ArticleBreast cancer research : BCR2025
Early thelarche, reproductive hormones, and MRI-based breast density: a prospective study in China.
Article in Breast cancer research : BCR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe age of thelarche in girls has declined globally. While earlier menarche has been linked to higher breast density - a known risk factor for breast cancer - the association between earlier thelarche and breast density remains unclear.
methods114 Girls presenting with idiopathic central precocious puberty without medication (ICPP), early thelarche (ET), and normal age at thelarche (NT) were recruited from pediatric endocrine clinics of three hospitals during the year of 2020-2021 in Hefei, Anhui Province, China and were followed up for 3-5 years. Participants had their breast composition measured by MRI at 1-year post menarche. Fasting blood samples were collected at baseline and follow-up to measure of reproductive hormone concentrations.
resultsThe ET group and ICPP group exhibited significantly higher percent fibroglandular volume (%FGV: 42.1%, 52.0% ) and fibroglandular volume (FGV: 183.3 cm
conclusionIn this cohort study, earlier thelarche (even between 8.0 and 9.0 years) was associated with higher %FGV and FGV. Prolonged estrogen exposure may represent a modifiable mediator that could be targeted for breast cancer prevention strategies in girls with earlier puberty.
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