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penelitian
menunjukkan , penggunaan
beberapa pil KB dapat meningkatkan risiko kanker payudara
Wanita yang
baru saja digunakan pil yang mengandung estrogen dosis tinggi dan beberapa
formulasi lainnya memiliki peningkatan risiko untuk kanker payudara, sedangkan
wanita yang menggunakan
beberapa formulasi lain
Recent use of some birth control pills may increase breast cancer risk,
study suggests
Date:
August 1,
2014
Source:
American Association for Cancer
Research
Summary:
Women who recently used birth control pills containing
high-dose estrogen and a few other formulations had an increased risk for
breast cancer, whereas women using some other formulations did not, according
to new data.
....................
Women who recently used birth control pills containing
high-dose estrogen and a few other formulations had an increased risk for
breast cancer, whereas women using some other formulations did not, according
to data published in Cancer Research,
a journal of the American Association for Cancer Research.
"Our
results suggest that use of contemporary oral contraceptives [birth control
pills] in the past year is associated with an increased breast cancer risk
relative to never or former oral contraceptive use, and that this risk may vary
by oral contraceptive formulation," said Elisabeth F. Beaber, PhD, MPH, a
staff scientist in the Public Health Sciences Division of Fred Hutchinson
Cancer Research Center in Seattle, Washington.
"Our
results require confirmation and should be interpreted cautiously," added
Beaber. "Breast cancer is rare among young women and there are numerous
established health benefits associated with oral contraceptive use that must be
considered. In addition, prior studies suggest that the increased risk
associated with recent oral contraceptive use declines after stopping oral
contraceptives."
In a nested
case-control study of 1,102 women diagnosed with breast cancer and 21,952
controls, Beaber and colleagues found that recent oral contraceptive use
increased breast cancer risk by 50 percent, compared with never or former use.
All study participants were at Group Health Cooperative in the Seattle-Puget
Sound area. Patients received a cancer diagnosis between 1990 and 2009.
Birth
control pills containing high-dose estrogen increased breast cancer risk
2.7-fold, and those containing moderate-dose estrogen increased the risk
1.6-fold. Pills containing ethynodiol diacetate increased the risk 2.6-fold,
and triphasic combination pills containing an average of 0.75 milligrams of
norethindrone increased the risk 3.1-fold.
Birth
control pills containing low-dose estrogen did not increase breast cancer risk.
About 24
percent, 78 percent, and less than 1 percent of study controls who were recent
oral contraceptive users filled at least one prescription in the past year for
low-, moderate-, and/or high-estrogen dose oral contraceptives, respectively,
according to Beaber.
Unlike most
previous studies that depended on women's self-report or recall, which may cause
bias, Beaber and colleagues used electronic pharmacy records to gather detailed
information on oral contraceptive use including drug name, dosage, and duration
of medication.
Story
Source:
The above
story is based on materials provided by American Association for Cancer Research. Note: Materials may be edited
for content and length.
Journal
Reference:
- E. F. Beaber, D. S. M. Buist, W. E. Barlow, K. E. Malone, S. D. Reed, C. I. Li. Recent Oral Contraceptive Use by Formulation and Breast Cancer Risk among Women 20 to 49 Years of Age. Cancer Research, 2014; 74 (15): 4078 DOI: 10.1158/0008-5472.CAN-13-3400