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Updated: Mar 11, 2026

Modeling Breast Cancer in Human Breast Tissue using a Microphysiological System
Published on: April 23, 2021
Obesity and Breast Cancer
Renée T Fortner1, Verena Katzke2, Tilman Kühn2
1Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany. r.fortner@dkfz.de.
Adiposity, or excess body fat, influences breast cancer risk and survival. This review examines how different measures of body fat, timing of assessment, and tumor characteristics impact these relationships.
Area of Science:
- Oncology
- Epidemiology
- Endocrinology
Background:
- The link between body fat and breast cancer is intricate, varying by menopausal status and obesity timing.
- Obesity's effect on breast cancer risk is further modified by hormone receptor status and hormone replacement therapy (HRT) use in postmenopausal women.
Purpose of the Study:
- To review the complex associations between various measures of adiposity and breast cancer risk and survival.
- To explore the impact of childhood/adolescent adiposity, general obesity, weight fluctuations, and abdominal fat on breast cancer outcomes.
Main Methods:
- Systematic literature review and synthesis of existing research.
- Analysis of epidemiological studies investigating adiposity metrics and breast cancer incidence and mortality.
Main Results:
- Associations between adiposity and breast cancer risk differ significantly between premenopausal and postmenopausal women.
- Obesity is linked to altered breast cancer prognosis, with effects varying by tumor estrogen (ER) and progesterone (PR) receptor status.
Conclusions:
- Adiposity is a critical factor influencing breast cancer development and survival, with nuanced relationships based on individual characteristics and disease subtypes.
- Understanding these complex links is essential for developing targeted prevention and treatment strategies for breast cancer.
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