NONCONTRACEPTIVE HORMONE USE AND RISK OF BREAST-CANCER

被引:63
作者
YANG, CP [1 ]
DALING, JR [1 ]
BAND, PR [1 ]
GALLAGHER, RP [1 ]
WHITE, E [1 ]
WEISS, NS [1 ]
机构
[1] BRITISH COLUMBIA CANC AGCY,DIV EPIDEMIOL BIOMETRY & OCCUPAT ONCOL,600 W 10TH AVE,VANCOUVER V5Z 4E6,BC,CANADA
关键词
BREAST CANCER; CANADA; ESTROGENS; PROGESTERONE;
D O I
10.1007/BF00051360
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
All British Columbia (Canada) women under 75 years of age who were diagnosed with breast cancer during 1988-89 were asked to complete a postal questionnaire which included detailed information on menopausal estrogen use. Controls were drawn from the Provincial Voters List, matched by five-year age category to the cases. The present analysis consists of 699 cases and 685 controls who were postmenopausal due to natural causes or to a hysterectomy. There was no overall increase in risk of breast cancer associated with ever-use of unopposed estrogen (odds ratio [OR] = 1.0, 95 percent confidence interval [CI] = 0.8-1.3). For estrogen use of 10 years or longer, the relative risk [RR] was 1.6 (CI = 1.1-2.5). The risk estimate for current users was somewhat elevated (OR = 1.4, CI = 1.0-2.0). Compared with women who never used hormone preparations, women who had used estrogen plus progestogen had an RR of 1.2 (CI = 0.6-2.2). Our results suggest that ever-use of estrogen, with or without progestogen, does not appreciably increase the risk of breast cancer. However, long-term and recent use of unopposed estrogen may be associated with a moderately increased risk.
引用
收藏
页码:475 / 479
页数:5
相关论文
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