Risk factors for hormone receptor-defined breast cancer in postmenopausal women

Cancer Epidemiol Biomarkers Prev. 2006 Dec;15(12):2482-8. doi: 10.1158/1055-9965.EPI-06-0489.

Abstract

The effect of classic breast cancer risk factors on hormone receptor-defined breast cancer is not fully clarified. We explored these associations in a Swedish population-based study. Postmenopausal women ages 50 to 74 years, diagnosed with invasive breast cancer during 1993 to 1995, were compared with 3,065 age frequency-matched controls. We identified 332 estrogen receptor (ER-) and progesterone receptor (PR-) negative, 286 ER+PR-, 71 ER-PR+, 1,165 ER+PR+, and 789 tumors with unknown receptor status. Unconditional logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (95% CI). Women ages >or=30 years, compared with those ages 20 to 24 years at first birth, were at an increased risk of ER+PR+ tumors (OR, 1.5; 95% CI, 1.2-1.8) but not ER-PR- tumors (OR, 1.1; 95% CI, 0.8-1.6). Women who gained >or=30 kg in weight during adulthood had an approximately 3-fold increased relative risk of ER+PR+ tumors (OR, 2.7; 95% CI, 1.9-3.8), but no risk increase of ER-PR- tumors (OR, 1.0; 95% CI, 0.5-2.1), compared with women who gained <10 kg. Compared with never users, women who used menopausal estrogen-progestin therapy for at least 5 years were at increased risk of ER+PR+ tumors (OR, 3.0; 95% CI, 2.1-4.1) but not ER-PR- tumors (OR, 1.3; 95% CI, 0.7-2.5). In conclusion, other risk factors were similarly related to breast cancer regardless of receptor status, but high age at first birth, substantial weight gain in adult age, and use of menopausal estrogen-progestin therapy were more strongly related to receptor-positive breast cancer than receptor-negative breast cancer.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Breast Neoplasms / epidemiology
  • Breast Neoplasms / metabolism*
  • Carcinoma, Ductal, Breast / epidemiology
  • Carcinoma, Ductal, Breast / metabolism*
  • Carcinoma, Lobular / epidemiology
  • Carcinoma, Lobular / metabolism*
  • Case-Control Studies
  • Estrogens / therapeutic use
  • Female
  • Hormone Replacement Therapy
  • Humans
  • Middle Aged
  • Postmenopause*
  • Progestins / therapeutic use
  • Receptors, Estrogen / metabolism*
  • Receptors, Progesterone / metabolism*
  • Risk Factors
  • Sweden / epidemiology
  • Weight Gain

Substances

  • Estrogens
  • Progestins
  • Receptors, Estrogen
  • Receptors, Progesterone