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BRCA Mutations Are Associated with Rapid Progression to


      Metastatic Disease and Higher Risk of Mortality






                BRCA mutation associated with rapid progression to metastatic disease and higher risk of mortality (5-year data)




                                  Developed metastases                                                      Cause-specific survival from metastatic disease


                                                                                                              1.0


         40%
                                                                                                            Cause-Specific Survival (%)
                               P <0.001                                                                       0.8





                                 23%                                                                          0.6

         20%                                                                                                  0.4





                                                                      7%                                      0.2                              Median, yrs (CI 95%)
                                                                                                                           Noncarriers                  NR*
                                                                                                                           BRCA                   11.3 (6.8-15.8)      P < .001
           0%                                                                                                    0

                          BRCA mutation                            Control                                           0     2      4     6      8    10     12    14     16 18        20
                                                                                                                                                    Years



      BRCA, breast cancer gene
      Castro E et al. J Clin Oncol 2013;31:1748-57.
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