Skip to main content
Top
Published in: Cancer Causes & Control 12/2010

01-12-2010 | Original paper

Exogenous sex hormone use and risk of meningioma: a population-based case–control study in Finland

Authors: K. Korhonen, J. Raitanen, J. Isola, H. Haapasalo, T. Salminen, A. Auvinen

Published in: Cancer Causes & Control | Issue 12/2010

Login to get access

Abstract

Background

Previous studies on association of exogenous female sex hormones and risk for meningioma have yielded conflicting results. The aim of this study was to evaluate the potential relation between prior use of menopausal hormone therapy or oral contraception and risk of meningioma.

Methods

This population-based case–control study was conducted during years 2000–2002 in Finland. All women aged 20–69 years with meningioma diagnosis were identified from five university hospitals, and frequency-matched controls were randomly chosen from population register. A total of 264 cases and 505 controls were interviewed on their use of menopausal hormone therapy, oral and other contraception, fertility treatment, treatment for gynecological problems, age at menarche, and number of children. We also analyzed separately tumors expressing progesterone or estrogen receptors. Of the successfully stained tumor specimens, 86.3% were positive for progesterone receptor and 50% for estrogen receptor.

Results

Postmenopausal hormonal treatment, use of contraceptives, or fertility treatment did not influence the risk of meningioma. In further analysis by hormone receptor status, there was some indication for an increased risk of progesterone receptor-positive meningiomas associated with oral contraceptive use (OR 1.39, 95% confidence interval 0.92–2.10) and other hormonal contraception (OR 1.50, 95% CI 0.95–2.36).

