Environment and Breast Cancer: Science Review
	Polychlorinated biphenyls and breast cancer risk by combined estrogen and progesterone receptor status
	Rusiecki, J. A., Holford, T. R., Zahm, S. H., Zheng, T. European Journal of Epidemiology. 2004. 19:8, 793-801.
	 Topic area
Environmental pollutant - Organochlorine, PCB
Environmental pollutant - Organochlorine, PCB
	 Study design
Hospital based case-control
Hospital based case-control
Study Participants
	 Number of Cases
244
244
	 Menopausal Status
	
Post menopausal
 The menopausal status of women included in this study is listed here.
	Pre menopausalPost menopausal
	Number  of Controls  
Controls: 186
Controls: 186
	 Participant selection: Inclusion and exclusion criteria
	
 Criteria used to select participants in the study.
	Controls were patients undergoing breast surgery but who were diagnosed either with benign breast disease, or normal breast tissue. 
	 Exposures investigated
Breast adipose tissue and serum concentrations of PCBs (lipid-adjusted).
Breast adipose tissue and serum concentrations of PCBs (lipid-adjusted).
	 How exposure was measured
Biological
Biological
	 Breast cancer outcome investigated
Primary breast cancer
Primary breast cancer
	 Ethnic groups with separate analysis
	
 If this study provided a separate analysis by ethnic or racial group, the groups are listed here.
	No
	 Confounders considered
	
 Other breast cancer risk factors, such as family history, age at first birth, and hormone replacement therapy use, that were taken into account in the study.
	Age, age at menarche, breastfeeding period, BMI, parity, age at first birth, family history of breast cancer. 
	 Genetic characterization included
	
 If the study analyzed relationships between environmental factors and inherited genetic variations, this field will be marked “Yes.” “No”, if not.
	No
	 Description of major analysis
Multiple logistic regression.
Multiple logistic regression.
	 Strength of associations reported
No elevated risks were seen for any ER/PR combination for congeners 187, 74, 118, 138, 156, 170, 153, or 180. Among postmenopausal women, an association was only seen for ER+/PR+ tumors for BZ-183 (highest tertile OR = 2.4, 1.0-6.0).
No elevated risks were seen for any ER/PR combination for congeners 187, 74, 118, 138, 156, 170, 153, or 180. Among postmenopausal women, an association was only seen for ER+/PR+ tumors for BZ-183 (highest tertile OR = 2.4, 1.0-6.0).
	 Author address
Department of Epidemiology and Public Health, Yale University School of Medicine, USA. rusieckj@mail.nih.gov
Department of Epidemiology and Public Health, Yale University School of Medicine, USA. rusieckj@mail.nih.gov
	 Controls participation rate
Not reported
Not reported