Change In Breast Density Over Time Provides Clues About Breast Cancer Risk
Wednesday, 30. November 2011
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Healthcare Prof:
A decrease in breast density, or the proportion of fibroglandular tissue depicted on the mammogram image, over several years is associated with decreased danger of breast cancer, researchers from the Mayo Clinic campus in Minnesota report at the American Association for Cancer Analysis (AACR) 101st Annual Meeting 2010.
The researchers identified a 28 percent reduced risk of creating breast cancer in women whose breasts decreased in density, as seen from two different mammograms taken an average of six years apart, compared to women whose breast density did not change.
Two measures of breast density could, therefore, present additional info for assessing breast cancer danger, says the study’s lead investigator, Celine Vachon, Ph.D., an associate professor of epidemiology. Dr. Vachon adds, however, that this details is not ready for use in clinical practice to inform breast cancer danger. “Replication of these findings in other studies is going to be crucial,” she says. “Also, improved and standardized measurements of breast density are essential for the assessment of adjustments in density.”
The present assessment available in most clinical settings is BI-RADS, Breast Imaging-Reporting and Information System, which is relatively unsophisticated when it comes to measuring breast density and was not intended for this purpose, Dr. Vachon says. “There is a lot of ongoing work aimed at improving measures of density, so that situation really should change,” she adds.
This study was drawn from the Mammography Wellness Study, which enrolled 19,924 females who were cost-free of breast cancer, had screening mammograms performed at Mayo Clinic in between 2003 and 2006 and resided in Minnesota, Iowa and Wisconsin. From this large group, the researchers selected participants who had at least 1 additional screening mammogram prior to enrollment, and then looked at clinic and tumor registries in the three Midwestern states to determine if any of these females developed breast cancer following enrolling inside the study.
Measures of mammographic density were obtained from the two mammograms, an average of six years apart, for the approximately 1,900 girls randomly sampled from the cohort, and from all 219 individuals who had been diagnosed with breast cancer throughout follow-up. In the cancer-free group, 38.6 percent of women had a reduce in breast density, 50.four percent stayed the same, and 11 percent showed an increase in breast density. In girls who developed breast cancer, the percentages had been 37, 51 and 12, respectively.
Women who developed breast cancer were much less likely to experience a reduce in density in a second mammogram, says Dr. Vachon. Right after adjusting for other potential factors that contribute to breast cancer development, like age, body mass index, postmenopausal hormones, postmenopausal status, in addition to baseline breast density, the researchers located that ladies who decreased one BI-RADS category or a lot more more than an average of six years were at 28 percent reduced risk of creating breast cancer, compared to ladies whose density was unchanged.
“We know that breast density can change with time, as evidenced by decreases seen with women going through menopause or using the breast cancer preventive drug tamoxifen and increases seen with postmenopausal hormone therapy use. Our outcomes suggest that decreases in density could translate to decreased breast cancer danger,” Dr. Vachon says.
The study was funded by grants from the National Institutes of Well being.
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Source: Mayo Clinic