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3. Fertility among young breast cancer survivors attempting pregnancy: A prospective, multicentre cohort study.

Author

Sorouri, Kimia, primary, Zheng, Yue, additional, Niman, Samuel M., additional, Dibble, Kate, additional, Rosenberg, Shoshana M., additional, Kirkner, Gregory J., additional, Ruddy, Kathryn Jean, additional, Gelber, Shari I., additional, Tamimi, Rulla M., additional, Peppercorn, Jeffrey M., additional, Schapira, Lidia, additional, Borges, Virginia F., additional, Come, Steven E., additional, Warner, Ellen, additional, Lambertini, Matteo, additional, Ginsburg, Elizabeth S., additional, and Partridge, Ann H., additional

Published
2024
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4. Response to neoadjuvant chemotherapy and the 21-gene Breast Recurrence Score test in young women with estrogen receptor-positive early breast cancer

Author

Sella, Tal, Gelber, Shari I., Poorvu, Philip D., Kim, Hee-Jeong, Dominici, Laura, Guzman-Arocho, Yaileen D., Collins, Laura, Ruddy, Kathryn J., Tamimi, Rulla M., Peppercorn, Jeffrey M., Schapira, Lidia, Borges, Virginia F., Come, Steven E., Warner, Ellen, Snow, Craig, Jakubowski, Debbie M., Russell, Christy A., Winer, Eric P., Rosenberg, Shoshana M., and Partridge, Ann H.

Published
2021
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6. Conception and pregnancy among women with a live birth after breast cancer treatment: A survey study of young breast cancer survivors.

Author

Sorouri, Kimia, Sella, Tal, Rosenberg, Shoshana M., Loucks, Maggie, Kirkner, Gregory, Snow, Craig, Ruddy, Kathryn J., Gelber, Shari I., Tamimi, Rulla M., Peppercorn, Jeffrey M., Schapira, Lidia, Borges, Virginia F., Come, Steven E., Warner, Ellen, and Partridge, Ann H.

Subjects
BREAST cancer, NEONATAL intensive care units, CANCER survivors, CANCER treatment, PREGNANCY complications, HORMONE receptor positive breast cancer, PRENATAL genetic testing
Abstract

Background: Breast cancer (BC) is the most common malignancy in women of reproductive age. This study sought to explore the postcancer conception and pregnancy experience of young BC survivors to inform counseling. Methods: In the Young Women's Breast Cancer Study (NCT01468246), a multicenter, prospective cohort, participants diagnosed at age ≤40 years with stage 0‐III BC who reported ≥1 postdiagnosis live birth were sent an investigator‐developed survey. Results: Of 119 eligible women, 94 (79%) completed the survey. Median age at diagnosis was 32 years (range, 17–40) and at first postdiagnosis delivery was 38 years (range, 29–47). Most had stage I or II (77%) and HR+ (78%) BC; 51% were nulligravida at diagnosis. After BC treatment, most (62%) conceived naturally, though 38% used assisted reproductive technology, 74% of whom first attempted natural conception for a median of 9 months (range, 2–48). Among women with a known inherited pathogenic variant (n = 20), two underwent preimplantation genetic testing. Of 59 women on endocrine therapy before pregnancy, 26% did not resume treatment. Hypertensive disorders of pregnancy (20%) was the most common obstetrical condition. Nine percent of newborns required neonatal intensive care unit admission and 9% had low birth weight. Conclusion: Among women with live births after BC treatment, most conceived naturally and having a history of BC did not appear to negatively impact pregnancy complications, though the high rate of hypertensive disorders of pregnancy warrants further investigation. The prolonged period of attempting natural conception for some survivors suggests the potential need for improved understanding and counseling surrounding family planning goals after BC. In a cohort of 94 women surveyed with one or more live birth(s) after breast cancer treatment, although most conceived naturally, observations suggest potential gaps in counseling related to use of artificial reproductive technology and future childbearing when planning endocrine therapy. History of breast cancer did not appear to negatively impact pregnancy complications, though a higher rate of hypertensive disorders of pregnancy was observed compared with prior studies of breast cancer survivors, requiring further investigation. [ABSTRACT FROM AUTHOR]

Published
2024
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7. Abstract P5-08-05: Conception and Pregnancy Among Young Breast Cancer Survivors

