Abstract
A case-control study was conducted in Los Angeles County, California, of 163 very young breast-cancer cases (all aged 32 or less at diagnosis) to investigate the role, if any, of oral contraceptives (OC) in the development of the disease. OC use before first full-term pregnancy (FFTP) was associated with an elevated risk, which increased with duration of OC use (relative risk approximately 2.2 at 6 years of use, P < 0.01). This increased risk could not be explained by other risk factors. OC use after FFTP was not associated with any change in risk. A first-trimester abortion before FFTP, whether spontaneous or induced, was associated with a 2.4-fold increase in breast-cancer risk (P < 0.005).
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Selected References
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- Arthes F. G., Sartwell P. E., Lewison E. F. The pill, estrogens, and the breast. Epidemiologic aspects. Cancer. 1971 Dec;28(6):1391–1394. doi: 10.1002/1097-0142(197112)28:6<1391::aid-cncr2820280609>3.0.co;2-s. [DOI] [PubMed] [Google Scholar]
- Breslow N. E., Day N. E., Halvorsen K. T., Prentice R. L., Sabai C. Estimation of multiple relative risk functions in matched case-control studies. Am J Epidemiol. 1978 Oct;108(4):299–307. doi: 10.1093/oxfordjournals.aje.a112623. [DOI] [PubMed] [Google Scholar]
- Brinton L. A., Williams R. R., Hoover R. N., Stegens N. L., Feinleib M., Fraumeni J. F., Jr Breast cancer risk factors among screening program participants. J Natl Cancer Inst. 1979 Jan;62(1):37–44. [PubMed] [Google Scholar]
- Cole P., MacMahon B., Brown J. B. Oestrogen profiles of parous and nulliparous women. Lancet. 1976 Sep 18;2(7986):596–599. doi: 10.1016/s0140-6736(76)90666-8. [DOI] [PubMed] [Google Scholar]
- Fasal E., Paffenbarger R. S., Jr Oral contraceptives as related to cancer and benign lesions of the breast. J Natl Cancer Inst. 1975 Oct;55(4):767–773. doi: 10.1093/jnci/55.4.767. [DOI] [PubMed] [Google Scholar]
- Henderson B. E., Powell D., Rosario I., Keys C., Hanisch R., Young M., Casagrande J., Gerkins V., Pike M. C. An epidemiologic study of breast cancer. J Natl Cancer Inst. 1974 Sep;53(3):609–614. doi: 10.1093/jnci/53.3.609. [DOI] [PubMed] [Google Scholar]
- Holford T. R., White C., Kelsey J. L. Multivariate analysis for matched case-control studies. Am J Epidemiol. 1978 Mar;107(3):245–256. doi: 10.1093/oxfordjournals.aje.a112531. [DOI] [PubMed] [Google Scholar]
- Kelsey J. L., Holford T. R., White C., Mayer E. S., Kilty S. E., Acheson R. M. Oral contraceptives and breast disease. An epidemiological study. Am J Epidemiol. 1978 Mar;107(3):236–244. doi: 10.1093/oxfordjournals.aje.a112530. [DOI] [PubMed] [Google Scholar]
- Lees A. W., Burns P. E., Grace M. Oral contraceptives and breast disease in premenopausal Northern Albertan women. Int J Cancer. 1978 Dec;22(6):700–707. doi: 10.1002/ijc.2910220611. [DOI] [PubMed] [Google Scholar]
- Lin T. M., Chen K. P., MacMahon B. Epidemiologic characteristics of cancer of the breast in Taiwan. Cancer. 1971 Jun;27(6):1497–1504. doi: 10.1002/1097-0142(197106)27:6<1497::aid-cncr2820270634>3.0.co;2-c. [DOI] [PubMed] [Google Scholar]
- MacMahon B., Cole P., Brown J. Etiology of human breast cancer: a review. J Natl Cancer Inst. 1973 Jan;50(1):21–42. doi: 10.1093/jnci/50.1.21. [DOI] [PubMed] [Google Scholar]
- Mack T. M. Cancer surveillance program in Los Angeles County. Natl Cancer Inst Monogr. 1977 Dec;47:99–101. [PubMed] [Google Scholar]
- Paffenbarger R. S., Jr, Fasal E., Simmons M. E., Kampert J. B. Cancer risk as related to use of oral contraceptives during fertile years. Cancer. 1977 Apr;39(4 Suppl):1887–1891. doi: 10.1002/1097-0142(197704)39:4+<1887::aid-cncr2820390822>3.0.co;2-i. [DOI] [PubMed] [Google Scholar]
- Pike M. C., Gerkins V. R., Casagrande J. T., Gray G. E., Brown J., Henderson B. E. The hormonal basis of breast cancer. Natl Cancer Inst Monogr. 1979 Nov;(53):187–193. [PubMed] [Google Scholar]
- Pike M. C., Hill A. P., Smith P. G. Bias and efficiency in logistic analyses of stratified case-control studies. Int J Epidemiol. 1980 Mar;9(1):89–95. doi: 10.1093/ije/9.1.89. [DOI] [PubMed] [Google Scholar]
- Sartwell P. E., Arthes F. G., Tonascia J. A. Exogenous hormones, reproductive history, and breast cancer. J Natl Cancer Inst. 1977 Dec;59(6):1589–1592. doi: 10.1093/jnci/59.6.1589. [DOI] [PubMed] [Google Scholar]
- Valaoras V. G., MacMahon B., Trichopoulos D., Polychronopoulou A. Lactation and reproductive histories of breast cancer patients in greater Athens, 1965-67. Int J Cancer. 1969 May 15;4(3):350–363. doi: 10.1002/ijc.2910040312. [DOI] [PubMed] [Google Scholar]
- Vessey M. P., Doll R., Jones K., McPherson K., Yeates D. An epidemiological study of oral contraceptives and breast cancer. Br Med J. 1979 Jun 30;1(6180):1757–1760. doi: 10.1136/bmj.1.6180.1757. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yuasa S., MacMahon B. Lactation and reproductive histories of breast cancer patients in Tokyo, Japan. Bull World Health Organ. 1970;42(2):195–204. [PMC free article] [PubMed] [Google Scholar]
