Hereditary Breast and Ovarian Cancer
Conditions
Brief summary
1. Premenopausal BRCA1 / 2 or PALB2 gene mutation carriers who receive hormone replacement therapy (HRT) after preventive salpingo-oophorectomy (PBSO) have a better quality of sexual, psychological, cardiovascular and bone health than carriers who decline HRT. 2. Premenopausal mutation carriers treated with PBSO who choose HRT have a comparable overall survival and specific survival for breast / gynecological cancer to women who undergo surgery and refuse to receive HRT. 3. Premenopausal mutation carriers treated with PBSO have better overall and specific breast / gynecological cancer survival than non-SOBP carriers.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age between 30 and 49 years 2. Being a member of a family with a history of hereditary breast and ovarian cancer, with a cancer risk\> 10% or being a carrier of the BRCA1 / 2 or PALB2 mutation.
Exclusion criteria
1. Personal history of oophorectomy for benign or malignant ovarian pathology. 2. Personal history of breast cancer.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To compare the scale MenCav of quality of life in premenopausal carriers opting and rejecting hormone replacement therapy post salpingo-oophorectomy | 5 years | Questionnaire to measure quality of life in post-menopausal women (the Mencav questionnaire). This questionnaire consists of questions with 5 possible answers, answer 1 is the worst result and question 5 is the best result, so low scores mean worse results and high scores better results. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To compare the impact of hormone replacement therapy on number and description of cardiovascular events | 5 years | To describe cardiovascular risk we used changes in the weight of patients. Weight in kilograms, height in meters and weight and height will be combined to report BMI in kg/m\^2. |
| To compare the impact of hormone replacement therapy on number and description of bone loss related events in premenopausal carriers after salpingo-oophorectomy we will perform bone densitometry | 5 years | By performing bone densitometry we will be able to quantify the number of participants with adverse events related to bone loss (osteoporosis or osteopenia) |
| Comparison of overall cancer survival between women deciding risk-reducing surgery and those rejecting it. | 5 years | We will analyze and compare the mean of overall survival of women undergoing for risk-reducing surgery and those rejecting it |
| Comparison of mean of breast cancer specific survival between women deciding gynecological surgery and those rejecting surgery. | 5 years | We will analyze and compare the mean of breast cancer specific survival in women undergoing surgery and those rejecting it. |
| Comparison of gynecologic cancer survival between women deciding preventive surgery and those rejecting it. | 5 years | We will analyze and compare the mean of gynecologic cancer survival of women undergoing surgery and those rejecting it. |
Countries
Spain