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. Author manuscript; available in PMC: 2021 May 1.
Published in final edited form as: Breast Cancer Res Treat. 2020 Apr 3;181(1):181–188. doi: 10.1007/s10549-020-05612-7

Table 3.

Frequency of radiation-induced malignancies between LFS and non-LFS patients

Non-LFSa
LFS
n / Median % / range n / Median % / range

BC tumors 7050 - 86b -
BC patients 6607 - 51 -
XRT recommended 3898 59% 29 57%
Definitive XRT for BC 3863/3898 99%** 20/29 69%
XRT in metastatic settings 85/3816c 3% 2/20 10%
XRT in curative settings 3731/3816c 97% 18/20 90%
XRT follow up years 4 2–10 12.5 2–20
Post-XRT thyroid cancer 17/3731 0.5% 1/18 6%
Post-XRT sarcoma in radiation field 1/3731 0.03%* 1/18 6%

Relative risk of thyroid cancer post-XRTd N/A 23.82 (95% CI=3.47–163.25, p=0.001) 5.93
Relative risk of sarcoma post-XRTd N/A 5.93 (95% CI=0.34–103.04, p=0.22)

LFS, Li Fraumeni Syndrome; BC, breast cancer; XRT, radiation therapy.

a

The PMCR cohort represents the non-LFS breast cancer patient population seen at Penn Medicine.

b

Includes primary and recurrent breast tumors

c

Patients with sufficient data on clinical stage

d

Relative risk associated with LFS in comparison to the non-LFS cohort in propensity weighted analyses.

*

p=0.01

**

p<0.001 by Fisher’s exact test