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Epidemiology of Breast Cancer

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Pathology and Epidemiology of Cancer
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Abstract

In this chapter, we introduce the reader to breast cancer epidemiology, with a specific focus on risk factors and breast cancer subtypes. We begin the chapter with descriptive epidemiology and present breast cancer incidence and mortality rates, and discuss trends over time. We discuss the established intrinsic subtypes of breast cancer and how they are defined in the context of epidemiologic studies. The majority of the chapter focuses on well-established risk factors for breast cancer, with a focus on better understanding the etiology of the different intrinsic subtypes. Lastly, we discuss some potential risk factors under investigation where there is emerging evidence, but the weight of evidence is still not conclusive.

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References

  1. Goldhirsch A, Winer EP, Coates AS, Gelber RD, Piccart-Gebhart M, Thurlimann B, et al. Personalizing the treatment of women with early breast cancer: highlights of the St Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2013. Ann Oncol. 2013;24(9):2206–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ. Cancer statistics, 2007. CA Cancer J Clin. 2007;57(1):43–66.

    Article  PubMed  Google Scholar 

  3. Weir HK, Thun MJ, Hankey BF, Ries LA, Howe HL, Wingo PA, et al. Annual report to the nation on the status of cancer, 1975–2000, featuring the uses of surveillance data for cancer prevention and control. J Natl Cancer Inst. 2003;95(17):1276–99.

    Article  PubMed  Google Scholar 

  4. SEER. Stat Fact Sheets: Breast Cancer. 2014.

    Google Scholar 

  5. Carey LA, Perou CM, Livasy CA, Dressler LG, Cowan D, Conway K, et al. Race, breast cancer subtypes, and survival in the Carolina Breast Cancer Study. JAMA. 2006;295(21):2492–502.

    Article  CAS  PubMed  Google Scholar 

  6. SEER. Cancer Statistics Review, 1975–2011. 2014.

    Google Scholar 

  7. Breast Cancer Facts and Figures 2013–2014. Atlanta, GA: American Cancer Society, Inc.; 2013.

    Google Scholar 

  8. Ravdin PM, Cronin KA, Howlader N, Berg CD, Chlebowski RT, Feuer EJ, et al. The decrease in breast-cancer incidence in 2003 in the United States. N Engl J Med. 2007;356(16):1670–4.

    Article  CAS  PubMed  Google Scholar 

  9. Feuer EJ, Wun LM. How much of the recent rise in breast cancer incidence can be explained by increases in mammography utilization? A dynamic population model approach. Am J Epidemiol. 1992;136(12):1423–36.

    CAS  PubMed  Google Scholar 

  10. Lantz PM, Remington PL, Newcomb PA. Mammography screening and increased incidence of breast cancer in Wisconsin. J Natl Cancer Inst. 1991;83(21):1540–6.

    Article  CAS  PubMed  Google Scholar 

  11. Liff JM, Sung JF, Chow WH, Greenberg RS, Flanders WD. Does increased detection account for the rising incidence of breast cancer? Am J Public Health. 1991;81(4):462–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Miller BA, Feuer EJ, Hankey BF. The increasing incidence of breast cancer since 1982: relevance of early detection. Cancer Causes Control. 1991;2(2):67–74.

    Article  CAS  PubMed  Google Scholar 

  13. White E, Lee CY, Kristal AR. Evaluation of the increase in breast cancer incidence in relation to mammography use. J Natl Cancer Inst. 1990;82(19):1546–52.

    Article  CAS  PubMed  Google Scholar 

  14. Miller BA, Feuer EJ, Hankey BF. Recent incidence trends for breast cancer in women and the relevance of early detection: an update. CA Cancer J Clin. 1993;43(1):27–41.

    Article  CAS  PubMed  Google Scholar 

  15. Rossouw JE, Anderson GL, Prentice RL, LaCroix AZ, Kooperberg C, Stefanick ML, et al. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women’s Health Initiative randomized controlled trial. JAMA. 2002;288(3):321–33.

    Article  CAS  PubMed  Google Scholar 

  16. Society. AC. Global Cancer Facts and Figures. 2nd edn. Atlanta: American Cancer Society, 2011.

    Google Scholar 

  17. Tominaga S. Cancer incidence in Japanese in Japan, Hawaii, and western United States. Natl Cancer Inst Monogr. 1985;69:83–92.

    CAS  PubMed  Google Scholar 

  18. Ziegler RG, Hoover RN, Pike MC, Hildesheim A, Nomura AM, West DW, et al. Migration patterns and breast cancer risk in Asian-American women. J Natl Cancer Inst. 1993;85(22):1819–27.

    Article  CAS  PubMed  Google Scholar 

  19. Chu KC, Tarone RE, Kessler LG, Ries LA, Hankey BF, Miller BA, et al. Recent trends in U.S. breast cancer incidence, survival, and mortality rates. J Natl Cancer Inst. 1996;88(21):1571–9.

    Article  CAS  PubMed  Google Scholar 

  20. Chevarley F, White E. Recent trends in breast cancer mortality among white and black US women. Am J Public Health. 1997;87(5):775–81.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Jensen EV, Block GE, Smith S, Kyser K, DeSombre ER. Estrogen receptors and breast cancer response to adrenalectomy. Natl Cancer Inst Monogr. 1971;34:55–70.

