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Legal implications of a link between abortion and breast cancer
Journal of American Physicians and Surgeons ^ | Spring 2005 | Andrew L. Schlafly, Esq.

Posted on 06/03/2005 7:33:40 AM PDT by St. Johann Tetzel

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1 posted on 06/03/2005 7:33:40 AM PDT by St. Johann Tetzel
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To: AAABEST; AKA Elena; al_c; american colleen; Angelus Errare; annalex; Annie03; Antoninus; ...
The consensus in the medical literature is that abortion does increase the incidence of breast cancer. This information is of obvious significance to women who may consider having an abortion, and their consent without it is legally deficient. Failure to diagnose breast cancer has become the most popular type of malpractice lawsuit. To save lives and guard against possible lawsuits, physicians should warn of the link prior to the operation and be vigilant looking for breast cancer in patients who have a medical history of abortion.

The costs to individuals and society from withholding or ignoring this information about abortion and breast cancer are enormous. Diagnosis and treatment of breast cancer involves far more misery for women than a diagnosis of appendicitis, for example.Yet in sharp contrast to the tobacco industry, the abortion industry pays nothing to offset the substantial costs to society of increased cancer.

2 posted on 06/03/2005 7:41:18 AM PDT by St. Johann Tetzel (Sometimes "Defending the Faith" means you have to be willing to get your hands dirty...)
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To: St. Johann Tetzel
I wonder if the author is related to Phyllis Schlafly?

Carolyn

3 posted on 06/03/2005 7:43:39 AM PDT by CDHart (The world has become a lunatic asylum and the lunatics are in charge.)
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To: CDHart

I wondered that too. I'll see what I can dig up.


4 posted on 06/03/2005 7:51:20 AM PDT by St. Johann Tetzel (Sometimes "Defending the Faith" means you have to be willing to get your hands dirty...)
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To: St. Johann Tetzel
Thanks -- I'm at work and supposed to be working! :^(

Carolyn

5 posted on 06/03/2005 7:54:38 AM PDT by CDHart (The world has become a lunatic asylum and the lunatics are in charge.)
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To: CDHart

Her gay son.


6 posted on 06/03/2005 8:11:50 AM PDT by FormerACLUmember (Honoring Saint Jude's assistance every day.)
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To: St. Johann Tetzel

see post 6.


7 posted on 06/03/2005 8:12:12 AM PDT by FormerACLUmember (Honoring Saint Jude's assistance every day.)
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To: St. Johann Tetzel

This is massive medical malpractice on the part of the abortion industry. You can bet this never appears in any informed consent.


8 posted on 06/03/2005 8:13:34 AM PDT by FormerACLUmember (Honoring Saint Jude's assistance every day.)
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To: St. Johann Tetzel

There is no causative link between abortion and breast cancer, period. No legitimate researcher has found even the slightest hint of such a link. The leading proponent of this hogwash, Dr. (not M.D.) Joel Brind, is a biology professor at a BUSINESS school which doesn't even offer an undergraduate science major.

As for the population-based inferences drawn by the LAWYER who wrote this article, they're as laughable as Brind's "research". It is hardly necessary to resort to speculation about abortion, to explain the rise in breast cancer in the U.S. population. There are at least three undisputed major causative factors for breast cancer which have increased greatly in the U.S. population since Roe v. Wade. One is overweight and obesity (and research has found that just a few extra pounds -- 5% above high school weight -- carries a huge increase in breast cancer incidence). The second is the trend of delayed child-bearing and bearing fewer children -- it is well-established that more pregnancies translates into lower breast cancer risk. The third is earlier puberty in girls, (widely believed to be caused by reaching a higher weight at an earlier age, but possibly also related to the increase in hormone treated meat and dairy products) -- this increase in breast cancer risk is for the same endocrinological reasons as the increase associated with fewer and later pregnancies: the more menstrual cycles a woman has in her lifetime, the higher her risk of breast cancer.

Another big hole in this "analysis" is that the combination of the increase in women's lifespan and the huge increase in routine mammogram screening, has led to the detection of early stage breast cancers that would never have been diagnosed 30 years ago, because the women would have died of something else before their breast cancer advanced far enough to be detected.

