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Younger women whose body mass index is in the highest quartile
may be more than twice as likely to die of breast cancer within
five years of diagnosis, according to researchers at the Fred
Hutchinson Cancer Research Center.
Researchers
studied 1,177 women under age 45 who had invasive ductal breast
cancer. Their BMI was recorded as of one year prior to cancer
diagnosis.
Women in the
top quartile of BMI measurement had larger tumors of higher histologic
grade and higher mitotic cell count than women in the lower quartiles
of BMI, according to the study published in Cancer.
Women with
a higher BMI were also more likely to have estrogen receptor negative
tumors, the researchers said.
Researchers
speculate that tumor growth rate may be affected by metabolic
pathways that are related to insulin resistance, insulin-like
growth factors, and leptin.
Researchers
concluded that body mass index may be a key clinical prognostic
factor that should be considered in the process of working up
breast cancer cases and recommended that it be considered in the
treatment plan.
Other
Sources: Fred Hutchinson Cancer Research Center, Cancer
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