Endocrine oncology

Carney complex predisposes to breast cancer: prospective study of 50 women

Eur J EndocrinolPublished Prospective cohort study

Authors' conclusion

As CNC could predispose to breast carcinoma, an adequate screening strategy and follow-up should be discussed in affected women.

Study context

Population
Women with Carney complex (CNC), French multicenter prospective study38 with breast imaging
Participants
50 women
Outcome
Characteristics of breast lesions in CNC patients and their association with other CNC manifestations and PRKAR1A genotype
Methodological detailsmulticenter, 3-year follow-up
  • Multicenter
  • 3-year follow-up

Main finding

As reported in the abstract

Breast lesions among women with breast imaging
Breast lesions
14 (39%)
Breast lesions bilateral
half of them
Benign lesions
10 (26%)
Breast carcinomas
6 (16%)
Ductal carcinoma in situ at age 54
1
Invasive cancer before 50 years old
5
Breast cancer with PRKAR1A pathogenic variant vs general population of same age, OR
6.34 (1.63-17.91)
Mean age at breast cancer diagnosis, years
44.7
Younger than general population, years
17

Observational data: associations, not effects.

Further findings

Contralateral breast cancer during follow-up

Women with invasive cancer who developed contralateral breast cancer
1

Prognosis and tumour genetics

Loss of heterozygosity at PRKAR1A locus in invasive breast carcinomas analysed
2
Breast cancer patients had good prognosis factors
  • Suggested a driver role of this tumor suppressor gene

Original publication

Carney complex predisposes to breast cancer: prospective study of 50 women. Eur J Endocrinol. Published 22 January 2024. doi:10.1093/ejendo/lvae010

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