    CAS  PubMed  Google Scholar 

  22. Goldhirsch A, Winer EP, Coates AS, Gelber RD, Piccart-Gebhart M, Thurlimann B, et al. Personalizing the treatment of women with early breast cancer: highlights of the St Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2013. Ann Oncol. 2013;24(9):2206–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Vargo-Gogola T, Rosen JM. Modelling breast cancer: one size does not fit all. Nat Rev Cancer. 2007;7(9):659–72.

    Article  CAS  PubMed  Google Scholar 

  24. Cancer Genome Atlas. N. Comprehensive molecular portraits of human breast tumours. Nature. 2012;490(7418):61–70.

    Article  CAS  Google Scholar 

  25. Curigliano G, Criscitiello C, Andre F, Colleoni M, Di Leo A. Highlights from the 13th St Gallen International Breast Cancer Conference. Access to innovation for patients with breast cancer: how to speed it up? Ecancermedicalscience. 2013;(7):299.

    Google Scholar 

  26. Haque R, Ahmed SA, Inzhakova G, Shi J, Avila C, Polikoff J, et al. Impact of breast cancer subtypes and treatment on survival: an analysis spanning two decades. Cancer Epidemiol Biomarkers Prev. 2012;21(10):1848–55.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Kelsey JL, Gammon MD, John EM. Reproductive factors and breast cancer. Epidemiol Rev. 1993;15(1):36–47.

    CAS  PubMed  Google Scholar 

  28. Hunter DJ, Spiegelman D, Adami HO, van den Brandt PA, Folsom AR, Goldbohm RA, et al. Non-dietary factors as risk factors for breast cancer, and as effect modifiers of the association of fat intake and risk of breast cancer. Cancer Causes Control. 1997;8(1):49–56.

    Article  CAS  PubMed  Google Scholar 

  29. Collaborative Group on Hormonal Factors in Breast. Breast cancer and breastfeeding: collaborative reanalysis of individual data from 47 epidemiological studies in 30 countries, including 50302 women with breast cancer and 96973 women without the disease. Lancet. 2002;360(9328):187–95.

    Article  Google Scholar 

  30. Collaborative Group on Hormonal Factors in Breast. Breast cancer and hormonal contraceptives: collaborative reanalysis of individual data on 53 297 women with breast cancer and 100 239 women without breast cancer from 54 epidemiological studies. Lancet. 1996;347(9017):1713–27.

    Article  Google Scholar 

  31. Romieu I, Berlin JA, Colditz G. Oral contraceptives and breast cancer. Review and meta-analysis. Cancer. 1990;66(11):2253–63.

    CAS  PubMed  Google Scholar 

  32. Thomas DB. Oral contraceptives and breast cancer: review of the epidemiologic literature. Contraception. 1991;43(6):597–642.

    Article  CAS  PubMed  Google Scholar 

  33. Colditz GA, Egan KM, Stampfer MJ. Hormone replacement therapy and risk of breast cancer: results from epidemiologic studies. Am J Obstet Gynecol. 1993;168(5):1473–80.

    Article  CAS  PubMed  Google Scholar 

  34. Dupont WD, Page DL. Menopausal estrogen replacement therapy and breast cancer. Arch Intern Med. 1991;151(1):67–72.

    Article  CAS  PubMed  Google Scholar 

  35. Grady D, Rubin SM, Petitti DB, Fox CS, Black D, Ettinger B, et al. Hormone therapy to prevent disease and prolong life in postmenopausal women. Ann Intern Med. 1992;117(12):1016–37.

    Article  CAS  PubMed  Google Scholar 

  36. Sillero-Arenas M, Delgado-Rodriguez M, Rodigues-Canteras R, Bueno-Cavanillas A, Galvez-Vargas R. Menopausal hormone replacement therapy and breast cancer: a meta-analysis. Obstet Gynecol. 1992;79(2):286–94.

    CAS  PubMed  Google Scholar 

  37. Steinberg KK, Thacker SB, Smith SJ, Stroup DF, Zack MM, Flanders WD, et al. A meta-analysis of the effect of estrogen replacement therapy on the risk of breast cancer. JAMA. 1991;265(15):1985–90.

    Article  CAS  PubMed  Google Scholar 

  38. Steinberg KK, Smith SJ, Thacker SB, Stroup DF. Breast cancer risk and duration of estrogen use: the role of study design in meta-analysis. Epidemiology. 1994;5(4):415–21.

    Article  CAS  PubMed  Google Scholar 

  39. Breast cancer and hormone replacement therapy: collaborative reanalysis of data from 51 epidemiological studies of 52,705 women with breast cancer and 108,411 women without breast cancer. Collaborative Group on Hormonal Factors in Breast Cancer. Lancet. 1997;350(9084):1047–59.

    Google Scholar 

  40. Colditz GA, Hankinson SE, Hunter DJ, Willett WC, Manson JE, Stampfer MJ, et al. The use of estrogens and progestins and the risk of breast cancer in postmenopausal women. N Engl J Med. 1995;332(24):1589–93.

    Article  CAS  PubMed  Google Scholar 

  41. Baer HJ, Tworoger SS, Hankinson SE, Willett WC. Body fatness at young ages and risk of breast cancer throughout life. Am J Epidemiol. 2010;171(11):1183–94.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Physical activity, and the prevention of cancer: a global perspective. Washington, D.C.: American Institute for Cancer Research, 2007.

    Google Scholar 

  43. Huang Z, Hankinson SE, Colditz GA, Stampfer MJ, Hunter DJ, Manson JE, et al. Dual effects of weight and weight gain on breast cancer risk. JAMA. 1997;278(17):1407–11.

