Epidemiologic and molecular risk factors for contralateral breast cancer among young women
2003

Risk Factors for Contralateral Breast Cancer in Young Women

Sample size: 1285 publication Evidence: moderate

Author Information

Author(s): Li C I, Malone K E, Porter P L, Daling J R

Primary Institution: Fred Hutchinson Cancer Research Center

Hypothesis

What factors predispose young women diagnosed with a first breast cancer to develop contralateral breast cancer?

Conclusion

High body mass index and c-erbB-2 expression are important risk factors for developing contralateral breast cancer in young women.

Supporting Evidence

  • Women diagnosed before age 45 had a 5.4-fold greater risk of contralateral breast cancer.
  • Obesity at diagnosis was associated with increased risk of contralateral breast cancer.
  • c-erbB-2 positive tumors were linked to a 1.7-fold increased risk of contralateral breast cancer.

Takeaway

If a young woman has breast cancer and is overweight, she might have a higher chance of getting cancer in the other breast later.

Methodology

A population-based case-control study followed 1285 women diagnosed with breast cancer before age 45 to evaluate risk factors for contralateral breast cancer.

Potential Biases

Self-reported data may introduce bias in weight and BMI assessments.

Limitations

Data on body weight and BMI were based on self-reports, which may lead to underestimation.

Participant Demographics

Women diagnosed with a first primary breast cancer at age younger than 45 years.

Statistical Information

Confidence Interval

95% CI: 1.1–6.9 for age at diagnosis risk factors.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6601042

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