Conclusions

Overall, we found little indication that reproductive factors or use of exogenous sex hormones affect meningioma risk.
Literature
1.
go back to reference Vernooij MW, Lkram MA, Tanghe HL et al (2007) Incidental findings on brain MRI in the general population. N Engl J Med 357(18):1812–1818CrossRef Vernooij MW, Lkram MA, Tanghe HL et al (2007) Incidental findings on brain MRI in the general population. N Engl J Med 357(18):1812–1818CrossRef
2.
go back to reference Klaeboe L, Lonn S, Scheie D et al (2005) Incidence of intracranial meningiomas in Denmark, Finland, Norway, and Sweden 1968–1997. Int J Cancer 117(6):996–1001CrossRefPubMed Klaeboe L, Lonn S, Scheie D et al (2005) Incidence of intracranial meningiomas in Denmark, Finland, Norway, and Sweden 1968–1997. Int J Cancer 117(6):996–1001CrossRefPubMed
3.
go back to reference Krampla W, Newrkla S, Pfisterer W et al (2004) Frequency and risk factors for meningioma in clinically healthy 75-year-old patients. Cancer 100(6):1208–1212CrossRefPubMed Krampla W, Newrkla S, Pfisterer W et al (2004) Frequency and risk factors for meningioma in clinically healthy 75-year-old patients. Cancer 100(6):1208–1212CrossRefPubMed
4.
go back to reference Al-Mefty O, Topsakal C, Pravdenkova S, Sawyer JR, Harrison MJ (2004) Radiation-induced meningiomas: clinical, pathological, and cytogenetic characteristics. J Neurosurg 100(6):1002–1013CrossRefPubMed Al-Mefty O, Topsakal C, Pravdenkova S, Sawyer JR, Harrison MJ (2004) Radiation-induced meningiomas: clinical, pathological, and cytogenetic characteristics. J Neurosurg 100(6):1002–1013CrossRefPubMed
5.
go back to reference Phillips LE, Frankenfeld C, Drangsholt M, Koespell TD, van Belle G, Longstreth WT (2005) Intracranial meningioma and ionizing radiation in medical and occupational settings. Neurology 64(2):350–352PubMed Phillips LE, Frankenfeld C, Drangsholt M, Koespell TD, van Belle G, Longstreth WT (2005) Intracranial meningioma and ionizing radiation in medical and occupational settings. Neurology 64(2):350–352PubMed
6.
go back to reference Preston-Martin S, Pogoda JM, Schlehofer B et al (1998) An international case-control study of adult glioma and meningioma: the role of head trauma. Int J Epidemiol 27(4):579–585CrossRefPubMed Preston-Martin S, Pogoda JM, Schlehofer B et al (1998) An international case-control study of adult glioma and meningioma: the role of head trauma. Int J Epidemiol 27(4):579–585CrossRefPubMed
7.
go back to reference Schlehofer B, Blettner M, Becker N, Martinsohn C, Wahrendorf J (1992) Medical risk factors and the development of brain tumors. Cancer 69(10):2541–2547CrossRefPubMed Schlehofer B, Blettner M, Becker N, Martinsohn C, Wahrendorf J (1992) Medical risk factors and the development of brain tumors. Cancer 69(10):2541–2547CrossRefPubMed
8.
go back to reference Schlehofer B, Blettner M, Preston-Martin S et al (1999) Role of medical history in brain tumour development. Results from the international adult brain tumour study. Int J Cancer 82(2):155–160CrossRefPubMed Schlehofer B, Blettner M, Preston-Martin S et al (1999) Role of medical history in brain tumour development. Results from the international adult brain tumour study. Int J Cancer 82(2):155–160CrossRefPubMed
9.
go back to reference Schwartzbaum J, Jonsson F, Ahlbom A et al. (2005) Prior hospitalization for epilepsy, diabetes, and stroke and subsequent glioma and meningioma risk. Cancer Epidemiol Biomark Prev 14(3):643–650 Schwartzbaum J, Jonsson F, Ahlbom A et al. (2005) Prior hospitalization for epilepsy, diabetes, and stroke and subsequent glioma and meningioma risk. Cancer Epidemiol Biomark Prev 14(3):643–650
10.
go back to reference Samanic CM, De Roos AJ, Stewart PA, Rajaraman P, Waters MA, Inskip PD (2008) Occupational exposure to pesticides and risk of adult brain tumors. Am J Epidemiol 167(8):976–985CrossRefPubMed Samanic CM, De Roos AJ, Stewart PA, Rajaraman P, Waters MA, Inskip PD (2008) Occupational exposure to pesticides and risk of adult brain tumors. Am J Epidemiol 167(8):976–985CrossRefPubMed
11.
