Publications by authors named "Mary Beth Terry"

Article Synopsis
  • Recent studies indicate a rise in early-onset cancer cases under age 50, raising questions about whether this increase is due to earlier detection or a real rise in cancer risk.
  • The authors propose a modified Multi-Stage Clonal Expansion model that includes tumor size at diagnosis and improved detection methods to differentiate between apparent effects and true increases in risk.
  • Their analysis of colorectal, breast, and thyroid cancers shows that more recent birth cohorts experience faster cancer progression, supporting the idea of real increases in early-onset cancer risk rather than solely improved diagnostics.
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Menopausal users of hormone replacement therapy (HRT) are at increased breast cancer risk and decreased colorectal cancer (CRC) risk compared with individuals who have never used HRT, but these opposing associations may differ by familial risk of breast cancer and CRC. We harmonized data from 3 cohorts and generated separate breast cancer and CRC familial risk scores based on cancer family history. We defined moderate or strong family history as a risk score of 0.

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  • Alcohol consumption is linked to an increased risk of female breast cancer, making it important to understand how cessation impacts this risk.
  • A recent meta-analysis found that women who stop drinking may have a reduced risk of estrogen receptor positive (ER+) breast cancer (RR=0.88), while there is no significant risk reduction for estrogen receptor negative (ER-) breast cancer (RR=1.23).
  • The study suggests that quitting alcohol may lower the risk of developing ER+ breast cancer, but more research is needed to explore how long cessation effects last.
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  • Elevated mammographic density increases the risk of breast cancer, and understanding how changes in density over time contributes to this risk is crucial, especially considering factors like family history and menopause.
  • In a study with 323 breast cancer cases and 899 controls, researchers found that cases had higher initial mammographic density and a slower decline in density compared to controls, suggesting that stable and increasing density levels are linked to a greater risk of breast cancer.
  • The stronger association between mammographic density changes and cancer risk was observed in pre-menopausal women and those with lower familial risk, indicating the relevance of monitoring density changes over time for assessing breast cancer risk.
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Background: Breast cancer (BC) rates have been increasing in young women in the U.S. Alcohol is an established risk factor for breast cancer and has been consistently associated with hormone receptor positive cancers, the type of breast cancer that has been increasing the fastest in young women.

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  • The study investigates the relationship between recreational physical activity (RPA) in adolescence and early adulthood and breast cancer (BC) risk in women under 40 years old, using data from a large international family cohort.
  • Results indicate that higher levels of RPA are linked to reduced BC risk, with a 12% lower risk during adolescence and a 16% lower risk during early adulthood for women in the highest activity quartiles.
  • The findings suggest that encouraging more physical activity in young women could be a crucial strategy for lowering the increasing incidence of breast cancer in this age group.
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  • The study investigates the rising rates of early-onset cancers in people aged 25-49 and explores whether this trend is linked to increasing obesity levels globally from 2000-2012.
  • It analyzed cancer incidence data from 42 countries and found notable increases in both obesity-related and non-obesity-related cancers, with the most significant rises in Western nations.
  • Results indicated a positive correlation between the prevalence of overweight and obesity and the incidence of certain obesity-related cancers, particularly colon, rectal, and pancreatic cancers, with a delay of up to 15 years in cancer diagnosis being considered in the analysis.
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  • Breast cancer (BC) is the most common cancer among women, and metabolomics could help explain the rising incidence beyond known risk factors.* -
  • A study involving 40 BC cases and 70 controls identified eight metabolic features linked to BC risk, though statistical significance was lost after accounting for multiple comparisons.* -
  • Incorporating these metabolic features into predictive models improved breast cancer risk assessment accuracy significantly, suggesting potential for future research in larger cohorts.*
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  • The study investigates the relationship between hormonal contraceptive use and breast cancer risk in both unaffected women and mutation carriers.
  • Out of the participants, it was found that hormonal contraceptive use was linked to a higher breast cancer risk in mutation carriers, particularly with longer duration of use.
  • The findings suggest that decisions regarding hormonal contraceptive use for women with genetic mutations should consider individual risk factors and benefits.
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Importance: Few studies have investigated whether the associations between pregnancy-related factors and breast cancer (BC) risk differ by underlying BC susceptibility. Evidence regarding variation in BC risk is critical to understanding BC causes and for developing effective risk-based screening guidelines.

Objective: To examine the association between pregnancy-related factors and BC risk, including modification by a of BC where scores are based on age and BC family history.

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Despite widespread use of hair products globally, little is known about the prevalence and patterns of use in populations outside the United States. As some hair products contain endocrine-disrupting chemicals (EDCs) and EDCs have been linked to breast cancer, which is increasing globally, in this study, we addressed key knowledge gaps about hair product use and practices, and perceptions of use among women in two counties in Kenya. Using community-engaged approaches in Embu and Nakuru, Kenya, we recruited women aged 15-50 years to complete a questionnaire that ascertained hair product use in the last 7-14 days, ever using hair dyes and chemical relaxers, and participants' perceptions or harm around hair product use.

