant for: People concerned about endometrial, ovarian or breast cancer risk
Study: Birth control pills may offer long-term protection against endometrial and ovarian cancer
A large study showed that birth control pills may protect against endometrial and ovarian cancers, even years after use was discontinued. (posted 6/1/21)
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Relevance: Medium
Most relevant for: Patients with non-metastatic triple-negative breast cancer at high risk of recurrence.
Update: FDA allows testing of a vaccine designed to prevent breast cancer
Scientists have been working for many years to develop a vaccine that will prevent breast cancer. The FDA recently announced that the first clinical trial to test a preventive breast cancer vaccine can begin. This vaccine is the result of over a decade of research in animals and human cells. While researchers will first test the vaccine in women who have breast cancer, they hope to use this vaccine in the future to prevent breast cancer. (posted 5/25/21)
THIS INFORMATION HAS BEEN UPDATED on 10/12/2021: The clinical trial discussed in this XRAY review has begun recruiting participants. Researchers hope to enroll 24 patients with non-metastatic triple-negative breast cancer. The trial is being conducted at the Cleveland Clinic in Cleveland, Ohio. More information on this trial can be found here.
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Relevance: High
Most relevant for: People with breast, colorectal or lung cancer.
Study: Expanded access to Medicaid coverage under the Affordable Care Act is linked to reduced cancer mortality
In 2014 the Affordable Care Act expanded Medicaid coverage. How did this affect healthcare for cancer patients? This study shows that deaths from breast, colorectal and lung cancer are lower in states that chose to expand Medicaid compared to states that did not. Early diagnosis was linked to lower death rates. This suggests that increased healthcare access may lead to earlier cancer detection and better outcomes, including lower mortality. (3/31/2021)
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Relevance: High
Most relevant for: People considering screening mammography after getting a COVID-19 vaccine.
Guideline: Expert guidelines on COVID-19 vaccines and timing of breast screening tests
COVID-19 vaccines work by helping the immune system destroy the virus. Lymph nodes are an important part of the immune system. COVID-19 vaccines may cause temporary swelling in some lymph nodes, which may look suspicious on a mammogram. The Society for Breast Imaging and other professional organizations have released recommendations for the timing of mammograms after COVID-19 vaccines. (3/30/21)
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Relevance: Medium-High
Most relevant for: Women considering mastectomy without breast reconstruction.
Study: Patient outcomes and experiences of going flat
Some patients with early-stage breast cancer or those considering risk-reducing surgery may choose mastectomy without reconstruction. This is often referred to as “going flat.” The results of this study suggest that surgeons play a significant role in supporting a patient’s decision to go flat. (3/23/2021)
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Relevance: Medium-High
Most relevant for: People concerned about their risk of colorectal or ovarian cancer.
Study: Body Mass Index (BMI) may affect how well aspirin use protects against colorectal and ovarian cancer
This study looked at the impact of daily aspirin use on the risk for many types of cancers and whether this effect can be modified by risk factors such as obesity, smoking, physical inactivity or a family history of cancer. Daily aspirin use:
- lowered the risk for colorectal cancer, but this effect was lost as Body Mass Index (BMI) increased.
- lowered the risk of ovarian cancer risk among obese women.
- offered little or no protection against breast, endometrial or advanced prostate cancer.
(posted 3/19/21)
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Relevance: Medium-High
Most relevant for: Women with breast cancer
Study: Can tumor tests identify more breast cancer patients who can safely skip chemotherapy?
Two studies presented at the December 2020 San Antonio Breast Cancer Symposium looked at how tumor testing can identify patients who may benefit the most and the least from chemotherapy. (3/4/21)
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Relevance: Medium-High
Most relevant for: Women considering breastfeeding who have inherited BRCA mutations.
Study: Breastfeeding may lower risk of ovarian cancer in women with BRCA mutations
Data from a large-scale study suggests that breastfeeding may protect against ovarian cancer in women with inherited mutations in BRCA1 or BRCA2. (1/28/21)
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