    Article  CAS  PubMed  Google Scholar 

  44. Steindorf K, Ritte R, Eomois PP, Lukanova A, Tjonneland A, Johnsen NF, et al. Physical activity and risk of breast cancer overall and by hormone receptor status: the European prospective investigation into cancer and nutrition. Int J Cancer. 2013;132(7):1667–78.

    Article  CAS  PubMed  Google Scholar 

  45. Eliassen AH, Hankinson SE, Rosner B, Holmes MD, Willett WC. Physical activity and risk of breast cancer among postmenopausal women. Arch Intern Med. 2010;170(19):1758–64.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Colditz GA, Willett WC, Hunter DJ, Stampfer MJ, Manson JE, Hennekens CH, et al. Family history, age, and risk of breast cancer. Prospective data from the Nurses’ Health Study. JAMA. 1993;270(3):338–43.

    Article  CAS  PubMed  Google Scholar 

  47. Pharoah PD, Day NE, Duffy S, Easton DF, Ponder BA. Family history and the risk of breast cancer: a systematic review and meta-analysis. Int J Cancer. 1997;71(5):800–9.

    Article  CAS  PubMed  Google Scholar 

  48. Collaborative Group on Hormonal Factors in Breast. C. Familial breast cancer: collaborative reanalysis of individual data from 52 epidemiological studies including 58,209 women with breast cancer and 101,986 women without the disease. Lancet. 2001;358(9291):1389–99.

    Article  Google Scholar 

  49. Smith-Warner SA, Spiegelman D, Yaun SS, van den Brandt PA, Folsom AR, Goldbohm RA, et al. Alcohol and breast cancer in women: a pooled analysis of cohort studies. JAMA. 1998;279(7):535–40.

    Article  CAS  PubMed  Google Scholar 

  50. Missmer SA, Smith-Warner SA, Spiegelman D, Yaun SS, Adami HO, Beeson WL, et al. Meat and dairy food consumption and breast cancer: a pooled analysis of cohort studies. Int J Epidemiol. 2002;31(1):78–85.

    Article  PubMed  Google Scholar 

  51. Alcohol beverage consumption. Lyon, France: IARC, 2007.

    Google Scholar 

  52. Food, nutrition and the prevention of cancer: a global perspective. Washington, D.C.: American Institute for Cancer Research, 1997.

    Google Scholar 

  53. Tjonneland A, Christensen J, Olsen A, Stripp C, Thomsen BL, Overvad K, et al. Alcohol intake and breast cancer risk: the European Prospective Investigation into Cancer and Nutrition (EPIC). Cancer Causes Control. 2007;18(4):361–73.

    Article  PubMed  Google Scholar 

  54. Reichman ME, Judd JT, Longcope C, Schatzkin A, Clevidence BA, Nair PP, et al. Effects of alcohol consumption on plasma and urinary hormone concentrations in premenopausal women. J Natl Cancer Inst. 1993;85(9):722–7.

    Article  CAS  PubMed  Google Scholar 

  55. Hankinson SE, Willett WC, Manson JE, Hunter DJ, Colditz GA, Stampfer MJ, et al. Alcohol, height, and adiposity in relation to estrogen and prolactin levels in postmenopausal women. J Natl Cancer Inst. 1995;87(17):1297–302.

    Article  CAS  PubMed  Google Scholar 

  56. Ginsburg ES, Walsh BW, Gao X, Gleason RE, Feltmate C, Barbieri RL. The effect of acute ethanol ingestion on estrogen levels in postmenopausal women using transdermal estradiol. J Soc Gynecol Investig. 1995;2(1):26–9.

    Article  CAS  PubMed  Google Scholar 

  57. Kinney AY, Millikan RC, Lin YH, Moorman PG, Newman B. Alcohol consumption and breast cancer among black and white women in North Carolina (United States). Cancer Causes Control. 2000;11(4):345–57.

    Article  CAS  PubMed  Google Scholar 

  58. Harvey EB, Schairer C, Brinton LA, Hoover RN, Fraumeni JF Jr. Alcohol consumption and breast cancer. J Natl Cancer Inst. 1987;78(4):657–61.

    CAS  PubMed  Google Scholar 

  59. Chen WY, Rosner B, Hankinson SE, Colditz GA, Willett WC. Moderate alcohol consumption during adult life, drinking patterns, and breast cancer risk. JAMA. 2011;306(17):1884–90.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. McCormack VA, dos Santos Silva I. Breast density and parenchymal patterns as markers of breast cancer risk: a meta-analysis. Cancer Epidemiol Biomarkers Prev. 2006;15(6):1159–69.

    Article  PubMed  Google Scholar 

  61. Key T, Appleby P, Barnes I, Reeves G, Endogenous H. Breast Cancer Collaborative G. Endogenous sex hormones and breast cancer in postmenopausal women: reanalysis of nine prospective studies. J Natl Cancer Inst. 2002;94(8):606–16.

    Article  CAS  PubMed  Google Scholar 

  62. Eliassen AH, Missmer SA, Tworoger SS, Spiegelman D, Barbieri RL, Dowsett M, et al. Endogenous steroid hormone concentrations and risk of breast cancer among premenopausal women. J Natl Cancer Inst. 2006;98(19):1406–15.

    Article  CAS  PubMed  Google Scholar 

  63. Eliassen AH, Colditz GA, Rosner B, Willett WC, Hankinson SE. Adult weight change and risk of postmenopausal breast cancer. JAMA. 2006;296(2):193–201.

