Women under the age of 50 who have atypical hyperplasia of the breast are nearly
seven times more likely to develop breast cancer than women in the general
population, irrespective of family history. These results were presented at the
2008 San Antonio Breast Cancer Symposium.
Studies have suggested that risk of breast cancer is higher among women with
particular types of benign breast disease; however the risks among varying
benign diagnoses have not been well defined. The importance of establishing
specific risks is to gain understanding of how best to monitor these women so
that breast cancer may be detected and treated in its earliest stages while
minimizing false-positives and over-screening.
To explore the relationship between benign breast disease and breast cancer
among women under the age of 50, researchers at the Mayo Clinic evaluated
information from more than 4,000 women with benign breast disease. Two percent
had been diagnosed with atypical hyperplasia, 26% had been diagnosed with
proliferative disease without atypia, and 72% had been diagnosed with non-proliferative
disease. Data from these women was compared with data derived from the NCI
Surveillance, Epidemiology, and End Results (SEER) database.
During 20 years of follow-up, 326 of the women were diagnosed with breast
cancer. Compared with women in the general population, the risk ratio for the
development of breast cancer among women diagnosed with benign breast disease
was 1.2 for nonproliferative diseaes, 2.02 for proliferative disease without
atypia, and 6.92 for atypical hyperplasia (P=0.001). Ipsilateral breast cancer
represented 65% of breast cancer diagnoses within the first five years, whereas
contralateral breast cancer represented 52% of breast cancer at five or more
years of follow-up. (P=0.03). Increased involution resulted in significant
reductions in breast cancer risk among all three histologies.
This study confirms previous reports of an elevated risk of breast cancer among
women with benign breast disease, irrespective of family history, with the
greatest risk being among women diagnosed with atypical hyperplasia.
Reference: Ghosh K, Pankratz VS, Reynolds CA et al. Benign breast disease and
breast cancer risk in young women. Presented at the San Antonio Breast Cancer
Symposium. December 13, 2008. Abstract 62.
Source : OncoEd.com