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Placental Weight and Maternal Risk of Breast Cancer
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To the Editor: Dr Cnattingius and colleagues1 describe a positive association between placental weight and maternal risk of breast cancer. However, they did not specifically address how placental size affects the risk of breast cancer compared with nulliparous women. In the absence of this information, it is difficult to know how to use the results of this study in counseling patients.
For example, the results indicate that a woman who had 2 consecutive births with placentas weighing more than 700 g is at a 2-fold increased risk of breast cancer compared with a woman with placentas weighing less than 500 g in both births. However, this does not indicate whether she is at higher or lower risk for breast cancer than a woman who has never achieved pregnancy. It does not help answer the question whether large placentas obliterate the protective effect of pregnancy.2
Without this perspective, a reader might . . . [Full Text of this Article]
Ringland S. Murray, MD
ringland_murray@med.unc.edu Department of Obstetrics and Gynecology University of North Carolina Chapel Hill
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