Long-Term Risk of Breast Cancer after Diagnosis of Benign Breast Disease by Screening Mammography

Assessing the long-term risk of breast cancer after diagnosis of benign breast disease by mammography is of utmost importance to design personalised screening strategies. We analysed individual-level data from 778,306 women aged 50-69 years with at least one mammographic screening participation in a...

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Detalles Bibliográficos
Autores: Román, Marta|||0000-0001-9076-8918, Louro, Javier|||0000-0002-2985-3301, Posso, Margarita|||0000-0002-5053-257X, Vidal, Carmen|||0000-0003-2768-2710, Bargalló, Xavier, Vázquez, Ivonne|||0000-0002-5305-1560, Quintana Ruiz, Maria Jesús|||0000-0002-1055-9786, Alcántara Souza, Rodrigo|||0000-0003-4365-5640, Saladié, Francina|||0000-0002-1783-4066, del Riego, Javier|||0000-0001-9200-3505, Peñalva, Lupe, Sala, Maria|||0000-0002-9955-8746, Castells, Xavier|||0000-0002-2528-0382
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:290535
Acceso en línea:https://ddd.uab.cat/record/290535
https://dx.doi.org/urn:doi:10.3390/ijerph19052625
Access Level:acceso abierto
Palabra clave:Benign breast disease
Breast neoplasms
Longitudinal studies
Mass screening
Descripción
Sumario:Assessing the long-term risk of breast cancer after diagnosis of benign breast disease by mammography is of utmost importance to design personalised screening strategies. We analysed individual-level data from 778,306 women aged 50-69 years with at least one mammographic screening participation in any of ten breast cancer screening centers in Spain from 1996 to 2015, and followed-up until 2017. We used Poisson regression to compare the rates of incident breast cancer among women with and without benign breast disease. During a median follow-up of 7.6 years, 11,708 (1.5%) women had an incident of breast cancer and 17,827 (2.3%) had a benign breast disease. The risk of breast cancer was 1.77 times higher among women with benign breast disease than among those without (95% CI: 1.61 to 1.95). The relative risk increased to 1.99 among women followed for less than four years, and remained elevated for two decades, with relative risk 1.96 (95% CI: 1.32 to 2.92) for those followed from 12 to 20 years. Benign breast disease is a long-term risk factor for breast cancer. Women with benign breast disease could benefit from closer surveillance and personalized screening strategies.