Association betweenBRCA1 and BRCA2 mutations and prognosis in women with endometrial carcinoma.

Authors

null

Aifen Wang

Zhangjiagang Hospital Affiliated to Nanjing University of Chinese Medicine, Zhangjiagang, China

Aifen Wang , Robert W. Holloway , Lijuan Cui , Yan Sun , Zihan Zhao

Organizations

Zhangjiagang Hospital Affiliated to Nanjing University of Chinese Medicine, Zhangjiagang, China, AdventHealth Cancer Institute, Orlando, FL, Ivy Experimental High School, Zhangjiagang, China

Research Funding

Other

Background: To evaluate the prognosis of BRCA mutation carriers compared to non-carriers and to demonstrate whether BRCA1 and BRCA2 mutation carriers present similar survival patterns among endometrial carcinomas. Methods: This data was from NCI Cancer Genome Atlas endometrial cancer database (TCGA) with pathogenic mutations in BRCA1 (58) or BRCA2 (77) or BRCA1and BRCA2 coexisted mutation (40) and non-mutation (461). We compared clinicopathologic features and prognosis of patients with BRCA1 or BRCA2 or BRCA1and BRCA2 coexisted mutation. Survival time was analyzed for the combined data using Cox proportional hazard models with BRCA1and BRCA2 as time-varying covariates. Results: We found histologic types of patients with BRCA1 or BRCA2 mutation presented more progressive than non-carriers (p = 0.029, p= 0.029, respectively). BRCA1 or BRCA2 mutations were detected to be associated with younger patients at diagnosis (p = 0.036, p = 0.001, respectively). BRCA2 mutation carrier was identified more advanced stage than BRCA non-carriers. Compared to patients with BRCA1 mutation, the body mass index is higher in non-carriers. Before around 100 months survival, BRCA2 mutation carriers had the most favorable overall survival (OS). OS rate of all patients with BRCA1 or BRCA2 mutation was higher than non-carriers. BRCA1 and BRCA2 mutation carriers had similar OS. Around 100 months later, BRCA1 carriers had more favorable OS than patients with BRCA2 mutation, BRCA1 / BRCA2 coexisted mutation and non-carriers (p< 0.001). Patients with BRCA2 mutation had the most favorable progression-free survival (PFS), following by BRCA1 and BRCA2 coexisted mutation and BRCA2 alteration carriers (p= 0.011). BRCA non-carriers had the worst PFS and OS all the time. Conclusions:BRCA1 or BRCA2 mutation carriers have favorable overall survival and progression-free survival among patients with endometrial carcinoma.

Comparison of OS and PFS of patients based on BRCA mutation status.

PatientsPFS (months)
OS (months)
MeanSD95% CIpMeanSD95% CIp
Noncarriers102.83.895.3-110.30.011121.98.6105.1-138.8< 0.001
BRCA1 mutation191.212.3167.2-215.3189.921.0148.9-231.0
BRCA2 mutation207.56.9194.1-221.0180.131.6118.3-242.0
BRCA1/2 coexisted mutation202.310.8181.1-223.4176.031.2114.8-237.1

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Abstract Details

Meeting

2019 ASCO Annual Meeting

Session Type

Publication Only

Session Title

Gynecologic Cancer: Publication Only

Track

Gynecologic Cancer

Sub Track

Uterine Cancer

Citation

J Clin Oncol 37, 2019 (suppl; abstr e17115)

DOI

10.1200/JCO.2019.37.15_suppl.e17115

Abstract #

e17115

Abstract Disclosures

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