Correlation of mammographic density and breast cancer characteristics

Authors

  • Sameeah Abdulrahman Rashid MBChB, DMRD, FIBMS, Department of Surgery, College of Medicine, Hawler Medical University, Erbil, Iraq. Corresponding author: Rihan Nuri Bapir.
  • Rihan Nuri Bapir MBChB, Department of Radiology, Rizgary Teaching Hospital, Erbil, Iraq

DOI:

https://doi.org/10.56056/amj.2022.190

Keywords:

Mammographic density, Breast cancer, Tumor subtype and BI-RADS

Abstract

Background and objective: Mammographic density is regarded as one of the most prevalent risk factors for developing breast cancer. However, there is limited data on its relationship with tumor characteristics. Therefore, this study has been conducted to evaluate the association between mammographic density and breast cancer subtypes as well as tumor characteristics.

Methods: This retrospective cross-sectional study was performed on 105 women with pathologically proved breast cancer. Mammographic breast density was scored according to Breast Imaging Reporting and Data System classification before receiving treatment, followed by correlation with some risk factors and tumor characteristics.

Results: From the 105 enrolled cases, about 70% had low mammographic density, and 30% had high mammographic density. Mammographic breast density was significantly associated with age and menopausal status, where high density was more prevalent among age group <45 years (58%) and among premenopausal women (71%). No significant association was found between density and Body Mass Index. Overall, estrogen positive, progesterone positive and luminal B were more prevalent in both low and high breast density cases; however, these findings were not significant. No significant relationship between mammography density and tumor grade, stage, size or lymph node involvement was observed.

Conclusion: Mammographic breast density is positively associated with age and menopausal status but not associated with Body Mass Index or tumor characteristics.

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References

Boyd NF, Guo H, Martin LJ, et al. Mammographic density and the risk and detection of breast cancer. N Engl J Med. 2007;356(3):227-36.

McCormack VA, dos Santos Silva I. Breast density and parenchymal patterns as markers of breast cancer risk: a meta-analysis. Cancer Epidemiol Biomarkers Prev. 2006;15(6):1159-69.

Eriksson L, Hall P, Czene K, et al. Mammographic density and molecular subtypes of breast cancer. Br J Cancer. 2012;107(1):18-23.

D` OSri CJ, Mendelson EB, Morris EA et al. ACR BI-RAD® Atlas, Breast Imaging Reporting and Data System. Reston American College of Radiology; 2013.

Engmann NJ, Golmakani MK, Miglioretti DL, et al. Population-Attributable Risk Proportion of Clinical Risk Factors for Breast Cancer. JAMA Oncol. 2017;3(9):1228-36.

Boyd NF, Martin LJ, Yaffe M, Minkin S. Mammographic density. Breast Cancer Res. 2009;11 Suppl 3(Suppl 3):S4.

Bertrand KA, Tamimi RM, Scott CG, et al. Mammographic density and risk of breast cancer by age and tumor characteristics. Breast Cancer Res. 2013;15(6):R104.

Eriksson L, Czene K, Rosenberg L, Humphreys K, Hall P. The influence of mammographic density on breast tumor characteristics. Breast Cancer Res Treat. 2012;134(2):859-66.

Anderson WF, Rosenberg PS, Prat A, Perou CM, Sherman ME. How many etiological subtypes of breast cancer: two, three, four, or more? J Natl Cancer Inst. 2014;106(8).

Antoni S, Sasco AJ, dos Santos Silva I, McCormack V. Is mammographic density differentially associated with breast cancer according to receptor status? A meta-analysis. Breast Cancer Res Treat. 2013;137(2):337-47.

Li E, Guida JL, Tian Y, et al. Associations between mammographic density and tumor characteristics in Chinese women with breast cancer. Breast Cancer Res Treat. 2019;177(2):527-36.

Heine JJ, Malhotra P. Mammographic tissue, breast cancer risk, serial image analysis, and digital mammography. Part 2. Serial breast tissue change and related temporal influences. Acad Radiol. 2002;9(3):317-35.

Titus-Ernstoff L, Tosteson AN, Kasales C, et al. Breast cancer risk factors in relation to breast density (United States). Cancer Causes Control. 2006;17(10):1281-90.

Shaikh AJ, Mullooly M, Sayed S, et al. Mammographic Breast Density and Breast Cancer Molecular Subtypes: The Kenyan-African Aspect. BioMed Research International. 2018;2018:6026315.

Shin J, Lee JE, Ko HY, et al. Association between mammographic density and tumor marker-defined breast cancer subtypes: a case-control study. Eur J Cancer Prev. 2018;27(3):239-47.

Edwards BL, Atkins KA, Stukenborg GJ, et al. The Association of Mammographic Density and Molecular Breast Cancer Subtype. Cancer Epidemiol Biomarkers Prev. 2017;26(10):1487-92.

Ji Y, Shao Z, Liu J, Hao Y, Liu P. The correlation between mammographic densities and molecular pathology in breast cancer. Cancer Biomark. 2018;22(3):523-31.

Pollán M, Ascunce N, Ederra M, et al. Mammographic density and risk of breast cancer according to tumor characteristics and mode of detection: a Spanish population-based case-control study. Breast Cancer Res. 2013;15(1):R9.

Razzaghi H, Troester MA, Gierach GL, et al. Association between mammographic density and basal-like and luminal A breast cancer subtypes. Breast Cancer Res. 2013;15(5):R76.

Gabrielson M, Chiesa F, Paulsson J, et al. Amount of stroma is associated with mammographic density and stromal expression of oestrogen receptor in normal breast tissues. Breast Cancer Res Treat. 2016;158(2):253-61.

Conroy SM, Pagano I, Kolonel LN, Maskarinec G. Mammographic density and hormone receptor expression in breast cancer: the Multiethnic Cohort Study. Cancer Epidemiol. 2011;35(5):448-52.

Eriksson L, Hall P, Czene K, et al. Mammographic density and molecular subtypes of breast cancer. British journal of cancer. 2012;107(1):18-23.

Yaghjyan L, Colditz GA, Collins LC, et al. Mammographic breast density and subsequent risk of breast cancer in postmenopausal women according to tumor characteristics. J Natl Cancer Inst. 2011;103(15):1179-89.

Sartor H, Zackrisson S, Elebro K, Hartman L, Borgquist S. Mammographic density in relation to tumor biomarkers, molecular subtypes, and mode of detection in breast cancer. Cancer Causes Control. 2015;26(6):931-9.

Boyd NF, Martin LJ, Yaffe MJ, Minkin S. Mammographic density and breast cancer risk: current understanding and future prospects. Breast Cancer Res. 2011;13(6):223.

Kerlikowske K, Cook AJ, Buist DS, et al. Breast cancer risk by breast density, menopause, and postmenopausal hormone therapy use. J Clin Oncol. 2010;28(24):3830-7.

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Published

2022-12-12

How to Cite

Rashid, S. A., & Bapir, R. N. . (2022). Correlation of mammographic density and breast cancer characteristics. AMJ (Advanced Medical Journal) , 7(2), 139-147. https://doi.org/10.56056/amj.2022.190

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