go back to reference Navas-Acien A, Pollan M, Gustavsson P, Plato N (2002) Occupation, exposure to chemicals and risk of gliomas and meningiomas in Sweden. Am J Ind Med 42(3):214–227CrossRefPubMed Navas-Acien A, Pollan M, Gustavsson P, Plato N (2002) Occupation, exposure to chemicals and risk of gliomas and meningiomas in Sweden. Am J Ind Med 42(3):214–227CrossRefPubMed
12.
go back to reference Schüz J, Böhler E, Berg G et al (2006) Cellular phones, cordless phones, and the risks of glioma and meningioma (Interphone Study Group, Germany). Am J Epidemiol 163(6):12–20CrossRef Schüz J, Böhler E, Berg G et al (2006) Cellular phones, cordless phones, and the risks of glioma and meningioma (Interphone Study Group, Germany). Am J Epidemiol 163(6):12–20CrossRef
13.
go back to reference Hsu DW, Efird JT, Headley-White ET (1997) Progesterone and estrogen receptors in meningiomas: prognostic considerations. J Neurosurg 86(1):113–120CrossRefPubMed Hsu DW, Efird JT, Headley-White ET (1997) Progesterone and estrogen receptors in meningiomas: prognostic considerations. J Neurosurg 86(1):113–120CrossRefPubMed
14.
go back to reference Korhonen K, Salminen T, Raitanen J, Auvinen A, Isola J, Haapasalo H (2006) Female predominance in meningiomas can not be explained by differences in progesterone, estrogen, or androgen receptor expression. J Neurooncol 80(1):1–7CrossRefPubMed Korhonen K, Salminen T, Raitanen J, Auvinen A, Isola J, Haapasalo H (2006) Female predominance in meningiomas can not be explained by differences in progesterone, estrogen, or androgen receptor expression. J Neurooncol 80(1):1–7CrossRefPubMed
15.
go back to reference Rubinstein AB, Loven D, Geier A, Reichental E, Gadoth N (1994) Hormone receptors in initially excised versus recurrent intracranial meningiomas. J Neurosurg 81(2):184–187CrossRefPubMed Rubinstein AB, Loven D, Geier A, Reichental E, Gadoth N (1994) Hormone receptors in initially excised versus recurrent intracranial meningiomas. J Neurosurg 81(2):184–187CrossRefPubMed
16.
go back to reference Hatiboglu MA, Cosar M, Iplikcioglu C, Ozcan D (2008) Sex steroid and epidermal growth factor profile of giant meningiomas associated with pregnancy. Surg Neurol 69(4):356–362CrossRefPubMed Hatiboglu MA, Cosar M, Iplikcioglu C, Ozcan D (2008) Sex steroid and epidermal growth factor profile of giant meningiomas associated with pregnancy. Surg Neurol 69(4):356–362CrossRefPubMed
17.
go back to reference Roelvink NC, Kamphorst W, August H, van Alphen HAM, Rao BR (1987) Pregnancy-related primary brain and spinal tumors. Arch Neurol 44(2):209–215PubMed Roelvink NC, Kamphorst W, August H, van Alphen HAM, Rao BR (1987) Pregnancy-related primary brain and spinal tumors. Arch Neurol 44(2):209–215PubMed
18.
go back to reference Custer BS, Koepsell T, Mueller BA (2002) The association of breast carcinoma and meningioma in women. Cancer 94(6):1626–1635CrossRefPubMed Custer BS, Koepsell T, Mueller BA (2002) The association of breast carcinoma and meningioma in women. Cancer 94(6):1626–1635CrossRefPubMed
19.
go back to reference Schoenberg BS, Christine BW, Wisnant JP (1975) Nervous system neoplasms and primary malignances of other sites. The unique association between meningiomas and breast cancer. Neurology 25:705–712PubMed Schoenberg BS, Christine BW, Wisnant JP (1975) Nervous system neoplasms and primary malignances of other sites. The unique association between meningiomas and breast cancer. Neurology 25:705–712PubMed
20.
go back to reference Grunberg SM, Weiss MH, Russell CA et al (2006) Long-term administration of mifepristone (RU486): clinical tolerance during extended treatment of meningioma. Cancer Invest 24:727–733CrossRefPubMed Grunberg SM, Weiss MH, Russell CA et al (2006) Long-term administration of mifepristone (RU486): clinical tolerance during extended treatment of meningioma. Cancer Invest 24:727–733CrossRefPubMed
21.
go back to reference Goodwin JW, Crowley J, Eyre HJ, Stafford B, Jaeckle KA, Townsend JJ (1993) A phase II evaluation of tamoxifen in unrespectable or refractory meningiomas: a Southwest Oncology Group Study. J Neurooncol 15:75–77CrossRefPubMed Goodwin JW, Crowley J, Eyre HJ, Stafford B, Jaeckle KA, Townsend JJ (1993) A phase II evaluation of tamoxifen in unrespectable or refractory meningiomas: a Southwest Oncology Group Study. J Neurooncol 15:75–77CrossRefPubMed
