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A high incidence of vertebral fracture in women with breast cancer
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  • Regular Article
  • Open access
  • Published: 12 February 1999

A high incidence of vertebral fracture in women with breast cancer

  • J A Kanis1,
  • E V McCloskey1,
  • T Powles2,
  • A H G Paterson3,
  • S Ashley2 &
  • …
  • T Spector4 

British Journal of Cancer volume 79, pages 1179–1181 (1999)Cite this article

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Summary

Because treatment for breast cancer may adversely affect skeletal metabolism, we investigated vertebral fracture risk in women with non-metastatic breast cancer. The prevalence of vertebral fracture was similar in women at the time of first diagnosis to that in an age-matched sample of the general population. The incidence of vertebral fracture, however, was nearly five times greater than normal in women from the time of first diagnosis [odds ratio (OR), 4.7; 95% confidence interval (95% CI), 2.3–9.9], and 20-fold higher in women with soft-tissue metastases without evidence of skeletal metastases (OR, 22.7; 95% CI, 9.1–57.1). We conclude that vertebral fracture risk is markedly increased in women with breast cancer.

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  • 16 November 2011

    This paper was modified 12 months after initial publication to switch to Creative Commons licence terms, as noted at publication

References

  • Breast Cancer Task Force. Treatment Committee. National Cancer Institute, Breast Cancer (1977). Suggested protocol guidelines for combination chemotherapy trials and for combined modality trials. Washington, DC, US Department of Health, Education and Welfare. Publication no. (NIH) 77–1192.

  • Filipponi, P., Christallini, S., Rizzello, E., Policani, G., Fedeli, L. & Gregorio, F. et al (1996). Cyclical intravenous clodronate in postmenopausal osteoporosis. Results of a long-term trial. Bone 18: 179–184.

    Article  CAS  Google Scholar 

  • Hayward, J. L., Meakin, J. W. & Stewart, H. J. (1978). Assessment of response and recurrence in breast cancer. Semin Oncol 5: 445–449.

    CAS  PubMed  Google Scholar 

  • Kanis, J. A., Powles, T., Paterson, A. H. G., McCloskey, E. V. & Ashley, S. (1996). Clodronate decreases the frequency of skeletal metastases in women with breast cancer. Bone 19: 663–667.

    Article  CAS  Google Scholar 

  • Kanis, J. A., Delmas, P., Burckhardt, P. Cooper, C. & Torgerson D., on behalf of the EFFO (1997). Guidelines for the diagnosis and management of osteoporosis. Osteoporosis Int 7: 390–406.

    Article  CAS  Google Scholar 

  • McCloskey, E. V., Spector, T. D., Eyres, K. S., Fern, D. E., O’Rourke, N., Vasikaran, S. & Kanis, J. A. (1993). The assessment of vertebral deformity – a method for use in population studies and clinical trials. Osteoporosis Int 3: 138–147.

    Article  CAS  Google Scholar 

  • Orloff, J. J., Wu, T. L. & Stewart, A. F. (1989). Parathyroid hormone-like proteins: biochemical responses and receptor interactions. Endocrinol Rev 10: 476–495.

    Article  CAS  Google Scholar 

  • Paterson, A. H. G., Powles, T. J., Kanis, J. A., McCloskey, E., Hanson, J. & Ashley, S. (1993). Double-blind controlled trial of oral clodronate in patients with bone metastases from breast cancer. J Clin Oncol 11: 59–65.

    Article  CAS  Google Scholar 

  • Powell, G. J., Southby, J., Danks, J. A., Stillwell, R. G., Hayman, J. A. & Henderson, M. A. et al (1991). Localisation of parathyroid hormone-related protein in breast cancer metastases: increased incidence in bone compared with other sites. Cancer Res 51: 3059–3061.

    CAS  PubMed  Google Scholar 

  • Powles, T. J., Hickish, T., Kanis, J. A., Tidy, A. & Ashley, S. (1996). The effect of tamoxifen on lumbar bone mineral density in pre- and postmenopausal women. J Clin Oncol 14: 78–84.

    Article  CAS  Google Scholar 

  • Powles, T. J., McCloskey, E., Paterson, A. H. G., Ashley, S., Tidy, A. & Kanis, J. A. (1997). Oral clodronate reduces the loss of bone mineral density in women with operable primary breast cancer. J Clin Oncol, submitted for publication, ASBMR abstract,

  • Rivkees, A. S. & Crawford, J. D. (1988). The relationship of gonadal activity and chemotherapy-induced gonadal damage. JAMA 259: 2123–2125.

    Article  CAS  Google Scholar 

  • Saarto, T., Blomqvist, C., Valimaki, M., Makelo, P., Sarna, S. & Elomaa, I. (1997). Chemical castration induced by adjuvant cyclophosphamide, methotrexate and fluorouracil chemotherapy causes rapid bone loss that is reduced by clodronate: a randomised study in premenopausal breast cancer patients. J Clin Oncol 15: 1341–1347.

    Article  CAS  Google Scholar 

  • Spector, T. D., McCloskey, E., Doyle, D. V. & Kanis, J. A. (1993). Prevalence of vertebral fractures in women and the relationship with bone density and symptoms. The Chingford study. J Bone Miner Res 8: 817–822.

    Article  CAS  Google Scholar 

  • Taube, T., Elomaa, I., Blomqvist, C., Beneton, M. N. C. & Kanis, J. A. (1994). Histomorphometric evidence for osteoclast mediated bone resorption in metastatic breast cancer. Bone 15: 161–166.

    Article  CAS  Google Scholar 

  • Utz, J. P., Melton, L. J., Kan, S. H. & Riggs, B. L. (1987). Risk of osteoporotic fractures in women with breast cancer: a population-based cohort study. J Chron Dis 40: 105–113.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. WHO Collaborating Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield, S10 2RX, UK

    J A Kanis & E V McCloskey

  2. Breast Unit and Computer Department, Royal Marsden Hospital, Downs Road, Sutton, SM2 5PT, Surrey, UK

    T Powles & S Ashley

  3. Department of Medicine, Tom Baker Cancer Centre, 1331–29 Street NW, Calgary, T2N 4N2, Alberta, Canada

    A H G Paterson

  4. Twin Research and Osteoporosis Unit, St Thomas’ Hospital, London, SE1 7EH, UK

    T Spector

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  1. J A Kanis
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  2. E V McCloskey
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  6. T Spector
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From twelve months after its original publication, this work is licensed under the Creative Commons Attribution-NonCommercial-Share Alike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/

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Kanis, J., McCloskey, E., Powles, T. et al. A high incidence of vertebral fracture in women with breast cancer. Br J Cancer 79, 1179–1181 (1999). https://doi.org/10.1038/sj.bjc.6690188

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  • Received: 26 January 1998

  • Revised: 26 June 1998

  • Accepted: 30 July 1998

  • Published: 12 February 1999

  • Issue date: 01 March 1999

  • DOI: https://doi.org/10.1038/sj.bjc.6690188

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Keywords

  • vertebral fracture
  • breast cancer
  • skeletal metastases

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