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@ARTICLE{Mukama:167587,
author = {T. Mukama$^*$ and E. Kharazmi$^*$ and K. Sundquist and J.
Sundquist and M. Fallah$^*$},
title = {{R}isk-adapted starting age of breast cancer screening in
women with a family history of ovarian or other cancers: {A}
nationwide cohort study.},
journal = {Cancer},
volume = {127},
number = {12},
issn = {0008-543X},
address = {New York, NY},
publisher = {Wiley-Liss},
reportid = {DKFZ-2021-00447},
pages = {2091-2098},
year = {2021},
note = {#EA:C120#LA:C120# / 127(12):2091-2098},
abstract = {There is a lack of evidence-based recommendations for the
age at which women with a family history of cancers other
than breast cancer should start breast cancer
screening.Using Swedish family cancer data sets, the authors
conducted a nationwide cohort study including 5,099,172
Swedish women born after 1931 (follow-up, 1958-2015).
Accounting for calendar time, they calculated the relative
risk of breast cancer for women with a family history of a
discordant cancer in 1 first-degree relative. Furthermore,
the authors used 10-year cumulative risk to determine the
ages at which women with a family history of discordant
cancer reached risk thresholds at which women in the general
population were recommended to start breast cancer
screening.A family history of cancer at 15 sites was
associated with an increased risk of breast cancer. Among
women younger than 50 years, the highest risk of breast
cancer was observed for those with a family history of
ovarian cancer (standardized incidence ratio, 1.44; $95\%$
confidence interval, 1.26-1.64). In these women, the risk of
breast cancer associated with a family history at other
cancer sites ranged from 1.08-fold for prostate cancer to
1.18-fold for liver cancer. When breast cancer screening was
recommended to be started at the age of 50 years for the
general population, women with 1 first-degree relative with
ovarian cancer attained the threshold risk for screening at
the age of 46 years. Women with a family history of other
discordant cancers did not reach the risk thresholds for
screening at younger ages.Many cancers showed familial
associations with breast cancer, but women with a family
history of these cancers (except for ovarian cancer) did not
reach risk thresholds for screening at younger ages.},
keywords = {breast cancer (Other) / discordant cancers (Other) /
familial clustering (Other) / familial risk (Other) / family
history (Other) / screening (Other)},
cin = {C120},
ddc = {610},
cid = {I:(DE-He78)C120-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:33620751},
doi = {10.1002/cncr.33456},
url = {https://inrepo02.dkfz.de/record/167587},
}