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 accessAbstract
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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Cites
Cancer Incidence in Five Continents
(1970) · Springer eBooks · doi:10.1007/978-3-642-85851-2 · Cited by 8,501
Estimation of Average Concentration in the Presence of Nondetectable Values
Hornung, R. W., & Reed, L. D. (1990) · Applied Occupational and Environmental Hygiene · doi:10.1080/1047322x.1990.10389587 · Cited by 3,495
Paternal concentrations of dioxin and sex ratio of offspring
Mocarelli, P., Gerthoux, P. M., Ferrari, E., Patterson, D. G., Kieszak, S. M., Brambilla, P., Vincoli, N., Signorini, S., Tramacere, P., Carreri, V., et al. (2000) · The Lancet · doi:10.1016/s0140-6736(00)02290-x · Cited by 442
Self-citationBreast Cancer Epidemiology: Summary and Future Directions
Kelsey, J. L. (1993) · Epidemiologic Reviews · doi:10.1093/oxfordjournals.epirev.a036112 · Cited by 341
The mechanism of dioxin toxicity: relationship to risk assessment.
Birnbaum, L. S. (1994) · Environmental Health Perspectives · doi:10.1289/ehp.94102s9157 · Cited by 336
Change in sex ratio with exposure to dioxin
Mocarelli, P., Brambilla, P., Gerthoux, P. M., Jr, D. G. P., & Needham, L. L. (1996) · The Lancet · doi:10.1016/s0140-6736(05)65030-1 · Cited by 325
Self-citationCancer mortality among workers in chemical plant contaminated with dioxin
Manz, A., Flesch-Janys, D., Waltsgott, H., Berger, J., Nagel, S., & Dwyer, J. H. (1991) · The Lancet · doi:10.1016/0140-6736(91)91835-i · Cited by 283
Mundt, K. A., & Dell, L. D. (1998) · PubMed · Cited by 269
Cancer Incidence in a Population Accidentally Exposed to 2,3,7,8-Tetrachlorodibenzo-para-dioxin
Bertazzi, P. A., Pesatori, A. C., Consonni, D., Tironi, A., Landi, M. T., & Zocchetti, C. (1993) · Epidemiology · doi:10.1097/00001648-199309000-00004 · Cited by 267
Ah receptor agonists as endocrine disruptors: antiestrogenic activity and mechanisms
Safe, S., Wang, F., Porter, W., Duan, R., & McDougal, A. (1998) · Toxicology Letters · doi:10.1016/s0378-4274(98)00331-2 · Cited by 257
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Gore, A. C., Chappell, V. A., Fenton, S. E., Flaws, J. A., Nadal, A., Prins, G. S., Toppari, J., & Zoeller, R. T. (2015) · Endocrine Reviews · doi:10.1210/er.2015-1010 · Cited by 2,407
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Shetty, S. S., D, D., S, H., Sonkusare, S., Naik, P. B., Kumari N, S., & Madhyastha, H. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e19496 · Cited by 521
DDT and breast cancer in young women: new data on the significance of age at exposure
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Cancer and developmental exposure to endocrine disruptors.
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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
- Publisher
- American Chemical Society (ACS)
- 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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