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@ARTICLE{Mulder:307560,
author = {R. L. Mulder and E. C. van Dalen and J. Teepen and M. M.
Hudson and L. S. Constine and S. Bhatia and W. Landier and
G. Levitt and W. H. Wallace and F. E. van Leeuwen and C.
Ronckers$^*$ and T. O. Henderson and C. S. Moskowitz and D.
N. Friedman and A. K. Ng and H. C. Jenkinson and C.
Demoor-Goldschmidt and D. Barnea and M. J. Ehrhardt and J.
W. van As and H. J. van der Pal and J. M. Yeh and R. Skinner
and L. C. M. Kremer and K. C. Oeffinger},
title = {{I}nternational {G}uideline {H}armonization {G}roup
{R}ecommendations for {B}reast {C}ancer {S}urveillance in
{C}hildhood, {A}dolescent, and {Y}oung {A}dult {C}ancer
{S}urvivors {A}fter {A}nthracyclines.},
journal = {JCO oncology practice},
volume = {nn},
issn = {2688-1527},
address = {Alexandria, Va.},
publisher = {American Society of Clinical Oncology},
reportid = {DKFZ-2026-00056},
pages = {nn},
year = {2026},
note = {ISSN 2688-1535 / epub},
abstract = {With new evidence emerging about breast cancer risk
following anthracycline chemotherapy, the International Late
Effects of Childhood Cancer Guideline Harmonization Group
updated the evidence and breast cancer surveillance
recommendations for female childhood, adolescent, and young
adult (CAYA) cancer survivors.The Grading of Recommendations
Assessment, Development, and Evaluation methodology was used
to incorporate new knowledge and refine breast cancer
surveillance recommendations. The guideline panel updated
the systematic literature review and revised recommendations
based on new evidence, clinical judgment, and assessments of
benefits and harms of surveillance, ensuring adaptability
across various health care systems.The literature update
revealed new findings on the effects of anthracyclines on
breast cancer risk in female CAYA cancer survivors.
Moderate-quality evidence shows no significant association
between doxorubicin doses <100 mg/m2 and breast cancer risk.
High-quality evidence indicates a statistically significant
but weak association between breast cancer risk and 100-199
mg/m2 doxorubicin (relative risk, <2) and a moderate breast
cancer risk (relative risk, 2-4) for those treated with
≥200 mg/m2 in the absence of radiotherapy exposing breast
tissue (chest radiation). Routine breast cancer surveillance
after ≥200 mg/m2 doxorubicin in the absence of chest
radiation is reasonable from age 30 years onward or ≥8
years from exposure (whichever occurs last). Due to
inconclusive evidence, no recommendation could be formulated
for routine breast cancer surveillance after daunorubicin,
epirubicin, or idarubicin, in the absence of chest
radiation.The newly identified evidence on breast cancer
risk after anthracyclines supports changes in the 2019
recommendations regarding breast cancer surveillance for
survivors treated with ≥200 mg/m2 doxorubicin without
chest radiation.},
subtyp = {Review Article},
cin = {C190},
ddc = {610},
cid = {I:(DE-He78)C190-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:41499731},
doi = {10.1200/OP-25-01017},
url = {https://inrepo02.dkfz.de/record/307560},
}