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性别比例与血液系统恶性肿瘤的风险

Sex ratios and the risks of haematological malignancies.

作者信息

Cartwright Ray A, Gurney Karen A, Moorman Anthony V

机构信息

Leukaemia Research Fund Centre for Clinical Epidemiology at the University of Leeds, Leeds, UK.

出版信息

Br J Haematol. 2002 Sep;118(4):1071-7. doi: 10.1046/j.1365-2141.2002.03750.x.

Abstract

Although the sex of an individual confers one of the greatest of the known risks for contracting leukaemia and lymphomas, very little attention is paid to these risks. It is the purpose of this paper to stimulate further research in this area. The sex rate ratios are presented for the commoner haematological malignancies. The male excess in the lymphoid cancers is most marked in the youngest age group in non-Hodgkin's lymphoma and Hodgkin's disease, while acute lymphoblastic leukaemia shows equal sex ratios in the childhood peak. Both chronic lymphocytic leukaemia and lymphocytic lymphoma display an unusual pattern, hitherto undescribed, with a large male excess specific to the 40s and 60s age groups. The myeloid sex ratios are all characterized by slight female excess in early adulthood followed by marked male excess. The reasons for these patterns are discussed.

摘要

尽管个体的性别是已知的患白血病和淋巴瘤最大风险因素之一,但这些风险很少受到关注。本文旨在推动该领域的进一步研究。文中给出了较常见血液系统恶性肿瘤的性别比率。在非霍奇金淋巴瘤和霍奇金病中,淋巴癌男性发病率高于女性的情况在最年轻年龄组最为明显,而急性淋巴细胞白血病在儿童发病高峰时性别比率相等。慢性淋巴细胞白血病和淋巴细胞淋巴瘤均呈现出一种迄今未被描述的异常模式,即40多岁和60多岁年龄组男性发病率大幅高于女性。髓系肿瘤的性别比率特点是成年早期女性略多于男性,随后男性大幅多于女性。文中讨论了这些模式的成因。

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