And Mr. Schlafly Esq. also leaves out a tremendously significant piece of data: THE INCIDENCE OF BREAST CANCER IN MEN HAS ALSO INCREASED DRAMATICALLY OVER THE SAME PERIOD.
http://www.asrt.org/content/News/IndustryNewsBriefs/Cancer/BreastCanc040601.aspx

Just like the "global warming" garbage, this is alarmist junk science being promulgated by people who have an agenda very different from the one their alarmism focuses attention on.


9 posted on 06/03/2005 9:08:27 AM PDT by GovernmentShrinker
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To: St. Johann Tetzel
The difficulty, of course, is that the argument is based on what's still an open question, with the current preponderance of evidence pointing toward a small or null effect independent of delaying first pregnancy:

http://www.cancer.gov/cancerinfo/ere-workshop-report

Unfortunately the sort of large scale study which would definitively settle the question is not politically viable due to fear on both sides that strongly held opinions might prove to be held in error.

As far as informed consent goes, if the primary concern is the health of a pregnant woman it appears to me that an objective unbiased warning based on the current state of knowledge and accurately reflecting the known risks would be something along the lines of:

"You need to know that if you have not yet carried a child to term, abortion increases the risk of breast cancer by delaying your first full term pregnancy, and that your increased lifetime risk of breast cancer is probably about the same as if you had delayed childbearing but not becoming pregnant at all. You also need to be aware that your risk of death in the next twelve months is lower if you have an abortion than if you elect to carry your child to term.".

Of course this would likely piss everybody off, but would at least be a candid statement of the facts as currently understood.
10 posted on 06/03/2005 9:25:21 AM PDT by M. Dodge Thomas (More of the same, only with more zeros on the end.)
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To: GovernmentShrinker

Are you suggesting that the References cited by the author as supporting that statement (Dozens of studies have shown that the greater the number of abortions, the higher the incidence of breast cancer.) are erroneous? As I understand it, the J.Am.Phys.Surgeons, the Am.J.Pathol, and the J.Epidemiol.Community Health are all peer-reviewed, and at least the first two are well thought of.

Are you claiming they published erroneous articles?

I know that judges can rule improperly, but there seems to be a trend that they are starting to rule that the hypothesis is accurate.


11 posted on 06/03/2005 9:32:54 AM PDT by AFPhys ((.Praying for President Bush, our troops, their families, and all my American neighbors..))
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To: GovernmentShrinker
this is alarmist junk science being promulgated by people who have an agenda

You don't know what you're talking about!

So, what is YOUR agenda in making your baseless attacks on this irrefutable evidence?

12 posted on 06/03/2005 11:05:13 AM PDT by St. Johann Tetzel (Sometimes "Defending the Faith" means you have to be willing to get your hands dirty...)
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To: AFPhys; GovernmentShrinker
Are you suggesting that the References cited by the author as supporting that statement (Dozens of studies have shown that the greater the number of abortions, the higher the incidence of breast cancer.) are erroneous? As I understand it, the J.Am.Phys.Surgeons, the Am.J.Pathol, and the J.Epidemiol.Community Health are all peer-reviewed, and at least the first two are well thought of.

He's not suggesting anything. He is calling Dr. Brind and other researchers on this issue liars. He is sadly mistaken. See the graph above. It is a representation of ALL the studies up to 2003.

13 posted on 06/03/2005 11:08:16 AM PDT by St. Johann Tetzel (Sometimes "Defending the Faith" means you have to be willing to get your hands dirty...)
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To: GovernmentShrinker

Breast Cancer and Abortion

Q-A: Why would a woman who has an induced abortion before her first full-term pregnancy (FFTP) suffer an increased risk of developing breast cancer?