22.
go back to reference Hatch EE, Linet M, Zhang J et al (2005) Reproductive and hormonal factors and risk of brain tumors in adult females. Int J Cancer 114(5):797–805CrossRefPubMed Hatch EE, Linet M, Zhang J et al (2005) Reproductive and hormonal factors and risk of brain tumors in adult females. Int J Cancer 114(5):797–805CrossRefPubMed
23.
go back to reference Lambe M, Coogan P, Baron J (1997) Reproductive factors and the risk of brain tumors: a population-based study in Sweden. Int J Cancer 72(3):389–393CrossRefPubMed Lambe M, Coogan P, Baron J (1997) Reproductive factors and the risk of brain tumors: a population-based study in Sweden. Int J Cancer 72(3):389–393CrossRefPubMed
24.
go back to reference Lee E, Grutsch J, Persky V, Glick R, Mendes J, Davis F (2006) Association of meningioma with reproductive factors. Int J Cancer 119(5):1152–1157CrossRefPubMed Lee E, Grutsch J, Persky V, Glick R, Mendes J, Davis F (2006) Association of meningioma with reproductive factors. Int J Cancer 119(5):1152–1157CrossRefPubMed
25.
go back to reference Benson VS, Pirie K, Green J et al. (2010) Hormone replacement therapy and incidence of central nervous system tumours in the million women study. Int J Cancer 127(7):1692–1698 Benson VS, Pirie K, Green J et al. (2010) Hormone replacement therapy and incidence of central nervous system tumours in the million women study. Int J Cancer 127(7):1692–1698
26.
go back to reference Custer B, Longstreth W, Phillips LE, Koepsell TD, Van Belle G (2006) Hormonal exposures and the risk of intracranial meningioma in women: a population-based case-control study. BMC Cancer 6:152CrossRefPubMed Custer B, Longstreth W, Phillips LE, Koepsell TD, Van Belle G (2006) Hormonal exposures and the risk of intracranial meningioma in women: a population-based case-control study. BMC Cancer 6:152CrossRefPubMed
27.
go back to reference Jhawar BS, Fuchs C, Golditz GA, Stampfer MJ (2003) Sex steroid hormone exposures and risk for meningioma. J Neurosurg 99(5):848–853CrossRefPubMed Jhawar BS, Fuchs C, Golditz GA, Stampfer MJ (2003) Sex steroid hormone exposures and risk for meningioma. J Neurosurg 99(5):848–853CrossRefPubMed
28.
go back to reference Wigertz A, Lönn S, Mathiesen T, Ahlbom A, Hall P, Feychting M, Swedish INTERPHONE Study Group (2006) Risk of brain tumors associated with exposure to exogenous female sex hormones. Am J Epidemiol 164(7):629–636 Wigertz A, Lönn S, Mathiesen T, Ahlbom A, Hall P, Feychting M, Swedish INTERPHONE Study Group (2006) Risk of brain tumors associated with exposure to exogenous female sex hormones. Am J Epidemiol 164(7):629–636
29.
go back to reference Preston-Martin S, Monroe K, Lee P et al (1995) Spinal meningiomas in women in Los Angeles County: investigation of an etiological hypothesis. Cancer Epidemiol Biomarkers Prev 4(4):333–339PubMed Preston-Martin S, Monroe K, Lee P et al (1995) Spinal meningiomas in women in Los Angeles County: investigation of an etiological hypothesis. Cancer Epidemiol Biomarkers Prev 4(4):333–339PubMed
30.
go back to reference Blitshteyn S, Crook J, Jaeckle KE (2008) Is there an association between meningioma and hormone replacement therapy. J Clin Oncol 26(2):279–282CrossRefPubMed Blitshteyn S, Crook J, Jaeckle KE (2008) Is there an association between meningioma and hormone replacement therapy. J Clin Oncol 26(2):279–282CrossRefPubMed
31.
go back to reference Canfell K, Banks E, Moa AM, Beral V (2008) Decrease in breast cancer incidence following a rapid fall in use of hormone replacement therapy in Australia. Med J Aust 188(11):641–644PubMed Canfell K, Banks E, Moa AM, Beral V (2008) Decrease in breast cancer incidence following a rapid fall in use of hormone replacement therapy in Australia. Med J Aust 188(11):641–644PubMed
32.
go back to reference Hersh AL, Stefanick M, Stafford RS (2004) National use of postmenopausal hormone therapy: annual trends and response to recent evidence. JAMA 291(1):47–53CrossRefPubMed Hersh AL, Stefanick M, Stafford RS (2004) National use of postmenopausal hormone therapy: annual trends and response to recent evidence. JAMA 291(1):47–53CrossRefPubMed
