Prevalencia de factores de riesgo asociados al cáncer de mama en el síndrome de cáncer de mama y ovario hereditario en pacientes latinoamericanas

dc.contributor.advisorCastro Rojas, Carlos Andres
dc.contributor.advisorBeltran Lopez , Angela Patricia
dc.contributor.authorAmaya Rojas, Maria Paula
dc.contributor.authorDiaz Muñoz , Gustavo Alonso
dc.contributor.authorCastañeda Gomez, Angela Maria
dc.contributor.authorChaparro Daza, Juan Camilo
dc.contributor.authorAngulo Arriola, Juan Diego
dc.contributor.authorMontoya Ossa, Daniela
dc.contributor.orcidAmaya Rojas, Maria Paula [0000-0003-0753-4235]
dc.contributor.orcidDiaz Muñoz, Gustavo Alonso [0000-0002-9216-7873]
dc.contributor.orcidCastañeda Gomez, Angela Maria [0000-0003-3022-2352]
dc.contributor.orcidChaparro Daza, Juan Camilo [0000-00022425959x]
dc.contributor.orcidAngulo Arriola , Juan Diego [0000-0002-9668-1650]
dc.contributor.orcidMontoya Ossa,Daniela [0000-0002-2237-3970]
dc.date.accessioned2024-07-12T22:41:03Z
dc.date.available2024-07-12T22:41:03Z
dc.date.issued2024-04
dc.description.abstractEl síndrome de cáncer de mama y ovario hereditario (HBOC) es una condición relacionada con mutaciones en diferentes genes, especialmente en BRCA1 y BRCA2, que hace que sea más probable desarrollar ciertos tipos de cáncer como el de mama y ovario. Para el síndrome HBOC ya se han determinado factores genéticos, sin embargo, los factores no genéticos son limitados y desconocidos en América Latina. Este análisis post hoc del estudio LACAM tuvo como objetivo explorar la prevalencia de factores de riesgo de cáncer de mama en pacientes latinoamericanos con HBOC. Es un estudio prospectivo que incorpora 422 pacientes femeninas de diferentes centros clínicos de cinco países de América Latina. Todos los pacientes cumplieron los criterios de HBOC según la NCCN. El marco comprendió desde octubre de 2017 hasta diciembre de 2021. Se evaluaron características clínicas, patológicas y sociodemográficas. Los rangos de edad varían entre 36-71 años. El 88% de los pacientes nunca ha fumado; Los resultados del IMC arrojaron que el 56,6% tiene sobrepeso u obesidad; la edad media de la menarquia fue 12,8 ±1,8 años; El 75,8% de todos los participantes se encuentran en estado posmenopáusico. 353 mujeres han estado embarazadas, 316 de ellas (90%) tuvieron su primer (o único) embarazo ≤30 años; 319 (76,9%) mujeres amamantaron después del embarazo. 62,3% amamantaron durante ≤12 meses. 299 participantes no tienen ningún familiar de primer grado diagnosticado con cáncer de mama. Nuestros datos muestran una preponderancia de factores de riesgo no modificables para HBOC, como la edad. Además, también predominó un factor de riesgo modificable: IMC >25. Otros factores de riesgo descritos en la literatura mostraron variabilidad en los resultados de la muestra estudiada, pero no fueron prevalentes. El embarazo y la lactancia han demostrado ser factores protectores para la población de Los Ángeles.
dc.description.abstractenglishHereditary breast and ovarian cancer (HBOC) syndrome is a condition related to mutations in different genes, especially in BRCA1 and BRCA2, that makes it more likely to develop certain types of cancer such as breast and ovarian cancer. For HBOC syndrome, genetic factors have already been determined, nevertheless, non-genetic factors are limited and unknown in Latin America. This post hoc analyses of LACAM study aimed to explore the prevalence of risk factors of breast cancer in Latin American patients with HBOC. It is a prospective study that incorporates 422 female patients from different clinical centers of five countries of Latin America. All patients fulfilled the HBOC criteria according to the NCCN. The frametime included October 2017 until December 2021. Clinical, pathological and sociodemographic characteristics were evaluated. The age ranges vary between 36-71 years. 88% of the patients have never smoked; BMI results showed that 56,6% are overweight or obese; the age of menarche mean was 12.8 ±1.8 years; 75,8% of all participants are in a post-menopausal state. 353 women have been pregnant, 316 of them (90%) had their first (or only) pregnancy ≤30 years; 319 (76,9%) women breastfed after pregnancy. 62,3% breastfed for ≤12 months. 299 participants do not have a first degree family member diagnosed with breast cancer. Our data show a preponderance of unmodifiable risk factors for HBOC such as age. In addition, one modifiable risk factor BMI >25 was also predominant. Other risk factors described in the literature showed variability in outcomes for the studied sample, but were not prevalent. Pregnancy and breastfeeding have proven to be protective factors for the LA population.
