Evidence map›Paper›PMID 30680478›Full record

ArticleAnnals of surgical oncology2019

Young Women with Breast Cancer: Fertility Preservation Options and Management of Pregnancy-Associated Breast Cancer.

Nikita M Shah, Dana M Scott, Pridvi Kandagatla, Molly B Moravek, Erin F Cobain, Monika L Burness, Jacqueline S Jeruss

Open access · greenAbstract read
In one paragraph

Article in Annals of surgical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.1field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 51 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Nikita M ShahDivision of Surgical Oncology, Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
Dana M ScottDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Pridvi KandagatlaDivision of Surgical Oncology, Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
Molly B MoravekDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Erin F CobainDivision of Medical Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Monika L BurnessDivision of Medical Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Jacqueline S JerussDivision of Surgical Oncology, Department of Surgery, University of Michigan, Ann Arbor, MI, USA. jjeruss@med.umich.edu.
University of Michigan–Ann Arbor · US

Funding

University of Michigan Surgical Oncology Research Training ProgramT32CA009672 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JACQUELINE SARA JERUSS, WEIPING ZOU · 1991 to 2026
$6.0M
Measuring Signaling Pathway Dynamics During Tissue Growth in HydrogelsR01CA214384 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JERUSS, JACQUELINE SARA, SHEA, LONNIE D · 2017 to 2021
$1.8M
NCI NIH HHS R01 CA214384NCI NIH HHS T32 CA009672
6 · The paper itself

Abstract

backgroundBreast cancer is the most common malignancy diagnosed in women of childbearing age. A breast cancer diagnosis in this young patient population can be uniquely complex to navigate when considering the potential impact of fertility loss associated with specific gonadotoxic therapies. Another unique challenge for young breast cancer patients is pregnancy-associated breast cancer (PABC), which occurs in approximately 1 of every 3000 pregnancies. Pregnancy adds a layer of complexity to breast cancer treatment planning as many therapies can affect the developing fetus. These two clinical challenges require nuanced multidisciplinary approaches to facilitate optimal treatment outcomes. We sought to review and summarize the management strategy options for both fertility preservation and PABC.

methodsA guideline and literature review was performed for fertility preservation, young patients with breast cancer, and pregnancy-associated breast cancer.

resultsFertility preservation options, both established and experimental, are detailed. Suggested clinical practice guidelines for PABC are also presented, which delineate breast cancer treatment recommendations based on pregnancy trimester.

conclusionA multidisciplinary approach to patient care, including oncologists and early referral to reproductive specialists, can provide young breast cancer patients with options for fertility preservation. Under the guidance of a multidisciplinary treatment team, PABC can also be diagnosed and treated to permit the best possible outcomes for the mother and the developing fetus.

Indexed as

AdultBreast NeoplasmsCombined Modality TherapyFemaleFertility PreservationHumansPractice Guidelines as TopicPregnancyPregnancy Complications, NeoplasticPrognosis

Identifiers

PMID30680478
PMCPMC6458084
OpenAlexW2912165249

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.