Table 1: List of the reviewed studies and the salient research process.
Author |
Location of study and participants |
Study design & sample size (n) |
Exposure assessment (& method used) |
Results |
Comments |
Demers, et al. [3] |
Quebec, Canada Rural and Urban subjects |
Case control study (cases = 315, controls = 526) |
Concentration of PCG congeners measured in plasma lipids by high resolution gas chromatography |
Lymph node invasion among cases increased with p,p’-DDE (OR: 2.54; 95% CI: 1.2-5.35) |
Exposure to OC during adulthood is not associated with risk of breast cancer |
Silva AMC, et al. [4] |
Rondonopolis, Brazil Urban subjects |
Case control study (85 cases, 266 controls) |
Assessment of environmental exposure to Pesticides through oral questionnaires |
Living near cropland with pesticides and women aged > 50 yrs had high risk |
Increasing trend of cancer due to diffusion of carcinogenic agents in the environment, including its effect during various stages of organ development |
Ting-Ting He, et al. [6] |
Qingdao, China Rural and Urban subjects
|
Hospital based case control study (n = 102) |
OC pesticide product accumulation in breast adipose tissue by gas chromatography |
High levels of pp’DDE and PCB-52 was found in breast cancer patients |
Concentration of pp’DDE and PCB-52 were not related to clinico pathologic parameters of breast cancer |
Rodgers K.M [7] |
Massachusetts, US |
Systematic review of 158 articles |
EDCs, PAHs, BPA, Phthalates, PFASs* |
Higher risk for exposures during breast development to DDT, air pollution |
Chemicals in current consumer use products with potential for cancer causation need to be studied. |
Demers, et al. [8] |
Quebec, Canada Urban subjects |
Case control (cases: 315, controls: 526) |
Plasma lipid concentrations of chlorinated pesticides and PCB congeners |
Risk for these congeners, OR: 2.02 (1.24-3.28), |
Exposure to dioxin like mono-ortho PCB congeners increases risk of breast cancer |
Mathur V, et al. [9] |
Jaipur, India
|
|
Blood samples were collected to evaluate the body burden of OC |
OC were significantly high in patients |
Rural women had high levels of OC when compared to urban women |
Kettles M.K, et al. [10] |
Kentucky, US Rural areas |
4,859 wells were tested and 1979 survey of amount of pesticide used in each County was examined |
Triazine herbicide exposure determined by water contamination data and corn crop production |
County level exposure was significant for Medium (OR: 1.14) and High (OR: 1.2) categories |
Acres of corn planted serves as a reasonable proxy of triazine use |
Rich, et al. [11] |
Kentucky, US Rural subjects |
Ecologic study, secondary data (1993-97) used to assess atrazine exposure |
Public water samples, Acres of corn planted, Pounds of atrazine sold |
Null association across all exposure indices |
Individual level data are ideal to elucidate the relationship |
Guttes, et al. [12] |
Hasse, Germany Rural and Urban subjects |
Case control study (cases = 45, controls = 20) |
Surgically removed breast tissue was examined by capillary gas chromatography |
Significantly high pesticide concentration in breast cancer tissues |
Surgical procedures did not influence the results |
Aronson, et al. [13] |
Ontario, Canada Rural and Urban subjects |
Case control (cases = 217, controls = 213) |
Excision biopsy of breast adipose tissue |
Breast cancer risk elevated for PCBs 105 & 118 (OR > 2 in highest category) |
Breast tissue biopsy represents cumulative exposure at target site |
Wolff, et al. [14] |
NewYork city, US Urban subjects |
Hospital based Case control study (cases = 175, controls = 355) |
OC exposure |
OC levels not associated with risk of Breast cancer, nor did it differ with tumor stage or markers |
High DDE levels in high BMI individuals, low HPCB among low BMI individuals |
Romiew, et al. [15] |
Mexico city, Mexico Urban subjects |
Subsample of a large breast cancer case control study (cases = 120, controls = 126) |
Serum OC levels measured in the original study. Subjects were sampled from them. |
Risk increase with high serum DDE levels (ORQ1-Q4 = 3.81, 95% CI: 1.14, 12.8), test of trend, p = 0.02 |
Longer period of lactation is associated with a slightly decreased risk of breast cancer |
Hoyer, et al. [16] |
Copenhagen, Denmark Urban subjects
|
Cohort nested Case control study (cases = 161, controls = 322) |
OC (Dieldrin) exposure |
Exposure to large levels of OC increase the risk by 7 fold for ERN breast cancer |
Adverse effect of OC on prognosis of hormone responsive breast cancer needs to be clarified |
Tayour C, et al. [17] |
California, US, Rural subjects, |
Case control study (cases: 155, controls: 150) |
OC & OP (Chlorpyrifos) pesticides were assessed using historic pesticide exposure data and geocoded location histories, |
High risk for women exposed to chlorpyrifos |
Need to objectively assess exposure to specific pesticides occurring decades before breast cancer diagnosis |
Krieger, et al. [18] |
San Francisco Bay area, US Urban subjects |
Nested case control |
Serum levels of DDE and PCBs |
Data does not show an association between DDE & PCB exposure |
Lack of association was regardless of length of follow-up, case patient’s menopausal and estrogen receptor status |
Engel L.S, et al. [19] |
Iowa and North Carolina, US, Rural subjects |
Prospective cohort study (n = 30,454) |
Pesticide use assessed by oral questionnaire |
Elevated risk for women whose homes were closest to areas of pesticide application |
Non-differential exposure misclassification due to recall bias, while self-reporting for exposure assessment |
Kaur N, et al. [20] |
Delhi, India Urban subjects |
Hospital based case control study (42 cases, 42 controls) |
Biopsy proven women with carcinoma breast aged ≤ 40 years, |
Significant risk was found for heptachlor, DDE, Dieldrin and β-HCH |
Exposure to OCPs could increase the incidence of breast cancer among young women in India |
Shakeel, et al. [21] |
Trivandrum, India |
Systematic review of 41 articles |
DDT, DDE, PCB, HCB, HCH |
DDT is positively associated with breast cancer. |
Level of Pesticide exposure is more in developing than developed countries. |
*PFASs: Per and Polyfluoroalkyl Substances.