Researchers from the Fred
Hutchinson Cancer
Research Center
in Seattle have
good news for women suffering from migraines. These women appear to have a 30
percent lower risk of developing breast cancer, they say. Their study was
published in the November issue of Cancer Epidemiology, Biomarkers &
Prevention.
For the study, Dr. Christopher I. Li from the Fred Hutchinson
Cancer Research
Center and colleagues analyzed
information on 3,412 postmenopausal women of whom 1,938 had been diagnosed with
breast cancer and 1,474 had no history of the disease. The researchers followed
the incidence of migraines in both groups and found that, “overall, women who
had a history of migraines had a 30 percent lower risk of breast cancer
compared to women who did not have a history of such headaches.”
How is that possible? Dr. Li says the biological mechanism
behind the association is not fully known, but it likely has to do with
fluctuations in the levels of circulating hormones.
“Migraines seem to have a hormonal component in that they
occur more frequently in women than in men, and some of their known triggers
are associated with hormones,” he says.
For example, women who take oral contraceptives for three
weeks and then stop for a week to trigger menstruation tend to suffer more
migraines during their hormone-free week. Women with higher levels of estrogen
hormone are less likely to experience migraines, the researchers noted. The
same hormone is known to stimulate the growth of hormonally sensitive breast
cancer.
There could be also another explanation for the association
between breast cancer and migraines, Dr. Li said. Women experiencing migraines
may be more frequent users of nonsteroidal anti-inflammatory drugs (aspitin and
ibuprofen). Previous studies showed that NSAIDs use prevents against breast
cancer. However, that does not mean that women should start therapy with
NSAIDs, Dr. Li cautioned. More study is needed before prescribing regular use
of NSAIDs in order to keep breast cancer away, he added.
But the link between estrogen levels, migraines and breast cancer is highly
negated by some researchers. Dr. Ellen Drexler, associated director of the
Division of Neurology at Maimonides Medical Center in Brooklyn, N.Y., says it’s
not clear that lower incidence of breast cancer in women with migraines proves
that the reason is lower estrogen levels. It could be a number of factors
raising a woman chance of having migraines such as medication use, smoking and
alcohol use. Therefore, more study needs to be done before concluding
that migraines might lower risk of breast cancer,Dr. Drexler adds.
Some other experts consider the findings as flawed. Migraine expert Dr.
Stephen Silberstein, director of the Jefferson
Headache Center
at Thomas Jefferson
University Hospital
in Philadelphia
believes the study does not prove anything. “It's not that I don't believe the
results, it's that the results are not believable,” he said.