Pregnancy after breast cancer: Are young patients willing to participate in clinical studies?

  • Olivia Pagani
  • , Monica Ruggeri
  • , Silvia Manunta
  • , Christobel Saunders
  • , Fedro Peccatori
  • , Fatima Cardoso
  • , Bella Kaufman
  • , Shani Paluch-Shimon
  • , Hanan Gewefel
  • , Elisa Gallerani
  • , OMalkahi Abulkhair
  • , Barbara Pistilli
  • , Ellen Warner
  • , Emmanouil Saloustros
  • , Lucien Perey
  • , Khalil Zaman
  • , Manuela Rabaglio
  • , Shari Gelber
  • , Richard D. Gelber
  • , Aron Goldhirsch
  • Larissa Korde, Hatem A. Azim, Ann H. Partridge

Research output: Contribution to journalArticlepeer-review

92 Scopus citations

Abstract

Young patients with breast cancer (BC) are often concerned about treatment-induced infertility and express maternity desire. Conception after BC does not seem to affect outcome, but information in estrogen-receptor positive (ER+) disease is not definitive. From September 2012-March 2013, 212 evaluable patients with ER+ early BC, <37years at diagnosis, from 5 regions (Europe/US/Canada/Middle-East/Australia) answered a survey about fertility concerns, maternity desire and interest in a study of endocrine therapy (ET) interruption to allow pregnancy. Overall, 37% of respondents were interested in the study; younger patients (≤30 years) reported higher interest (57%). Motivation in younger patients treated >30 months was higher (83%) than in older women (14%), interest was independent of age in patients treated for ≤30 months. A prospective study in this patient population seems relevant and feasible. The International-Breast-Cancer-Study-Group (IBCSG), within the Breast-International-Group (BIG) - North-American-Breast-Cancer-Groups (NABCG) collaboration, is launching a study (POSITIVE) addressing ET interruption to allow pregnancy.

Original languageEnglish
Pages (from-to)201-207
Number of pages7
JournalBreast
Volume24
Issue number3
DOIs
StatePublished - 1 Jun 2015
Externally publishedYes

Keywords

  • Breast cancer
  • Endocrine treatment
  • Estrogen receptor
  • Pregnancy
  • Young patients

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