Table 1.

Population characteristics of the breast cancer after HL cases, first primary breast cancer cases, and HL controls without breast cancer

Breast cancer after HL cases, N = 327First primary breast cancer cases, N = 4671HL controls without breast cancer, N = 491
Age at breast cancer diagnosis, y    
 Median (range) 45 (24-76) 46 (22-84) NA 
 20-29 8 (2.4) 96 (2.1) NA 
 30-39 88 (26.9) 855 (18.3) NA 
 40-49 139 (42.5) 2224 (47.6) NA 
 50-59 68 (20.8) 1129 (24.2) NA 
 60-69 20 (6.1) 314 (6.7) NA 
 70+ 4 (1.2) 53 (1.1) NA 
Year of breast cancer diagnosis*    
 Median (range) 2003 (1984-2013) 2000 (1964-2011) NA 
 <1990 12 (3.7) 226 (4.8) NA 
 1990-1994 25 (7.6) 606 (13.0) NA 
 1995-1999 72 (22.0) 1377 (29.5) NA 
 2000-2004 86 (26.3) 1329 (28.5) NA 
 2005-2009 99 (30.3) 1067 (22.8) NA 
 2010-2014 33 (10.1) 66 (1.4) NA 
Age at HL diagnosis, y    
 Median (range) 19 (10-40) NA 22 (6-40) 
 <15 40 (12.2) NA 36 (7.3) 
 15-19 134 (41.0) NA 140 (28.5) 
 20-24 76 (23.2) NA 140 (28.5) 
 25-29 38 (11.6) NA 76 (15.5) 
 30-34 31 (9.5) NA 85 (17.3) 
 35-40 8 (2.4) NA 14 (2.9) 
Year of HL diagnosis    
 1965-1973 92 (28.1) NA 119 (24.2) 
 1974-1979 120 (36.7) NA 132 (26.9) 
 1980-1984 60 (18.3) NA 109 (22.2) 
 1985-1999 55 (16.8) NA 131 (26.7) 
Interval between HL and breast cancer diagnosis (cases) or end of follow-up (controls), y    
 Median (range) 24 (9-46) NA 30 (9-49) 
 9-<15 28 (8.6) NA 6 (1.2) 
 ≥15-<25 144 (44.0) NA 113 (23.0) 
 ≥25-<35 127 (38.8) NA 238 (48.5) 
 ≥35 28 (8.6) NA 134 (27.3) 
HL treatment    
 RT only 160 (48.9) NA 201 (40.9) 
 RT and chemotherapy 160 (48.9) NA 284 (57.8) 
 RT; chemotherapy missing 7 (2.1) NA 6 (1.2) 
Mantle-field irradiation§    
 Yes 234 (90.7) NA 371 (84.9) 
 No 18 (7.0) NA 60 (13.7) 
 Missing 6 (2.3) NA 6 (1.4) 
Pelvic RT||    
 Yes 39 (11.9) NA 59 (12.0) 
 No 288 (88.1) NA 432 (88.0) 
Alkylating chemotherapy    
 Yes 133 (40.7) NA 253 (51.5) 
 No 176 (53.8) NA 211 (43.0) 
 Missing 18 (5.5) NA 27 (5.5) 
Gonadotoxic treatment    
 Alkylating chemotherapy and/or pelvic RT 152 (46.5) NA 278 (56.6) 
 No alkylating chemotherapy and no pelvic RT 158 (48.3) NA 192 (39.1) 
 Missing 17 (5.2) NA 21 (4.3) 
Country    
 The Netherlands 112 (34.3) 1646 (35.2) 168 (34.2) 
 United Kingdom 146 (44.6) 2380 (51.0) 269 (54.8) 
 United States 69 (21.1) 645 (13.8) 54 (11.0) 
Breast cancer after HL cases, N = 327First primary breast cancer cases, N = 4671HL controls without breast cancer, N = 491
Age at breast cancer diagnosis, y    
 Median (range) 45 (24-76) 46 (22-84) NA 
 20-29 8 (2.4) 96 (2.1) NA 
 30-39 88 (26.9) 855 (18.3) NA 
 40-49 139 (42.5) 2224 (47.6) NA 
 50-59 68 (20.8) 1129 (24.2) NA 
 60-69 20 (6.1) 314 (6.7) NA 
 70+ 4 (1.2) 53 (1.1) NA 
Year of breast cancer diagnosis*    
 Median (range) 2003 (1984-2013) 2000 (1964-2011) NA 
 <1990 12 (3.7) 226 (4.8) NA 
 1990-1994 25 (7.6) 606 (13.0) NA 
 1995-1999 72 (22.0) 1377 (29.5) NA 
 2000-2004 86 (26.3) 1329 (28.5) NA 
 2005-2009 99 (30.3) 1067 (22.8) NA 
 2010-2014 33 (10.1) 66 (1.4) NA 
Age at HL diagnosis, y    
 Median (range) 19 (10-40) NA 22 (6-40) 
 <15 40 (12.2) NA 36 (7.3) 
 15-19 134 (41.0) NA 140 (28.5) 
 20-24 76 (23.2) NA 140 (28.5) 
 25-29 38 (11.6) NA 76 (15.5) 
 30-34 31 (9.5) NA 85 (17.3) 
 35-40 8 (2.4) NA 14 (2.9) 
Year of HL diagnosis    
 1965-1973 92 (28.1) NA 119 (24.2) 
 1974-1979 120 (36.7) NA 132 (26.9) 
 1980-1984 60 (18.3) NA 109 (22.2) 
 1985-1999 55 (16.8) NA 131 (26.7) 
Interval between HL and breast cancer diagnosis (cases) or end of follow-up (controls), y    
 Median (range) 24 (9-46) NA 30 (9-49) 
 9-<15 28 (8.6) NA 6 (1.2) 
 ≥15-<25 144 (44.0) NA 113 (23.0) 
 ≥25-<35 127 (38.8) NA 238 (48.5) 
 ≥35 28 (8.6) NA 134 (27.3) 
HL treatment    
 RT only 160 (48.9) NA 201 (40.9) 
 RT and chemotherapy 160 (48.9) NA 284 (57.8) 
 RT; chemotherapy missing 7 (2.1) NA 6 (1.2) 
Mantle-field irradiation§    
 Yes 234 (90.7) NA 371 (84.9) 
 No 18 (7.0) NA 60 (13.7) 
 Missing 6 (2.3) NA 6 (1.4) 
Pelvic RT||    
 Yes 39 (11.9) NA 59 (12.0) 
 No 288 (88.1) NA 432 (88.0) 
Alkylating chemotherapy    
 Yes 133 (40.7) NA 253 (51.5) 
 No 176 (53.8) NA 211 (43.0) 
 Missing 18 (5.5) NA 27 (5.5) 
Gonadotoxic treatment    
 Alkylating chemotherapy and/or pelvic RT 152 (46.5) NA 278 (56.6) 
 No alkylating chemotherapy and no pelvic RT 158 (48.3) NA 192 (39.1) 
 Missing 17 (5.2) NA 21 (4.3) 
Country    
 The Netherlands 112 (34.3) 1646 (35.2) 168 (34.2) 
 United Kingdom 146 (44.6) 2380 (51.0) 269 (54.8) 
 United States 69 (21.1) 645 (13.8) 54 (11.0) 

