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Transient Increase in the Risk of Breast Cancer after Giving Birth

New England Journal of MedicinePublished 7 July 1994
Mats Lambe, Chung‐Cheng Hsieh, Dimitrios Trichopoulos, Anders Ekbom, María Pavía, Hans‐Olov Adami
Citations586
SJR quartileQ1
SJR score19.08
SNIP13.47

TL;DR

Pregnancy has a dual effect on the risk of breast cancer: it transiently increases the risk after childbirth but reduces the risk in later years, and in women with two pregnancies, the short-term adverse effect is masked by the long-term protection imparted by the first pregnancy.

Abstract

Pregnancy has a dual effect on the risk of breast cancer: it transiently increases the risk after childbirth but reduces the risk in later years. In women with two pregnancies, the short-term adverse effect is masked by the long-term protection imparted by the first pregnancy. A plausible biologic interpretation is that pregnancy increases the short-term risk of breast cancer by stimulating the growth of cells that have undergone the early stages of malignant transformation but that it confers long-term protection by inducing the differentiation of normal mammary stem cells that have the potential for neoplastic change.

Keywords

Medicine