Document Detail


Comparison of breast cancer incidence in the Massachusetts tuberculosis fluoroscopy cohort and in the Japanese atomic bomb survivors.
MedLine Citation:
PMID:  9952307     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Breast cancer has occurred in excess among women exposed briefly to atomic bomb radiation and among those exposed repeatedly over many years to medical radiation for tuberculosis (TB). The excess relative risk of breast cancer incidence in the Japanese atomic bomb survivors, however, is significantly higher (two-sided P = 0.04) than that in the Massachusetts TB fluoroscopy patients. The best estimate of the ratio between the excess relative risk coefficients for the Japanese and Massachusetts cohorts is 2.11 (95% CI 1.05, 4.95). However, this higher relative excess risk is attributable to the lower baseline risk of breast cancer among Japanese women compared with the Massachusetts women, and the excess absolute breast cancer risks in the two data sets are statistically indistinguishable (two-sided P = 0.32). The best estimate of the ratio between the excess absolute risk coefficients among Japanese and Massachusetts women is 0.73 (95% CI 0.41, 1.44). After childhood exposures, an early onset of radiation-induced breast cancer was seen among Japanese atomic bomb survivors but not among the Massachusetts women. There are some indications (two-sided P = 0.04) of differences in the patterns of risk over time since exposure between these groups exposed in childhood. However, in general there are no marked differences between the Massachusetts and Japanese data sets in the age and time distribution of risk of radiation-induced breast cancer. These data provide little evidence for a reduction of breast cancer risk after fractionated irradiation.
Authors:
M P Little; J D Boice
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Radiation research     Volume:  151     ISSN:  0033-7587     ISO Abbreviation:  Radiat. Res.     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-02-19     Completed Date:  1999-02-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401245     Medline TA:  Radiat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  218-24     Citation Subset:  IM; S    
Affiliation:
National Radiological Protection Board, Didcot, Oxon, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Breast Neoplasms / epidemiology*,  etiology
Child
Child, Preschool
Cohort Studies
Female
Fluoroscopy / adverse effects*
Follow-Up Studies
Humans
Incidence
Infant
Japan / epidemiology
Massachusetts / epidemiology
Middle Aged
Neoplasms, Radiation-Induced / epidemiology*,  etiology
Nuclear Warfare*
Risk Factors
Tuberculosis / radiography
Comments/Corrections
Comment In:
Radiat Res. 1999 Feb;151(2):123-4   [PMID:  9952295 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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