RT Journal Article T1 Circulating prolactin and in situ breast cancer risk in the European EPIC cohort: a case-control study. A1 Tikk, Kaja A1 Sookthai, Disorn A1 Fortner, Renée T A1 Johnson, Theron A1 Rinaldi, Sabina A1 Romieu, Isabelle A1 Tjønneland, Anne A1 Olsen, Anja A1 Overvad, Kim A1 Clavel-Chapelon, Françoise A1 Baglietto, Laura A1 Boeing, Heiner A1 Trichopoulou, Antonia A1 Lagiou, Pagona A1 Trichopoulos, Dimitrios A1 Masala, Giovanna A1 Krogh, Vittorio A1 Tumino, Rosario A1 Ricceri, Fulvio A1 Mattiello, Amalia A1 Agudo, Antonio A1 Menéndez, Virginia A1 Sanchez-Perez, Maria-Jose A1 Amiano, Pilar A1 Chirlaque, Maria-Dolores A1 Barricarte, Aurelio A1 Bueno-de-Mesquita, HBas A1 Monninkhof, Evelyn M A1 Onland-Moret, N Charlotte A1 Andresson, Anne A1 Sund, Malin A1 Weiderpass, Elisabete A1 Khaw, Kay-Tee A1 Key, Timothy J A1 Travis, Ruth C A1 Merritt, Melissa A A1 Riboli, Elio A1 Dossus, Laure A1 Kaaks, Rudolf K1 Neoplasias de la Mama K1 Carcinoma in Situ K1 Estudios de Casos y Controles K1 Prolactina K1 Riesgo AB INTRODUCTIONThe relationship between circulating prolactin and invasive breast cancer has been investigated previously, but the association between prolactin levels and in situ breast cancer risk has received less attention.METHODSWe analysed the relationship between pre-diagnostic prolactin levels and the risk of in situ breast cancer overall, and by menopausal status and use of postmenopausal hormone therapy (HT) at blood donation. Conditional logistic regression was used to assess this association in a case-control study nested within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort, including 307 in situ breast cancer cases and their matched control subjects.RESULTSWe found a significant positive association between higher circulating prolactin levels and risk of in situ breast cancer among all women [pre-and postmenopausal combined, ORlog2 = 1.35 (95%CI 1.04-1.76), Ptrend = 0.03]. No statistically significant heterogeneity was found between prolactin levels and in situ cancer risk by menopausal status (Phet = 0.98) or baseline HT use (Phet = 0.20), although the observed association was more pronounced among postmenopausal women using HT compared to non-users (Ptrend = 0.06 vs Ptrend = 0.35). In subgroup analyses, the observed positive association was strongest in women diagnosed with in situ breast tumors <4 years compared to ≥4 years after blood donation (Ptrend = 0.01 vs Ptrend = 0.63; Phet = 0.04) and among nulliparous women compared to parous women (Ptrend = 0.03 vs Ptrend = 0.15; Phet = 0.07).CONCLUSIONSOur data extends prior research linking prolactin and invasive breast cancer to the outcome of in situ breast tumours and shows that higher circulating prolactin is associated with increased risk of in situ breast cancer. PB BioMed Central SN 1465-5411 YR 2015 FD 2015-03-31 LK http://hdl.handle.net/10668/1982 UL http://hdl.handle.net/10668/1982 LA spa NO Tikk K, Sookthai D, Fortner RT, Johnson T, Rinaldi S, Romieu I, et al. Circulating prolactin and in situ breast cancer risk in the European EPIC cohort: a case-control study. Breast Cancer Res. 2015; 17(1): 49 NO JOURNAL ARTICLE; DS RISalud RD Apr 8, 2025