Author

Sorouri, Kimia, primary, Sella, Tal, additional, Rosenberg, Shoshana, additional, Loucks, Margaret, additional, Ruddy, Kathryn, additional, Gelber, Shari I., additional, Tamimi, Rulla M., additional, Peppercorn, Jeffrey M., additional, Schapira, Lidia, additional, Borges, Virginia F., additional, Come, Steven E., additional, Warner, Ellen, additional, and Partridge, Ann, additional

Published
2023
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8. Abstract P5-08-06: Breastfeeding in Survivors of Early Breast Cancer

Author

Sella, Tal, primary, Sorouri, Kimia, additional, Rosenberg, Shoshana, additional, Loucks, Margaret, additional, Ruddy, Kathryn, additional, Gelber, Shari I., additional, Tamimi, Rulla M., additional, Peppercorn, Jeffrey M., additional, Schapira, Lidia, additional, Borges, Virginia F., additional, Come, Steven E., additional, Warner, Ellen, additional, and Partridge, Ann, additional

Published
2023
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9. Body weight changes and associated predictors in a prospective cohort of young breast cancer survivors

Author

Sella, Tal, primary, Zheng, Yue, additional, Tan‐Wasielewski, Zhenying, additional, Rosenberg, Shoshana M., additional, Poorvu, Philip D., additional, Tayob, Nabihah, additional, Ruddy, Kathryn J., additional, Gelber, Shari I., additional, Tamimi, Rulla M., additional, Schapira, Lidia, additional, Come, Steven E., additional, Peppercorn, Jeffrey M., additional, Borges, Virginia F., additional, Partridge, Ann H., additional, and Ligibel, Jennifer A., additional

Published
2022
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10. Abstract PD13-10: Extended adjuvant endocrine therapy in a longitudinal cohort of young breast cancer survivors

Author

Sella, Tal, primary, Zheng, Yue, additional, Rosenberg, Shoshana M, additional, Ruddy, Kathryn J, additional, Gelber, Shari I, additional, Tamimi, Rulla M, additional, Peppercorn, Jeffrey M, additional, Schapira, Lidia, additional, Borges, Virgina F, additional, Come, Steven E, additional, Carey, Lisa A, additional, Winer, Eric P, additional, and Partridge, Ann H, additional

Published
2022
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11. Trajectories of fear of cancer recurrence in young breast cancer survivors

Author

Schapira, Lidia, primary, Zheng, Yue, additional, Gelber, Shari I., additional, Poorvu, Philip, additional, Ruddy, Kathryn J., additional, Tamimi, Rulla M., additional, Peppercorn, Jeffrey, additional, Come, Steven E., additional, Borges, Virginia F., additional, Partridge, Ann H., additional, and Rosenberg, Shoshana M., additional

Published
2021
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13. Pregnancy after breast cancer: Results from a prospective cohort of young women with breast cancer

Author

Poorvu, Philip D., primary, Gelber, Shari I., additional, Zheng, Yue, additional, Ruddy, Kathryn J., additional, Tamimi, Rulla M., additional, Peppercorn, Jeffrey, additional, Schapira, Lidia, additional, Borges, Virginia F., additional, Come, Steven E., additional, Lambertini, Matteo, additional, Rosenberg, Shoshana M., additional, and Partridge, Ann H., additional

Published
2020
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14. Response to neoadjuvant chemotherapy and the 21-gene Breast Recurrence Score test in young women with estrogen receptor-positive early breast cancer

Author

Sella, Tal, primary, Gelber, Shari I., additional, Poorvu, Philip D., additional, Kim, Hee-Jeong, additional, Dominici, Laura, additional, Guzman-Arocho, Yaileen D., additional, Collins, Laura, additional, Ruddy, Kathryn J., additional, Tamimi, Rulla M., additional, Peppercorn, Jeffrey M., additional, Schapira, Lidia, additional, Borges, Virginia F., additional, Come, Steven E., additional, Warner, Ellen, additional, Snow, Craig, additional, Jakubowski, Debbie M., additional, Russell, Christy A., additional, Winer, Eric P., additional, Rosenberg, Shoshana M., additional, and Partridge, Ann H., additional

Published
2020
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15. Response to neoadjuvant chemotherapy and the 21-gene breast recurrence score in young women with estrogen receptor-positive early breast cancer.

