Early radiation exposures and BRCA1-associated breast cancer in young women from Poland

被引:27
作者
Gronwald, Jacek [2 ]
Pijpe, Anouk [3 ]
Byrski, Tomasz [2 ]
Huzarski, Tomasz [2 ]
Stawicka, Malgorzata [4 ]
Cybulski, Cezary [2 ]
van Leeuwen, Flora [3 ]
Lubinski, Jan [2 ]
Narod, Steven A. [1 ]
机构
[1] Womens Coll Res Inst, Toronto, ON M5G 1N8, Canada
[2] Pomeranian Med Univ, Int Hereditary Canc Ctr, Dept Genet & Pathol, Szczecin, Poland
[3] Netherlands Canc Inst, Dept Epidemiol, Amsterdam, Netherlands
[4] Prophylact & Epidemiol Ctr, Poznan, Poland
关键词
Breast cancer; BRCA1; gene; Carcinogenesis; Radiation;
D O I
10.1007/s10549-008-9892-9
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
To study whether or not there is an adverse effect of early chest X-rays on breast cancer risk in breast cancer susceptibility gene 1 (BRCA1) carriers, we compared the histories of chest X-ray exposures before age 30 in 138 BRCA1 carriers with breast cancer with 158 age-matched women with breast cancer, but without a BRCA1 mutation. All cases were drawn from a national breast cancer research registry. Affected carriers reported more frequent chest X-ray use before age 20 than affected non-carriers (0.6 vs. 0.3; P = 0.01). Affected carriers had, on average, 1.8 chest X-rays before age 30 compared to an average of 1.0 for affected non-carriers (P = 0.002). The odds ratio for ever having had a chest X-ray below age 30, given a BRCA1 mutation, was 1.8 [95% confidence interval (CI) = 1.2-2.9; P = 0.01]. These observations support the hypothesis that early radiation exposure may be a risk factor for breast cancer in BRCA1 carriers.
引用
收藏
页码:581 / 584
页数:4
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