Data are n (%) unless otherwise noted.

NA, not applicable.

*

Four cases with breast cancer after HL had missing year of breast cancer diagnosis, which were imputed with the median year of breast cancer diagnosis among participants from the same country.

Four cases with breast cancer after HL and 6 HL controls had missing year of HL diagnosis. These missing years were imputed with the median year of HL diagnosis among participants in the same group (cases or controls) from the same country.

For the Dutch HL survivors, chest RT was defined as (in)complete mantle field or mediastinal RT, or RT to the lungs or axilla. Subjects with only infradiaphragmatic RT were excluded. For HL survivors from the United States, chest RT was defined as chest or total nodal RT (subjects with only brain, other head, neck, abdomen, spine, pelvis, and/or limb RT were excluded). For HL survivors from the United Kingdom, chest RT was defined as mantle field, chest, mediastinal, axillary, mini mantle field or partial chest RT (subjects with only neck, clavicular and/or head or other supradiaphragmatic RT or infradiaphragmatic RT, RT field unknown or chemotherapy only were excluded).

§

Information on the radiation fields was only available for HL survivors from the United Kingdom and The Netherlands.

||

Pelvic RT encompassed RT to the whole abdomen or iliac nodes on both sides, or RT with inverted Y field, in women with no (successful) oophoropexy.

Alkylating chemotherapy consists of combinations of cytostatic agents with at least 1 alkylating agent (ie, procarbazine, cyclophosphamide, ifosfamide, lomustine, melphalan, dacarbazine, cisplatin, mechlorethamine, chlorambucil, and carmustine).

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