    Article  CAS  PubMed  Google Scholar 

  64. Tworoger SS, Missmer SA, Barbieri RL, Willett WC, Colditz GA, Hankinson SE. Plasma sex hormone concentrations and subsequent risk of breast cancer among women using postmenopausal hormones. J Natl Cancer Inst. 2005;97(8):595–602.

    Article  CAS  PubMed  Google Scholar 

  65. Zhang X, Tworoger SS, Eliassen AH, Hankinson SE. Postmenopausal plasma sex hormone levels and breast cancer risk over 20 years of follow-up. Breast Cancer Res Treat. 2013;137(3):883–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Farhat GN, Cummings SR, Chlebowski RT, Parimi N, Cauley JA, Rohan TE, et al. Sex hormone levels and risks of estrogen receptor-negative and estrogen receptor-positive breast cancers. J Natl Cancer Inst. 2011;103(7):562–70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  67. James RE, Lukanova A, Dossus L, Becker S, Rinaldi S, Tjonneland A, et al. Postmenopausal serum sex steroids and risk of hormone receptor-positive and-negative breast cancer: a nested case-control study. Cancer Prev Res (Phila). 2011;4(10):1626–35.

    Article  CAS  PubMed  Google Scholar 

  68. Brinton LA, Schairer C, Hoover RN, Fraumeni JF Jr. Menstrual factors and risk of breast cancer. Cancer Invest. 1988;6(3):245–54.

    Article  CAS  PubMed  Google Scholar 

  69. Collaborative Group on Hormonal Factors in Breast. C. Menarche, menopause, and breast cancer risk: individual participant meta-analysis, including 118 964 women with breast cancer from 117 epidemiological studies. Lancet Oncol. 2012;13(11):1141–51.

    Article  Google Scholar 

  70. Bernstein L, Ross RK. Endogenous hormones and breast cancer risk. Epidemiol Rev. 1993;15(1):48–65.

    CAS  PubMed  Google Scholar 

  71. Clavel-Chapelon F, Gerber M. Reproductive factors and breast cancer risk. Do they differ according to age at diagnosis? Breast Cancer Res Treat. 2002;72(2):107–15.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  72. Ma H, Bernstein L, Pike MC, Ursin G. Reproductive factors and breast cancer risk according to joint estrogen and progesterone receptor status: a meta-analysis of epidemiological studies. Breast Cancer Res. 2006;8(4):R43.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  73. Barnard ME, Boeke CE, Tamimi RM. Established breast cancer risk factors and risk of intrinsic tumor subtypes. Biochim Biophys Acta. 2015;1856(1):73–85.

    CAS  PubMed  Google Scholar 

  74. Yang XR, Sherman ME, Rimm DL, Lissowska J, Brinton LA, Peplonska B, et al. Differences in risk factors for breast cancer molecular subtypes in a population-based study. Cancer Epidemiol Biomarkers Prev. 2007;16(3):439–43.

    Article  CAS  PubMed  Google Scholar 

  75. Millikan RC, Newman B, Tse CK, Moorman PG, Conway K, Dressler LG, et al. Epidemiology of basal-like breast cancer. Breast Cancer Res Treat. 2008;109(1):123–39.

    Article  PubMed  Google Scholar 

  76. Cunningham F, Leveno K, Bloom S, Hauth J, Rouse D, Spong C. Williams obstetrics. 23rd ed. NY: McGraw-Hill Companies; 2009.

    Google Scholar 

  77. Bruzzi P, Negri E, La Vecchia C, Decarli A, Palli D, Parazzini F, et al. Short term increase in risk of breast cancer after full term pregnancy. BMJ. 1988;297(6656):1096–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  78. Rosner B, Colditz GA. Nurses’ health study: log-incidence mathematical model of breast cancer incidence. J Natl Cancer Inst. 1996;88(6):359–64.

    Article  CAS  PubMed  Google Scholar 

  79. Pike MC, Krailo MD, Henderson BE, Casagrande JT, Hoel DG. ‘Hormonal’ risk factors, ‘breast tissue age’ and the age-incidence of breast cancer. Nature. 1983;303(5920):767–70.

    Article  CAS  PubMed  Google Scholar 

  80. La Vecchia C, Negri E, Boyle P. Reproductive factors and breast cancer: an overview. Soz Praventivmed. 1989;34(3):101–7.

    Article  PubMed  Google Scholar 

  81. Phipps AI, Chlebowski RT, Prentice R, McTiernan A, Wactawski-Wende J, Kuller LH, et al. Reproductive history and oral contraceptive use in relation to risk of triple-negative breast cancer. J Natl Cancer Inst. 2011;103(6):470–7.

    Article  PubMed  PubMed Central  Google Scholar 

  82. Tamimi RM, Colditz GA, Hazra A, Baer HJ, Hankinson SE, Rosner B, et al. Traditional breast cancer risk factors in relation to molecular subtypes of breast cancer. Breast Cancer Res Treat. 2012;131(1):159–67.

    Article  CAS  PubMed  Google Scholar 

  83. Ma H, Wang Y, Sullivan-Halley J, Weiss L, Marchbanks PA, Spirtas R, et al. Use of four biomarkers to evaluate the risk of breast cancer subtypes in the women’s contraceptive and reproductive experiences study. Cancer Res. 2010;70(2):575–87.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  84. Gaudet MM, Press MF, Haile RW, Lynch CF, Glaser SL, Schildkraut J, et al. Risk factors by molecular subtypes of breast cancer across a population-based study of women 56 years or younger. Breast Cancer Res Treat. 2011;130(2):587–97.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Xing P, Li J, Jin F. A case-control study of reproductive factors associated with subtypes of breast cancer in Northeast China. Med Oncol. 2010;27(3):926–31.

