Skip to main content
British Journal of Cancer logoLink to British Journal of Cancer
. 1989 Jan;59(1):119–125. doi: 10.1038/bjc.1989.24

Risk factors for breast cancer by oestrogen receptor status: a population-based case-control study.

J A Cooper 1, T E Rohan 1, E L Cant 1, D J Horsfall 1, W D Tilley 1
PMCID: PMC2246966  PMID: 2757918

Abstract

Data from a population-based case-control study conducted in Adelaide, South Australia, and involving 451 case-control pairs, were analysed to determine whether the associations of menstrual, reproductive, dietary and other factors with risk of breast cancer differed by oestrogen receptor (ER) status. Data on ER status were available for 380 cases. The proportion of tumours which were ER+ increased with age, and there was a higher proportion of ER+ tumours in post-menopausal than in premenopausal women. Both oral contraceptive use (P = 0.055) and cigarette smoking (P = 0.047) were associated with increased (unadjusted) risk of ER- cancer, while having little association with risk of ER+ cancer. Most dietary factors had little association with risk of either cancer type, the main exception being the reduction in risk of ER- breast cancer with increasing beta-carotene intake (P for trend = 0.017). In general, however, links with the factors examined were not strong enough to suggest different causal pathways for ER- and ER+ breast cancer.

