Risk of endometrial cancer after RRSO in BRCA 1/2 carriers: a multicentre cohort study

Other authors

Institut Català de la Salut

[Pla Juher H, Carbó A] Medical Oncology, Catalan Institute of Oncology, Hospital Universitari Dr. Josep Trueta, Girona, Spain. Precision Oncology Group (OncoGIR-Pro), Institut d’Investigació Biomèdica de Girona (IDIBGI), Girona, Spain. Department of Epidemiology and Cancer Register, Girona, Spain. [Pardo M] Precision Oncology Group (OncoGIR-Pro), Institut d’Investigació Biomèdica de Girona (IDIBGI), Girona, Spain. [Izquierdo ÀJ] Precision Oncology Group (OncoGIR-Pro), Institut d’Investigació Biomèdica de Girona (IDIBGI), Girona, Spain. Hereditary Cancer Program, Catalan Institute of Oncology, IDIBGI, Girona, Spain. Department of Epidemiology and Cancer Register, Girona, Spain. [Darder E] Hereditary Cancer Program, Catalan Institute of Oncology, IDIBGI, Girona, Spain. Department of Epidemiology and Cancer Register, Girona, Spain. [Munté E] Hereditary Cancer Program, Catalan Institute of Oncology, IDIBELL, L’Hospitalet, Barcelona, Spain. [Torres Esquius S, Balmaña J] Servei d’Oncologia Mèdica, Vall d’Hebron Hospital Universitari, Barcelona, Spain

Vall d'Hebron Barcelona Hospital Campus

Publication date

2024-04-09T09:52:00Z

2024-04-09T09:52:00Z

2024-04



Abstract

Endometrial cancer; Hysterectomy; Serous carcinoma


Càncer d'endometri; Histerectomia; Carcinoma serós


Cáncer endometrial; Histerectomía; Carcinoma seroso


Objective To know the risk of endometrial cancer (EC) in a population of women with BRCA 1/2 pathogenic or likely pathogenic variants after risk-reducing salpingo-oophorectomy (RRSO). Methods The study cohort included data from 857 women with BRCA mutations who underwent RRSO visited four hospitals in Catalonia, Spain, from January 1, 1999 to April 30, 2019. Standardized incidence ratio (SIR) of EC was calculated in these patients using data from a regional population-based cancer registry. Results After RRSO, eight cases of EC were identified. Four in BRCA 1 carriers and four in BRCA2 carriers. The expected number of cases of EC was 3.67 cases, with a SIR of 2.18 and a 95% CI (0.93–3.95). Conclusions In our cohort, the risk of EC in BRCA1/2 carriers after RRSO is not greater than expected. Hysterectomy is not routinely recommended for these patients.


Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. This research did not receive any specific grants from funding agencies in the public, commercial, or not-for-profit sectors.

Document Type

Article


Published version

Language

English

Publisher

Springer

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Attribution 4.0 International

http://creativecommons.org/licenses/by/4.0/

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