    Article  PubMed  Google Scholar 

  86. Palmer JR, Boggs DA, Wise LA, Ambrosone CB, Adams-Campbell LL, Rosenberg L. Parity and lactation in relation to estrogen receptor negative breast cancer in African American women. Cancer Epidemiol Biomarkers Prev. 2011;20(9):1883–91.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  87. Annegers JF. Patterns of oral contraceptive use in the United States. Br J Rheumatol. 1989;28(Suppl 1):48–50.

    Article  PubMed  Google Scholar 

  88. Burkman RT. Oral contraceptives: current status. Clin Obstet Gynecol. 2001;44(1):62–72.

    Article  CAS  PubMed  Google Scholar 

  89. Razzaghi H, Troester MA, Gierach GL, Olshan AF, Yankaskas BC, Millikan RC. Association between mammographic density and basal-like and luminal A breast cancer subtypes. Breast Cancer Res. 2013;15(5):R76.

    Article  PubMed  PubMed Central  Google Scholar 

  90. Anderson GL, Limacher M, Assaf AR, Bassford T, Beresford SA, Black H, et al. Effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women’s Health Initiative randomized controlled trial. JAMA. 2004;291(14):1701–12.

    Article  CAS  PubMed  Google Scholar 

  91. Schairer C, Lubin J, Troisi R, Sturgeon S, Brinton L, Hoover R. Menopausal estrogen and estrogen-progestin replacement therapy and breast cancer risk. JAMA. 2000;283(4):485–91.

    Article  CAS  PubMed  Google Scholar 

  92. Beral V. Million Women Study C. Breast cancer and hormone-replacement therapy in the Million Women Study. Lancet. 2003;362(9382):419–27.

    Article  CAS  PubMed  Google Scholar 

  93. Colditz GA, Rosner BA, Chen WY, Holmes MD, Hankinson SE. Risk factors for breast cancer according to estrogen and progesterone receptor status. J Natl Cancer Inst. 2004;96(3):218–28.

    Article  CAS  PubMed  Google Scholar 

  94. Combined estrogen-progestogen postmenopausal therapy. Combined Estrogen-progestogen contraceptives and combined estrogen-progestogen menopausal therapy. Lyon, France: International Agency for Research on Cancer; 2007.

    Google Scholar 

  95. Jemal A, Ward E, Thun MJ. Recent trends in breast cancer incidence rates by age and tumor characteristics among U.S. women. Breast Cancer Res. 2007;9(3):R28.

    Article  PubMed  PubMed Central  Google Scholar 

  96. Kerlikowske K, Miglioretti DL, Buist DS, Walker R, Carney PA. National Cancer Institute-Sponsored Breast Cancer Surveillance. Declines in invasive breast cancer and use of postmenopausal hormone therapy in a screening mammography population. J Natl Cancer Inst. 2007;99(17):1335–9.

    Google Scholar 

  97. Canfell K, Banks E, Moa AM, Beral V. Decrease in breast cancer incidence following a rapid fall in use of hormone replacement therapy in Australia. Med J Aust. 2008;188(11):641–4.

    PubMed  Google Scholar 

  98. Katalinic A, Rawal R. Decline in breast cancer incidence after decrease in utilisation of hormone replacement therapy. Breast Cancer Res Treat. 2008;107(3):427–30.

    Article  CAS  PubMed  Google Scholar 

  99. Coombs NJ, Cronin KA, Taylor RJ, Freedman AN, Boyages J. The impact of changes in hormone therapy on breast cancer incidence in the US population. Cancer Causes Control. 2010;21(1):83–90.

    Article  PubMed  Google Scholar 

  100. Clarke CA, Glaser SL, Uratsu CS, Selby JV, Kushi LH, Herrinton LJ. Recent declines in hormone therapy utilization and breast cancer incidence: clinical and population-based evidence. J Clin Oncol. 2006;24(33):e49–50.

    Article  PubMed  Google Scholar 

  101. Robbins AS, Clarke CA. Regional changes in hormone therapy use and breast cancer incidence in California from 2001 to 2004. J Clin Oncol. 2007;25(23):3437–9.

    Article  PubMed  Google Scholar 

  102. Colditz GA. Decline in breast cancer incidence due to removal of promoter: combination estrogen plus progestin. Breast Cancer Res. 2007;9(4):108.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  103. Barnes-Josiah D, Potter JD, Sellers TA, Himes JH. Early body size and subsequent weight gain as predictors of breast cancer incidence (Iowa, United States). Cancer Causes Control. 1995;6(2):112–8.

    Article  CAS  PubMed  Google Scholar 

  104. Baer HJ, Colditz GA, Rosner B, Michels KB, Rich-Edwards JW, Hunter DJ, et al. Body fatness during childhood and adolescence and incidence of breast cancer in premenopausal women: a prospective cohort study. Breast Cancer Res. 2005;7(3):R314–25.

    Article  PubMed  PubMed Central  Google Scholar 

  105. Ahlgren M, Melbye M, Wohlfahrt J, Sorensen TI. Growth patterns and the risk of breast cancer in women. N Engl J Med. 2004;351(16):1619–26.

    Article  CAS  PubMed  Google Scholar 

  106. Suzuki R, Iwasaki M, Inoue M, Sasazuki S, Sawada N, Yamaji T, et al. Body weight at age 20 years, subsequent weight change and breast cancer risk defined by estrogen and progesterone receptor status—the Japan public health center-based prospective study. Int J Cancer. 2011;129(5):1214–24.

