Risk Factors and Mortality Among Women With Interval Breast Cancer vs Screen-Detected Breast Cancer

  • 0Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Republic of Korea.

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Summary

This summary is machine-generated.

Risk factors for interval breast cancer (IBC) in Korean women include lower breast density and lack of family history. While overall mortality is comparable to screen-detected breast cancer (SBC), early IBC diagnosis is linked to higher mortality.

Area Of Science

  • Oncology
  • Radiology
  • Public Health

Background

  • Interval breast cancer (IBC) risk factors and survival outcomes compared to screen-detected breast cancer (SBC) are understudied in Korean women.
  • Understanding these differences is crucial for optimizing breast cancer screening strategies.

Purpose Of The Study

  • To evaluate risk factors associated with IBC and survival outcomes in Korean women.
  • To compare IBC with SBC in terms of risk factors and mortality.

Main Methods

  • Retrospective cohort study using the Korean National Health Insurance Service Database (2009-2012 screening participants).
  • Inclusion of 8702 women with IBC and 9492 women with SBC.
  • Mortality outcomes tracked until December 2020.

Main Results

  • Increased mammographic density was associated with a decreased probability of IBC.
  • Lower body mass index, postmenopausal status, hormone replacement therapy (HRT) use, and no family history of breast cancer were linked to higher IBC likelihood.
  • IBC diagnosed 6-12 months post-screening had higher total and cancer-related mortality than SBC.

Conclusions

  • Breast density, obesity, and HRT use are associated with IBC risk.
  • Supplemental breast ultrasound may reduce IBC incidence in women with dense breasts.
  • Overall mortality for IBC is comparable to SBC, but early detection (6-12 months) carries higher mortality risks.

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