Abstract
A hospital-based case-control study was conducted over 4 years in Southern France to assess the pattern of established risk factors for breast cancer and to examine its variation according to age at diagnosis. Cases studied (450) were women admitted to the Montpellier Cancer Institute, with histologically confirmed primary breast carcinoma. Controls (576) were patients from a nearby hospital admitted in the early stages of a neurological or mild psychological diseases and from a clinic for general surgery. Any patient with malignant tumours, chronic and cardiovascular diseases were excluded. The total population globally showed the commonly reported pattern for these risk factors. When stratified by age, the reproductive factors occurring early in life (menarche, first full term pregnancy) were shown to be significant risk factors only in the youngest group of patients and do not seem to influence risk in older women, for whom risk factors are those occurring later in life (menopause, obesity). This suggests a complex involvement of the reproductive and sociodemographic features with the various stages of the 'natural history' of breast cancer.
Full text
PDF






Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Adami H. O., Hansen J., Jung B., Rimsten A. J. Age at first birth, parity and risk of breast cancer in a Swedish population. Br J Cancer. 1980 Nov;42(5):651–658. doi: 10.1038/bjc.1980.298. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Andrieu N., Clavel F., Demenais F. Familial susceptibility to breast cancer: a complex inheritance. Int J Cancer. 1989 Sep 15;44(3):415–418. doi: 10.1002/ijc.2910440306. [DOI] [PubMed] [Google Scholar]
- Bouchardy C., Lê M. G., Hill C. Risk factors for breast cancer according to age at diagnosis in a French case-control study. J Clin Epidemiol. 1990;43(3):267–275. doi: 10.1016/0895-4356(90)90007-c. [DOI] [PubMed] [Google Scholar]
- Bruzzi P., Negri E., La Vecchia C., Decarli A., Palli D., Parazzini F., Del Turco M. R. Short term increase in risk of breast cancer after full term pregnancy. BMJ. 1988 Oct 29;297(6656):1096–1098. doi: 10.1136/bmj.297.6656.1096. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Burns P. E., Lees A. W., Hurlburt M. E., May C. L., Grace M. Reproductive events and family history as risk factors for breast cancer in northern Alberta. Can Med Assoc J. 1981 Jun 1;124(11):1451–1457. [PMC free article] [PubMed] [Google Scholar]
- Cavallo F., Gerber M., Marubini E., Richardson S., Barbieri A., Costa A., DeCarli A., Pujol H. Zinc and copper in breast cancer. A joint study in northern Italy and southern France. Cancer. 1991 Feb 1;67(3):738–745. doi: 10.1002/1097-0142(19910201)67:3<738::aid-cncr2820670335>3.0.co;2-#. [DOI] [PubMed] [Google Scholar]
- Comparative study of breast cancer risk factors in Estonia and Slovakia. East-European Study Group of Breast Cancer Epidemiology. Neoplasma. 1990;37(1):97–104. [PubMed] [Google Scholar]
- Ewertz M., Duffy S. W., Adami H. O., Kvåle G., Lund E., Meirik O., Mellemgaard A., Soini I., Tulinius H. Age at first birth, parity and risk of breast cancer: a meta-analysis of 8 studies from the Nordic countries. Int J Cancer. 1990 Oct 15;46(4):597–603. doi: 10.1002/ijc.2910460408. [DOI] [PubMed] [Google Scholar]
- Ewertz M., Duffy S. W. Risk of breast cancer in relation to reproductive factors in Denmark. Br J Cancer. 1988 Jul;58(1):99–104. doi: 10.1038/bjc.1988.172. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gerber M., Cavallo F., Marubini E., Richardson S., Barbieri A., Capitelli E., Costa A., Crastes de Paulet A., Crastes de Paulet P., Decarli A. Liposoluble vitamins and lipid parameters in breast cancer. A joint study in northern Italy and southern France. Int J Cancer. 1988 Oct 15;42(4):489–494. doi: 10.1002/ijc.2910420403. [DOI] [PubMed] [Google Scholar]
- Gerber M., Richardson S., Cavallo F., Marubini E., Crastes de Paulet P., Crastes de Paulet A., Pujol H. The role of diet history and biologic assays in the study of "diet and breast cancer". Tumori. 1990 Aug 31;76(4):321–330. doi: 10.1177/030089169007600405. [DOI] [PubMed] [Google Scholar]
- Gerber M., Richardson S., Crastes de Paulet P., Pujol H., Crastes de Paulet A. Relationship between vitamin E and polyunsaturated fatty acids in breast cancer. Nutritional and metabolic aspects. Cancer. 1989 Dec 1;64(11):2347–2353. doi: 10.1002/1097-0142(19891201)64:11<2347::aid-cncr2820641126>3.0.co;2-v. [DOI] [PubMed] [Google Scholar]
