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儿童恶性肿瘤的风险指标。

Risk indicators in childhood malignancies.

作者信息

Salonen T, Saxén L

出版信息

Int J Cancer. 1975 Jun 15;15(6):941-6. doi: 10.1002/ijc.2910150609.

Abstract

A series of 972 childhood malignancies was compared with a control series of healthy children matched for date and place of birth. Several variables were tested for possible aetiological significance. The information was obtained from the Finnish Cancer Registry and from the antenatal records of the mothers. No significant associations were found between the various types of malignancies and the variables studied. In the group consisting of all malignancies, a risk ratio of 2.0 could be significantly excluded for most variables. In the leukaemia group, both pelvic X-ray and polio vaccination were associated with slightly elevated risk ratios, but the differences between this group and the match controls were not statistically significant. BCG vaccination was performed during the perinatal period in 90% of the children, but the proportion was the same in the study and control groups, and hence the hypothesis that this vaccination confers protection was not supported. The information is considered prospective and relatively reliable, and the authors suggest that these data may be useful when more extensive series are compiled from various sources.

摘要

将972例儿童恶性肿瘤病例与一组按出生日期和出生地匹配的健康儿童对照系列进行了比较。对几个变量进行了测试,以确定其可能的病因学意义。信息来自芬兰癌症登记处和母亲的产前记录。在各种类型的恶性肿瘤与所研究的变量之间未发现显著关联。在所有恶性肿瘤组成的组中,大多数变量的风险比为2.0可被显著排除。在白血病组中,盆腔X光检查和脊髓灰质炎疫苗接种均与略高的风险比相关,但该组与匹配对照组之间的差异无统计学意义。90%的儿童在围产期接种了卡介苗,但研究组和对照组的比例相同,因此这种疫苗具有保护作用的假设未得到支持。该信息被认为是前瞻性的且相对可靠,作者建议当从各种来源汇编更广泛的系列数据时,这些数据可能会有用。

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