Endocrine oncology

Association Between a History of Breast Cancer and Decreased Thyroid Cancer-specific Mortality

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

This study demonstrates a robust protective effect of a history of BC on TC-specific patient survival, which has strong implications for more precise prognostication of TC in such patients.

Study context

Population
Patients with PTC (5598) and follicular thyroid cancer (FTC) (604) with a history of breast cancer (BC) and matched thyroid cancer (TC) patients without BC, Surveillance, Epidemiology and End Results (SEER) 18matched cohort
Exposure
TC with history of BC vs matched TC without history of BC
Outcome
TC-specific mortality
Methodological detailspropensity-score matched, comparative cohort, SEER 18
  • Propensity-score matched
  • Comparative cohort
  • SEER 18

Main finding

As reported in the abstract

TC-BC vs TCnoBCHazard ratio (95% CI)P value
PTC
0.472(0.370–0.601)
all P < .05
FTC
0.656(0.461–0.934)
all P < .05
TC-specific mortality rate, PTC: TC-BC vs TCnoBC
1.3% vs 2.6%
TC-specific mortality rate, FTC: TC-BC vs TCnoBC
5.8% vs 8.4%

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
TC-specific mortality in PTC by sequence of cancersTC-BCvs TCnoBCTC occurred before BC0.397 (0.268–0.588)P < 0.001
TC-specific mortality in PTC by sequence of cancersTC-BCvs TCnoBCBC occurred before TC0.607 (0.445–0.827)P = 0.002

TC distant metastasis rate

PTC: TC-BC vs TCnoBC
2.4% vs 3.0%
FTC: TC-BC vs TCnoBC
6.1% vs 9.1%
  • All P < .05

Original publication

Association Between a History of Breast Cancer and Decreased Thyroid Cancer-specific Mortality. J Clin Endocrinol Metab. Published 8 December 2023. doi:10.1210/clinem/dgad722

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