Table 1.
Clinical characteristics, prior cytotoxic exposures, and therapy-related leukemia characteristics of 88 breast cancer survivors
Number (%) | ||
---|---|---|
| ||
Age at diagnosis of breast cancer | ||
≤35 | 9 (10) | |
36–45 | 14 (16) | |
46–55 | 29 (33) | |
≥56 | 34 (39) | |
Unknown | 2 (2) | |
| ||
Race/Ethnicity | ||
Caucasian (non-AJ) | 65 (74) | |
Caucasian (AJ) | 3 (3) | |
African American | 5 (6) | |
Other/Unknown | 15 (17) | |
| ||
Additional cancer diagnoses (n=19)* | ||
Second primary breast cancer | 7 (8) | |
Ovarian cancer | 3 (3) | |
Other | 12 (14) | |
| ||
Family history of cancer in a first or second degree relative (n=70) | ||
Breast cancer | 33 (47) | |
Breast, ovarian, or pancreatic cancer | 40 (57) | |
| ||
Prior therapy | ||
Chemotherapy + Radiation | 49 (56)# | |
Chemotherapy only | 18 (20)# | |
Radiation only | 19 (22) | |
Unknown | 2 (2) | |
| ||
Chemotherapy class exposures | ||
Topoisomerase II inhibitor | 40 (45) | |
Alkylating agent | 58 (66) | |
Unknown | 8 (9) | |
| ||
Type of therapy-related leukemia | ||
t-MN | 81 (92) | |
t-ALL | 7 (8) | |
| ||
Latency; median in months (IQR) ** | 58 (28–105) | |
Cytogenetics*** | ||
Normal karyotype | 7 (8) | |
Abnormal karyotype | 77(88) | |
Abnormalities of chromosome 5 and/or 7 | 43 (49) | |
Recurring balanced translocations | 29 (33) | |
Other clonal abnormality | 7 (8) | |
Unknown | 4 (5) | |
| ||
Overall survival; median in months (IQR) | ||
From breast cancer diagnosis**** | 102 (60–173) | |
From therapy-related leukemia diagnosis | 13 (5–22) |
Includes three women with multiple primary tumors; other cancers include: uterine (n=2), melanoma (n=2), lung (n=2), non-Hodgkin lymphoma (n=2), osteosarcoma (n=1), bladder (n=1), cervical (n=1), multiple myeloma (n=1)
Specific agents were unknown for n=4 in the chemotherapy + radiation group and n=2 in the chemotherapy only group
Latency was unknown for 3 patients
2 patients had abnormalities of both chromosomes 5 and/or 7 and a recurring balanced translocation (t(15;17) and t(9;22))
Overall survival was unknown for 3 patients
Abbreviations: AJ=Ashkenazi Jewish; t-MN=therapy-related myeloid neoplasm; t-ALL=therapy-related acute lymphoblastic leukemia; IQR=interquartile range