Increased risk of breast cancer in women with uterine myoma: a nationwide, population-based, case-control study / 부인종양
Journal of Gynecologic Oncology
;
: e35-2017.
Article
in English
| WPRIM
| ID: wpr-163710
ABSTRACT
OBJECTIVE:
To evaluate if uterine myoma is associated with breast cancer.METHODS:
This case-control study used a nationwide database in Taiwan. We identified 24,315 patients with newly diagnosed breast cancer as cases and matched them with 24,281 patients without breast cancer on age, sex, urbanization, income, and initial diagnosis date. Patients with prior mastectomy were excluded. We used logistic regression analysis to assess the association between uterine myoma and breast cancer while adjusting for confounders. We evaluated the impact of surgical removal of uterine myoma on subsequent breast cancer among patients with uterine myoma.RESULTS:
We found that 2,892 (11.9%) patients with newly diagnosed breast cancer and 2,541 (10.5%) patients without breast cancer had a history of uterine myoma. The association between breast cancer and uterine myoma was significant (adjusted odds ratio [aOR]=1.14; 95% confidence interval [CI]=1.07–1.21; p<0.001). This association remained in patients who used hormone (aOR=1.20; 95% CI=1.08–1.33; p=0.001) or who did not use hormone (aOR=1.11; 95% CI=1.03–1.19; p=0.005) within 5 years prior to the index date. Surgical removal of uterine myoma was not associated with a decreased risk of breast cancer (aOR=0.99; 95% CI=0.88–1.10; p=0.795).CONCLUSION:
A minor increased risk of breast cancer was found in women with a history of uterine myoma. This association remained in patients with recent hormone use. Removal of uterine myoma was not associated with decreased risk of breast cancer.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Taiwan
/
Urbanization
/
Uterus
/
Breast
/
Breast Neoplasms
/
Case-Control Studies
/
Logistic Models
/
Odds Ratio
/
Hormone Replacement Therapy
/
Diagnosis
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Journal of Gynecologic Oncology
Year:
2017
Type:
Article
Similar
MEDLINE
...
LILACS
LIS