Author

Sella, Tal, primary, Gelber, Shari I., additional, Poorvu, Philip Daniel, additional, Kim, Hee Jeong, additional, Guzman Arocho, Yaileen D, additional, Collins, Laura C., additional, Ruddy, Kathryn Jean, additional, Tamimi, Rulla M, additional, Peppercorn, Jeffrey M., additional, Schapira, Lidia, additional, Borges, Virginia F., additional, Come, Steven E., additional, Warner, Ellen, additional, Snow, Craig, additional, Jakubowski, Debbie M, additional, Russell, Christy Ann, additional, Winer, Eric P., additional, Rosenberg, Shoshana M., additional, and Partridge, Ann H., additional

Published
2020
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16. Prognostic Impact of the 21-Gene Recurrence Score Assay Among Young Women With Node-Negative and Node-Positive ER-Positive/HER2-Negative Breast Cancer

Author

Poorvu, Philip D., primary, Gelber, Shari I., additional, Rosenberg, Shoshana M., additional, Ruddy, Kathryn J., additional, Tamimi, Rulla M., additional, Collins, Laura C., additional, Peppercorn, Jeffrey, additional, Schapira, Lidia, additional, Borges, Virginia F., additional, Come, Steven E., additional, Warner, Ellen, additional, Jakubowski, Debbie M., additional, Russell, Christy, additional, Winer, Eric P., additional, and Partridge, Ann H., additional

Published
2020
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17. Trajectories of fear of cancer recurrence in young breast cancer survivors.

Author

Schapira, Lidia, Zheng, Yue, Gelber, Shari I., Poorvu, Philip, Ruddy, Kathryn J., Tamimi, Rulla M., Peppercorn, Jeffrey, Come, Steven E., Borges, Virginia F., Partridge, Ann H., and Rosenberg, Shoshana M.

Subjects
CANCER relapse, CANCER survivors, BREAST cancer, MENTAL health personnel, YOUNG women, CANCER patients
Abstract

Background: Fear of cancer recurrence (FCR) is more intense in younger women. Because FCR is a powerful determinant of quality of life, identifying those at risk for persistently elevated FCR can inform timing of interventions. Methods: A total of 965 women with stage 0 to stage III breast cancer enrolled in the Young Women's Breast Cancer Study, a prospective cohort of women diagnosed with breast cancer at age ≤40 years, completed the 3‐item Lasry Fear of Recurrence Index. Group‐based trajectory modeling was used to classify distinct FCR patterns from baseline through 5 years post‐diagnosis. Multinomial logistic regression was used to identify patient, disease, and treatment characteristics associated with each trajectory. Results: Five FCR trajectories were identified with the majority of participants having moderate (33.1%) or high FCR (27.6%) that improved over time. A total of 6.9% participants had moderate FCR that worsened, whereas 21.7% had high FCR at baseline that remained high throughout. In the fully adjusted multinomial model, stages II and III (vs stage I) were associated with lower odds (of being in the high/stable trajectory). White (vs non‐White) were associated with higher odds of being in a trajectory that improved over time. Conclusions: Although FCR improves over time for many young women with breast cancer, approximately one‐third had FCR that was severe and did not improve or worsened over 5 years after diagnosis. Ongoing monitoring is warranted, with early referral to mental health professionals indicated for those at highest risk for unresolved FCR. Lay Summary: Fear of recurrence is common among young women with breast cancer.The authors followed a large cohort of young women diagnosed with breast cancer when they were 40 years of age and younger, and found 5 distinct trajectories that show moderate and severe fears do not always improve over time and may require targeted mental health intervention. Fear of recurrence is prevalent among young women with breast cancer. The authors identify 5 distinct trajectories that show moderate and severe fears do not always resolve over time and may require customized interventions. [ABSTRACT FROM AUTHOR]

Published
2022
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19. Diagnostic and treatment delays in young women with breast cancer.

Author

Poorvu, Philip D, primary, Zheng, Yue, additional, Sella, Tal, additional, Rosenberg, Shoshana M., additional, Ruddy, Kathryn Jean, additional, Gelber, Shari I., additional, Tamimi, Rulla M, additional, Peppercorn, Jeffrey M., additional, Schapira, Lidia, additional, Borges, Virginia F., additional, Come, Steven E., additional, Warner, Ellen, additional, and Partridge, Ann H., additional

Published
2019
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20. Body weight changes in young breast cancer survivors and associated predictors.

