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Editorials represent the opinions EDITORIAL of the authors and JAMA and not those of the American Medical Association. Defining Variations in Survival of BRCA1 and BRCA2 Mutation Carriers tumor mutations, 20 also had germline BRCA2 mutations, Victor R. Grann, MD, MPH including 5 that were 6174delT and the remainder that Ramon E. Parsons, MD, PhD were somatically acquired. The investigators found significant differences in sur- N THE SECOND HALF OF THE 20TH CENTURY, WOMEN WITH vival and response to chemotherapy according to BRCA mu- a family history of breast cancer were treated with bi- tation status. Among the women in these cohorts, 225 had lateral mastectomies. Among 639 such women in 1 study, ovarian cancers that were sensitive to treatment, and 36 had Ithe median length of survival after surgery was 14 years. tumors that were treatment resistant (and 55 were missing Using their sisters as control participants, there was a large primary treatment outcomes). Of 192 patients eligible for survival difference between women who underwent bilat- drug (platinum)-free survival analysis, data were available eral mastectomies and those who did not. By the 1990s, af- for 163 patients (and missing from 29). Survival among pa- ter the identification of
JAMA – American Medical Association
Published: Oct 12, 2011
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