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猫乳腺肿瘤:激素因素的病例对照研究

Feline mammary tumors: a case-control study of hormonal factors.

作者信息

Misdorp W, Romijn A, Hart A A

机构信息

Department of Pathology, The Netherlands Cancer Institute (Antoni van Leeuwenhoek Huis), Amsterdam.

出版信息

Anticancer Res. 1991 Sep-Oct;11(5):1793-7.

PMID:1768052
Abstract

Feline mammary carcinomas are, like human breast cancers, spontaneous, locally infiltrative and metastasizing tumors. Therefore, this tumor disease in the cat can serve as a pathogenetic and experimental-therapeutic model for the human counterpart. In the cat, as in the woman, little is so far known with certainty about the hormonal background of mammary tumors. In order to elucidate the role of endogenous and exogenous hormonal factors, a case-control study was conducted. Data on age, history of castration, parity and progestogen administration were compared in cats with malignant or benign mammary tumors on one hand, and in a control group on the other. The statistical relative risks and their significance were assessed using conditional logistic regression analysis. In our study there was a tendency for mammary carcinomas to be found in cats that were older than those bearing benign mammary tumors. Ovariectomy was found to protect against mammary carcinomas but not against benign mammary tumors. No association between parity and mammary tumor risk was found. Regular administration of progestogens was associated with an increased risk of both mammary carcinoma and benign mammary tumors. However, this was not true of irregular progestogen administration and, in general, the administration of progestogens was not associated with an earlier appearance of mammary tumors.

摘要

猫乳腺肿瘤与人类乳腺癌一样,是自发性、局部浸润性和转移性肿瘤。因此,猫的这种肿瘤疾病可作为人类相应疾病的发病机制和实验治疗模型。与女性一样,目前对猫乳腺肿瘤的激素背景了解甚少。为了阐明内源性和外源性激素因素的作用,我们进行了一项病例对照研究。一方面比较了患有恶性或良性乳腺肿瘤的猫与对照组在年龄、去势史、产次和孕激素给药方面的数据。使用条件逻辑回归分析评估统计相对风险及其显著性。在我们的研究中,患乳腺癌的猫有比患良性乳腺肿瘤的猫年龄更大的趋势。发现卵巢切除术可预防乳腺癌,但不能预防良性乳腺肿瘤。未发现产次与乳腺肿瘤风险之间存在关联。定期给予孕激素与乳腺癌和良性乳腺肿瘤的风险增加有关。然而,不规则给予孕激素并非如此,总体而言,孕激素给药与乳腺肿瘤的更早出现无关。

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