Table 4.
Breast cancer risk associated with benign breast disease cross-classified with breast density
| Benign breast disease | BI-RADS breast density, HR (95% CI)* | |||
|---|---|---|---|---|
| Almost entirely fat | Scattered fibroglandular densities | Heterogeneously dense | Extremely dense | |
| Nonproliferative | 0.85 (0.56 to 1.28), | 1.0 (reference) | 1.51 (1.28 to 1.78), | 2.15 (1.73 to 2.68), |
| P = .44 | P < .001 | P < .001 | ||
| Proliferative without atypia | 0.67 (0.30 to 1.52), | 1.37 (1.11 to 1.69), | 2.02 (1.68 to 2.44), | 2.05 (1.54 to 2.72), |
| P = .34 | P = .003 | P < .001 | P < .001 | |
| Atypical hyperplasia | 0.68 (0.09 to 4.90), | 2.57 (1.85 to 3.58), | 3.37 (2.58 to 4.40), | 5.34 (3.52 to 8.09), |
| P = .70 | P < .001 | P < .001 | P < .001 | |
* Using the Breast Imaging Reporting and Data System (BI-RADS) density categories: 1 = almost entirely fat (low density); 2 = scattered fibroglandular densities (average density); 3 = heterogeneously dense (high density); 4 = extremely dense (very high density). The hazard ratios are relative to women with nonproliferative breast pathology and scattered fibroglandular densities and are adjusted for age, race/ethnicity, and registry. The P value for interaction between benign breast disease and breast density = 0.28, based on a two-sided Wald test.