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多氯联苯与雌激素和孕激素受体联合状态下的乳腺癌风险

Polychlorinated biphenyls and breast cancer risk by combined estrogen and progesterone receptor status.

作者信息

Rusiecki Jennifer A, Holford Theodore R, Zahm Shelia H, Zheng Tonzhang

机构信息

Department of Epidemiology and Public Health, Yale University School of Medicine, USA.

出版信息

Eur J Epidemiol. 2004;19(8):793-801. doi: 10.1023/b:ejep.0000036580.05471.31.

DOI:10.1023/b:ejep.0000036580.05471.31
PMID:15469037
Abstract

Studies have suggested that breast cancer risk factor profiles may vary according to joint estrogen receptor (ER) and progesterone receptor (PR) tumor status. Most of the published literature to date which has investigated the association between exposure to organochlorine compounds and breast cancer has reported null or weak associations. If, indeed, the classification by hormonal receptor status identifies different forms of breast cancer, then assessing the risk of exposure to polychlorinated biphenyls (PCBs) on breast cancer as one disease or stratifying based on ER or PR status alone may obscure the association between PCBs and breast cancer. A hospital-based case-control study of 266 cases and 347 benign breast disease controls was conducted to examine the association of blood serum and adipose tissue concentrations of PCBs with breast cancer by joint ER/PR status. Total PCBs were measured in blood serum, and the following PCB congeners were measured in breast adipose tissue: 74, 118, 138, 153, 156, 170, 180, 183, 187. We did not detect any clear relationship or change in breast cancer risk based on joint ER/PR tumor status for body burden of PCBs, whether measured in blood serum or breast adipose tissue, by total PCBs or for specific congeners. These results confirm previous findings in the literature of no positive association between environmental exposure to PCBs and risk of breast cancer.

摘要

研究表明,乳腺癌风险因素概况可能因雌激素受体(ER)和孕激素受体(PR)的联合肿瘤状态而异。迄今为止,大多数已发表的关于有机氯化合物暴露与乳腺癌之间关联的文献都报告了无关联或弱关联。如果激素受体状态分类确实能识别出不同形式的乳腺癌,那么将接触多氯联苯(PCBs)对乳腺癌的风险评估视为一种疾病,或者仅基于ER或PR状态进行分层,可能会掩盖PCBs与乳腺癌之间的关联。我们进行了一项基于医院的病例对照研究,纳入266例病例和347例良性乳腺疾病对照,以通过ER/PR联合状态检查血清和脂肪组织中PCBs浓度与乳腺癌的关联。测定血清中的总PCBs,并在乳腺脂肪组织中测定以下PCB同系物:74、118、138、153、156、170、180、183、187。无论是通过总PCBs还是特定同系物,我们均未检测到基于PCBs体内负荷的ER/PR联合肿瘤状态与乳腺癌风险之间存在任何明确关系或变化。这些结果证实了文献中先前的发现,即环境暴露于PCBs与乳腺癌风险之间无正相关。

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