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African American
women with early stage breast cancer tend to have "significantly
lower" white blood cell counts than white women, leading
to a reduced intensity of treatment that may help explain a lower
survival rate, according to New York Presbyterian Hospital researchers.
If the level of white blood cells, the infection-fighting component
of blood, falls below treatment thresholds for patients undergoing
chemotherapy following breast cancer surgery, reduced doses or
treatment delays may occur, which could lead to race-based differences
in treatment duration, the researchers said.
In their study
of 43 African American and 93 white women with breast cancer who
underwent chemotherapy at Columbia-Presbyterian Medical Center,
the researchers found that the African American women had statistically
significantly lower white blood cell counts both at time of diagnosis
and after treatment.
As a result,
the black women required 19 weeks of chemotherapy treatment compared
to 15 weeks for their white counterparts, the researchers reported
in the Journal of the National Cancer Institute.
"The
lower baseline white blood cell counts and longer duration of
treatment for early-stage breast cancer in African American women
compared with those in white women result in lower dose intensity
of treatment for African American women, possibly contributing
to observed racial differences in breast cancer survival,"
the researchers concluded.
Other
Sources: Journal of the National Cancer Institute
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