Full text

PDF
119

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baghurst K. I., Record S. J. A computerised dietary analysis system for use with diet diaries or food frequency questionnaires. Community Health Stud. 1984;8(1):11–18. doi: 10.1111/j.1753-6405.1984.tb00419.x. [DOI] [PubMed] [Google Scholar]
  2. Baron J. A. Smoking and estrogen-related disease. Am J Epidemiol. 1984 Jan;119(1):9–22. doi: 10.1093/oxfordjournals.aje.a113730. [DOI] [PubMed] [Google Scholar]
  3. Boyd N. F., Campbell J. E., Germanson T., Thomson D. B., Sutherland D. J., Meakin J. W. Body weight and prognosis in breast cancer. J Natl Cancer Inst. 1981 Oct;67(4):785–789. [PubMed] [Google Scholar]
  4. Donegan W. L., Hartz A. J., Rimm A. A. The association of body weight with recurrent cancer of the breast. Cancer. 1978 Apr;41(4):1590–1594. doi: 10.1002/1097-0142(197804)41:4<1590::aid-cncr2820410449>3.0.co;2-n. [DOI] [PubMed] [Google Scholar]
  5. Elwood J. M., Godolphin W. Oestrogen receptors in breast tumours: associations with age, menopausal status and epidemiological and clinical features in 735 patients. Br J Cancer. 1980 Nov;42(5):635–644. doi: 10.1038/bjc.1980.296. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hawkins R. A., Roberts M. M., Forrest A. P. Oestrogen receptors and breast cancer: current status. Br J Surg. 1980 Mar;67(3):153–169. doi: 10.1002/bjs.1800670302. [DOI] [PubMed] [Google Scholar]
  7. Henderson B. E., Ross R. K., Pike M. C., Casagrande J. T. Endogenous hormones as a major factor in human cancer. Cancer Res. 1982 Aug;42(8):3232–3239. [PubMed] [Google Scholar]
  8. Hildreth N. G., Kelsey J. L., Eisenfeld A. J., LiVolsi V. A., Holford T. R., Fischer D. B. Differences in breast cancer risk factors according to the estrogen receptor level of the tumor. J Natl Cancer Inst. 1983 Jun;70(6):1027–1031. [PubMed] [Google Scholar]
  9. Hislop T. G., Coldman A. J., Elwood J. M., Skippen D. H., Kan L. Relationship between risk factors for breast cancer and hormonal status. Int J Epidemiol. 1986 Dec;15(4):469–476. doi: 10.1093/ije/15.4.469. [DOI] [PubMed] [Google Scholar]
  10. Hislop T. G., Kan L., Coldman A. J., Band P. R., Brauer G. Influence of estrogen receptor status on dietary risk factors for breast cancer. CMAJ. 1988 Mar 1;138(5):424–430. [PMC free article] [PubMed] [Google Scholar]
  11. Horsfall D. J., Tilley W. D., Orell S. R., Marshall V. R., Cant E. L. Relationship between ploidy and steroid hormone receptors in primary invasive breast cancer. Br J Cancer. 1986 Jan;53(1):23–28. doi: 10.1038/bjc.1986.4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Hulka B. S., Chambless L. E., Wilkinson W. E., Deubner D. C., McCarty K. S., Sr, McCarty K. S., Jr Hormonal and personal effects on estrogen receptors in breast cancer. Am J Epidemiol. 1984 May;119(5):692–704. doi: 10.1093/oxfordjournals.aje.a113790. [DOI] [PubMed] [Google Scholar]
  13. Ip C., Ip M. M. Serum estrogens and estrogen responsiveness in 7,12-dimethylbenz[a]anthracene-induced mammary tumors as influenced by dietary fat. J Natl Cancer Inst. 1981 Feb;66(2):291–295. [PubMed] [Google Scholar]
  14. Kelsey J. L. A review of the epidemiology of human breast cancer. Epidemiol Rev. 1979;1:74–109. doi: 10.1093/oxfordjournals.epirev.a036215. [DOI] [PubMed] [Google Scholar]
  15. Lesser M. L., Rosen P. P., Senie R. T., Duthie K., Menendez-Botet C., Schwartz M. K. Estrogen and progesterone receptors in breast carcinoma: correlations with epidemiology and pathology. Cancer. 1981 Jul 15;48(2):299–309. doi: 10.1002/1097-0142(19810715)48:2<299::aid-cncr2820480215>3.0.co;2-2. [DOI] [PubMed] [Google Scholar]
  16. Longman S. M., Buehring G. C. Oral contraceptives and breast cancer. In vitro effect of contraceptive steroids on human mammary cell growth. Cancer. 1987 Jan 15;59(2):281–287. doi: 10.1002/1097-0142(19870115)59:2<281::aid-cncr2820590218>3.0.co;2-a. [DOI] [PubMed] [Google Scholar]
  17. McCarty K. S., Jr, Silva J. S., Cox E. B., Leight G. S., Jr, Wells S. A., Jr, McCarty K. S., Sr Relationship of age and menopausal status to estrogen receptor content in primary carcinoma of the breast. Ann Surg. 1983 Feb;197(2):123–127. doi: 10.1097/00000658-198302000-00001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. McTiernan A., Thomas D. B., Johnson L. K., Roseman D. Risk factors for estrogen receptor-rich and estrogen receptor-poor breast cancers. J Natl Cancer Inst. 1986 Oct;77(4):849–854. [PubMed] [Google Scholar]
  19. Mohla S., Sampson C. C., Khan T., Enterline J. P., Leffall L., Jr, White J. E. Estrogen and progesterone receptors in breast cancer in Black Americans: Correlation of receptor data with tumor differentiation. Cancer. 1982 Aug 1;50(3):552–559. doi: 10.1002/1097-0142(19820801)50:3<552::aid-cncr2820500328>3.0.co;2-g. [DOI] [PubMed] [Google Scholar]
  20. Moolgavkar S. H., Day N. E., Stevens R. G. Two-stage model for carcinogenesis: Epidemiology of breast cancer in females. J Natl Cancer Inst. 1980 Sep;65(3):559–569. [PubMed] [Google Scholar]
  21. Osborne M. P., Rosen P. P., Lesser M. L., Schwartz M. K., Menendez-Botet C. J., Fishman J. H., Kinne D. W., Beattie E. J., Jr The relationship between family history, exposure to exogenous hormones, and estrogen receptor protein in breast cancer. Cancer. 1983 Jun 1;51(11):2134–2138. doi: 10.1002/1097-0142(19830601)51:11<2134::aid-cncr2820511130>3.0.co;2-f. [DOI] [PubMed] [Google Scholar]
  22. Papatestas A. E., Panveliwalla D., Pertsemlidis D., Mulvihill M., Aufses A. H., Jr Association between estrogen receptors and weight in women with breast cancer. J Surg Oncol. 1980;13(2):177–180. doi: 10.1002/jso.2930130213. [DOI] [PubMed] [Google Scholar]
  23. Rohan T. E., Bain C. J. Diet in the etiology of breast cancer. Epidemiol Rev. 1987;9:120–145. doi: 10.1093/oxfordjournals.epirev.a036299. [DOI] [PubMed] [Google Scholar]
  24. Stanford J. L., Szklo M., Boring C. C., Brinton L. A., Diamond E. A., Greenberg R. S., Hoover R. N. A case-control study of breast cancer stratified by estrogen receptor status. Am J Epidemiol. 1987 Feb;125(2):184–194. doi: 10.1093/oxfordjournals.aje.a114519. [DOI] [PubMed] [Google Scholar]
  25. Stanford J. L., Szklo M., Brinton L. A. Estrogen receptors and breast cancer. Epidemiol Rev. 1986;8:42–59. doi: 10.1093/oxfordjournals.epirev.a036295. [DOI] [PubMed] [Google Scholar]
  26. Wald N. Retinol, beta-carotene and cancer. Cancer Surv. 1987;6(4):635–651. [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES