Endogenous steroid hormone concentrations and risk of breast cancer: does the association vary by a woman's predicted breast cancer risk? Export

@article{citeulike:4958187, abstract = {PURPOSE: To examine whether the associations of endogenous estrogens and testosterone with breast cancer risk differ between high- and low-risk women, as determined by the Gail model and the Rosner and Colditz model, and by family history of breast cancer. METHODS: We conducted a prospective nested case-control study within the Nurses' Health Study. From 1989 or 1990 until June 2000, blood samples were collected, 418 breast cancer patient cases were identified, and two controls (total n = 817) were matched to each case. We classified women as high or low risk based on their family history of breast cancer, their 5-year Gail risk score, and their 5-year Rosner and Colditz risk score. Multivariate relative risks (RR) and 95\% CI were calculated by unconditional logistic regression, adjusting for matching and breast cancer risk factors. RESULTS: Estrone sulfate was statistically significantly associated with breast cancer risk among women with low (< 1.66\%) and high (> or = 2.52\%; 75th percentile) Gail predicted risk (fourth v first quartile RR = 3.6; 95\% CI, 1.9 to 7.0; RR = 2.5; 95\% CI, 1.2 to 5.1, respectively). Testosterone results were similar across strata of predicted risk, with two times the risk in the fourth (v first) quartile. Estradiol appeared more strongly associated with breast cancer in women with higher predicted risk (RR = 4.5; 95\% CI, 2.1 to 9.5) compared with women with lower risk (RR = 2.1; 95\% CI, 1.2 to 3.6), but differences were not statistically significant. Results were similar across predicted Rosner and Colditz risk scores. CONCLUSION: These data suggest that higher levels of endogenous estrogens and testosterone are associated with increased breast cancer risk, regardless of predicted risk or family history of breast cancer.}, author = {Eliassen, A. H. and Missmer, S. A. and Tworoger, S. S. and Hankinson, S. E.}, citeulike-article-id = {4958187}, citeulike-linkout-0 = {http://dx.doi.org/10.1200/JCO.2005.03.7432}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/16567770}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=16567770}, day = {20}, doi = {10.1200/JCO.2005.03.7432}, issn = {1527-7755}, journal = {Journal of clinical oncology : official journal of the American Society of Clinical Oncology}, keywords = {breast, cancer, estrogen, hormone, read-today, superlist, thelist}, month = {April}, number = {12}, pages = {1823--1830}, posted-at = {2009-06-25 15:47:26}, priority = {5}, title = {Endogenous steroid hormone concentrations and risk of breast cancer: does the association vary by a woman's predicted breast cancer risk?}, url = {http://dx.doi.org/10.1200/JCO.2005.03.7432}, volume = {24}, year = {2006} }

TY - JOUR ID - citeulike:4958187 L3 - citeulike-article-id:4958187 N2 - PURPOSE: To examine whether the associations of endogenous estrogens and testosterone with breast cancer risk differ between high- and low-risk women, as determined by the Gail model and the Rosner and Colditz model, and by family history of breast cancer. METHODS: We conducted a prospective nested case-control study within the Nurses' Health Study. From 1989 or 1990 until June 2000, blood samples were collected, 418 breast cancer patient cases were identified, and two controls (total n = 817) were matched to each case. We classified women as high or low risk based on their family history of breast cancer, their 5-year Gail risk score, and their 5-year Rosner and Colditz risk score. Multivariate relative risks (RR) and 95% CI were calculated by unconditional logistic regression, adjusting for matching and breast cancer risk factors. RESULTS: Estrone sulfate was statistically significantly associated with breast cancer risk among women with low (< 1.66%) and high (> or = 2.52%; 75th percentile) Gail predicted risk (fourth v first quartile RR = 3.6; 95% CI, 1.9 to 7.0; RR = 2.5; 95% CI, 1.2 to 5.1, respectively). Testosterone results were similar across strata of predicted risk, with two times the risk in the fourth (v first) quartile. Estradiol appeared more strongly associated with breast cancer in women with higher predicted risk (RR = 4.5; 95% CI, 2.1 to 9.5) compared with women with lower risk (RR = 2.1; 95% CI, 1.2 to 3.6), but differences were not statistically significant. Results were similar across predicted Rosner and Colditz risk scores. CONCLUSION: These data suggest that higher levels of endogenous estrogens and testosterone are associated with increased breast cancer risk, regardless of predicted risk or family history of breast cancer. IS - 12 JF - Journal of clinical oncology : official journal of the American Society of Clinical Oncology SN - 1527-7755 EP - 1830 TI - Endogenous steroid hormone concentrations and risk of breast cancer: does the association vary by a woman's predicted breast cancer risk? VL - 24 SP - 1823 KW - breast KW - cancer KW - estrogen KW - hormone KW - read-today KW - superlist KW - thelist AU - Eliassen, AH AU - Missmer, SA AU - Tworoger, SS AU - Hankinson, SE PY - 2006/04/20/ UR - http://dx.doi.org/10.1200/JCO.2005.03.7432 ER -