- Kelsey J. L., Gammon M. D. Epidemiology of breast cancer. Epidemiol Rev. 1990;12:228–240. doi: 10.1093/oxfordjournals.epirev.a036056. [DOI] [PubMed] [Google Scholar]
- Kvåle G., Heuch I. A prospective study of reproductive factors and breast cancer. II. Age at first and last birth. Am J Epidemiol. 1987 Nov;126(5):842–850. doi: 10.1093/oxfordjournals.aje.a114721. [DOI] [PubMed] [Google Scholar]
- Lubin J. H., Burns P. E., Blot W. J., Lees A. W., May C., Morris L. E., Fraumeni J. F., Jr Risk factors for breast cancer in women in northern Alberta, Canada, as related to age at diagnosis. J Natl Cancer Inst. 1982 Feb;68(2):211–217. [PubMed] [Google Scholar]
- Lund E. Reproductive histories and premenopausal breast cancer: different estimates using population, neighborhood, or hospital controls. Cancer Res. 1989 Jul 15;49(14):4015–4019. [PubMed] [Google Scholar]
- Lynch H. T., Watson P. Early age at breast cancer onset--a genetic and oncologic perspective. Am J Epidemiol. 1990 Jun;131(6):984–986. doi: 10.1093/oxfordjournals.aje.a115618. [DOI] [PubMed] [Google Scholar]
- Lê M. G., Hill C., Kramar A., Flamanti R. Alcoholic beverage consumption and breast cancer in a French case-control study. Am J Epidemiol. 1984 Sep;120(3):350–357. doi: 10.1093/oxfordjournals.aje.a113899. [DOI] [PubMed] [Google Scholar]
- Mettlin C., Croghan I., Natarajan N., Lane W. The association of age and familial risk in a case-control study of breast cancer. Am J Epidemiol. 1990 Jun;131(6):973–983. doi: 10.1093/oxfordjournals.aje.a115617. [DOI] [PubMed] [Google Scholar]
- Mirra A. P., Cole P., MacMahon B. Breast cancer in an area of high parity: São Paulo, Brazil. Cancer Res. 1971 Feb;31(2):77–83. [PubMed] [Google Scholar]
- Negri E., La Vecchia C., Duffy S. W., Bruzzi P., Parazzini F., Day N. E. Age at first and second births and breast cancer risk in biparous women. Int J Cancer. 1990 Mar 15;45(3):428–430. doi: 10.1002/ijc.2910450308. [DOI] [PubMed] [Google Scholar]
- Parazzini F., la Vecchia C., Negri E., Bruzzi P., Palli D., Boyle P. Anthropometric variables and risk of breast cancer. Int J Cancer. 1990 Mar 15;45(3):397–402. doi: 10.1002/ijc.2910450303. [DOI] [PubMed] [Google Scholar]
- Plesko I., Preston-Martin S., Day N. E., Tzonou A., Dimitrova E., Somogyi J. Parity and cancer risk in Slovakia. Int J Cancer. 1985 Nov 15;36(5):529–533. doi: 10.1002/ijc.2910360502. [DOI] [PubMed] [Google Scholar]
- Richardson S., Gerber M., Cenée S. The role of fat, animal protein and some vitamin consumption in breast cancer: a case control study in southern France. Int J Cancer. 1991 Apr 22;48(1):1–9. doi: 10.1002/ijc.2910480102. [DOI] [PubMed] [Google Scholar]
- Richardson S., de Vincenzi I., Pujol H., Gerber M. Alcohol consumption in a case-control study of breast cancer in southern France. Int J Cancer. 1989 Jul 15;44(1):84–89. doi: 10.1002/ijc.2910440116. [DOI] [PubMed] [Google Scholar]
- Schatzkin A., Palmer J. R., Rosenberg L., Helmrich S. P., Miller D. R., Kaufman D. W., Lesko S. M., Shapiro S. Risk factors for breast cancer in black women. J Natl Cancer Inst. 1987 Feb;78(2):213–217. [PubMed] [Google Scholar]
- Thein-Hlaing, Thein-Maung-Myint Risk factors of breast cancer in Burma. Int J Cancer. 1978 Apr 15;21(4):432–437. doi: 10.1002/ijc.2910210406. [DOI] [PubMed] [Google Scholar]
- Tsuchiya E., Chan J. K., Chan S. H., Saw D., Ho J. H., Tominaga S. Comparative histopathology of resected bronchial cancers of women in Hong Kong and Japan. Int J Cancer. 1988 May 15;41(5):661–665. doi: 10.1002/ijc.2910410504. [DOI] [PubMed] [Google Scholar]
- Tulinius H., Sigvaldason H., Hrafnkelsson J., Olafsdóttir G., Tryggvadóttir L., Sigurösson K. Reproductive factors and breast cancer risk in Iceland. A second cohort study. Int J Cancer. 1990 Dec 15;46(6):972–975. doi: 10.1002/ijc.2910460604. [DOI] [PubMed] [Google Scholar]
- Williams E. M., Jones L., Vessey M. P., McPherson K. Short term increase in risk of breast cancer associated with full term pregnancy. BMJ. 1990 Mar 3;300(6724):578–579. doi: 10.1136/bmj.300.6724.578. [DOI] [PMC free article] [PubMed] [Google Scholar]
- de Waard F. Premenopausal and postmenopausal breast cancer: one disease or two? J Natl Cancer Inst. 1979 Sep;63(3):549–552. doi: 10.1093/jnci/63.3.549. [DOI] [PubMed] [Google Scholar]
