Details

Autor(en) / Beteiligte

• McCormack, Valerie A
• Febvey‐Combes, Olivia
• Ginsburg, Ophira
• dos‐Santos‐Silva, Isabel

Titel

Breast cancer in women living with HIV: A first global estimate

Ist Teil von

• International journal of cancer, 2018-12, Vol.143 (11), p.2732-2740

Ort / Verlag

Hoboken, USA: John Wiley & Sons, Inc

Erscheinungsjahr

2018

Link zum Volltext

Quelle

Wiley-Blackwell Journals

Beschreibungen/Notizen

• There is a growing population of older women living with HIV/AIDS (WLWHA). Breast cancer is a common cancer in women worldwide, but the global number of breast cancers in WLWHA is not known. We estimated, for each UN sub‐region, the number and age distribution of WLWHA who were diagnosed with breast cancer in 2012, by combining IARC‐GLOBOCAN estimates of age‐country specific breast cancer incidence with corresponding UNAIDS HIV prevalence. Primary analyses assumed no HIV‐breast cancer association, and a breast cancer risk reduction scenario was also considered. Among 16.0 million WLWHA aged 15+ years, an estimated 6,325 WLWHA were diagnosed with breast cancer in 2012, 74% of whom were in sub‐Saharan Africa, equally distributed between Eastern, Southern and Western Africa. In most areas, 70% of HIV‐positive breast cancers were diagnosed under age 50. Among all breast cancers (regardless of HIV status), HIV‐positive women constituted less than 1% of the clinical burden, except in Eastern, Western and Middle Africa where they comprised 4–6% of under age 50 year old breast cancer patients, and in Southern Africa where this patient subgroup constituted 26 and 8% of breast cancers diagnosed under and over age 50 respectively. If a deficit of breast cancer occurs in WLWHA, the global estimate would reduce to 3,600. In conclusion, worldwide, the number of HIV‐positive women diagnosed with breast cancer was already substantial in 2012 and with an expected increase within the next decade, early detection and treatment research targeted to this population are needed. What's new? Breast cancer is not an HIV‐associated malignancy but occurs in women with HIV. Here the authors provide global and regional estimates of worldwide incident breast cancer in women with HIV. In 2012, more than 6000 women with HIV, most of them premenopausal and residing in sub‐Saharan Africa, were diagnosed with breast cancer. The authors expect these numbers to rise and encourage research into barriers to early diagnosis, care and outcomes for this growing HIV‐positive population.