A. Ziogas et al., Cancer risk estimates for family members of a population-based family registry for breast and ovarian cancer, CANC EPID B, 9(1), 2000, pp. 103-111
Population-based breast and ovarian cancer family registries can facilitate
studies to evaluate genetic and environmental factors in the etiology of t
hese malignancies. The purpose of this study is to describe what is, as far
as we know, the first population-based breast and ovarian cancer family re
gistry and to estimate breast and ovarian cancer risk in relatives of breas
t and ovarian cancer probands, Population-based consecutive incident cases
of breast and ovarian cancer were invited to participate in the University
of California, Irvine breast and ovarian family registry. In this study, we
report data on 1567 breast cancer and 328 ovarian cancer probands, The ope
rational components of this family registry include enrollment of probands,
family history interviewing, confidentiality, pathology, verification and
review, biospecimen bank, statistical/genetic analysis, and special studies
on positional cloning of known genes. All of the components are tracked th
rough the University of California, Irvine Genetic Research Information Sys
tem. In non-Hispanic-white breast cancer probands, relative risk (RR) of br
east cancer in mothers and sisters is significantly elevated [RR = 1.7 and
95% confidence interval (CI) = 1.4-2.0 and RR = 2.8 and 95% CI = 2.3-3.3, r
espectively]. In families of ovarian cancer probands, mothers are at increa
sed risk of ovarian cancer (RR = 4.6; 95% CI, 2.1-8.7), RR of breast cancer
in mothers of Hispanic breast cancer probands is significantly elevated (R
R = 4.9; 95% CI, 2.6-8.5). No elevation of breast or ovarian cancer risk wa
s observed among relatives of Asian probands, In general, there is a decrea
se in RR among mothers and sisters with increase in age of onset of proband
s, In second-degree relatives and first cousins, the breast cancer hazards
ratios increase with increase in the number of affected first-degree relati
ves and decrease with increase in age at onset of the proband.