LAUSR

African-American (AA) patients have a younger age at diagnosis and worse outcomes compared to Whites (WTs) across many cancers, including acute myeloid and acute lymphoblastic leukemias.1, 2, 3 Although inferior outcomes for AAs compared to WTs may be related to differential access to medical care or socioeconomic status, disease biology and genetic fingerprint may have a role. A recent study from the Cancer Genome Atlas has shown that WT and AA women with stage I to III breast cancer have differences in the genomic landscape that is correlated with a higher incidence of TP53 mutations, fewer PIK3CA mutations and greater intratumor genetic heterogeneity for AA compared to WTs. This finding suggests that the poor outcome of AA women with breast cancer is not only driven by the disease characteristics such as younger age at diagnosis and a higher incidence of triple-negative disease, but also related to differences in the genomic landscape of their disease.