Breast最新文献

{"title":"Fertility and ovarian function preservation in young women with breast cancer: A joint analysis of the Joven & Fuerte and PREFER prospective studies","authors":"Fernanda Mesa-Chavez ,&nbsp;Maria Grazia Razeti ,&nbsp;Eva Blondeaux ,&nbsp;Alejandra Platas ,&nbsp;Virginia Delucchi ,&nbsp;Alan Fonseca ,&nbsp;Valeria Fontana ,&nbsp;Marlid Cruz-Ramos ,&nbsp;Paola Anserini ,&nbsp;Manuel Rolando Gracía Garza ,&nbsp;Edoardo Chiappe ,&nbsp;Alejandro Mohar ,&nbsp;Laura Orlando ,&nbsp;Paula Cabrera-Galeana ,&nbsp;Saverio Cinieri ,&nbsp;Enrique Bargallo-Rocha ,&nbsp;Lucia Del Mastro ,&nbsp;Cynthia Villarreal-Garza ,&nbsp;Matteo Lambertini","doi":"10.1016/j.breast.2025.104592","DOIUrl":"10.1016/j.breast.2025.104592","url":null,"abstract":"<div><h3>Background</h3><div>Potential infertility and premature ovarian insufficiency represent notable concerns for young women with breast cancer (YWBC) undergoing chemotherapy. Cryopreservation techniques and temporary ovarian suppression with GnRH agonists (GnRHa) can be offered for fertility preservation (FP) and/or ovarian protection. This joint analysis of the Joven &amp; Fuerte and PREFER multicenter prospective studies compared the uptake of these strategies and associated factors among Mexican and Italian YWBC.</div></div><div><h3>Methods</h3><div>Females ≤40 years diagnosed with non-metastatic BC from 2014 to 2019, who were offered FP strategies before (neo)adjuvant chemotherapy were included. Uptake of GnRHa for ovarian protection and cryopreservation procedures and reasons for their non-utilization were examined.</div></div><div><h3>Results</h3><div>Among 485 patients (74 % from Mexico; 26 % from Italy), cryopreservation techniques were used in 8 % of Mexican patients and 25 % of Italian patients (<em>p</em> &lt; 0.001). Methods in Mexico and Italy, respectively, comprised oocyte (50 % and 87 %), embryo (53 % and 0 %), and ovarian tissue (0 % and 16 %) cryopreservation. GnRHa were used in 98 % of Italian patients and 6 % of Mexican patients. Cryopreservation uptake was associated with younger age (OR 1.2, 95 %CI 1.1–1.2), childlessness (OR 21.8, 95 %CI 10.0–47.6), stage I-II BC (OR 3.1, 95 %CI 1.5–6.3), private healthcare in Mexico (OR 3.0, 95 %CI 1.1–8.1), and unpartnered status in Italy (OR 5.4, 95 %CI 2.2–13.2).</div></div><div><h3>Conclusion</h3><div>FP and ovarian protection uptake were markedly higher in Italy than Mexico, possibly reflecting divergent social and healthcare contexts, though cryopreservation remained underutilized in both countries. Improved access to oncofertility services is warranted to provide comprehensive care aligned with the personal needs and life plans of YWBC.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"85 ","pages":"Article 104592"},"PeriodicalIF":7.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145257408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidisciplinary meeting for breast cancer care: EUSOMA recommendations for optimization","authors":"G. Curigliano ,&nbsp;L. Marotti ,&nbsp;C. Barrios ,&nbsp;N.M.L. Battisti ,&nbsp;K.L. Cheung ,&nbsp;S. Chia ,&nbsp;S.L. Graff ,&nbsp;O.J. Hartmann ,&nbsp;I. Rubio ,&nbsp;D. Santini ,&nbsp;F. Sardanelli ,&nbsp;E. Senkus ,&nbsp;P. van Dam ,&nbsp;M. Walker ,&nbsp;J. Wu ,&nbsp;C. Aristei","doi":"10.1016/j.breast.2025.104682","DOIUrl":"10.1016/j.breast.2025.104682","url":null,"abstract":"<div><h3>Introduction</h3><div>In breast cancer care multidisciplinary meetings (MDMs) are fundamental. Recently, the increasing number of patients, the complexity of cancer treatments, the shortages of specialists, and constrained hospital budgets have underscored the urgency of optimizing MDM processes to ensure that every patient benefits from thorough and timely multidisciplinary evaluation.</div></div><div><h3>Material and methods</h3><div>The European Society of Breast Cancer Specialists (EUSOMA) set up a multidisciplinary working group of international experts to develop consensus-based recommendations to optimize MDM management. To obtain insights into the current state of MDM organization and management within Europe and elsewhere, the experts designed and conducted an international survey.