A woman’s breast is especially sensitive to carcinogenic (ie, cancer producing) influences before she delivers her first child. When a woman becomes pregnant, a number of hormone levels increase dramatically in her body. Three especially notable ones are estradiol, progesterone (ie, the female sexual hormones), and hCG (human Chorionic Gonadotropin). All of these hormones, especially the latter, serve to stimulate immature breast cells to mature into fully differentiated cells [1]. If this process is artificially interrupted by way of an induced abortion, the hormone levels drop suddenly and dramatically, thereby suspending the natural process of maturation of many of the woman’s breast cells. This is referred to as a “hormonal blow” by researchers. These cells are now “vulnerable” to carcinogens because they started the maturation process but were never able to complete it. (Cells that have fully matured are less vulnerable to carcinogens than cells that are in the process of maturation).

Q-B: Do any animal models support the claim that abortions early in life increase breast cancer risk?

Yes. Russo and Russo, in their classic work published in 1980 [2], studied several groups of rats which were given a specific carcinogen (cancer producing agent) called DMBA. They noted that 77% of the rats who underwent an abortion developed breast cancer and 69% of the virgin rats developed breast cancer, but 0% of the rats who were allowed to complete their pregnancy developed breast cancer.

Q-C: Could you tell me about the history of the abortion/breast cancer debate?

As early as 1957, Segi et al noted that women who had induced abortions had at least a 2-fold increased risk of breast cancer [3]. In 1981, Pike et al [4] published their notable work showing that young women (under the age of 32) who had experienced an abortion before their first full-term pregnancy (FFTP) had a 140% increased risk of breast cancer. A number of studies followed but in 1994, Daling et al [5] published a large study which noted that women who had an abortion before their FFTP suffered a 40% increased risk. This risk increased to 150% if the adolescent had her abortion before the age of 18. In addition, Daling et al noted that if adolescents under the age of 18 aborted a baby that was more than 8 weeks old, they suffered an 800% increased risk of developing breast cancer.

Finally, in 1996, in what is openly regarded as the most meticulous and comprehensive meta-analysis (ie, a synthesis of all the major studies done in a particular field concluding in an overall risk for the pooled studies) of all the abortion/breast cancer research articles ever done, Brind et al [6] found that women who had an abortion before their FFTP had a 50% increased risk of developing breast cancer whereas women who had an abortion after their FFTP sustained a 30% increased risk.

Q-D: If Dr. Brind et al’s study was so conclusive, then why is the subject still being debated?

Because of the controversy regarding abortion, Dr. Brind’s study came under intense scrutiny; however, the results seemed irrefutable. Janet Daling — a prominent epidemiologist (a researcher who studies trends in the medical field) — was quoted in the Wall Street Journal as stating that Brind et al’s results were “very objective and statistically beyond reproach.” [7] Then in early 1997, the New England Journal of Medicine published the results of a large prospective study by Melbye et al [8] which claimed to show that abortion did not increase the risk of breast cancer.

Q-E: Was there any problem with the study by Melbye?

Yes. It is astonishing that the New England Journal of Medicine allowed it to be published in its submitted form. It had several glaring problems that have been pointed out in a follow-up letter to the New England Journal of Medicine [9]. The main ones include the following: 1) Melbye’s data actually pointed to a 44% increased risk of breast cancer due to abortion, but they never printed this result; 2) The follow-up period for the “cases” (ie, women who had an induced abortion) was less than 10 years, whereas it was over 20 years for the “controls” (ie, women who did not have an induced abortion). A follow-up period of less than 10 years is not long enough to show the effect of an abortion (ie, too short of a latent period); 3) Over 30,000 women in the study who had abortions were “misclassified” as not having them — thus 30,000 women were counted as not having abortions, when in fact they really had abortions; and 4) The study did note that women who had an abortion after the 12th week sustained a 38% increased risk of breast cancer, whereas women who had late-term abortions (ie, after 18 weeks) had a statistically significant increase of 89%. Both of these results received little media attention.

Q-F: Dr. Melbye claimed that his study did not suffer from “recall bias.” What did he mean by this?

