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Blood, 15 November 2005, Vol. 106, No. 10, pp. 3358-3365.
Prepublished online as a Blood First Edition Paper on July 28, 2005; DOI 10.1182/blood-2005-04-1535.
Previous Article | Next Article 
Submitted April 15, 2005
Accepted July 14, 2005
Breast cancer risk following radiotherapy for Hodgkin lymphoma: modification by other risk factors
Deirdre A Hill*, Ethel Gilbert, Graca M Dores, Mary Gospodarowicz, Flora E van Leeuwen, Eric Holowaty, Bengt Glimelius, Michael Andersson, Tom Wiklund, Charles F Lynch, Mars van't Veer, Hans Storm, Eero Pukkala, Marilyn Stovall, Rochelle E Curtis, James M Allan, John D Boice, and Lois B Travis
Division of Cancer Epidemiology and Genetics and Division of Cancer Prevention, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA; Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM, USA
Division of Cancer Epidemiology and Genetics and Division of Cancer Prevention, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA
Princess Margaret Hospital, University of Toronto, Toronto, Ontario, Canada
Netherlands Cancer Institute, Amsterdam, The Netherlands
Cancer Care Ontario, Toronto, Ontario, Canada
Uppsala University, Uppsala, Sweden
Danish Cancer Society, Copenhagen, Denmark
Helsinki University Central Hospital, Helsinki, Finland
University of Iowa, Iowa City, Iowa, USA
The Dr. Daniel Den Hoed Cancer Center, Rotterdam, The Netherlands
Finnish Cancer Registry, Helsinki, Finland
University of Texas M.D. Anderson Cancer Center, Houston, TX, USA
Epidemiology and Genetics Unit, University of York, York, United Kingdom
International Epidemiology Institute, Rockville, MD, USA; Vanderbilt University Medical Center, Nashville, TN, USA
* Corresponding author; email: dahill{at}salud.unm.edu.
The importance of genetic and other risk factors in the development of breast cancer after radiotherapy (RT) for Hodgkin lymphoma (HL) has not been determined. We analyzed data from a breast cancer case-control study (105 cases, 266 controls) conducted among 3,817 survivors of HL diagnosed at age 30 years in six population-based cancer registries. Odds ratios (OR) and excess relative risks (ERR) were calculated using conditional regression. Women who received RT exposure ( 5 Gray (Gy) radiation dose to the breast) had a 2.7-fold increased breast cancer risk (95% confidence interval (CI) 1.4-5.2), compared with those given < 5 Gy. RT exposure ( 5 Gy) was associated with an OR of 0.8 (95% CI, 0.2-3.4) among women with a first- or second-degree family history of breast or ovarian cancer, and 5.8 (95% CI, 2.1-16.3) among all other women (interaction p-value=.03). History of a live birth appeared to increase the breast cancer risk associated with RT among women not treated with ovarian-damaging therapies. Breast cancer risk following RT varied little according to other factors. The additional increased relative risk of breast cancer after RT for HL is unlikely to be larger among women with a family history of breast or ovarian cancer than among other women.

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