A woman's risk for breast cancer declines
as she grows older, Mayo Clinic researchers
conclude.
That's because as women age, their milk-producing
glands (lobules) start to shut down. This
natural process is called lobular regression,
or involution. Since it's believed that
breast cancer originates in the lobules,
a reduction in their size and number reduces
cancer risk.
The Mayo study of over 8,700 women found
that those with benign breast disease
and little or no involution were twice
as likely to develop breast cancer compared
to women whose breast glandular tissues
had been replaced with connective and
fatty tissue.
The researchers also found that 53 percent
of women age 70 and older had complete
involution.
Women who had never used hormone replacement
therapy (HRT) were more likely to have
complete involution than those who did
have HRT (22.9 percent vs. 20.3 percent),
the researchers add. Twenty-seven percent
of women who had had no children had complete
involution, compared to 18 percent of
women who had more than three children.
Breast-feeding had no impact on involution,
the study found.
The findings were published in the Nov.
15 issue of the Journal of the
National Cancer Institute.
"Our study is the first to establish
that that extent of breast involution
relates directly to risk for breast cancer,"
oncologist and lead investigator Dr. Lynn
Hartmann said in a prepared statement.
The study provides doctors with another
important factor to help them predict
a woman's risk for breast cancer, she
said.