1983
DOI: 10.1289/ehp.8350209
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Factors that promote the development of human breast cancer.

Abstract: Epidemiologic and endocrinologic studies of breast cancer etiology are reviewed in the context of the Moolgavkar two-stage model for mammary carcinogenesis. Promoters are hypothesized to enhance the growth of stem and intermediate cells, and initiators are assumed to cause stem and intermediate cells to give rise to intermediate and tumor cells, respectively. Although all epidemiologic features of breast cancer can be explained in terms of the cellular events supposed by the model, the specific causes of breas… Show more

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Cited by 13 publications
(5 citation statements)
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“…This hypothesis for humans is consistent with observations in laboratory animals by Ross et al (1983). The association between breast cancer and body size may, therefore, be indirect (Thomas, 1983).…”
Section: Anthropometry and Breast Cancermentioning
confidence: 99%
See 1 more Smart Citation
“…This hypothesis for humans is consistent with observations in laboratory animals by Ross et al (1983). The association between breast cancer and body size may, therefore, be indirect (Thomas, 1983).…”
Section: Anthropometry and Breast Cancermentioning
confidence: 99%
“…Moolgavkar et al (1980) and Thomas (1983) have argued, however, that hormones per se are unlikely to be of primary importance in determining overall risk in populations, although they may influence the epidemiology of breast cancer through their actions on growth in non-neoplastic breast tissue.…”
Section: Endogenous Hormonesmentioning
confidence: 99%
“…Notably, an extended duration of breastfeeding consistently emerges as a robust predictor of breast cancer risk across studies. Beyond temporary or long-term changes in pituitary and ovarian hormones 59 60 61 62 . Noteworthy among these factors is transforming growth factor-beta, which exhibits hormonally regulated negative effects on breast cancer cells 63 64 .…”
Section: Reviewmentioning
confidence: 99%
“…Miller [96] argued that an increased intake of nutrients in early life would be related to larger body size, rather than obesity per se. The association between breast cancer and body size may, therefore, be indirect [97], In many populations the average body size has in creased, and there has been a trend towards earlier sexual maturation [44,60]. The evidence that improved nutri tion is an important factor in the decline in the age at menarche is largely circumstantial.…”
Section: Growth Menarche and Later Outcomesmentioning
confidence: 99%