Author

Sella, Tal, primary, Tan-Wasielewski, Zhenying, additional, Rosenberg, Shoshana M., additional, Poorvu, Philip Daniel, additional, Ruddy, Kathryn Jean, additional, Gelber, Shari I., additional, Tamimi, Rulla M., additional, Schapira, Lidia, additional, Come, Steven E., additional, Peppercorn, Jeffrey M., additional, Borges, Virginia F., additional, Partridge, Ann H., additional, and Ligibel, Jennifer A., additional

Published
2019
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21. Pregnancy after breast cancer: Results from a prospective cohort of young women with breast cancer.

Author

Poorvu, Philip D., Gelber, Shari I., Zheng, Yue, Ruddy, Kathryn J., Tamimi, Rulla M., Peppercorn, Jeffrey, Schapira, Lidia, Borges, Virginia F., Come, Steven E., Lambertini, Matteo, Rosenberg, Shoshana M., and Partridge, Ann H.

Subjects
*BREAST cancer, *YOUNG women, *PREGNANCY, *CANCER diagnosis, *DIAGNOSIS
Abstract

Background: Many young women with newly diagnosed breast cancer are interested in future pregnancies. Prospective data regarding fertility interest and reproductive patterns after diagnosis are needed to counsel patients.Methods: The Young Women's Breast Cancer Study is a multicenter, prospective cohort of women who were diagnosed with breast cancer at age ≤40 years between 2006 and 2016. Women complete surveys at baseline, every 6 months for 3 years, then annually. Here, the authors describe fertility interest and pregnancies within 5 years of diagnosis for women with stage 0 through III breast cancer.Results: Of 1026 eligible participants, 368 (36%) reported interest in future biologic children at least once within 5 years after diagnosis, including 16% at 5 years after diagnosis. Among 130 women who attempted to become pregnant, 90 (69.2%) conceived; and, among 896 women who did not attempt to conceive, 18 (2.0%) became pregnant, with a total of 152 pregnancies resulting in 91 live births. Factors associated with pregnancy included younger versus older age at diagnosis (aged ≤30 vs 36-40 years: odds ratio [OR], 6.63; 95% CI, 3.18-13.83; P < .0001; aged 31-35 vs 36-40 years: OR, 5.86; 95% CI, 3.37-10.17; P < .0001) and being nulliparous versus parous (OR, 2.66; 95% CI, 1.56-4.53; P = .001). The receipt of endocrine therapy versus no endocrine therapy (OR, 0.35; 95% CI, 0.20-0.59; P = .001) was inversely associated with pregnancy.Conclusions: Many women remain interested in future fertility in the 4 years after a breast cancer diagnosis, indicating that longitudinal fertility discussions are needed. Although a minority of those interested in having children attempted to become pregnant in the first 5 years, most who attempted to conceive did so and had live births. [ABSTRACT FROM AUTHOR]

Published
2021
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22. Selection for Oncotype Dx testing among young women with early-stage ER+/HER2- breast cancer.

Author

Poorvu, Philip Daniel, primary, Gelber, Shari I., additional, Rosenberg, Shoshana M., additional, Ruddy, Kathryn Jean, additional, Tamimi, Rulla, additional, Peppercorn, Jeffrey M., additional, Schapira, Lidia, additional, Borges, Virginia F., additional, Come, Steven E., additional, Collins, Laura C., additional, Warner, Ellen, additional, and Partridge, Ann H., additional

Published
2018
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23. Safety of pregnancy in patients (pts) with history of estrogen receptor positive (ER+) breast cancer (BC): Long-term follow-up analysis from a multicenter study.

Author

Lambertini, Matteo, primary, Kroman, Niels, additional, Ameye, Lieveke, additional, Cordoba, Octavi, additional, Pinto, Alvaro, additional, Benedetti, Giovanni, additional, Jensen, Maj-Britt, additional, Gelber, Shari I., additional, Del Grande, Maria, additional, Ignatiadis, Michail, additional, De Azambuja, Evandro, additional, Paesmans, Marianne, additional, Peccatori, Fedro, additional, and Azim Jr., Hatem A., additional

Published
2017
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26. Chemotherapy (CT) for isolated locoregional recurrence (ILRR) of breast cancer in ER-positive (ER+) and ER-negative (ER-) cohorts: Final analysis of the CALOR trial.

Author

Wapnir, Irene, primary, Price, Karen N., additional, Anderson, Stewart J., additional, Robidoux, Andre, additional, Martin, Miguel, additional, Nortier, J. W.R., additional, Paterson, Alexander H. G., additional, Rimawi, Mothaffar F., additional, Lang, Istvan, additional, Baena Cañada, José Manuel, additional, Thurlimann, Beat J. K., additional, Mamounas, Eleftherios P., additional, Geyer, Charles E., additional, Gelber, Shari I., additional, Coates, Alan S., additional, Gelber, Richard D., additional, Rastogi, Priya, additional, Regan, Meredith M., additional, Wolmark, Norman, additional, and Aebi, Stefan Paul, additional

Published
2017
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27. Pregnancy after breast cancer: Results from a prospective cohort study.