    Article  CAS  PubMed  Google Scholar 

  107. Palmer JR, Adams-Campbell LL, Boggs DA, Wise LA, Rosenberg L. A prospective study of body size and breast cancer in black women. Cancer Epidemiol Biomarkers Prev. 2007;16(9):1795–802.

    Article  PubMed  Google Scholar 

  108. Weiderpass E, Braaten T, Magnusson C, Kumle M, Vainio H, Lund E, et al. A prospective study of body size in different periods of life and risk of premenopausal breast cancer. Cancer Epidemiol Biomarkers Prev. 2004;13(7):1121–7.

    PubMed  Google Scholar 

  109. Robinson WR, Tse CK, Olshan AF, Troester MA. Body size across the life course and risk of premenopausal and postmenopausal breast cancer in Black women, the Carolina Breast Cancer Study, 1993–2001. Cancer Causes Control. 2014;25(9):1101–17.

    Article  PubMed  PubMed Central  Google Scholar 

  110. Berkey CS, Frazier AL, Gardner JD, Colditz GA. Adolescence and breast carcinoma risk. Cancer. 1999;85(11):2400–9.

    Article  CAS  PubMed  Google Scholar 

  111. Stoll BA. Teenage obesity in relation to breast cancer risk. Int J Obes Relat Metab Disord. 1998;22(11):1035–40.

    Article  CAS  PubMed  Google Scholar 

  112. van den Brandt PA, Spiegelman D, Yaun SS, Adami HO, Beeson L, Folsom AR, et al. Pooled analysis of prospective cohort studies on height, weight, and breast cancer risk. Am J Epidemiol. 2000;152(6):514–27.

    Article  PubMed  Google Scholar 

  113. Rich-Edwards JW, Goldman MB, Willett WC, Hunter DJ, Stampfer MJ, Colditz GA, et al. Adolescent body mass index and infertility caused by ovulatory disorder. Am J Obstet Gynecol. 1994;171(1):171–7.

    Article  CAS  PubMed  Google Scholar 

  114. Howe GR, Hirohata T, Hislop TG, Iscovich JM, Yuan JM, Katsouyanni K, et al. Dietary factors and risk of breast cancer: combined analysis of 12 case-control studies. J Natl Cancer Inst. 1990;82(7):561–9.

    Article  CAS  PubMed  Google Scholar 

  115. Hunter DJ, Willett WC. Diet, body size, and breast cancer. Epidemiol Rev. 1993;15(1):110–32.

    CAS  PubMed  Google Scholar 

  116. Enger SM, Ross RK, Paganini-Hill A, Carpenter CL, Bernstein L. Body size, physical activity, and breast cancer hormone receptor status: results from two case-control studies. Cancer Epidemiol Biomarkers Prev. 2000;9(7):681–7.

    CAS  PubMed  Google Scholar 

  117. Peters TM, Schatzkin A, Gierach GL, Moore SC, Lacey JV Jr, Wareham NJ, et al. Physical activity and postmenopausal breast cancer risk in the NIH-AARP diet and health study. Cancer Epidemiol Biomarkers Prev. 2009;18(1):289–96.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  118. Lux MP, Fasching PA, Beckmann MW. Hereditary breast and ovarian cancer: review and future perspectives. J Mol Med (Berl). 2006;84(1):16–28.

    Article  PubMed  Google Scholar 

  119. Whittemore AS. The Eighth AACR American Cancer Society Award lecture on cancer epidemiology and prevention. Genetically tailored preventive strategies: an effective plan for the twenty-first century? American Association for Cancer Research. Cancer Epidemiol Biomarkers Prev. 1999;8(8):649–58.

    CAS  PubMed  Google Scholar 

  120. Malkin D, Li FP, Strong LC, Fraumeni JF Jr, Nelson CE, Kim DH, et al. Germ line p53 mutations in a familial syndrome of breast cancer, sarcomas, and other neoplasms. Science. 1990;250(4985):1233–8.

    Article  CAS  PubMed  Google Scholar 

  121. Liaw D, Marsh DJ, Li J, Dahia PL, Wang SI, Zheng Z, et al. Germline mutations of the PTEN gene in Cowden disease, an inherited breast and thyroid cancer syndrome. Nat Genet. 1997;16(1):64–7.

    Article  CAS  PubMed  Google Scholar 

  122. Antoniou AC, Easton DF. Models of genetic susceptibility to breast cancer. Oncogene. 2006;25(43):5898–905.

    Article  CAS  PubMed  Google Scholar 

  123. Walsh T, Casadei S, Coats KH, Swisher E, Stray SM, Higgins J, et al. Spectrum of mutations in BRCA1, BRCA2, CHEK2, and TP53 in families at high risk of breast cancer. JAMA. 2006;295(12):1379–88.

    Article  CAS  PubMed  Google Scholar 

  124. Shiovitz S, Korde LA. Genetics of breast cancer: a topic in evolution. Ann Oncol. 2015.

    Google Scholar 

  125. Hunter DJ, Kraft P, Jacobs KB, Cox DG, Yeager M, Hankinson SE, et al. A genome-wide association study identifies alleles in FGFR2 associated with risk of sporadic postmenopausal breast cancer. Nat Genet. 2007;39(7):870–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  126. Easton DF, Pooley KA, Dunning AM, Pharoah PD, Thompson D, Ballinger DG, et al. Genome-wide association study identifies novel breast cancer susceptibility loci. Nature. 2007;447(7148):1087–93.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  127. Stacey SN, Manolescu A, Sulem P, Rafnar T, Gudmundsson J, Gudjonsson SA, et al. Common variants on chromosomes 2q35 and 16q12 confer susceptibility to estrogen receptor-positive breast cancer. Nat Genet. 2007;39(7):865–9.