Some researchers have claimed that retrospective studies suffer from “recall bias.” (An example of a retrospective study is one in which women with breast cancer would be interviewed and asked questions about their risk factors such as family history, induced abortion, etc.) The recall bias hypothesis can be defined as the following: “The hypothesis that people who develop a disease (eg, breast cancer) are more likely than people who do not develop that disease to admit that they participated in a ‘controversial risk factor’ (eg, an induced abortion or oral contraceptive pill [OCP] use) for that disease.” In essence they claim that women who have breast cancer are more likely to be truthful about the fact that they had an induced abortion than women who do not have breast cancer.

Q-G: On what basis do such researchers make such a claim?

This claim of recall bias is based on a study by Lindefors-Harris et al [10] from Sweden. She compared the responses of “cases” and “controls” to the national register which reportedly keeps an accurate record of all women who had an abortion. The study claimed to show that in the group of women who indeed had an induced abortion (according to the national register), the women who had breast cancer were about 50% more likely to admit that they had the abortion than the women who did not have breast cancer. The study has been criticized by Daling, a prominent epidemiologist, who noted that the study actually showed only a 16% “recall bias” (versus the reported 50% figure), when analyzed properly [5].

Q-H: Were there any problems with the study?

Yes. The study noted that 7 out of the group of 26 women with breast cancer who stated that they had an abortion at a young age, actually did not have an abortion according to the national register. This implies that 7 women out of the 26 women, or 27% of these “cases,” stated that they had an abortion at a young age, when they really did not. Obviously, this undermines the credibility of the study. Who would place any confidence in a study in which more than one quarter of a group of women with breast cancer reportedly lied and said they had an abortion when they actually had not?

Q-I: Is there any way to get around the “recall bias” problem?

Yes. A direct way to “get around it” is to measure it. Researchers did this already in the oral contraceptive and breast cancer debate in which some researchers claimed that women with breast cancer would be more honest about their history of oral contraceptive use. A number of studies refuted this claim by going back to a woman’s medical records and comparing the results of her interview response to that of the written record. All three of the studies that did this found less than a 2% difference between “case” and “control” responses [11,12].

Q-J: Can the same technique be used in regard to the abortion and breast cancer studies?

Absolutely. Most good obstetricians and gynecologists obtain a thorough medical history of their patients especially on their initial visit. A standard question would be to ask a woman how many miscarriages and/or induced abortions she had. If one wished to measure the degree of “recall bias” between “cases” and “controls,” one could simply compare their oral responses to that of the written medical record. Any degree of bias would be recorded and accounted for.

Q-K: This seems so basic. Why has it not been done?

That is a good question. Perhaps the question that should be asked is: Has someone done it and not reported it for fear of going against the bureaucratic forces within the political and medical establishments?

Q-L: Do women who had an abortion or miscarriage, or used oral contraceptive pills (OCPs) early in their reproductive life develop a more aggressive breast cancer?

Yes. Olsson et al has noted [13]: “These results indicate that the rate of tumor cell proliferation [ie, rate of growth of cancer cells] is higher in patients with breast cancer who have used oral contraceptives at an early age or who at a young age have had an early abortion. . .”

 

 

Q-M: Do miscarriages carry the same risk of breast cancer as induced abortion?

Women whose pregnancies end in miscarriage usually do not experience the same increase in estradiol and progesterone (ie, the female sexual hormones) or hCG levels that would result from a healthy pregnancy. Therefore, when a woman experiences a miscarriage, there is a less dramatic shift in hormone levels and less of a “hormonal blow” to the breast. Studies have shown that miscarriages, in general, have less of a risk than induced abortions. However, several studies show that miscarriages before a first full-term pregnancy (FFTP) may still carry a significant risk of developing breast cancer as noted in Table 2A below. (Further research in this area is critical to determine if an early miscarriage does indeed increase the risk of breast cancer.)