</div></div><div><h3>Results</h3><div>Briefly, the survey showed that most centres held a weekly MDM, either in person, online or combining the modalities, which lasted for 1−2 h. Discussion times for each case varied with its complexity. Some differences emerged between European and non- European breast cancer centres. The recommendations for improving MDM management focused on: i) timing, venue, logistics, administrative support; ii) technologies/equipment; iii) documentation; iv) planning and preparation; v) structure; vi) minutes/reporting; and viii) other issues.</div></div><div><h3>Conclusion</h3><div>Optimizing MDM ensures that each patient receives the most appropriate, guideline-aligned treatment, tailored to individual needs. With the present recommendations, EUSOMA wishes to support breast centres in improving and standardizing MDM management.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"85 ","pages":"Article 104682"},"PeriodicalIF":7.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to \"Critical appraisal of a machine learning model for predicting internal mammary lymph node metastasis in breast cancer\"","authors":"Yirong Xiang ,&nbsp;Jian Tie ,&nbsp;Weihu Wang","doi":"10.1016/j.breast.2026.104702","DOIUrl":"10.1016/j.breast.2026.104702","url":null,"abstract":"","PeriodicalId":9093,"journal":{"name":"Breast","volume":"85 ","pages":"Article 104702"},"PeriodicalIF":7.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Secondary dry eye disease in breast cancer patients: a pilot study","authors":"Antonella Grasso ,&nbsp;Andrea Salerno ,&nbsp;Alessandra Micera ,&nbsp;Alessandro Ferraro ,&nbsp;Emilio Fornaro ,&nbsp;Graziana Esposito ,&nbsp;Marco Coassin ,&nbsp;Vittorio Altomare ,&nbsp;Antonio Di Zazzo","doi":"10.1016/j.breast.2025.104677","DOIUrl":"10.1016/j.breast.2025.104677","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate ocular surface alterations associated with oncological therapy in patients with hormone receptor-positive (HR+) breast cancer.</div></div><div><h3>Methods</h3><div>In this prospective pilot study, 30 HR + breast cancer patients and 10 age-matched healthy controls were evaluated at three time points: before surgery (T0), one week after surgery before starting therapy (T1), and after 12 months of antiestrogenic treatment (T2). Clinical assessments included Ocular Surface Disease Index (OSDI), Visual Function Questionnaire-25 (VFQ-25), Schirmer test type I, tear break-up time (TBUT), Meibomian gland dysfunction (MGD) score, and corneal and conjunctival staining. Gene expression of IL-6 and ICAM-1 was analyzed via impression cytology.</div></div><div><h3>Results</h3><div>No differences were observed between cancer patients and controls at baseline. After surgery (T1), patients reported increased OSDI scores (<em>p</em> &lt; 0.05), reduced TBUT (<em>p</em> &lt; 0.01), and worse MGD scores (p &lt; 0.01). After 12 months of treatment (T2), MGD scores, Schirmer test values, and ocular staining worsened significantly (<em>p</em> &lt; 0.01), along with a decline in VFQ-25 scores (<em>p</em> &lt; 0.05). IL-6 and ICAM-1 expression were significantly upregulated at T2. Postmenopausal women experienced more severe ocular surface dysfunction than premenopausal patients.</div></div><div><h3>Conclusions</h3><div>Antiestrogen therapy in HR + breast cancer patients induces progressive ocular surface dysfunction, driven by chronic inflammation and epithelial damage. These findings highlight the importance of recognizing ocular symptoms in this population and support further studies evaluating the role of routine ophthalmologic monitoring in survivorship care.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"85 ","pages":"Article 104677"},"PeriodicalIF":7.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145733461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Omission of sentinel lymph node biopsy in early stage luminal breast cancer: impact on adjuvant CDK4/6 inhibitor recommendation and oncological outcomes","authors":"Martin Heidinger ,&nbsp;Tibor A. Zwimpfer ,&nbsp;Florian S. Halbeisen ,&nbsp;Nadia Maggi ,&nbsp;Marie Louise Frevert ,&nbsp;Rama Kiblawi ,&nbsp;Julie M. Loesch ,&nbsp;Fabienne D. Schwab ,&nbsp;Christian Kurzeder ,&nbsp;Giacomo Montagna ,&nbsp;Walter P. Weber","doi":"10.1016/j.breast.2025.104641","DOIUrl":"10.1016/j.breast.2025.104641","url":null,"abstract":"<div><h3>Background</h3><div>Sentinel lymph node biopsy (SLNB) omission is safe in many patients with small, clinically and imaging node-negative (cN0/iN0), hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative breast cancer (BC). However, recruitment of the pivotal SOUND/INSEMA trials ended prior to approval of adjuvant cyclin-dependent kinase 4/6 inhibitors (CDK4/6i). Therefore, the impact of SLNB omission on eligibility for CDK4/6i and associated oncological outcomes is unknown.