Title: Role of 2D:4D Ratio in the Histopathologically Diagnosed Breast Cancer Females

Authors: Dr Sajjad Jafar, Dr Vishram Singh, Dr NIsha Kaul, Dr Bindu Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v6i12.61

Abstract

Introduction: Carcinoma of breast is most frequent cancer in India followed by cervical cancer among females as reported in registries from Mumbai, Delhi, Kolkata and Bangalore. Breast cancer is the most common malignancy among women in the world. According to the NCRP (National Cancer Registry Program), around 25% of the total cancer cases are reported to be that of breast cancer. Several anthropological studies have found sex differences in 2D:4D ratio, with man having lower average 2D:4D ratio than women.

Aim and Objective: The aims of this study is to investigate 2D:4D ratio in the diagnosis of breast cancer females and control groups.

Material and Methods: The study was conducted on 145 histopathological diagnosed breast cancer women and their finger length ratio, compared with 145 normal healthy women with no family history of breast cancer. Digit length was measured by the Vernier caliper with a resolution of 0.01 mm.

Results: The finger length 2D:4D ratio were analyzed between breast cancer and control group of individuals that showed statistically difference. In present study 2D:4D ratio (P value<1) is significantly higher in case group as compared to the control group.(table-3). High 2D:4D ratio of significantly associated with breast cancer.

Conclusion: The finger length (2D:4D) ratio may help in identifying women with risk of breast cancer. It can serve as an inexpensive, noninvasive anatomical and effective tool to determine the individuals with breast cancer in their future.

Keywords: Digits ratio 2D:4D, Breast cancer, prenatal sexual Hormone.

References

  1. Veronesi U, Boyle P, Goldhirsch A, Orecchia R, Viale G, Veronesi U, et al. Breast cancer. Lancet 2005 May 14;365(9472):1727-41.
  2. Parkin DM, Bray F, Ferlay J, Pisani P, Parkin DM, Bray F, et al. Global cancer statistics, 2002. CA: a Cancer Journal for Clinicians 2005 Mar;55(2):74-108.
  3. Takiar R, Srivastav A, Time Trend in Breast and Cervix cancer of Women in India-1990-2003 Asian pacific Journal of Cancer Prevention 2008 9:777-80.
  4. Jemal. R S IEGEL, E. Ward Y. Hao, J.Xu, and M .J. Thun. Cancer statistics, 2009, CA: Cancer journal for Clinicians, vol.59, no .4, pp.225-249,2009.
  5. Garn S.M. Burdi A.R. Babler W.J. Stinson S; Burdi; Babler Stinson (1975)”early prenatal attainment of adult metacarpal phalangeal rankings and proportions” American journal of physical anthropology 43(3):327-332 doi;10.1002/ajpa.1330430305.PMID1211429.
  6. Malas MA, Dogan S, Evcil EH, Desdicioglu K. Fetal development of the hand, digits and digit ratio (2D:4D). Early Hum Dev 2006;82:469-75.
  7. Muller DC, Baglietto L, Manning JT, et al. Second to fourth digit ratio (2D:4D), breast cancer risk factors, and breast cancer risk: a prospective cohort study. Br J Cancer. 2012; 107:1631-6.16.
  8. Eblaghie MC, Song SJ, Kim JY, Akita K, Tickle C, Jung HS. 2004.Interactions between FGF and Wnt signals and Tbx3 gene expression in mammary gland initiation in mouse embryos. J Anat 205:1–13.
  9. Zheng Z, Cohn MJ. Developmental basis of sexually dimorphic digit ratios. Proc Natl Acad Sci U S A 2011; 108:16289-94.
  10. K. Agnihotri, B. Purwar, N. Jeebun, S. Aagnihotri. determination of sex by hand dimension internet J Foransic Sci ,1 (2)(2006),PP,12-24.
  11. T Kanchan, P, Rrastogi sex determination from hand dimensions of north and south Indians J. Forensic Sci,Su(3) (2009), PP,S46-550.
  12. Muller DC, Baglietto L, Manning JT, et al. Second to fourth digit ratio (2D:4D), breast cancer risk factors, and breast cancer risk: a prospective cohort study. Br J Cancer. 2012; 107(9):1631-6.
  13. Hong L, Zhan-Bing M, Zhi-Yun S,et al. Digit ratio (2D:4D) in Chinese women with breast cancer. Am J Hum Biol. 2014; 26:562-4.
  14. Hopp RN, Lima NCDS, FilhoJLF, et al. Digit ratio (2D:4D) is associated with gastric cancer. Early Hum Develop. 2013; 89:327-9.
  15. McIntyre MH. The use of digit ratios as markers for perinatal androgen action ReprodBiolEndocrinol.2006; 4:10–10.

Corresponding Author

Dr Sajjad Jafar

Assistant Professor, Dept of Anatomy, BRD Medical College, Gorakhpur