Evidence map›Paper›PMID 40390977›Full record

ArticleJournal of obstetrics and gynaecology of India2025

Ovarian/Tubal Pathology in Premenopausal Women with Breast Cancer: A Prospective Study.

Sahana Punneshetty, Sherin Daniel, Shawn Thomas, Ajit Sebastian, Selvamani, Ashish Singh, Aaron Chapla, Sumita Danda, M J Paul, Anitha Thomas and 2 more

Abstract read
In one paragraph

Article in Journal of obstetrics and gynaecology of India, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Sahana PunneshettyDepartment of Gynaecologic Oncology, Christian Medical College, Vellore, India.ORCID 0000-0003-2921-4670
Sherin DanielDepartment of Pathology, Christian Medical College, Vellore, India.ORCID 0000-0003-4367-8850
Shawn ThomasDepartment of Endocrine Surgery, Christian Medical College, Vellore, India.ORCID 0000-0003-2307-3192
Ajit SebastianDepartment of Gynaecologic Oncology, Christian Medical College, Vellore, India.ORCID 0000-0002-0145-6654
SelvamaniDepartment of Radiation Oncology, Christian Medical College, Vellore, India.
Ashish SinghDepartment of Medical Oncology, Christian Medical College, Vellore, India.
Aaron ChaplaDepartment of Endocrinology, Christian Medical College, Vellore, India.ORCID 0000-0003-4157-6041
Sumita DandaDepartment of Medical Genetics, Christian Medical College, Vellore, India.ORCID 0000-0001-8973-370X
M J PaulDepartment of Endocrine Surgery, Christian Medical College, Vellore, India.
Anitha ThomasDepartment of Gynaecologic Oncology, Christian Medical College, Vellore, India.ORCID 0000-0002-5533-0184
Abraham PeedicayilDepartment of Gynaecologic Oncology, Christian Medical College, Vellore, India.ORCID 0000-0002-9318-566X
Rachel G ChandyDepartment of Gynaecologic Oncology, Christian Medical College, Vellore, India.ORCID 0000-0002-5040-8499

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Breast cancer is most common cancer among women and hereditary mutations account for 5-10%. HBOC syndrome is most common hereditary mutation affecting breast & ovary. The prevalence of STIC lesions in these women ranges from 2 to 12% and that in general population is unknown. Role of risk reduction salpingo-oophorectomy (RRSO) is well established among these women. Surgical ovarian ablation also plays role in hormone positive breast cancers in prolonging their survival by permanent hormone suppression. The role of oophorectomy has different impacts in breast cancer. Methodology: The study aimed to determine the different indications for oophorectomy and their histologies among premenopausal breast cancer women. This was a prospective cross sectional study of breast cancer women diagnosed ≤ 50 years of age. All these women underwent genetic counselling, gynaecology examination, transvaginal scan &CA 125 testing. Surgery was offered to women with BRCA mutations (RRSO) and also for hormone receptor positive women (surgical ovarian ablation). Histopathologies of these women were analysed using SEE-FIM protocol. Results: A total of 98 breast cancer women were identified. The median age was 41.5 years (SD 5.7) & median CA 125 was 9.3 (IQR 6-20.5). The genetic acceptance rate was 18%. Four patients were germline BRCA 1/2 positive, 1 VUS, 13 negative and 80 didn't opt for test. Ultrasound imaging showed cystic ovaries among 12 patients. Most of them had benign features. Twenty two patients underwent surgery (bilateral salpingo-oophorectomy)-3 BRCA positive and rest for hormone positive breast cancer. Histopathologies were normal except for Krukenberg's mets in one hormone positive breast cancer patient. Conclusion: The incidence of germline mutations in our study was 5%. STIC lesions were not detected in our study, attributing to low acceptance of genetic testing. The value of screening for ovarian cancer was limited. Incorporation of genetics into routine gynaecology oncology clinic needs further addressal. Our study opened the doors for the genetic awareness among these young women.

Indexed as

Breast cancerGeneticsRisk reduction salpingo-oophorectomySTIC lesionSurgical ovarian ablation

Identifiers

PMID40390977
PMCPMC12085504

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