THURSDAY, May 1 (HealthDay News) -- Women who take an aspirin
each day may reduce their risk of developing the most common type
of breast cancer by 16 percent, according to the results of a large
study.
Estrogen receptor-positive breast cancer accounts for some 75
percent of all breast cancers, experts say. While aspirin reduced
the risk of this form of breast malignancy, other painkillers did
not, the U.S. team found.
"Many studies have looked at the relationship between
nonsteroidal anti-inflammatory drugs (NSAIDs) and cancer, and the
results have been all over the board," said lead researcher
Gretchen Gierach, a cancer prevention fellow at the U.S. National
Cancer Institute. "We want to further examine the question to see
if we can add some clarity, since studies have looked at NSAIDs but
haven't broken them down by type of NSAID."
The report is published in the April 30 online edition of
Breast Cancer Research.
In the study, Gierach's team collected data on more than 127,000
women aged 51 to 72 with no history of cancer. All had participated
in the U.S. National Institutes of Health-AARP Diet and Health
Study. That study was designed to look at diet, health-related
behaviors, and the risk for cancer.
Gierach noted that aspirin does has different biological effects
compared to other NSAIDs.
Aspirin is one of many NSAIDs but unlike other NSAIDs it has
irreversible effects on cyclooxygenase (COX) enzymes. For this
reason, the researchers looked at the differences in cancer risk
based on whether women took aspirin or other NSAIDs.
"Among women who reported taking aspirin on a daily basis there
was a modest reduction in estrogen receptor-positive breast
cancer," Gierach said.
Overall, NSAIDs did not affect the total risk of breast cancer.
However, the daily use of aspirin was associated with a 16 percent
reduction in the risk for estrogen receptor-positive breast
tumors.
There was no link between daily aspirin and the incidence of
estrogen receptor-negative breast cancer, the researchers
report.
The finding could have important implications for cancer
prevention, Gierach says, but a lot more work is needed to see if
the effect is real. Moreover, she believes that it is still too
early to recommend that women start taking aspirin to prevent
breast malignancy.
"This is an exciting implication, if it's true," Gierach said.
"But we need further clarity from other studies."
One expert noted that chronic aspirin use can have serious
consequences and should not be used for cancer prevention.
"The American Cancer Society does not recommend using aspirin
for cancer prevention because aspirin can cause serious
gastrointestinal bleeding," said Eric J. Jacobs, Strategic Director
of Pharmacoepidemiology in the department of epidemiology and
surveillance research at the American Cancer Society.
Whether or not you should use aspirin for disease prevention is
a question that should be discussed with your doctor, who can take
your medical history into account, Jacobs said. "This decision
should be based on balancing the proven benefits of aspirin in
preventing heart disease against the proven risks of serious
gastrointestinal bleeding," he said.
Another expert was intrigued by the findings.
"This theory has been around for many years," said Barbara
Brenner, executive director of Breast Cancer Action. "If this
works, it is a very exciting development for a lot of people who
are thinking about how we can control not only cancer, but the
price of cancer drugs."
The finding is confirming what many people have thought for a
long time, Brenner added. But she stressed that aspirin would not
be "a cure-all, it's only reducing the risk of estrogen
positive-breast cancer."
Like the other experts, Brenner doesn't advise women to start
taking aspirin to prevent breast cancer. "There are risks with
aspirin, and there are people for whom aspirin is not indicated,"
she said. "But they might want to talk to their doctors about this
study and whether aspirin is appropriate for them."
More information
For more information on breast cancer, visit the
U.S. National Cancer Institute.