The carcinogenic potential of cadmium might be affected by several fac
tors such as smoking, hormones and presence of other metals, such as s
elenium and zinc. Cadmium was analyzed in breast-fat tissue of 43 brea
st cancer patients and 32 healthy control subjects. Patients were thor
oughly characterized according to such variables as stage of cancer, s
moking habits, and number of children. Correlation of cadmium levels w
ith these variables, with hormone receptors, and with previously repor
ted selenium and zinc were all analyzed. The mean cadmium concentratio
n found in breast cancer patients (20.4 +/- 17.5 mu g/g) did not diffe
r significantly from that of the healthy controls (31.7 +/- 39.4 mu g/
g). However, unexpectedly high concentrations of cadmium (3.2-86.9 vs.
0.1-160.4 mu g/g) were found in breast samples, which may indicate th
at cadmium binding proteins exist in human breast tissue. Correlation
of cadmium with smoking rate of cancer patients was positive (R(s) = 0
.0505, p < 0.05). Correlation of cadmium with estrogen receptors in br
east cancer was suggestive (R(s), = 0.309,28 cases, P = 0.06). No corr
elation was found with other trace elements such as selenium, zinc and
copper. These results seem neither to prove nor to disprove the role
of cadmium in breast cancer initiation, promotion or progression.