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논문 기본 정보

자료유형
학술저널
저자정보
김혜연 (고려대학교) 박지수 (고려대학교) 문석주 (고려대학교) 정소현 (고려대학교) 홍진화 (고려대학교안암병원) 이재관 (고려대학교) 조금준 (고려대학교) 조현웅 (고려대학교)
저널정보
대한암학회 Cancer Research and Treatment Cancer Research and Treatment Vol.56 No.1
발행연도
2024.1
수록면
143 - 148 (6page)
DOI
10.4143/crt.2023.653

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Purpose <i>BRCA1/2</i> mutations are well-known risk factors for breast and ovarian cancers in women. Risk-reducing salpingo-oophorectomy (RRSO) is the standard treatment for preventing ovarian cancer with <i>BRCA</i> mutations. Postmenopausal syndrome (symptoms after RRSO can be alleviated by hormone replacement therapy (HRT); however, the use of HRT in carriers of <i>BRCA</i> mutations has been controversial because of the concern that HRT increases the risk of breast cancer. This study aimed to evaluate the effects of HRT in <i>BRCA</i> mutation carriers who underwent RRSO.Materials and Methods A total of 151 carriers, who underwent RRSO between 2013 and 2020 after the diagnosis of <i>BRCA1</i> or <i>BRCA2</i> mutations were selected and followed up for a median of 3.03 years. Patients were divided into two groups: those who received HRT after RRSO (n=33) and those who did not (n=118). We compared the incidence of breast cancer over time between these two groups.Results There was no significant difference in the incidence of breast cancer between women who received HRT and those who did not (p=0.229). Multivariate logistic regression analysis, adjusted for age and parity revealed no significant difference in the risk of breast cancer between these two groups (hazard ratio, 0.312; 95% confidence interval, 0.039 to 2.480; p=0.278).Conclusion In this study, we found no relationship between post-RRSO HRT and breast cancer in the population with <i>BRCA</i> mutations. Therefore, healthcare providers may consider the alleviation of symptoms of postmenopausal syndrome through HRT in patients who underwent RRSO.

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