Potential Risk Factors for Breast Carcinoma in Patients Presented in a Tertiary Care Hospital
Abstract
This study intended to investigate the elements that raise the likelihood of breast carcinoma risk in Pakistani females.
This case-control design study included a total of 300 participants, consisting of 165 patients with breast carcinoma and 135 controls who are age-matched, were chosen to take part in the study at Mayo Hospital in Lahore, Pakistan.
In addition, several risk factors were discovered to be linked to a higher likelihood of developing breast carcinoma in Pakistani females, including an elevated body mass index (BMI) exceeding 25 kg/m2 (OR = 1.57; OR = 1.60, 95% CI: 1.26-1.90), being unmarried (OR = 2.03; 95% CI, 1.26-2.03), not engaging in breastfeeding, smoking (current or past), insufficient physical activity, and being in the post-menopausal stage were identified as factors associated with the outcome (95% CI, 1.69-2.44). On the other hand, increased parity was found to lower breast carcinoma risk. Furthermore, the study established that the right breast was affected in a higher proportion of cases (58.1%) compared to other breast complications (22.8%).
In conclusion, this study highlights the various sociodemographic, reproductive, and lifestyle-related factors that are linked to breast carcinoma among females in Pakistan. These findings can aid in the development of preventative measures and awareness campaigns aimed at decreasing the rate of occurrence of breast carcinoma within this particular group.
How to Cite This Article
Qamar MZ, Fazal MI, Asghar H, Naseem M, Qamar F, Siddique M. Potential Risk Factors for Breast Carcinoma in Patients Presented in a Tertiary Care Hospital. J Pak Soc Intern Med. 2023;4(3):223–227. doi:10.70302/jpsim.v4i3.2345
Conflict of Interest
All authors declare no competing interests.
Funding
No specific funding was received for this research.
Funder information follows the Crossref Funder Registry standard.
References
- Siegel R, Ward E, Brawley O, Jemal A. The impact of eliminating socioeconomic and racial disparities on premature cancer deaths. CA-Cancer J Clin. 2011;61(4):212-36.
- Jemal A, Bray F, Center MM. Global cancer statistics. CA-Cancer J Clin.2011;61(2): 69-90.
- Althuis MD, Dozier JM, Anderson WF, Devesa SS, Brinton LA. Global trends in breast cancer incidence and mortality 1973–1997. Int J Epidemiol. 2005 Apr 1;34(2):405-12.
- Rashid MU, Zaidi A, Torres D, Sultan F, Benner A, Naqvi B, Shakoori AR, Seidel‐Renkert A, Farooq H, Narod S, Amin A. Prevalence of BRCA1 and BRCA2 mutations in Pakistani breast and ovarian cancer patients. Int J cancer. 2006;119(12):2832-9.
- Bhurgri Y. Karachi cancer registry data--implications for the national cancer control program of pakistan. Asian Pac J Cancer Prev. 2004;5(1):77-82.
- Banning M, Hafeez H, Faisal S, Hassan M, Zafar A. The impact of culture and sociological and psychological issues on Muslim patients with breast cancer in Pakistan. Cancer Nurs. 2009;32(4):317-24.
- Leong SP, Shen ZZ, Liu TJ, Agarwal G, Tajima T, Paik NS, Sandelin K, Derossis A, Cody H, Foulkes WD. Is breast cancer the same disease in Asian and Western countries?. World J Surg. 2010 Oct;34:2308-24.
- Bener A, El Ayoubi HR, Ali AI, Al-Kubaisi A, Al-Sulaiti H. Does consanguinity lead to decreased incidence of breast cancer?. Cancer Epidemiol. 2010;34(4):413-8.
- Hartge P. Genes, hormones, and pathways to breast cancer. N Eng J Med. 2003;348(23):2352-4.
- MacMahon B. Epidemiology and the causes of breast cancer. Int J Cancer. 2006;118(10):2373-8.
- Bhaskaran K, Douglas I, Forbes H, dos-Santos-Silva I, Leon DA, Smeeth L. Body-mass index and risk of 22 specific cancers: a population-based cohort study of 5· 24 million UK adults. Lancet. 2014;384(9945):755-65.
- Valsecchi MG, Steliarova-Foucher E. Cancer registration in developing countries: luxury or necessity?. Lancet Oncol. 2008;9(2):159-67.
- Singletary SE, Connolly JL. Breast carcinoma staging: working with the sixth edition of the AJCC Cancer Staging Manual. CA Cancer J Clin. 2006;56(1):37-47.
- Haagensen CD. Diseases of the Breast, WB Saunders Company. Hadjisavvas A, Loizidou MA, Middleton N.An investigation of breast carcinoma risk factors in Cyprus: a case control study. BMC Cancer. 2010;10(3):447.
- Must A, Spadano J, Coakley EH. The disease burden associated with overweight and obesity. JAMA. 1999;282(2):1523-9.
- Floud S, Balkwill A, Canoy D. Marital status and ischemic heart disease incidence and mortality in females: a large prospective study. BMC Med. 2014;12(1): 42.
- .Jatoi I, Anderson WF. Qualitative age interactions in breast carcinoma studies: a mini-review. Future Oncol. 2010;6(9):1781-8.
- Vainio H, Weiderpass E, Kleihues P. Smoking cessation in cancer prevention. Toxicol. 2001;166(1):47-52.
- Bray F, McCarron P, Parkin DM. The changing global patterns of females breast carcinoma incidence and mortality. Breast carcinoma Res. 2004;6(2):229-39.
- Bernstein L, Patel AV, Ursin G. Lifetime recreational exercise activity and breast carcinoma risk among black females and white females. J Natl Cancer Inst. 2005;97(8):1671-9.
- Sheppard VB, Makambi K, Taylor T. Physical activity reduces breast carcinoma risk in African American females. Ethnic Dis. 2011;21(3):406.
- Bernstein L. Epidemiology of endocrine-related risk factors for breast carcinoma. J Mammary Gland Biol Neoplasia. 2002;7(1):3-15.
- Kelsey JL, Gammon MD, John EM. Reproductive factors and breast carcinoma. Epidemiol Rev. 1993;15(1):36.
- Elkum N, Al-Tweigeri T, Ajarim D. Obesity is a significant risk factor for breast carcinoma in Arab females. BMC Cancer. 2014;14(4):788.
- .Kelsey JL, Gammon MD, John EM. Reproductive factors and breast carcinoma. Epidemiol Rev. 1993;15(1):36.
- Britt K, Ashworth A, Smalley M. Pregnancy and the risk of breast carcinoma. Endocrine-Related Cancer. 2007;14(6):907-33.
- Russo J, Moral R, Balogh GA. The protective role of pregnancy in breast carcinoma. Breast carcinoma Res. 2005;7(1):131-42.
- Barrett-Connor E. Hormones and the health of females: past, present, and future Keynote address. Menopause. 2002;9(1):23-31.
- Marchbanks PA, Curtis KM, Mandel MG. Oral contraceptive formulation and risk of breast carcinoma. Contraception. 2012;85(3):342-50.
- Pike M, Krailo M, Henderson B. Breast carcinoma in young females and use of oral contraceptives: possible modifying effect of formulation and age at use. Lancet. 1983;322(4):926-9.
Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.