dc.description.degreelevelPregradospa
dc.description.degreenameMédico Cirujanospa
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/12657
dc.language.isoen
dc.publisher.facultyFacultad de Medicinaspa
dc.publisher.grantorUniversidad El Bosquespa
dc.publisher.programMedicinaspa
dc.relation.referencesLatin America and the Caribbean [Internet]. Globocan 2020. International Agency for Research on Cancer (IARC). 2018 [Citado Mayo 30 de 2021]. Disponible en: https://gco.iarc.fr/today/data/factsheets/populations/904-latin-america-and-the-caribbe an-fact-sheets.pdf
dc.relation.referencesDatos y Estadísticas sobre el Cáncer entre los Hispanos/Latinos 2018-2020 [Internet]. American Cancer Society. 2018 [Citado Mayo 30 de 2021]. Disponible en: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/ca ncer-facts-and-figures-for-hispanics-and-latinos/cancer-facts-and-figures-for-hispanic s-and-latinos-2018-2020-spanish.pdf
dc.relation.referencesOssa Gomez CA, Achatz MI, Hurtado M, Sanabria-Salas MC, Sullcahuaman Y, Chávarri-Guerra Y, et al. Germline Pathogenic Variant Prevalence Among Latin American and US Hispanic Individuals Undergoing Testing for Hereditary Breast and Ovarian Cancer: A Cross-Sectional Study. JCO Global Oncology. 2022 Jul;(8).
dc.relation.referencesYoshida R. Hereditary breast and ovarian cancer (HBOC): Review of its molecular characteristics, screening, treatment, and prognosis. Breast Cancer. 2020 Aug 29:1-4.
dc.relation.referencesNindrea RD, Aryandono T, Lazuardi L. Breast Cancer Risk From Modifiable and Non-Modifiable Risk Factors among Women in Southeast Asia: A Meta-Analysis. Asian Pac J Cancer Prev. 2017 Dec 28;18(12):3201-3206.
dc.relation.referencesBrewer HR, Jones ME, Schoemaker MJ, Ashworth A, Swerdlow AJ. Breast Cancer Res Treat. 2017 Aug; 165(1):193-200.
dc.relation.referencesShamshirian A, Heydari K, Shams Z, Aref AR, Shamshirian D, Tamtaji OR, Asemi Z, Shojaie L, Mirzaei H, Mohammadi N, Zibaee B, Karimifar K, Zarandi B, Hedayatizadeh-Omran A, Alizadeh-Navaei R. Breast cancer risk factors in Iran: a systematic review & meta-analysis. Horm Mol Biol Clin Investig. 2020 Oct 21;41(4).
dc.relation.referencesDaly MB, Pal T, Berry MP, Buys SS, Dickson P, Domchek SM, Elkhanany A, Friedman S, Goggins M, Hutton ML, Karlan BY. Genetic/familial high-risk assessment: breast, ovarian, and pancreatic, version 2.2021, NCCN clinical practice guidelines in oncology. Journal of the National Comprehensive Cancer Network. 2021 Jan 6;19(1):77-102.
dc.relation.referencesLACAM. Latin American Study of Hereditary Breast and Ovarian Cancer LACAM: A Genomic Epidemiology Approach. Frontiers in Oncology. 2019 Dec 20; 9:1-13
dc.relation.referencesGonzález-Teshima LY, Vargas-Cely FS, Muñoz-Sandoval JS, Ramírez-Cheyne J, Saldarriaga-Gil W. Síndrome de cáncer hereditario de mama y ovario: aplicación clínica. Revista Colombiana de Obstetricia y Ginecología. 2016;67(1):36-49.2
dc.relation.referencesLima SM, Kehm RD, Terry MB. Global breast cancer incidence and mortality trends by region, age-groups, and fertility patterns. EClinicalMedicine. 2021 Aug;38:100985.
dc.relation.referencesKhalis, M., Charbotel, B., Chajès, V., Rinaldi, S., Moskal, A., Biessy, C., Dossus, L., Huybrechts, I., Fort, E., Mellas, N., Elfakir, S., Charaka, H., Nejjari, C., Romieu, I., & El Rhazi, K. (2018). Menstrual and reproductive factors and risk of breast cancer: A case-control study in the Fez region, Morocco. PloS one, 13(1), e0191333. https://doi.org/10.1371/journal.pone.0191333
dc.relation.referencesClavel-Chapelon F, E3N Group. Cumulative number of menstrual cycles and breast cancer risk: results from the E3N cohort study of French women. Cancer Causes Control. 2002. November;13(9):831–8
dc.relation.referencesKotsopoulos J, Lubinski J, Lynch HT, Neuhausen SL, Ghadirian P, Isaacs C, Weber B, Kim-Sing C, Foulkes WD, Gershoni-Baruch R, Ainsworth P, Friedman E, Daly M, Garber JE, Karlan B, Olopade OI, Tung N, Saal HM, Eisen A, Osborne M, Olsson H, Gilchrist D, Sun P, Narod SA. Age at menarche and the risk of breast cancer in BRCA1 and BRCA2 mutation carriers. Cancer Causes Control. 2005 Aug;16(6):667-74. doi: 10.1007/s10552-005-1724-1. PMID: 16049805.
dc.relation.referencesMaritnez E, Montero G, Zambrano R. El embarazo adolescente como un problema de salud pública en latinoamérica. 41st ed. Revista espacios. Grupo editorial espacios; 2020.
dc.relation.referencesSlepicka PF, Cyrill SL, Dos Santos CO. Pregnancy and breast cancer: pathways to understand risk and prevention. Trends in molecular medicine. 2019 Oct 1;25(10):866-81.
dc.relation.referencesMitchell C. América Latina y el Caribe tienen la segunda tasa más alta de embarazo adolescente en el mundo [Internet]. Pan American Health Organization / World Health Organization. [cited 24 August 2022]. Available from: https://www3.paho.org/hq/index.php?option=com_content&view=article&id=14163:l atin-america-and-the-caribbean-have-the-second-highest-adolescent-pregnancy-rates-in-the world&Itemid=1926&lang=es#gsc.tab=0
dc.relation.referencesComisión Económica para América Latina y el Caribe. Datos Demograficos y sociales: Tasa Global de Fecundidad. [Internet]. Statistics.cepal.org. 2022. [cited 14 February 2023].Available from: https://statistics.cepal.org/portal/cepalstat/dashboard.html?theme=1&lang=es
dc.relation.referencesParis I, Di Giorgio D, Carbognin L, Corrado G, Garganese G, Franceschini G, Sanchez AM, De Vincenzo RP, Accetta C, Terribile DA, Magno S. Pregnancy-associated breast cancer: a multidisciplinary approach. Clinical Breast Cancer. 2021 Feb 1;21(1):e120-7.
dc.relation.referencesGonzales AO, Ortiz JU, Cruz YL. Lactancia materna exclusiva en Latinoamérica: una revisión sistemática. Vive Revista de Salud. 2022 Dec;5(15):874-88.
dc.relation.referencesJohn EM, Hines LM, Phipps AI, Koo J, Longacre TA, Ingles SA, Baumgartner KB, Slattery ML, Wu AH. Reproductive history, breast‐feeding and risk of triple negative breast cancer: the Breast Cancer Etiology in Minorities (BEM) study. International journal of cancer. 2018 Jun 1;142(11):2273-85.
dc.relation.referencesBabic A, Sasamoto N, Rosner BA, Tworoger SS, Jordan SJ, Risch HA, Harris HR, Rossing MA, Doherty JA, Fortner RT, Chang-Claude J. Association between breastfeeding and ovarian cancer risk. JAMA oncology. 2020 Jun 1;6(6):e200421-.
dc.relation.referencesYang H, He W, Eriksson M, Li J, Holowko N, Chiesa F, Hall P, Czene K. Inherited factors contribute to an inverse association between preeclampsia and breast cancer. Breast Cancer Research. 2018 Dec;20(1):1-9.
dc.relation.referencesWang F, Zhang W, Cheng W, Huo N, Zhang S. Preeclampsia and cancer risk in women in later life: a systematic review and meta-analysis of cohort studies. Menopause. 2021 Sep 1;28(9):1070-8.
dc.relation.referencesSun M, Fan Y, Hou Y, Fan Y. Preeclampsia and maternal risk of breast cancer: a meta-analysis of cohort studies. The Journal of Maternal-Fetal & Neonatal Medicine. 2018 Sep 17;31(18):2484-91.
dc.relation.referencesColditz G, Kaphingst K, Hankinson S, Rosner B. Family history and risk of breast cancer: nurses’ health study. Breast Cancer Research and Treatment. 2012;133(3):1097-1104.
