Breast cancer is a major health problem in America, accounting for alm
ost one-third of cancer-related deaths in women. The prevention of bre
ast cancer through dietary modification is an active area of clinical
and epidemiologic research. It has been proposed that the dietary supp
lementation of vitamin E, a lipid-soluble antioxidant, may reduce a wo
man's risk of developing breast cancer. In animal models, vitamin E ha
s decreased the incidence of carcinogen induced mammary tumors. Intake
and serum levels of vitamin E and their relation to breast cancer hav
e been evaluated in epidemiologic studies. Results of epidemiologic st
udies, however, have been conflicting. In this review, we examine the
evidence that is available pertaining to the relationship between vita
min E and breast cancer. Although epidemiologic study results have bee
n inconsistent, further study of this nontoxic vitamin is warranted. P
articular attention should be paid to the interactions of other antiox
idants with vitamin E and to the duration and timing (pre- vs. postmen
opausal) of vitamin E use in determining its preventive utility in bre
ast cancer.