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American Journal of Epidemiology Vol. 135, No. 7: 734-748
Copyright © 1992 by The Johns Hopkins University School of Hygiene and Public Health


research-article

Breast Cancer In Men: Risk Factors with Hormonal Implications

David B. Thomas1,1, L. Margarita Jimenez2,1, Anne McTieman1,3, Karin Rosenblatt1, Helge Stalsberg4, Annette Stemhagen5, W. Douglas Thompson6, Mary G. McCrea Curnen7, William Satariano8, Donald F. Austin9, Raymond S. Greenberg10, Charles Key11, Laurence N. Kolonel12 and Dee W. West13

1Program in Epidemiology Fred Hutchinson Cancer Research Center Seattle WA
2lnstituto Regional de Investigacton en Salud Publica Universidad de Guadalajara Guadalajara Jalisco Mexico
3University of Washington School of Medicine Seattle WA
4University of Tromsø Tromsø Norway
5Pharmaceutical Division CIBA-GEIGY Corp Summit NJ
6University of Southern Maine Portland ME
7Connecticut Cancer Epidemiology Unit New Haven CT
8School of Public Health University of California Berke-ley CA
9Resource for Cancer Epidemiology Department of Health Services Emeryville CA
10School of Public Health Emory University Atlanta GA
11New Mexico Tumor Registry Albuquerque NM
12Epidemiology Program Cancer Research Center of Hawai Honolulu HI
13Northern California Cancer Center Alameda CA

Reprint requests to to Dr David B Thomas, Program in Epidemiology, MP-474, Fred Hutchinson Cancer Research Center, 1124 Columbia Street, Seattle, WA 98104.

Cases included in a population-based case-control study of breast cancer in men were recruited from 10 geographic areas of the United States from 1983 to 1986. Controls, matched to cases on age and geographic area, were selected by random digit dialing for men under age 65 years and from Health Care Financing Administration files for older men. Results are based on responses from 227 cases and 300 controls to questions asked in a standardized personal interview. An increased risk of breast cancer was most strongly associated with undescended testes and was also related to orchiectomy, orchitis, testjcular injury, late puberty, and infertility; and a decreasing trend in risk was observed with an increasing number of children. Relative risk estimates were also elevated in relation to a history of high blood cholesterol, rapid weight gain, benign breast conditions, and possibly obesity. These findings suggest that breast cancer in men develops in response to androgen deficiency associated with testicular dysfunction and under conditions associated with excess estrogen. Risk was also found to be elevated in men with a history of amphetamine use, diabetes, and cigar smoking and reduced in men with prior head trauma. Am J Epidemiol 1992;135:734–48.

breast neoplasms; cryptorchism; testicular diseases


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