2012, Number 4
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Rev Esp Med Quir 2012; 17 (4)
Prevalence of polycystovarian syndrome in patients with breast cancer and diabetes a possible risk factor?
Mora PJ, Ibáñez HL, Paredes PJC
Language: Spanish
References: 30
Page: 266-272
PDF size: 164.45 Kb.
ABSTRACT
Background: Polycystic ovarian syndrome (PCOS) is a risk factor for developing type 2 diabetes mellitus (T2D); hyperinsulinism
episodes produce a relative risk (RR) of 1.8 of developing breast cancer. It hasn’t been described the association of T2D + PCOS and
PCOS + breast cancer in Mexican patients.
Objectives: To determine if PCOS and PCOS + T2D are a factor associated with breast cancer.
Material and methods: We performed a case-control study of 29 patients with T2D + PCOS and breast cancer and 40 patients with
breast cancer, in which 30 clinical variables were evaluated.
Results: We found an odds ratio (OR) of having a relative with T2D and breast cancer of 5.55 (95% CI 0.798-38.71), p of 0.123. It
was identified an OR of having breast cancer and T2D of 2.857 (95% CI 0925-8823) with p of 0.068. Patients with PCOS and a firstline
relative with breast cancer had an OR of 1.308 (95% CI 0645-2653), with a p of 0.518. There is an association between body
mass index (BMI) and PCOS in patients with breast cancer with an OR of 3.6 (95% IC 1036-12507) and p of 0.044. The OR who have
PCOS and DM2 for developing breast cancer is of 1.209 (95% CI 0533-2743), the OR of having PCOS and develop DM2 in patients
with breast cancer is 0.775 (95% CI 0.259-2.3181).
Conclusions: PCOS and PCOS + T2D are potential risk factors for development of breast cancer in the Mexican population, although
further studies are needed with larger samples to demonstrate this association.
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