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. 2004 Jul 6;91(4):644–650. doi: 10.1038/sj.bjc.6601996

Table 3. (a–c) The risk of invasive ductal carcinoma, with different prognostic characteristics following the use of HRT.

(a)
  No of cases Receptor status positive No of cases Receptor status negative No of cases Low malignancy grade (grade 1) No. of cases High malignancy grade (grade 2+3)
HRT use N=126/10 874 RR (95% CI)a N=32/10 874 RR (95% CI)b N=60/10 874 RR (95% CI)c N=101/10 874 RR (95% CI)c
Never/past 63 1.00 25 1.00 26 1.00 63 1.00
Current 63 3.29 (2.27–4.77) 7 0.99 (0.42–2.36) 34 4.13 (2.43–7.01) 38 2.17 (1.42–3.30)
Current users pos vs neg receptor.status: P=0.013 Current users low vs high malignancy grade: P=0.063
Never 54 1.00 19 1.00 22 1.00 52 1.00
Past 9 0.65 (0.32–1.31) 6 1.30 (0.48–3.55) 4 0.70 (0.24–2.03) 11 0.82 (0.43–1.58)
Current oestrogen 11 2.52 (1.31–4.84) 1 0.70 (0.09–5.22) 2 1.07 (0.25–4.56) 10 2.49 (1.26–4.91)
E+ prog-P Cyclical 15 4.78 (2.60–8.79) 0 na 10 7.62 (3.50–16.57) 4 1.50 (0.53–4.22)
E+ test-P Cyclical 19 2.63 (1.52–4.55) 4 1.62 (0.53–4.95) 9 2.85 (1.28–6.35) 15 2.27 (1.25–4.13)
E+ test-P Continuous 12 4.28 (2.22–8.24) 2 2.27 (0.52–9.90) 9 7.87 (3.59–17.28) 6 2.51 (1.07–5.87)
Current Tibolone 2 3.22 (0.78–13.25) 0 na 1 3.78 (0.51–28.10) 2 3.45 (0.84–14.21)
Current other HRT 4 1.86 (0.67–5.15) 0 na 3 3.34 (0.99–11.23) 1 0.51 (0.07–3.67)
 
(b)
  No. of cases Lymph node status negative No. of cases Lymph node status positive No. of cases Small tumour size (<2 cm) No. of cases Large tumour size (>2 cm)
HRT use N=93/10 874 RR (95% CI)d N=72/10 874 RR (95% CI)e N=97/10 874 RR (95% CI)b N=70/10 874 RR (95% CI)c
Never/past 48 1.00 41 1.00 52 1.00 40 1.00
Current 45 2.58 (1.67–4.00) 31 2.52 (1.32–4.83) 45 2.57 (1.67–3.97) 30 2.74 (1.67–4.50)
Current users neg vs pos lymph node status: P=0.95 Current users small vs large tumour size: P=0.86
Never 37 1.00 37 1.00 44 1.00 32 1.00
Past 11 1.11 (0.54–2.22) 4 0.26 (0.04–1.99) 8 0.83 (0.39–1.77) 8 0.95 (0.44–2.06)
Current oestrogen 6 1.86 (0.78–4.42) 5 1.89 (0.55–6.47) 5 1.47 (0.58–3.74) 6 2.41 (1.00–5.78)
E+ prog-P cyclical 8 3.03 (1.33–6.92) 7 3.11 (1.13–8.55) 8 2.77 (1.22–6.27) 7 4.40 (1.88–10.29)
E+ test-P cyclical 16 2.48 (1.31–4.68) 9 1.54 (0.60–3.98) 17 2.32 (1.23–4.36) 8 2.02 (0.90–4.51)
E+ test-P continuous 9 4.02 (1.86–8.70) 8 3.69 (1.24–10.98) 7 3.42 (1.53–7.68) 9 6.24 (2.94–13.22)
Current Tibolone 3 6.50 (1.99–21.18) 1 4.13 (0.55–31.17) 4 8.50 (3.03–23.82) 0 Na
Current other HRT 3 1.31 (0.31–5.45) 1 1.26 (0.17–9.52) 4 1.91 (0.59–6.21) 0 Na
 
(c)
  No. of cases Low stage (stage 1) No. of cases High stage (stage 2–4) No. of cases NPI good prognosis No. of cases NPI moderate/poor prognosis
HRT use N=65/10 874 RR (95% CI)d N=97/10 874 RR (95% CI)c N=60/10 874 RR (95% CI)b N=92/10 874 RR (95% CI)c
Never/Past 33 1.00 55 1.00 30 1.00 54 1.00
Current 32 2.49 (1.49–4.18) 42 2.71 (1.77–4.13) 30 2.61 (1.52–4.47) 38 2.48 (1.60–3.84)
Current users low stage vs high stage: P=0.81 Current users good prognosis vs mod./poor: P=0.89
Never 26 1.00 47 1.00 24 1.00 46 1.00
Past 7 1.08 (0.47–2.52) 8 0.65 (0.31–1.38) 6 1.11 (0.45–2.74) 8 0.67 (0.31–1.41)
Current oestrogen 3 1.27 (0.38–4.22) 7 1.88 (0.85–4.18) 1 0.50 (0.07–3.70) 9 2.45 (1.20–5.03)
E+ prog-P cyclical 6 2.86 (1.077.57) 9 3.68 (1.76–7.71) 7 4.56 (1.93–10.78) 7 2.88 (1.27–6.52)
E+ test-P cyclical 12 2.54 (1.23–5.26) 13 2.17 (1.14–4.11) 12 2.47 (1.13–5.41) 11 1.83 (0.92–3.62)
E+ test-P continuous 5 3.36 (1.28–8.80) 11 5.11 (2.62–9.94) 5 3.90 (1.48–10.28) 9 4.29 (2.08–8.84)
Current Tibolone 3 8.61 (2.59–28.61) 1 1.93 (0.27–14.04) 2 7.03 (1.65–29.85) 1 1.97 (0.27–14.32)
Current other HRT 3 1.76 (0.42–7.45) 1 0.56 (0.08–4.10) 3 2.13 (0.50–9.05) 1 0.57 (0.08–4.14)

E=oestrogen, P=progestin, prog-P= progesterone-like progestin, test-P=testosterone-like progestin. NPI= Nottingham Prognostic Index.

a

Adjusted for age, benign breast disease (0, yes; 1, no).

b

Adjusted for age, age at menopause.

c

Age adjusted.

d

Adjusted for age, age at menopause (0<55 years; 1, 55+years) and use of oral contraceptives (0, no; 1, yes).

e

Adjusted for age and night work (0, no; 1, yes).