Author

Poorvu, Philip Daniel, primary, Gelber, Shari I., additional, Rosenberg, Shoshana M., additional, Ruddy, Kathryn Jean, additional, Tamimi, Rulla M, additional, Peppercorn, Jeffrey M., additional, Schapira, Lidia, additional, Borges, Virginia F., additional, Come, Steven E., additional, and Partridge, Ann H., additional

Published
2017
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28. Partners of young breast cancer survivors: A cross-sectional evaluation of psychosocial issues and mental health.

Author

Borstelmann, Nancy, primary, Rosenberg, Shoshana M., additional, Gelber, Shari I., additional, Meyer, Meghan E, additional, Ruddy, Kathryn Jean, additional, Schapira, Lidia, additional, Come, Steven E., additional, Borges, Virginia F., additional, Cadet, Tamara, additional, Maramaldi, Peter, additional, and Partridge, Ann H., additional

Published
2017
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34. Choosing mastectomy over lumpectomy: Factors associated with surgical decisions in young women with breast cancer.

Author

Rosenberg, Shoshana M., primary, Sepucha, Karen, additional, Ruddy, Kathryn Jean, additional, Tamimi, Rulla M., additional, Gelber, Shari I., additional, Meyer, Meghan E, additional, Schapira, Lidia, additional, Come, Steven E., additional, Borges, Virginia F., additional, Winer, Eric P., additional, and Partridge, Ann H., additional

Published
2013
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35. Sexual functioning in young women with breast cancer.

Author

Rosenberg, Shoshana, primary, Tamimi, Rulla M., additional, Gelber, Shari I., additional, Ruddy, Kathryn Jean, additional, Kereakoglow, Sandra, additional, Borges, Virginia F., additional, Come, Steven E., additional, Schapira, Lidia, additional, Winer, Eric, additional, and Partridge, Ann H., additional

Published
2012
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36. Breastfeeding experiences among young breast cancer survivors: A survey study.

Author

Sella, Tal, Sorouri, Kimia, Rosenberg, Shoshana M., Loucks, Maggie, Kirkner, Gregory, Snow, Craig, Ruddy, Kathryn J., Gelber, Shari I., Tamimi, Rulla M., Peppercorn, Jeffrey M., Schapira, Lidia, Borges, Virginia F., Come, Steven E., Warner, Ellen, and Partridge, Ann H.

Abstract

ABSTRACT Background Methods Results Conclusion Following breast cancer (BC), many young women are interested in future childbearing and some may wish to breastfeed. However, limited information is available regarding their lactation experiences.Participants in the Young Women's Breast Cancer Study, a multicenter, prospective cohort study of women ≤40 years diagnosed with stage 0–III BC between 2006–2016 and who reported one or more live births following diagnosis, were surveyed about pregnancy and breastfeeding after BC treatment, including reasons for attempting and stopping breastfeeding, satisfaction, and supports.Of 143 eligible women sent a survey, 115 responded and 94 were included in the analytic cohort. Breastfeeding was attempted by 55% of women (52 of 94). Among those who had not attempted, 93% noted prior bilateral mastectomies (39 of 42). Among those who attempted breastfeeding, 69% had undergone lumpectomy and radiotherapy (36 of 52), 83% of whom reported no milk production from their treated breast (30 of 36). Most (65%, 34 of 52) were at least somewhat satisfied with their ability to breastfeed. Reasons for stopping breastfeeding included: having completed the planned duration (36%, 19 of 52); to start/resume endocrine therapy (21%, 11 of 52); and to resume breast imaging (8%, 4 of 52). Approximately half (27 of 55) of women who had not undergone bilateral mastectomies recalled receiving specific information about breastfeeding after BC, mostly from the oncology team (59%, 16 of 27), online resources (48%, 13 of 27), or a lactation consultant (44%, 12 of 27).Most young BC survivors who attempted to breastfeed were able to and were satisfied with the experience, despite challenges. Specific resources to support BC survivors who wish to breastfeed are needed. [ABSTRACT FROM AUTHOR]

Published
2024
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