International Journal of Epidemiology, Vol 28, 816-823, Copyright © 1999 by International Epidemiological Association
HA Weiss, LA Brinton, NA Potischman, D Brogan, RJ Coates, MD Gammon, KE Malone and JB Schoenberg
BACKGROUND: Several common medical conditions are associated with altered
hormone levels, and may thus plausibly influence breast cancer risk. Few
studies have examined such relationships, and we utilized a
population-based case-control study of young women in the US to examine
breast cancer risk following a history of various medical conditions.
Relationships between breast cancer and each medical condition examined are
biologically plausible, and relevant in terms of public health. METHODS:
The study included 2173 breast cancer cases and 1990 population-based
controls from three areas of the US, under 55 years, who were administered
a questionnaire including details of physician- diagnosed medical
conditions. RESULTS: No significantly increased or decreased breast cancer
risk was associated with a history of thyroid disease, gallbladder disease,
colorectal polyps, diabetes, high blood pressure, high cholesterol or
surgery for endometriosis. There was some evidence of an increased breast
cancer risk associated with ovarian cysts among women who did not receive
an oophorectomy (relative risk [RR] = 1.94, 95% CI: 1.0-3.9).
Non-significant increases in breast cancer risk were observed following
diagnoses of several other cancers, including thyroid cancer, basal cell
carcinoma, Hodgkin's disease and malignant melanoma. CONCLUSIONS: To
conclude, our generally null results from this large, population-based
study support results from previous studies in providing reassurance that
women with a history of several common medical conditions do not appear to
be at an increased risk of breast cancer at a young age.
ARTICLES
Breast cancer risk in young women and history of selected medical conditions
Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
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