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041 _ _ |a eng
082 _ _ |a 610
100 1 _ |a Abubakar, Mustapha
|0 0000-0003-3728-6535
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245 _ _ |a Etiology of hormone receptor positive breast cancer differs by levels of histologic grade and proliferation.
260 _ _ |a Bognor Regis
|c 2018
|b Wiley-Liss
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520 _ _ |a Limited epidemiological evidence suggests that the etiology of hormone receptor positive (HR+) breast cancer may differ by levels of histologic grade and proliferation. We pooled risk factor and pathology data on 5,905 HR+ breast cancer cases and 26,281 controls from 11 epidemiological studies. Proliferation was determined by centralized automated measures of KI67 in tissue microarrays. Odds ratios (OR), 95% confidence intervals (CI) and p-values for case-case and case-control comparisons for risk factors in relation to levels of grade and quartiles (Q1-Q4) of KI67 were estimated using polytomous logistic regression models. Case-case comparisons showed associations between nulliparity and high KI67 [OR (95% CI) for Q4 vs. Q1 = 1.54 (1.22, 1.95)]; obesity and high grade [grade 3 vs. 1 = 1.68 (1.31, 2.16)] and current use of combined hormone therapy (HT) and low grade [grade 3 vs. 1 = 0.27 (0.16, 0.44)] tumors. In case-control comparisons, nulliparity was associated with elevated risk of tumors with high but not low levels of proliferation [1.43 (1.14, 1.81) for KI67 Q4 vs. 0.83 (0.60, 1.14) for KI67 Q1]; obesity among women ≥50 years with high but not low grade tumors [1.55 (1.17, 2.06) for grade 3 vs. 0.88 (0.66, 1.16) for grade 1] and HT with low but not high grade tumors [3.07 (2.22, 4.23) for grade 1 vs. 0.85 (0.55, 1.30) for grade 3]. Menarcheal age and family history were similarly associated with HR+ tumors of different grade or KI67 levels. These findings provide insights into the etiologic heterogeneity of HR+ tumors.
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700 1 _ |a Chang-Claude, Jenny
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700 1 _ |a Ali, H Raza
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700 1 _ |a Chatterjee, Nilanjan
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700 1 _ |a Coulson, Penny
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700 1 _ |a Daley, Frances
|b 5
700 1 _ |a Blows, Fiona
|b 6
700 1 _ |a Benitez, Javier
|0 0000-0002-0923-7202
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700 1 _ |a Milne, Roger L
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700 1 _ |a Brenner, Hermann
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700 1 _ |a Stegmaier, Christa
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700 1 _ |a Mannermaa, Arto
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700 1 _ |a Rudolph, Anja
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700 1 _ |a Sinn, Peter
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700 1 _ |a Couch, Fergus J
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700 1 _ |a Devilee, Peter
|b 15
700 1 _ |a Tollenaar, Rob A E M
|b 16
700 1 _ |a Seynaeve, Caroline
|b 17
700 1 _ |a Figueroa, Jonine
|b 18
700 1 _ |a Lissowska, Jolanta
|b 19
700 1 _ |a Hewitt, Stephen
|b 20
700 1 _ |a Hooning, Maartje J
|b 21
700 1 _ |a Hollestelle, Antoinette
|b 22
700 1 _ |a Foekens, Renée
|b 23
700 1 _ |a Koppert, Linetta B
|b 24
700 1 _ |a Investigators, kConFab
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700 1 _ |a Bolla, Manjeet K
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700 1 _ |a Wang, Qin
|b 27
700 1 _ |a Jones, Michael E
|b 28
700 1 _ |a Schoemaker, Minouk J
|b 29
700 1 _ |a Keeman, Renske
|b 30
700 1 _ |a Easton, Douglas F
|b 31
700 1 _ |a Swerdlow, Anthony J
|b 32
700 1 _ |a Sherman, Mark E
|b 33
700 1 _ |a Schmidt, Marjanka K
|b 34
700 1 _ |a Pharoah, Paul D
|b 35
700 1 _ |a Garcia-Closas, Montserrat
|b 36
773 _ _ |a 10.1002/ijc.31352
|g Vol. 143, no. 4, p. 746 - 757
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|t International journal of cancer
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