dc.relation.referencesPharoah P, Day N, Duffy S, Easton D, Ponder B. Family history and the risk of breast cancer: A systematic review and meta-analysis. International Journal of Cancer. 1997;71(5):800-809.
dc.relation.referencesM., Orozco, A., Shao, K. et al. Germline variants in hereditary breast cancer genes are associated with early age at diagnosis and family history in Guatemalan breast cancer. Breast Cancer Res Treat 189, 533–539 (2021). https://doi.org/10.1007/s10549-021-06305-5
dc.relation.referencesSun YS, Zhao Z, Yang ZN, Xu F, Lu HJ, Zhu ZY, Shi W, Jiang J, Yao PP, Zhu HP. Risk factors and preventions of breast cancer. International journal of biological sciences. 2017;13(11):1387.
dc.relation.referencesMelvin J, Wulaningsih W, Hana Z, Purushotham A, Pinder S, Fentiman I et al. Family history of breast cancer and its association with disease severity and mortality. Cancer Medicine. 2016;5(5):942-949.
dc.relation.referencesSong J, Chen C, Yuan J, Sun S. The association between prognosis of breast cancer and first-degree family history of breast or ovarian cancer: a systematic review and meta-analysis. Familial Cancer. 2017;16(3):339-349.
dc.relation.referencesBuja A, Pierbon M, Lago L, Grotto G, Baldo V. Breast cancer primary prevention and diet: an umbrella review. International journal of environmental research and public health. 2020 Jul;17(13):4731.
dc.relation.referencesGarcia-Estevez L, Moreno-Bueno G. Updating the role of obesity and cholesterol in breast cancer. Breast Cancer Research. 2019 Dec;21(1):1-8.
dc.relation.referencesKim SJ, Huzarski T, Gronwald J, Singer CF, Møller P, Lynch HT, Armel S, Karlan BY, Foulkes WD, Neuhausen SL, Senter L. Prospective evaluation of body size and breast cancer risk among BRCA1 and BRCA2 mutation carriers. International journal of epidemiology. 2018 Jun 1;47(3):987-97.
dc.relation.referencesRojas HurtadoMP, Herrán FallaOF, Torres IbargüenMZ, Díaz Muñoz GA, de VriesE. Variaciones hipotéticas en la incidencia y la fracción atribuible poblacional de cánceres hepático, colorrectal y de mama, como efectos de la reducción teórica del índice de masa corporal en Colombia, 2016 - 2050. 2 de mayo de 2021. Rev. Fac. Nac. Salud Pública 2021;39(2):14. Doi: 10.17533/udea.rfnsp.e342008
dc.relation.referencesBardou VJ, Arpino G, Elledge RM, Osborne CK, Clark GM. Progesterone receptor status significantly improves outcome prediction over estrogen receptor status alone for adjuvant endocrine therapy in two large breast cancer databases. J Clin Oncol. 2003;21:1973–9.
dc.relation.referencesLakhani SR, Van De Vijver MJ, Jacquemier J, Anderson TJ, Osin PP, McGuffog L, et al. The pathology of familial breast cancer: predictive value of immunohistochemical markers estrogen receptor, progesterone receptor, HER-2, and p53 in patients with mutations in BRCA1 and BRCA2. J Clin Oncol. (2002) 20:2310–8. doi: 10.1200/jco.2002.09.023
dc.rightsAttribution 4.0 Internationalen
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2
dc.rights.localAcceso abiertospa
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectSíndrome de cáncer hereditario de mama y ovario
dc.subjectFactores de riesgo
dc.subjectAmérica Latina
dc.subjectEstudio LACAM
dc.subject.keywordsHereditary breast and ovarian cancer syndrome
dc.subject.keywordsRisk factors
dc.subject.keywordsLatin America
dc.subject.keywordsLACAM study
dc.subject.nlmW100
dc.titlePrevalencia de factores de riesgo asociados al cáncer de mama en el síndrome de cáncer de mama y ovario hereditario en pacientes latinoamericanas
dc.title.translatedPrevalence of risk factors associated with breast cancer in hereditary breast and ovarian cancer syndrome in Latin American patients
dc.type.coarhttps://purl.org/coar/resource_type/c_7a1f
dc.type.coarversionhttps://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driverinfo:eu-repo/semantics/bachelorThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesis/Trabajo de grado - Monografía - Pregradospa

Archivos

Bloque original
Mostrando 1 - 1 de 1
Cargando...
Miniatura
Nombre:
Trabajo de grado .pdf
Tamaño:
220.14 KB
Formato:
Adobe Portable Document Format

Colecciones