Evidence map›Paper›PMID 25547133›Full record

ArticleBreast cancer research : BCR2014

Outcomes of children exposed in utero to chemotherapy for breast cancer.

Rashmi K Murthy, Richard L Theriault, Chad M Barnett, Silvia Hodge, Mildred M Ramirez, Andrea Milbourne, Sue A Rimes, Gabriel N Hortobagyi, Vicente Valero, Jennifer K Litton

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00510367 (Multimodality Treatment of Primary Breast Cancer Occurring Concomitant With Pregnancy), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00510367 early_phase1completednot on this map

Multimodality Treatment of Primary Breast Cancer Occurring Concomitant With Pregnancy

TypeinterventionalSponsorM.D. Anderson Cancer CenterRan2001 to 2020Enrolled61ConditionsBreast Cancer, PregnancyArms5-Fluorouracil, Cyclophosphamide, Doxorubicin
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. The impact ofHuman reproduction open · 2025
    Review
  8. Breast cancer during pregnancy-The oncologist's point of view.Acta obstetricia et gynecologica Scandinavica · 2024
    Article
  9. Article
  10. Observational
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Cancer in pregnancy: breast cancer.Abdominal radiology (New York) · 2023
    Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Rashmi K MurthyDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Box 1354, Houston, TX, 77030, USA. rmurthy1@mdanderson.org.
Richard L TheriaultDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Box 1354, Houston, TX, 77030, USA. richard.theriault@yahoo.com.
Chad M BarnettDivision of Pharmacy, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA. cmbarnet@mdanderson.org.
Silvia HodgeDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Box 1354, Houston, TX, 77030, USA. SHodge@mdanderson.org.
Mildred M RamirezDepartment of Obstetrics/Gynecology, The University of Texas Health Science Center, 6431 Fannin Street, Houston, TX, 77030, USA. mmramirez@mdanderson.org.
Andrea MilbourneDepartment of Obstetrics/Gynecology, The University of Texas Health Science Center, 6431 Fannin Street, Houston, TX, 77030, USA. amilbour@mdanderson.org.
Sue A RimesDepartment of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1362, Houston, TX, 77030, USA. sarimes@mdanderson.org.
Gabriel N HortobagyiDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Box 1354, Houston, TX, 77030, USA. ghortoba@mdanderson.org.
Vicente ValeroDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Box 1354, Houston, TX, 77030, USA. vvalero@mdanderson.org.
Jennifer K LittonDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Box 1354, Houston, TX, 77030, USA. jlitton@mdanderson.org.
The University of Texas MD Anderson Cancer Center · USThe University of Texas Health Science Center at Houston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe incidence of breast cancer diagnosed during pregnancy is expected to increase as more women delay childbearing in the United States. Treatment of cancer in pregnant women requires prudent judgment to balance the benefit to the cancer patient and the risks to the fetus. Prospective data on the outcomes of children exposed to chemotherapy in utero are limited for the breast cancer population.

methodsBetween 1992 and 2010, 81 pregnant patients with breast cancer were treated in a single-arm, institutional review board-approved study with 5-fluorouracil, doxorubicin, and cyclophosphamide (FAC) in the adjuvant or neoadjuvant setting. Labor and delivery records were reviewed for each patient and neonate. In addition, the parents or guardians were surveyed regarding the health outcomes of the children exposed to chemotherapy in utero.

resultsIn total, 78% of the women (or next of kin) answered a follow-up survey. At a median age of 7 years, most of the children exposed to chemotherapy in utero were growing normally without any significant exposure-related toxicity or health problems. Three children were born with congenital abnormalities: one each with Down syndrome, ureteral reflux or clubfoot. The rate of congenital abnormalities in the cohort was similar to the national average of 3%.

conclusionsDuring the second and third trimesters, pregnant women with breast cancer can be treated with FAC safely without concerns for serious complications or short-term health concerns for their offspring who are exposed to chemotherapy in utero. Continued long-term follow-up of the children in this cohort is required.

trial registrationClinicalTrials.gov Identifier: NCT00510367. Other Study ID numbers: ID01-193, NCI-2012-01578. Registration date: 31 July 2007.

Indexed as

AdultAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsChildClubfootCongenital AbnormalitiesCyclophosphamideDown SyndromeDoxorubicinFemaleFluorouracilHumansInfant, NewbornMalePregnancyPregnancy Complications, NeoplasticCyclophosphamideDoxorubicinFluorouracil

Identifiers

PMID25547133
PMCPMC4303207
OpenAlexW2115949507

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.