</div></div><div><h3>Methods</h3><div>Single-center, retrospective study including patients with ≤cT2, cN0/iN0, HR-positive/HER2-negative early BC who underwent breast-conserving surgery and SLNB between 01/2014-12/2024. CDK4/6i eligibility was based on monarchE inclusion criteria and FDA approval (abemaciclib) and NATALEE inclusion criteria (ribociclib). Predictors of CDK4/6i eligibility and node-positivity were identified using multivariable logistic regression analysis. Impact on invasive disease-free survival was estimated based on published number needed to treat values in stage II disease (abemaciclib 28; ribociclib 63).</div></div><div><h3>Results</h3><div>Among 309 patients, eligibility was 6.1 % (19/309), 3.2 % (10/309), and 7.8 % (24/309) for abemaciclib (monarchE), abemaciclib (FDA approval), and ribociclib based on node-criteria; consequently, the number of SLNB necessary to identify one eligible patient was 17 (95 %CI 11–27), 31 (95 %CI 17–64) and 13 (95 %CI 9–20). Lymphovascular invasion was identified as a predictor for CDK4/6i eligibility and node-positivity. Omitting SLNB could increase recurrences by 0.3 % (95 %CI 0.2–0.4), 0.2 % (95 %CI 0.1–0.3), and 0.2 % (95 %CI 0.1–0.2) due to missed treatment with abemaciclib (monarchE), abemaciclib (FDA approval), and ribociclib, respectively.</div></div><div><h3>Conclusion</h3><div>Omission of SLNB in patients with small HR-positive/HER2-negative tumors results in a missed indication for CDK4/6i in &lt;8 % with minimal impact on recurrence.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"85 ","pages":"Article 104641"},"PeriodicalIF":7.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145733547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived financial toxicity after active treatment and its association with clinical outcomes among breast cancer survivors: A prospective cohort study","authors":"Doyoun Woen ,&nbsp;Danbee Kang ,&nbsp;Juwon Park ,&nbsp;Hyunsoo Kim ,&nbsp;Su Min Lee ,&nbsp;Seok Jin Nam ,&nbsp;Seok Won Kim ,&nbsp;Jeong Eon Lee ,&nbsp;Jong Han Yu ,&nbsp;Byung Joo Chae ,&nbsp;Jai Min Ryu ,&nbsp;Woong Ki Park ,&nbsp;Juhee Cho ,&nbsp;Se Kyung Lee","doi":"10.1016/j.breast.2026.104697","DOIUrl":"10.1016/j.breast.2026.104697","url":null,"abstract":"<div><h3>Background</h3><div>Perceived financial toxicity (FT) is an increasingly recognized concern among cancer survivors. However, its association with long-term oncologic outcomes, particularly after completion of active treatment, remains underexplored.</div></div><div><h3>Methods</h3><div>We conducted a prospective cohort study of 4163 breast cancer survivors from a tertiary cancer center in South Korea. Eligible participants were within 18 months of diagnosis, had completed surgery and any adjuvant chemotherapy or radiotherapy, and had no evidence of recurrence at enrollment. Perceived FT was assessed using the Comprehensive Score for Financial Toxicity (COST) questionnaire. FT was defined by a COST score &lt;26. Primary outcome was recurrence-free survival (RFS), and secondary outcomes included all-cause mortality and quality-of-life (QoL) domains. Multivariable Cox proportional hazard models adjusted for age, stage, treatment, and socioeconomic factors.</div></div><div><h3>Results</h3><div>Among the cohort, 2109 (50.7 %) patients reported perceived FT after active treatment. FT was independently associated with increased risk of recurrence or death (HR 1.42, 95 % CI 1.08–1.87), and higher all-cause mortality (HR 1.74, 95 % CI 1.02–2.97). FT was also associated with significantly worse emotional functioning, social functioning, and future outlook.</div></div><div><h3>Conclusions</h3><div>Perceived financial toxicity following active breast cancer treatment was associated with worse oncologic and quality-of-life outcomes, regardless of objective socioeconomic status. These findings underscore the need for routine assessment of perceived financial burden during survivorship care and targeted financial interventions, even in patients without traditionally defined financial vulnerability.