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  • Employment and working conditions are key factors that influence health outcomes and life expectancy, but many studies overlook their effects.
  • This study used data from the French National Health and Career Path survey to assess the impact of job control, job insecurity, unemployment, and physical activity on life expectancy differences among socio-occupational groups.
  • Results showed that men could lose 1.3 to 3.3 years and women 0.5 to 1.8 years of life due to these factors, highlighting the importance of improving working conditions to enhance overall health and life expectancy.
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Even though many environmental carcinogens have been identified, studying their effects on specific cancers has been challenging in non-occupational settings where exposures may be chronic but at lower levels. Although exposure measurement methods have improved considerably, along with key opportunities to integrate multi-omic platforms, there remain challenges that need to be considered particularly around the design of studies. Cancer studies typically exclude individuals with prior cancers and start recruitment in midlife.

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  • The study focused on understanding how common endocrine resistance is among Hispanic Mexican breast cancer patients at INCan and the clinical factors related to it.
  • Endocrine resistance was found in 32.5% of analyzed patients, with larger tumor sizes and worse node status linked to this resistance.
  • The presence of endocrine resistance greatly affected patient survival, with advanced clinical stages significantly increasing the risk, although achieving a complete pathological response lowered this risk.
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Deep learning-based mammographic evaluations could noninvasively assess response to breast cancer chemoprevention. We evaluated change in a convolutional neural network-based breast cancer risk model applied to mammograms among women enrolled in SWOG S0812, which randomly assigned 208 premenopausal high-risk women to receive oral vitamin D3 20 000 IU weekly or placebo for 12 months. We applied the convolutional neural network model to mammograms collected at baseline (n = 109), 12 months (n = 97), and 24 months (n = 67) and compared changes in convolutional neural network-based risk score between treatment groups.

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Genome-wide association studies (GWAS) have been helpful in identifying genetic variants predicting cancer risk and providing new insights into cancer biology. Increasing use of genetically informed care, as well as genetically informed prevention and treatment strategies, have also drawn attention to some of the inherent limitations of cancer genetic data. Specifically, genetic endowment is lifelong.

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Purpose: Nationally legislated dense breast notification (DBN) informs women of their breast density (BD) and the impact of BD on breast cancer risk and detection, but consequences for screening participation are unclear. We evaluated the association of DBN in New York State (NYS) with subsequent screening mammography in a largely Hispanic/Latina cohort.

Methods: Women aged 40-60 were surveyed in their preferred language (33% English, 67% Spanish) during screening mammography from 2016 to 2018.

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Introduction: Exposure to endocrine disrupting chemicals (EDCs), such as phthalates, can negatively impact maternal and child health, contributing to impaired fetal growth, preterm birth, and pregnancy complications, as well as increased downstream risks of cardiometabolic disease and breast cancer. Notably, women of color (WOC) are the largest consumers of personal care products, which are a common source of EDC exposure.

Methods: The Let's Reclaim Our Ancestral Roots (Let's R.

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Article Synopsis
  • The study investigates how environmental factors, combined with socioeconomic and lifestyle influences, affect cancer development in young adults, an area that hasn't been thoroughly explored.
  • Researchers analyzed data on 31 environmental exposures and 10 common cancers in New York State across different age groups, revealing consistent risk factors like smoking and physical inactivity.
  • The findings highlighted a significant link between certain air pollutants and increased cancer rates in younger adults, suggesting that environmental exposures play a crucial role in cancer development for this age group.
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  • Racially minoritized and socioeconomically disadvantaged groups are underrepresented in clinical trials, highlighting the need for quantitative analysis to address this gap.
  • The study aimed to analyze the geographical distribution of racial and socioeconomic demographics within commuting distance to cancer clinical trial centers in the US using extensive public data sources.
  • Findings showed that major cancer trial centers tend to be located in wealthier areas with higher proportions of White individuals, indicating a disparity in access to clinical trials for diverse populations.
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Young breast and bowel cancers (e.g., those diagnosed before age 40 or 50 years) have far greater morbidity and mortality in terms of years of life lost, and are increasing in incidence, but have been less studied.

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Incidence of early-onset (diagnosed before age 50) colorectal cancer (EOCRC) has increased alarmingly since the 1990s in the United States. This study investigated what environmental exposures may have driven this increase. We obtained EOCRC incidence data from the Surveillance, Epidemiology, and End Results Program, and data for 11 exposures, for example, body mass index (BMI), from long-term national surveys.

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Context: Androgen levels are generally measured in serum samples, but urine may be a more feasible option, especially in children, as it is a noninvasive alternative.

Objective: To assess the correlations of 10 urinary androgen metabolites with 4 serum androgens [dehydroepiandrosterone-sulfate (DHEA-S), androstenedione, and total and free testosterone] and assess if their correlations differ by participant characteristics.

Methods: Our study consisted of 44 girls, ages 6-13, who participated in the New York site of the LEGACY Girls Study and had both serum and urine samples collected at the same visit.

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Background: There is limited research on whether physical activity (PA) in early childhood is associated with the timing of pubertal events in girls.

Methods: We used data collected over 2011-16 from the LEGACY Girls Study (n = 984; primarily aged 6-13 years at study enrolment), a multicentre North American cohort enriched for girls with a breast cancer family history (BCFH), to evaluate if PA is associated with age at thelarche, pubarche and menarche. Maternal-reported questionnaire data measured puberty outcomes, PA in early childhood (ages 3-5 years) and total metabolic equivalents of organized PA in middle childhood (ages 7-9 years).

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