    Article  CAS  PubMed  Google Scholar 

  128. Michailidou K, Beesley J, Lindstrom S, Canisius S, Dennis J, Lush MJ, et al. Genome-wide association analysis of more than 120,000 individuals identifies 15 new susceptibility loci for breast cancer. Nat Genet. 2015;47(4):373–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  129. Liu Y, Colditz GA, Rosner B, Berkey CS, Collins LC, Schnitt SJ, et al. Alcohol intake between menarche and first pregnancy: a prospective study of breast cancer risk. J Natl Cancer Inst. 2013;105(20):1571–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  130. Pownall HJ, Rosales C, Gillard BK, Gotto AM Jr. Alcohol: a nutrient with multiple salutary effects. Nutrients. 2015;7(3):1992–2000.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  131. Lilienfeld AM. The relationship of cancer of the female breast to artificial menopause and martial status. Cancer. 1956;9(5):927–34.

    Article  CAS  PubMed  Google Scholar 

  132. Trichopoulos D, MacMahon B, Cole P. Menopause and breast cancer risk. J Natl Cancer Inst. 1972;48(3):605–13.

    CAS  PubMed  Google Scholar 

  133. Pollan M, Ascunce N, Ederra M, Murillo A, Erdozain N, Ales-Martinez J, et al. Mammographic density and risk of breast cancer according to tumor characteristics and mode of detection: a Spanish population-based case-control study. Breast Cancer Res. 2013;15(1):R9.

    Article  PubMed  PubMed Central  Google Scholar 

  134. Ma L, Fishell E, Wright B, Hanna W, Allan S, Boyd NF. Case-control study of factors associated with failure to detect breast cancer by mammography. J Natl Cancer Inst. 1992;84(10):781–5.

    Article  CAS  PubMed  Google Scholar 

  135. Mandelson MT, Oestreicher N, Porter PL, White D, Finder CA, Taplin SH, et al. Breast density as a predictor of mammographic detection: comparison of interval-and screen-detected cancers. J Natl Cancer Inst. 2000;92(13):1081–7.

    Article  CAS  PubMed  Google Scholar 

  136. Bailey SL, Sigal BM, Plevritis SK. A simulation model investigating the impact of tumor volume doubling time and mammographic tumor detectability on screening outcomes in women aged 40–49 years. J Natl Cancer Inst. 2010;102(16):1263–71.

    Article  PubMed  PubMed Central  Google Scholar 

  137. Byrne C, Schairer C, Wolfe J, Parekh N, Salane M, Brinton LA, et al. Mammographic features and breast cancer risk: effects with time, age, and menopause status. J Natl Cancer Inst. 1995;87(21):1622–9.

    Article  CAS  PubMed  Google Scholar 

  138. McCormack VA, dos Santos Silva I. Breast density and parenchymal patterns as markers of breast cancer risk: a meta-analysis. Cancer epidemiology, biomarkers and prevention: a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive. Oncology. 2006;15(6):1159–69.

    Google Scholar 

  139. Boyd NF, Guo H, Martin LJ, Sun L, Stone J, Fishell E, et al. Mammographic density and the risk and detection of breast cancer. N Engl J Med. 2007;356(3):227–36.

    Article  CAS  PubMed  Google Scholar 

  140. Trichopoulos D, Lipman RD. Mammary gland mass and breast cancer risk. Epidemiology. 1992;3(6):523–6.

    Article  CAS  PubMed  Google Scholar 

  141. Trichopoulos D, Adami HO, Ekbom A, Hsieh CC, Lagiou P. Early life events and conditions and breast cancer risk: from epidemiology to etiology. Int J Cancer. 2008;122(3):481–5.

    Article  CAS  PubMed  Google Scholar 

  142. Martin LJ, Boyd NF. Mammographic density. Potential mechanisms of breast cancer risk associated with mammographic density: hypotheses based on epidemiological evidence. Breast Cancer Res. 2008;10(1):201.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  143. Vachon CM, Sasano H, Ghosh K, Brandt KR, Watson DA, Reynolds C, et al. Aromatase immunoreactivity is increased in mammographically dense regions of the breast. Breast Cancer Res Treat. 2011;125(1):243–52.

    Article  CAS  PubMed  Google Scholar 

  144. Bertrand KA, Tamimi RM, Scott CG, Jensen MR, Pankratz V, Visscher D, et al. Mammographic density and risk of breast cancer by age and tumor characteristics. Breast Cancer Res. 2013;15(6):R104.

    Article  PubMed  PubMed Central  Google Scholar 

  145. Yaghjyan L, Colditz GA, Collins LC, Schnitt SJ, Rosner B, Vachon C, et al. Mammographic breast density and subsequent risk of breast cancer in postmenopausal women according to tumor characteristics. J Natl Cancer Inst. 2011;103(15):1179–89.

    Article  PubMed  PubMed Central  Google Scholar 

  146. Roberts KD, Rochefort JG, Bleau G, Chapdelaine A. Plasma estrone sulfate levels in postmenopausal women. Steroids. 1980;35(2):179–87.

