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Cited by 258

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Serum dioxin concentrations and breast cancer risk in the Seveso Women's Health Study.

Open access
Warner, Marcella, Eskenazi, Brenda, Mocarelli, Paolo, Gerthoux, Pier Mario, Samuels, Steven, Needham, Larry, Patterson, Donald, Brambilla, Paolo·2002·Environmental Health Perspectives

Abstract

2,3,7,8-Tetrachlorodibenzo-(italic)p(/italic)-dioxin (TCDD or dioxin), a widespread environmental contaminant, has been shown to disrupt multiple endocrine pathways. The International Agency for Research on Cancer classified TCDD as a known human carcinogen, primarily based on occupational studies of increased mortality from all cancers combined. Using data from the Seveso Women's Health Study (SWHS), we examined the association between individual serum TCDD levels and breast cancer risk in women residing around Seveso, Italy, in 1976, at the time of an industrial explosion that resulted in the highest known population exposure to TCDD. The SWHS cohort comprises 981 women who were infants to 40 years old in 1976, resided in the most contaminated areas at the time of the explosion, and had archived sera that was collected soon after the explosion. For each woman, serum TCDD exposure was measured by high-resolution mass spectrometry. Cancer cases were identified during interview and confirmed by medical record. At interview, 15 women (1.5%) had been diagnosed with breast cancer and serum TCDD levels for cases ranged from 13 to 1,960 ppt. Cox proportional hazards modeling showed that the hazard ratio for breast cancer associated with a 10-fold increase in serum TCDD levels (log(subscript)10(/subscript) TCDD) was significantly increased to 2.1 (95% confidence interval, 1.0-4.6). Covariate-adjusted results were not different. Individual serum TCDD is significantly related with breast cancer incidence among women in the SWHS cohort. Continued follow-up of the cohort will help shed light on the possible role of TCDD in the pathogenesis of breast cancer.

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Metadata

Authors
Warner, M., Eskenazi, B., Mocarelli, P., Gerthoux, P. M., Samuels, S., Needham, L., Patterson, D., & Brambilla, P.
Venue
Environmental Health Perspectives
Published
2002-07
Volume
110
Issue
7
Pages
625-628
ISSN
  • 0091-6765 (ISSN-L)
  • 1552-9924
OpenAlex
W1966828683
Cited by
258
References
25
FWCI
8.84
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Serum dioxin concentrations and breast cancer risk in the Seveso Women's Health Study. https://app.cochat.ai/papers/10.1289/ehp.02110625
The paper
Warner, M., Eskenazi, B., Mocarelli, P., Gerthoux, P. M., Samuels, S., Needham, L., Patterson, D., & Brambilla, P. (2002). Serum dioxin concentrations and breast cancer risk in the Seveso Women's Health Study. Environmental Health Perspectives. https://doi.org/10.1289/ehp.02110625

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