Risk of breast cancer in families with cleft lip and palate

Ann Epidemiol. 2012 Jan;22(1):37-42. doi: 10.1016/j.annepidem.2011.09.003. Epub 2011 Oct 28.

Abstract

Purpose: To test whether female subjects in families with cleft lip and/or palate (CL/P) have an increased risk of breast cancer.

Methods: By using the Danish Facial Cleft Registry, we identified female subjects with CL/P, mothers of children with CL/P, and sisters to CL/P cases for the Danish birth cohorts 1911-1975. These subjects were compared with a 5% random sample of these cohorts regarding the incidence and age of onset for breast cancer registered in the Danish Hospital Discharge Register 1977-2005.

Results: Examining 48,404 person-years for 1809 female CL/P cases (49 breast cancer cases) and 212,795 person-years for 7935 female relatives (188 breast cancer cases), we found no increased breast cancer risk for either CL/P cases (hazard ratio [HR], 1.23; 95% confidence interval (CI), 0.92-1.63), mothers of children with CL/P (HR, 0.93; 95% CI, 0.80-1.08), or sisters of CL/P cases (HR, 0.94; 95% CI, 0.55-1.60), nor was there any significant differences in age of onset.

Conclusion: Both epidemiological and genetic studies have suggested common etiological factors for breast cancer and CL/P. However, in this population-based study we were not able to confirm a general increase in the risk of breast cancer among female subjects in families with CL/P.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Age of Onset
  • Breast Neoplasms / epidemiology*
  • Breast Neoplasms / genetics*
  • Child
  • Child, Preschool
  • Cleft Lip / genetics*
  • Cleft Palate / genetics*
  • Denmark / epidemiology
  • Female
  • Humans
  • Incidence
  • Infant
  • Infant, Newborn
  • Proportional Hazards Models
  • Registries
  • Risk Assessment
  • Statistics, Nonparametric