    Article  CAS  PubMed  Google Scholar 

  147. Missmer SA, Eliassen AH, Barbieri RL, Hankinson SE. Endogenous estrogen, androgen, and progesterone concentrations and breast cancer risk among postmenopausal women. J Natl Cancer Inst. 2004;96(24):1856–65.

    Article  CAS  PubMed  Google Scholar 

  148. Kaaks R, Berrino F, Key T, Rinaldi S, Dossus L, Biessy C, et al. Serum sex steroids in premenopausal women and breast cancer risk within the European Prospective Investigation into Cancer and Nutrition (EPIC). J Natl Cancer Inst. 2005;97(10):755–65.

    Article  CAS  PubMed  Google Scholar 

  149. Fortner RT, Eliassen AH, Spiegelman D, Willett WC, Barbieri RL, Hankinson SE. Premenopausal endogenous steroid hormones and breast cancer risk: results from the Nurses’ Health Study II. Breast Cancer Res. 2013;15(2):R19.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  150. Endogenous H, Breast Cancer Collaborative G, Key TJ, Appleby PN, Reeves GK, Travis RC, et al. Sex hormones and risk of breast cancer in premenopausal women: a collaborative reanalysis of individual participant data from seven prospective studies. Lancet Oncol. 2013;14(10):1009–19.

    Article  CAS  Google Scholar 

  151. Palmer JR, Rosenberg L. Cigarette smoking and risk of breast cancer. Kelsey JL, editor. Baltimore: John Hopkins University of Hygiene and Public Health; 1993.

    Google Scholar 

  152. Laden F, Hunter DJ. Environmental risk factors and female breast cancer. Annu Rev Public Health. 1998;19:101–23.

    Article  CAS  PubMed  Google Scholar 

  153. Al-Delaimy WK, Cho E, Chen WY, Colditz G, Willet WC. A prospective study of smoking and risk of breast cancer in young adult women. Cancer Epidemiol Biomarkers Prev. 2004;13(3):398–404.

    PubMed  Google Scholar 

  154. Calle EE, Miracle-McMahill HL, Thun MJ, Heath CW Jr. Cigarette smoking and risk of fatal breast cancer. Am J Epidemiol. 1994;139(10):1001–7.

    CAS  PubMed  Google Scholar 

  155. Cui Y, Miller AB, Rohan TE. Cigarette smoking and breast cancer risk: update of a prospective cohort study. Breast Cancer Res Treat. 2006;100(3):293–9.

    Article  PubMed  Google Scholar 

  156. Gram IT, Braaten T, Terry PD, Sasco AJ, Adami HO, Lund E, et al. Breast cancer risk among women who start smoking as teenagers. Cancer Epidemiol Biomarkers Prev. 2005;14(1):61–6.

    PubMed  Google Scholar 

  157. Gaudet MM, Gapstur SM, Sun J, Diver WR, Hannan LM, Thun MJ. Active smoking and breast cancer risk: original cohort data and meta-analysis. J Natl Cancer Inst. 2013;105(8):515–25.

    Article  CAS  PubMed  Google Scholar 

  158. Johnson KC, Miller AB, Collishaw NE, Palmer JR, Hammond SK, Salmon AG, et al. Active smoking and secondhand smoke increase breast cancer risk: the report of the Canadian Expert Panel on Tobacco Smoke and Breast Cancer Risk (2009). Tob Control. 2011;20(1):e2.

    Article  PubMed  Google Scholar 

  159. Thomson CA, Thompson PA. Fruit and vegetable intake and breast cancer risk: a case for subtype-specific risk? J Natl Cancer Inst. 2013;105(3):164–5.

    Article  PubMed  Google Scholar 

  160. Jung S, Spiegelman D, Baglietto L, Bernstein L, Boggs DA, van den Brandt PA, et al. Fruit and vegetable intake and risk of breast cancer by hormone receptor status. J Natl Cancer Inst. 2013;105(3):219–36.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  161. Eliassen AH, Hendrickson SJ, Brinton LA, Buring JE, Campos H, Dai Q, et al. Circulating carotenoids and risk of breast cancer: pooled analysis of eight prospective studies. J Natl Cancer Inst. 2012;104(24):1905–16.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  162. Colston KW, Berger U, Coombes RC. Possible role for vitamin D in controlling breast cancer cell proliferation. Lancet. 1989;1(8631):188–91.

    Article  CAS  PubMed  Google Scholar 

  163. Bauer SR, Hankinson SE, Bertone-Johnson ER, Ding EL. Plasma vitamin D levels, menopause, and risk of breast cancer: dose-response meta-analysis of prospective studies. Medicine (Baltimore). 2013;92(3):123–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  164. Manson JE, Bassuk SS, Lee IM, Cook NR, Albert MA, Gordon D, et al. The VITamin D and OmegA-3 TriaL (VITAL): rationale and design of a large randomized controlled trial of vitamin D and marine omega-3 fatty acid supplements for the primary prevention of cancer and cardiovascular disease. Contemp Clin Trials. 2012;33(1):159–71.

    Article  CAS  PubMed  Google Scholar 

  165. Pradhan AD, Manson JE. Update on the Vitamin D and OmegA-3 trial (VITAL). J Steroid Biochem Mol Biol. 2015.

    Google Scholar 

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Tamimi, R.M. (2017). Epidemiology of Breast Cancer. In: Loda, M., Mucci, L., Mittelstadt, M., Van Hemelrijck, M., Cotter, M. (eds) Pathology and Epidemiology of Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-35153-7_11

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