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"85 ","pages":"Article 104697"},"PeriodicalIF":7.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146017352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative validation of PREDICT versions 3.1 and 2.2 for overall survival in the Dutch breast cancer population","authors":"Lara W.A. Vreven ,&nbsp;Elfi M. Verheul ,&nbsp;Marissa C. van Maaren ,&nbsp;Frank Doornkamp ,&nbsp;Robert-Jan Schipper ,&nbsp;Sabine Siesling ,&nbsp;Paul D.P. Pharoah ,&nbsp;Vivianne C.G. Tjan-Heijnen ,&nbsp;Adri C. Voogd","doi":"10.1016/j.breast.2025.104681","DOIUrl":"10.1016/j.breast.2025.104681","url":null,"abstract":"<div><h3>Background</h3><div>PREDICT Breast is a clinical decision-support tool estimating prognosis and the absolute benefit of adjuvant systemic therapies in early breast cancer. PREDICT v2.2 is recommended in Dutch guidelines. Both v2.2 and the recently updated v3.1 have not been validated in the Dutch population. This study compares the predictive performance of PREDICT v3.1 and v2.2 for 10-year OS in Dutch breast cancer patients.</div></div><div><h3>Methods</h3><div>Women diagnosed between 2005 and 2013 with primary invasive breast cancer were selected from the Netherlands Cancer Registry. Ten-year OS predictions from v2.2 and v3.1 were compared with observed OS for the overall cohort and 36 subgroups defined by oestrogen receptor (ER) status, HER2-status, age, and tumour stage. Discrimination (ability to distinguish patients with different outcomes) and calibration (agreement between predicted and observed outcomes) of both models were assessed.</div></div><div><h3>Results</h3><div>Among 101,282 patients, both versions showed moderate discrimination (AUC v2.2 = 0.768; v3.1 = 0.775) and calibration (v2.2 intercept: 0.07; slope: 1.09; v3.1 intercept: 0.12, slope: 1.00). V3.1 slightly overestimated (1.9%), whereas v2.2 slightly underestimated (1.6%) 10-year OS. Across subgroups, v3.1 generally outperformed v2.2 except in patients aged &gt;75 years, where v2.2 provided more accurate estimates. In ER-/HER- patients aged 50–75 years, v3.1 overestimated (1.5–2.8%) and v2.2 underestimated (2.8–5.3%) 10-year OS.</div></div><div><h3>Conclusion</h3><div>Both PREDICT v2.2 and v3.1 accurately predict 10-year OS in Dutch breast cancer patients, with small differences between versions that vary by subgroup. No single model is optimal for all patients highlighting the need for subgroup-specific recalibration and careful interpretation when applying PREDICT.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"85 ","pages":"Article 104681"},"PeriodicalIF":7.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145786947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the interruption of tamoxifen for pregnancy on the recurrence and survival outcomes among young women with breast cancer","authors":"Chihwan David Cha ,&nbsp;Somin Jeon ,&nbsp;Jihyun Keum ,&nbsp;Shin Jeong Pak ,&nbsp;Boyoung Park ,&nbsp;Min Sung Chung","doi":"10.1016/j.breast.2025.104675","DOIUrl":"10.1016/j.breast.2025.104675","url":null,"abstract":"<div><h3>Background</h3><div>Young survivors of breast cancer often consider pregnancy after completing or interrupting endocrine therapy. However, concerns remain regarding the safety of tamoxifen interruption for pregnancy and its impact on survival outcomes. We aimed to evaluate the impact of interrupting and resuming tamoxifen for pregnancy on recurrence and mortality in patients with breast cancer, using real-world data.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study using data from the Korean National Health Insurance Service National Health Information Database. Among 32,378 women aged 18–45 years diagnosed with invasive breast cancer and who underwent surgery between 2009 and 2014, patients were categorized into groups based on tamoxifen interruption and pregnancy: Group 1 (interruption and resumption, n = 126), Group 2 (interruption without resumption, n = 261), Group 3 (initiation of tamoxifen after childbirth, n = 41), and Control (no interruption nor pregnancy, n =428). The control group was age-matched to the interruption groups in a 1:1 ratio. Clinical outcomes, including recurrence and mortality, were compared among groups.