Table 4.
Risk of breast cancer for combinations of lobular involution and parenchymal pattern of mammographic breast density*
| Combination of lobular involution† and parenchymal pattern‡ | No. of women | No. of women with breast cancer | No. of person-years of follow-up | Incidence rate§ (95% CI) | Age-adjusted,‖ HR (95% CI) | P¶ | Multivariable adjusted,# HR (95% CI) | P¶ |
| Complete† and N1 or P1‡ | 300 | 9 | 3644.46 | 247 (86 to 408) | 1.00** | <.001 | 1.00** | .006 |
| Complete† and P2 or DY‡ | 341 | 19 | 4330.29 | 439 (242 to 636) | 1.85 (0.84 to 4.10) | 1.66 (0.75 to 3.70) | ||
| Partial† and N1 or P1‡ | 546 | 28 | 7241.11 | 387 (244 to 530) | 2.03 (0.95 to 4.31) | 1.57 (0.73 to 3.36) | ||
| Partial† and P2 or DY‡ | 1120 | 92 | 15 261.88 | 603 (480 to 726) | 3.88 (1.92 to 7.83) | 2.70 (1.32 to 5.53) | ||
| None† and N1 or P1‡ | 87 | 5 | 1149.02 | 435 (54 to 817) | 3.77 (1.22 to 11.6) | 3.24 (1.05 to 9.98) | ||
| None† and P2 or DY‡ | 272 | 19 | 3745.81 | 507 (279 to 736) | 5.14 (2.18 to 12.1) | 4.08 (1.72 to 9.68) |
Nested cohort study of women with benign breast disease (BBD) diagnosed at the Mayo Clinic between January 1, 1985, and December 31, 1991. HR = hazard ratio; CI = confidence interval.
Extent of Lobular involution was classified as none (0% lobules involuted), partial (1 to 74% lobules involuted), or complete (≥75% lobules involuted).
Wolfe parenchymal pattern: N1—nondense, no ducts visible; P1—ductal prominence occupying less than a fourth of the breast; P2—prominent ductal pattern occupying more than a fourth of the breast; DY—homogenous plaque-like areas of extreme density.
Crude incidence rates per 100 000 person-years. 95% confidence intervals calculated based on large sample normal approximation to the Poisson distribution.
Age-adjusted univariate analysis; analysis was done using the Cox proportional hazards model.
P values were calculated using two-sided Wald test with 5 df.
Multivariable analysis adjusting for age, BBD histology, body mass index, parity, menopause status, and family history.
Referent category in the Cox proportional hazards model.