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  • Findings From April, 2003, to December, 2011, 447 patients were registered, 413 of whom had early breast cancer. Median age was 33 years (range 22-51). At the time of diagnosis, median gestational age was 24 weeks (range 5-40). 197 (48%) of 413 women received chemotherapy during pregnancy with a median of four cycles (range one to eight). 178 received an anthracycline, 15 received cyclophosphamide, methotrexate, and fluorouracil, and 14 received a taxane. Birthweight was affected by chemotherapy exposure after adjustment for gestational age (p=0.018), but not by number of chemotherapy cycles (p=0.71). No statistical difference between the two groups was observed for premature deliveries before the 37th week of gestation. 40 (10%) of 386 infants had side-effects, malformations, or new-born complications; these events were more common in infants born before the 37th week of gestation than they were in infants born in the 37th week or later (31 [16%] of 191 infants vs nine [5%] of 195 infants; p=0.0002). In infants for whom maternal treatment was known, adverse events were more common in those who received chemotherapy in utero compared with those who were not exposed (31 [15%] of 203 vs seven [4%] of 170 infants; p=0.00045). Two infants died; both were exposed to chemotherapy and delivered prematurely, but both deaths were thought not to be related to treatment. Median disease-free survival for women with early breast cancer was 70.6 months (95% CI 62.1-105.5) in women starting chemotherapy during pregnancy and 94.4 months (lower 95% CI 64.4; upper 95% CI not yet reached) in women starting chemotherapy after delivery (unadjusted hazard ratio 1.13 [95% CI 0.76-1.69]; p=0.539).
  • Findings From April, 2003, to December, 2011, 447 patients were registered, 413 of whom had early breast cancer. Median age was 33 years (range 22-51). At the time of diagnosis, median gestational age was 24 weeks (range 5-40). 197 (48%) of 413 women received chemotherapy during pregnancy with a median of four cycles (range one to eight). 178 received an anthracycline, 15 received cyclophosphamide, methotrexate, and fluorouracil, and 14 received a taxane. Birthweight was affected by chemotherapy exposure after adjustment for gestational age (p=0.018), but not by number of chemotherapy cycles (p=0.71). No statistical difference between the two groups was observed for premature deliveries before the 37th week of gestation. 40 (10%) of 386 infants had side-effects, malformations, or new-born complications; these events were more common in infants born before the 37th week of gestation than they were in infants born in the 37th week or later (31 [16%] of 191 infants vs nine [5%] of 195 infants; p=0.0002). In infants for whom maternal treatment was known, adverse events were more common in those who received chemotherapy in utero compared with those who were not exposed (31 [15%] of 203 vs seven [4%] of 170 infants; p=0.00045). Two infants died; both were exposed to chemotherapy and delivered prematurely, but both deaths were thought not to be related to treatment. Median disease-free survival for women with early breast cancer was 70.6 months (95% CI 62.1-105.5) in women starting chemotherapy during pregnancy and 94.4 months (lower 95% CI 64.4; upper 95% CI not yet reached) in women starting chemotherapy after delivery (unadjusted hazard ratio 1.13 [95% CI 0.76-1.69]; p=0.539). (en)
Title
  • Treatment of breast cancer during pregnancy: an observational study
  • Treatment of breast cancer during pregnancy: an observational study (en)
skos:prefLabel
  • Treatment of breast cancer during pregnancy: an observational study
  • Treatment of breast cancer during pregnancy: an observational study (en)
skos:notation
  • RIV/00064203:_____/12:8595!RIV13-MZ0-00064203
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 9
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 175036
http://linked.open...ai/riv/idVysledku
  • RIV/00064203:_____/12:8595
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • preterm birth; chemotherapy; outcomes; anthracyclines; prognosis; children; features; taxanes; model; age (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [E5F053390B81]
http://linked.open...i/riv/nazevZdroje
  • Lancet Oncology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 13
http://linked.open...iv/tvurceVysledku
  • Halaška, Michael
  • Müller, V.
  • Loibl, S.
  • Nekljudova, V.
  • Amant, F.
  • Heyns, L.
  • Harbeck, N.
  • Gziri, MM
  • Han, S. N.
  • Bontenbal, M.
  • Calster, B.
  • Calsteren, K.
  • Fehm, T.
  • Giermek, J.
  • Kaufmann, M.
  • Lenhard, M.
  • Linn, SC
  • Rack, B.
  • Ring, A.
  • Schlehe, B.
  • Westenend, PJ
  • von, Minckwitz, G
http://linked.open...ain/vavai/riv/wos
  • 000308425600016
issn
  • 1470-2045
number of pages
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