Evidence map›Paper›PMID 32285031›Full record

ArticleEuropean journal of breast health2020

Investigating the Link between Lynch Syndrome and Breast Cancer.

Megan Sheehan, Brandie Heald, Courtney Yanda, Erinn Downs Kelly, Stephen Grobmyer, Charis Eng, Matthew Kalady, Holly Pederson

Open access · diamondAbstract read
In one paragraph

Article in European journal of breast health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

30 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. A Pathogenic Variant Reclassified to the PseudogeneInternational journal of molecular sciences · 2023
    Article
  16. Global medical genetics · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. A RareGenes · 2022
    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

8 authors at 2 institutions in 2 countries.

Megan SheehanCleveland Clinic, Lerner College of Medicine, Cleveland, OH, USA.ORCID https://orcid.org/0000-0001-6219-1947
Brandie HealdCleveland Clinic, Genomic Medicine Institute, Cleveland, OH, USA.ORCID https://orcid.org/0000-0003-4227-3675
Courtney YandaCleveland Clinic, Breast Services Department, Cleveland, OH, USA.ORCID https://orcid.org/0000-0001-9034-4007
Erinn Downs KellyCleveland Clinic, RJ Tomsich Pathology and Laboratory Medicine Institute, Cleveland, OH, USA.ORCID https://orcid.org/0000-0003-4586-4630
Stephen GrobmyerCleveland Clinic, Breast Services Department, Cleveland, OH, USA.ORCID https://orcid.org/0000-0002-1163-1348
Charis EngCleveland Clinic, Genomic Medicine Institute, Cleveland, OH, USA.ORCID https://orcid.org/0000-0002-3693-5145
Matthew KaladyCleveland Clinic, Department of Colorectal Surgery, Cleveland, OH, USA.ORCID https://orcid.org/0000-0002-2114-114X
Holly PedersonCleveland Clinic, Breast Services Department, Cleveland, OH, USA.ORCID https://orcid.org/0000-0003-4325-8370
Breast Center · CHCleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLynch syndrome is an inherited genetic disorder associated with a predisposition to early-onset colorectal and endometrial cancers, but breast cancer risk in these patients is debated. The aim of this study is to evaluate breast cancer rates in a cohort of Lynch syndrome patients, as well as to identify women who may be eligible for additional breast cancer specific genetic testing or enhanced breast surveillance (contrast-enhanced magnetic resonance imaging (MRI) screening). MATERIALS AND

methodsUsing a hereditary colorectal cancer registry at a single academic institution for identification of patients with Lynch syndrome, a retrospective chart review was performed of 188 women with DNA mismatch repair (MMR) mutations. The Tyrer-Cuzick model was used to estimate breast cancer risk in patients without breast cancer.

resultsThe prevalence of breast cancer differed based on mutation type (p=0.0043), as 27% of women with a PMS2 mutation were diagnosed with breast cancer, compared to 3%, 4%, and 9% in MLH1, MSH2, and MSH6 patients. The average age at diagnosis for women with a PMS2 mutation was 46.7 years. Additionally, 7.5% of unaffected women had an estimated lifetime risk of breast cancer greater than 20%. 46/188 (24.4%) of patients were eligible for breast specific genetic testing.

conclusionOur analysis suggests that Lynch syndrome patients with PMS2 mutations may be at higher risk of developing breast cancer. Additionally, the personal and family history of cancer suggests crossover in eligibility for breast specific genetic testing in a significant number of patients (16.5-24.4%). Also, many women are eligible for enhanced breast surveillance (7.5%) which would otherwise not be offered.

Indexed as

Breast neoplasmscancer screeningcolorectal cancer hereditary nonpolyposis

Identifiers

PMID32285031
PMCPMC7138356
OpenAlexW3015536206

What OpenQuestion holds

Textmetadata
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.