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July 24, 2013The Lancet OncologyOpen Access

Sex hormones and risk of breast cancer in premenopausal women: a collaborative reanalysis of individual participant data from seven prospective studies

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Implication

Pooled analysis of prospective studies reveals elevated circulating oestrogens and androgens increase breast cancer risk in premenopausal women, highlighting endocrine biomarkers for risk.

Key Points

  • To evaluate the associations between prediagnostic circulating concentrations of sex hormones and subsequent breast cancer risk in premenopausal women.
  • Pooled individual participant data from seven prospective studies comprising up to 767 premenopausal breast cancer cases and 1699 matched controls younger than 50 years at blood collection.
  • Estimated odds ratios (ORs) per doubling of hormone concentrations using conditional logistic regression matched for age, blood collection date, and cycle day, with adjustment for cycle phase.
  • Breast cancer risk increased significantly with a doubling in concentrations of oestradiol (OR 1.19, 95% CI 1.06–1.35), calculated free oestradiol (OR 1.17, 95% CI 1.03–1.33), oestrone (OR 1.27, 95% CI 1.05–1.54), androstenedione (OR 1.30, 95% CI 1.10–1.55), DHEAS (OR 1.17, 95% CI 1.04–1.32), and testosterone (OR 1.18, 95% CI 1.03–1.35).
  • No association was observed for calculated free testosterone (OR 1.08, 95% CI 0.97–1.21) or luteal phase progesterone (OR 1.00, 95% CI 0.92–1.09).

Cite This Study

† (2013) studied this question.

synapsesocial.com/papers/6a708fe975498292b70a022dhttps://doi.org/10.1016/s1470-2045(13)70301-2
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Premenopausal serum androgens and breast cancer risk: a nested case-control study2012 · 58 citations
  2. 2ABNORMAL SEX STEROID SECRETION AND BINDING IN MASSIVELY OBESE WOMEN1980 · 120 citations
  3. 3Sex Hormones and the Liver1984 · 43 citations
  4. 4The Breakthrough Generations Study: design of a long-term UK cohort study to investigate breast cancer aetiology2011 · 82 citations