Abstract
Intensive epidemiological studies have identified a number of genetic risk factors associated with breast cancer, including evidence of BRCA1 and BRCA2 susceptibility genes, familiar history of cancer in the breast, ovary or endometrium and individual history of breast diseases [1]. An increased risk has also been associated with early onset of menstruation, nulliparity or delayed first childbirth, short duration of breast feeding, late menopause, use of hormone replacement therapy and increased bone density [2–4]. A principal culprit common for all these endocrine-related risk factors is the prolonged exposure to female sex hormones [5–8]. The hormonal influences have been mainly attributed to unopposed exposure to elevated levels of estrogens [5], as has been indicated for a variety of female cancers, namely, vaginal, hepatic and cervical carcinomas [9–11]. Exposure to estrogens, particularly during the critical developmental periods (e.g., in utero, puberty, pregnancy, menopause), also affects affective behaviors (e.g., depression, aggression, alcohol intake) and increases breast cancer risk [12].
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Russo, J., Russo, I.H. (2004). The Role of Estrogen in Breast Cancer. In: Molecular Basis of Breast Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18736-0_4
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