WEDNESDAY, July 27 (HealthDay News) -- Greater breast density is
associated with an increased risk of breast cancer and certain
aggressive tumor traits, new research says.
In the study, published in the July 27 online edition of the
Journal of the National Cancer Institute, researchers used mammography to compare breast density in 1,042 postmenopausal women with breast cancer and a control group of 1,794 postmenopausal women without breast cancer.
Breast density on mammograms is determined by the proportions of
fat, connective tissue and epithelial tissue in the breast.
Previous research has shown that women with higher amounts of
epithelial and stromal tissue have more density and higher risk of
breast cancer. But it hasn't been clear whether breast density is
associated with specific tumor characteristics and tumor type.
As expected, this new study found that breast cancer risk rose
progressively with increasing breast density. The researchers also
found that the link between density and breast cancer was stronger
for larger tumors than for smaller tumors, for high-grade tumors
compared to low-grade tumors, for estrogen receptor-negative tumors
than for estrogen receptor-positive tumors, and for ductal
carcinoma in situ (DCIS) tumors than for invasive tumors.
There was no association between breast density and other
markers of tumor aggressiveness, including nodal involvement and
HER2 status, the study authors noted in a journal news release.
"Our results suggest that breast density influences the risk of breast cancer subtypes by potentially different mechanisms," wrote Rulla M. Tamimi, of Harvard Medical School and Brigham and Women's Hospital in Boston, and colleagues.
"Further studies are warranted to explain underlying biological processes and elucidate the possible pathways from high breast density to the specific subtypes of breast carcinoma," the authors added.
More information
The American Cancer Society has more about
breast cancer.