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Table 2 SIRs for contralateral breast cancer among 1-year survivors of a first primary breast cancer in 12 SEER registries, 1992–2016

From: Risk of contralateral breast cancer according to first breast cancer characteristics among women in the USA, 1992–2016

First breast cancer characteristic

No. of CBCs (%)

SIR (95% CI)

Overall

12,986 (100.0)

2.21 (2.17 to 2.25)

Age at diagnosis, years

 < 40

1002 (7.7)

6.41 (6.02 to 6.82)

 40 to < 50

2691 (20.7)

2.79 (2.69 to 2.90)

 50 to < 60

3452 (26.6)

2.07 (2.00 to 2.14)

 60 to < 70

3292 (25.4)

1.91 (1.85 to 1.98)

 ≥ 70

2549 (19.6)

1.87 (1.80 to 1.94)

Time since diagnosis

 < 5 years

4620 (35.6)

2.03 (1.97 to 2.09)

 ≥ 5 years

8366 (64.4)

2.32 (2.27 to 2.37)

Stage at diagnosis

 I

6899 (53.1)

2.08 (2.03 to 2.13)

 II

4364 (33.6)

2.21 (2.14 to 2.28)

 III

1723 (13.3)

2.97 (2.83 to 3.11)

Histology

 Ductal

9340 (71.9)

2.17 (2.13 to 2.21)

 Lobular

1037 (8.0)

2.06 (1.94 to 2.19)

 Mixed

1126 (8.7)

2.49 (2.35 to 2.64)

 Other

1483 (11.4)

2.44 (2.32 to 2.57)

ER status

 Positive

8372 (64.5)

1.98 (1.94 to 2.02)

 Negative

3024 (23.3)

3.05 (2.94 to 3.16)

Initial treatment

 Radiation therapy

  Yes

7180 (55.3)

2.25 (2.20 to 2.30)

  No/unknown

5806 (44.7)

2.17 (2.11 to 2.23)

 Chemotherapy

  Yes

5086 (39.2)

2.49 (2.42 to 2.56)

  No/unknown

7900 (60.8)

2.06 (2.01 to 2.11)

 Hormone therapy

  Yes

4442 (34.2)

1.88 (1.83 to 1.94)

  No/unknown

8544 (65.8)

2.43 (2.38 to 2.48)

HER2 statusa

 Positive

93 (11.8)

1.45 (1.17 to 1.78)

 Negative

646 (82.2)

1.57 (1.45 to 1.70)

Breast cancer subtypea,b

 HR+/HER2+

66 (8.4)

1.47 (1.14 to 1.87)

 HR+/HER2−

534 (67.9)

1.47 (1.35 to 1.60)

 HR−/HER2+

27 (3.4)

1.42 (0.94 to 2.07)

 HR−/HER2− (triple negative)

111 (14.1)

2.43 (2.00 to 2.93)

  1. SEER, Surveillance, Epidemiology, and End Results; CBC, contralateral breast cancer; SIRs, standardized incidence ratios; CI, confidence interval; ER, estrogen receptor; HER2, human epidermal growth factor receptor 2; HR, hormone receptor; PR, progesterone receptor
  2. aHER2 status routinely collected in 2010 and onwards. Estimates include first breast cancers diagnosed between 2010 and 2015 and followed through 2016 (no. of first breast cancers = 115,835; no. of contralateral breast cancers = 786; overall SIR = 1.57, 95% CI = 1.46–1.68)
  3. bHR+ = ER+ and/or PR+; HR− = ER− and PR−