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Departments of Community Health and Epidemiology [K. J. A., C. G. W.], Surgery [E. E. S.], and Pathology [S. K. S.], Queens University, Kingston, Ontario, K7L 3N6 Canada; Division of Clinical Epidemiology, Deutsches Krebsforschungszentrum, Im Neuenheimer Feld 280, D-69120 Heidelberg, Germany [A. B. M.]; Surgical Oncology, Princess Margaret Hospital, Toronto, Ontario, M5G 2M9 Canada [D. R. M.]; Departments of Surgery [L. A. L., E. B. F., G. Y. H., C. H., T. R.] and Pathology [W. M. H.], Womens College Hospital, Toronto, Ontario, M5S 1B2 Canada; and Le Centre de Toxicologie du Québec, Sainte-Foy, Quebec, G1V 4G2 Canada [J-P. W.]
Numerous studies have examined the relationship between organochlorines
and breast cancer, but the results are not consistent. In most studies,
organochlorines were measured in serum, but levels in breast adipose
tissue are higher and represent cumulative internal exposure at the
target site for breast cancer. Therefore, a hospital-based case-control
study was conducted in Ontario, Canada to evaluate the association
between breast cancer risk and breast adipose tissue concentrations of
several organochlorines. Women scheduled for excision biopsy of the
breast were enrolled and completed a questionnaire. The biopsy tissue
of 217 cases and 213 benign controls frequency matched by study site
and age in 5-year groups was analyzed for 14 polychlorinated biphenyl
(PCB) congeners, total PCBs, and 10 other organochlorines, including
p,p'-1,1-dichloro-2,2-bis(p-chlorophenyl)ethylene.
Multiple logistic regression was used to assess the magnitude of risk.
While adjusting for age, menopausal status, and other factors, odds
ratios (ORs) were above 1.0 for almost all organochlorines except five
pesticide residues. The ORs were above two in the highest concentration
categories of PCB congeners 105 and 118, and the ORs for these PCBs
increased linearly across categories (Ps for trend
0.01). Differences by menopausal status are noted especially for PCBs
105 and 118, with risks higher among premenopausal women, and for PCBs
170 and 180, with risks higher among postmenopausal women. Clear
associations with breast cancer risk were demonstrated in this study
for some PCBs measured in breast adipose tissue.
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