Breast cancer is the commonest cause of cancer death in women worldwide. Rates vary about five-fold around the world, but they are increasing in regions that until recently had low rates of the disease. Many of the established risk factors are linked to oestrogens. Risk is increased by early menarche, late menopause, and obesity in postmenopausal women, and prospective studies have shown that high concentrations of endogenous oestradiol are associated with an increase in risk. Childbearing reduces risk, with greater protection for early first birth and a larger number of births; breastfeeding probably has a protective effect. Both oral contraceptives and hormonal therapy for menopause cause a small increase in breast-cancer risk, which appears to diminish once use stops. Alcohol increases risk, whereas physical activity is probably protective. Mutations in certain genes greatly increase breast-cancer risk, but these account for a minority of cases.

Original publication

DOI

10.1016/S1470-2045(00)00254-0

Type

Journal article

Journal

Lancet Oncol

Publication Date

03/2001

Volume

2

Pages

133 - 140

Keywords

Adult, Aged, Breast Neoplasms, Contraceptives, Oral, Diet, Female, Hormone Replacement Therapy, Humans, Middle Aged, Mutation, Risk Factors