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Breast Cancer Characteristics in the Population of Survivors Participating in the World Trade Center Environmental Health Center Program 2002–2019

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  • Alan A. Arslan

    (Department of Obstetrics and Gynecology, New York University Langone Health, New York, NY 10016, USA
    Department of Population Health, New York University Langone Health, New York, NY 10016, USA
    NYU Perlmutter Comprehensive Cancer Center, New York University, New York, NY 10016, USA)

  • Yian Zhang

    (Department of Population Health, New York University Langone Health, New York, NY 10016, USA)

  • Nedim Durmus

    (Department of Medicine, New York University Langone Health, New York, NY 10016, USA)

  • Sultan Pehlivan

    (Department of Medicine, New York University Langone Health, New York, NY 10016, USA)

  • Adrienne Addessi

    (Department of Medicine, New York University Langone Health, New York, NY 10016, USA)

  • Freya Schnabel

    (NYU Perlmutter Comprehensive Cancer Center, New York University, New York, NY 10016, USA)

  • Yongzhao Shao

    (Department of Population Health, New York University Langone Health, New York, NY 10016, USA
    NYU Perlmutter Comprehensive Cancer Center, New York University, New York, NY 10016, USA)

  • Joan Reibman

    (Department of Medicine, New York University Langone Health, New York, NY 10016, USA)

Abstract

The destruction of World Trade Center on 11 September 2001 exposed local community members to a complex mixture of known carcinogens and potentially carcinogenic substances. To date, breast cancer has not been characterized in detail in the WTC-exposed civilian populations. The cancer characteristics of breast cancer patients were derived from the newly developed Pan-Cancer Database at the WTC Environmental Health Center (WTC EHC). We used the Surveillance, Epidemiology, and End Results (SEER) Program breast cancer data as a reference source. Between May 2002 and 31 December 2019, 2840 persons were diagnosed with any type of cancer at the WTC EHC, including 601 patients with a primary breast cancer diagnosis (592 women and 9 men). There was a higher proportion of grade 3 (poorly differentiated) tumors (34%) among the WTC EHC female breast cancers compared to that of the SEER-18 data (25%). Compared to that of the SEER data, female breast cancers in the WTC EHC had a lower proportion of luminal A (88% and 65%, respectively), higher proportion of luminal B (13% and 15%, respectively), and HER-2-enriched (5.5% and 7%, respectively) subtypes. These findings suggest considerable differences in the breast cancer characteristics and distribution of breast cancer intrinsic subtypes in the WTC-exposed civilian population compared to that of the general population. This is important because of the known effect of molecular subtypes on breast cancer prognosis.

Suggested Citation

  • Alan A. Arslan & Yian Zhang & Nedim Durmus & Sultan Pehlivan & Adrienne Addessi & Freya Schnabel & Yongzhao Shao & Joan Reibman, 2021. "Breast Cancer Characteristics in the Population of Survivors Participating in the World Trade Center Environmental Health Center Program 2002–2019," IJERPH, MDPI, vol. 18(14), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7555-:d:595014
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    References listed on IDEAS

    as
    1. Yongzhao Shao & Nedim Durmus & Yian Zhang & Sultan Pehlivan & Maria-Elena Fernandez-Beros & Lisette Umana & Rachel Corona & Adrienne Addessi & Sharon A. Abbott & Sheila Smyth-Giambanco & Alan A. Arsla, 2021. "The Development of a WTC Environmental Health Center Pan-Cancer Database," IJERPH, MDPI, vol. 18(4), pages 1-18, February.
    2. Charles M. Perou & Therese Sørlie & Michael B. Eisen & Matt van de Rijn & Stefanie S. Jeffrey & Christian A. Rees & Jonathan R. Pollack & Douglas T. Ross & Hilde Johnsen & Lars A. Akslen & Øystein Flu, 2000. "Molecular portraits of human breast tumours," Nature, Nature, vol. 406(6797), pages 747-752, August.
    3. Nedim Durmus & Yongzhao Shao & Alan A. Arslan & Yian Zhang & Sultan Pehlivan & Maria-Elena Fernandez-Beros & Lisette Umana & Rachel Corona & Sheila Smyth-Giambanco & Sharon A. Abbott & Joan Reibman, 2020. "Characteristics of Cancer Patients in the World Trade Center Environmental Health Center," IJERPH, MDPI, vol. 17(19), pages 1-15, October.
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    Cited by:

    1. Stephanie Tuminello & Yian Zhang & Lei Yang & Nedim Durmus & Matija Snuderl & Adriana Heguy & Anne Zeleniuch-Jacquotte & Yu Chen & Yongzhao Shao & Joan Reibman & Alan A. Arslan, 2022. "Global DNA Methylation Profiles in Peripheral Blood of WTC-Exposed Community Members with Breast Cancer," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
    2. Rebecca Lynn Florsheim & Qiao Zhang & Nedim Durmus & Yian Zhang & Sultan Pehlivan & Alan A. Arslan & Yongzhao Shao & Joan Reibman, 2022. "Characteristics of Cancers in Community Members Exposed to the World Trade Center Disaster at a Young Age," IJERPH, MDPI, vol. 19(22), pages 1-17, November.
    3. Gabriele Grunig & Nedim Durmus & Yian Zhang & Yuting Lu & Sultan Pehlivan & Yuyan Wang & Kathleen Doo & Maria L. Cotrina-Vidal & Roberta Goldring & Kenneth I. Berger & Mengling Liu & Yongzhao Shao & J, 2022. "Molecular Clustering Analysis of Blood Biomarkers in World Trade Center Exposed Community Members with Persistent Lower Respiratory Symptoms," IJERPH, MDPI, vol. 19(13), pages 1-18, July.

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