 

Table A:

 

RISKS OF BREAST CANCER IN WOMEN WHO HAD A MISCARRIAGE BEFORE THEIR FIRST FULL TERM PREGNANCY

 

AUTHOR

YEAR OF PUBLICATION

PERCENT CHANGE

CONFIDENCE INTERVAL

 

 

 

 

Pike et al [138]

1981

151% increase

unknown

Brinton    [101]

1983

9% increase*

0.8-1.5

Hadjimichael [107]

1986

250% increase

1.7-7.4

Rosenberg [149]

1988

10% decrease*

0.7-1.4**

Ewertz/Duffy [106]

1988

163% increase*

0.83-8.32***

Adami [96]

1990

20% increase*

0.7-2.0

Daling [103]

1994

10% decrease*

0.6-1.3

Rookus [141]

1996

40% increase*

1.0-1.9

* This result reflects a trend towards an increased or decreased risk but does not attain statistical significance

** Inappropriate age matching in this study: median age of "cases"  and “controls” were was 52 and 40 respectively

 

 

Q-N: Is the prognosis of a pregnant woman who currently has breast cancer improved if she has an induced abortion?

No. Clarck and Chua noted that: “Those (pregnant women with breast cancer) undergoing a therapeutic abortion had a poorer prognosis compared to a live birth and even a spontaneous abortion.” [20] King et al obtained a similar result. “. . .patients who had termination of the pregnancy had a five year survival rate of 43 percent, whereas patients who underwent mastectomy and who went to term had a five year survival of 59 percent.” [21].

 

Q-O: What should women be told in general about having an abortion at a young age and the risk of breast cancer?

Women who have an elective abortion before their firstborn baby suffer at least a 50% increased risk of  developing breast cancer according to the best meta-analysis done to date. The risks are almost certainly higher for women who have had an abortion before the age of 18, or those who have additional risk factors, such as a positive family history or use of oral contraceptives before a FFTP. (The person who is interested in an excellent review article describing the physiologic reasons behind the link between abortion and breast cancer should see Canty’s article [22].)

 

14 posted on 06/03/2005 11:09:56 AM PDT by St. Johann Tetzel (Sometimes "Defending the Faith" means you have to be willing to get your hands dirty...)
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To: St. Johann Tetzel
Dozens of studies have shown that the greater the number of abortions, the higher the incidence of breast cancer.

Only for the same reason that women who have never breastfed or had children have a higher incidence of breast cancer. In other words, even if true, having had an abortion wouldn't make one more likely to develop breast cancer than a woman who had never conceived. One simply doesn't receive the protective effect of having had one's ovulatory cycle halted for a period of at least 9 months.
15 posted on 06/03/2005 11:17:01 AM PDT by aruanan
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To: aruanan
In other words, even if true, having had an abortion wouldn't make one more likely to develop breast cancer than a woman who had never conceived. One simply doesn't receive the protective effect of having had one's ovulatory cycle halted for a period of at least 9 months.

Well, no, you are incorrect. See my last post.

16 posted on 06/03/2005 12:00:37 PM PDT by St. Johann Tetzel (Sometimes "Defending the Faith" means you have to be willing to get your hands dirty...)
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To: aruanan
having had an abortion wouldn't make one more likely to develop breast cancer than a woman who had never conceived

On the contrary, having had an abortion DOES make one more likely to develop breast cancer than a woman who had never conceived. Read post #14 so you may understand why.

17 posted on 06/03/2005 12:02:11 PM PDT by St. Johann Tetzel (Sometimes "Defending the Faith" means you have to be willing to get your hands dirty...)
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To: St. Johann Tetzel

Legally, it would be very difficult to show causation. Breast cancer develops years after abortions. So, a lawyer would have his work cut out for him if he wanted to show that an abortion 20 years ago caused a woman's breast cancer.


18 posted on 06/03/2005 12:13:29 PM PDT by Modernman ("Laws are like sausages, it is better not to see them being made." -Bismarck)
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To: St. Johann Tetzel
I love these stories... I'm waiting for this one:

"Leading scientists show that breathing air increases the chances you will one day die"

19 posted on 06/03/2005 12:15:33 PM PDT by soundandvision
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To: soundandvision
Well, keep waiting, but this is not one of those stories.
20 posted on 06/03/2005 12:16:56 PM PDT by St. Johann Tetzel (Sometimes "Defending the Faith" means you have to be willing to get your hands dirty...)
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