</div></div><div><h3>Results</h3><div>Over a median follow-up of 8.5 years, Groups 1 and 2 showed significantly lower risks of recurrence than the control group did (hazard ratio [HR] 0.41, 95 % confidence interval [CI]: 0.22–0.76, <em>P</em> = 0.005; HR 0.30, 95 % CI: 0.18–0.50, <em>P</em> &lt; 0.001). In multivariate analysis, Group 2 also showed better survival outcomes (HR 0.18, 95% CI: 0.08–0.41, <em>P</em> &lt; 0.001). Pregnancy outcomes differed across groups: Groups 1 and 2 had higher rates of full-term pregnancies, whereas Group 3 had a significantly higher abortion rate (23.8 %, 23.4 % vs. 56.1 %, respectively).</div></div><div><h3>Conclusion</h3><div>These findings suggest that temporary tamoxifen interruption for pregnancy may be a viable option for young survivors of breast cancer. Further studies are warranted to clarify the long-term impact of tamoxifen interruption on prognosis.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"85 ","pages":"Article 104675"},"PeriodicalIF":7.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145973297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the letter “Targeted digital intervention boosts endocrine therapy adherence in breast cancer patients with low health literacy”","authors":"Ilana Graetz","doi":"10.1016/j.breast.2025.104662","DOIUrl":"10.1016/j.breast.2025.104662","url":null,"abstract":"","PeriodicalId":9093,"journal":{"name":"Breast","volume":"85 ","pages":"Article 104662"},"PeriodicalIF":7.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-related quality of life and fear of recurrence after early breast cancer treatment: Results from a cross-sectional survey","authors":"Paola Mosconi ,&nbsp;Secondo Folli ,&nbsp;Rosalba Miceli ,&nbsp;Serena Scrudato ,&nbsp;Massimiliano Gennaro ,&nbsp;Gabriele Tinè ,&nbsp;Maria Carmen De Santis ,&nbsp;Cristina Ferraris ,&nbsp;Gabriele Martelli ,&nbsp;Immacolata Di Carlo ,&nbsp;Ilaria Maugeri ,&nbsp;Alessio Arata ,&nbsp;Maria Grazia Carnevale ,&nbsp;Chiara Listorti ,&nbsp;Roberto Agresti ,&nbsp;Claudia Borreani ,&nbsp;Claudio Vernieri ,&nbsp;Giancarlo Pruneri ,&nbsp;Paolo Baili ,&nbsp;Valentina Appierto ,&nbsp;Giovanni Apolone","doi":"10.1016/j.breast.2025.104647","DOIUrl":"10.1016/j.breast.2025.104647","url":null,"abstract":"<div><h3>Background</h3><div>The growing population of breast cancer survivors has raised attention to the long-term effects of treatment and follow-up. This study explored how survivors experience follow-up care and its impact on quality of life, focusing on fear of cancer recurrence (FCR), work and financial burden.</div></div><div><h3>Methods</h3><div>In this monocentric observational study, survivors completed a questionnaire including validated items from GIVIO, EORTC QLQ-C30, and FCR Inventory Short-Form. Fourteen domains were assessed. Scores were scaled 0–100, with higher values indicating better outcomes, except for FCR, where higher scores indicate greater concern. Data were stratified by age, time since diagnosis, education, income. Cluster analysis uncovered patterns of survivor experience across questionnaire domains.</div></div><div><h3>Results</h3><div>Of 1565 women scheduled for follow-up over six months, 681 (43.5 %) agreed to participate and, after excluding patients not fulfilling the protocol, and questionnaires with &gt;50 % missing data, 656 entered the final analysis. Mean quality of life (73.3), physical (75.6), and social functioning (82.7) scored high, while emotional (55.6) and cognitive functioning (61.6) were lower. Satisfaction with care was mixed, with lower ratings for the national health system-level (56.8). FCR was moderate overall (38), with recurrent/intrusive thoughts in 2.9 % and 5.6 % of respondents. Lower income was significantly associated with worse outcomes across several domains, while no relevant differences were observed by age, education, or time since diagnosis. Cluster analysis revealed two distinct response profiles, clearly distinguished only by socioeconomic status.</div></div><div><h3>Conclusions</h3><div>Breast cancer survivors reported overall good levels of functioning, with lower scores in emotional and cognitive domains. Socioeconomic status was the only factor clearly associated with distinct response patterns.</div></div>","PeriodicalId":9093,"journal":{"name":"Breast","volume":"85 ","pages":"Article 104647"},"PeriodicalIF":7.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145569974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}