33.
go back to reference Cardis E, Richardson L, Deltour I et al (2007) The INTERPHONE study: design, epidemiological methods, and description of the study population. Eur J Epidemiol 22(9):647–664CrossRefPubMed Cardis E, Richardson L, Deltour I et al (2007) The INTERPHONE study: design, epidemiological methods, and description of the study population. Eur J Epidemiol 22(9):647–664CrossRefPubMed
34.
go back to reference Lyytinen H, Pukkala E, Ylikorkala O (2006) Breast cancer risk in postmenopausal women using estrogen-only therapy. Obstet Gynecol 108(6):1354–1360CrossRefPubMed Lyytinen H, Pukkala E, Ylikorkala O (2006) Breast cancer risk in postmenopausal women using estrogen-only therapy. Obstet Gynecol 108(6):1354–1360CrossRefPubMed
35.
go back to reference Kononen J, Bubendorf L, Kallioniemi A et al (1998) Tissue microarrays for high-throughput molecular profiling of tumor specimens. Nat Med 4(7):844–847CrossRefPubMed Kononen J, Bubendorf L, Kallioniemi A et al (1998) Tissue microarrays for high-throughput molecular profiling of tumor specimens. Nat Med 4(7):844–847CrossRefPubMed
36.
go back to reference Rexhepaj E, Brennan DJ, Holloway P et al (2008) Novel image analysis approach for quantifying expression of nuclear proteins assessed by immunohistochemistry: application to measurement of oestrogen and progesterone receptor levels in breast cancer. Breast Cancer Res 10(5):R89CrossRefPubMed Rexhepaj E, Brennan DJ, Holloway P et al (2008) Novel image analysis approach for quantifying expression of nuclear proteins assessed by immunohistochemistry: application to measurement of oestrogen and progesterone receptor levels in breast cancer. Breast Cancer Res 10(5):R89CrossRefPubMed
37.
go back to reference Benson VS, Piric K, Green J, Casabonne D, Beral V (2008) Lifestyle factors and primary glioma and meningioma tumours in the Million Women Study cohort. Br J Cancer 99(1):185–190CrossRefPubMed Benson VS, Piric K, Green J, Casabonne D, Beral V (2008) Lifestyle factors and primary glioma and meningioma tumours in the Million Women Study cohort. Br J Cancer 99(1):185–190CrossRefPubMed
38.
go back to reference Schlehofer B, Blettner M, Wahrendorf J (1992) Association between brain tumors and menopausal status. J Natl Cancer Inst 84(17):1346–1349CrossRefPubMed Schlehofer B, Blettner M, Wahrendorf J (1992) Association between brain tumors and menopausal status. J Natl Cancer Inst 84(17):1346–1349CrossRefPubMed
39.
go back to reference Lahkola A, Salminen T, Auvinen A (2005) Selection bias due to differential participation in a case-control study of mobile phone use and brain tumours. Ann Epidemiol 15(5):321–325CrossRefPubMed Lahkola A, Salminen T, Auvinen A (2005) Selection bias due to differential participation in a case-control study of mobile phone use and brain tumours. Ann Epidemiol 15(5):321–325CrossRefPubMed
40.
go back to reference Koponen P, Luoto K (ed) (2004) Reproductive health in Finland. The health 2000 survey. Publication of the National Public Health Institute B5, Helsinki Koponen P, Luoto K (ed) (2004) Reproductive health in Finland. The health 2000 survey. Publication of the National Public Health Institute B5, Helsinki
41.
go back to reference Larjavaara S, Haapasalo H, Sankila R, Helen P, Auvinen A (2008) Is the incidence of meningiomas underestimated? A regional survey study. Br J Cancer 99(1):182–184CrossRefPubMed Larjavaara S, Haapasalo H, Sankila R, Helen P, Auvinen A (2008) Is the incidence of meningiomas underestimated? A regional survey study. Br J Cancer 99(1):182–184CrossRefPubMed
Metadata
Title
Exogenous sex hormone use and risk of meningioma: a population-based case–control study in Finland
Authors
K. Korhonen
J. Raitanen
J. Isola
H. Haapasalo
T. Salminen
A. Auvinen
Publication date
01-12-2010
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 12/2010
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-010-9634-2

Other articles of this Issue 12/2010

Cancer Causes & Control 12/2010 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine