Namer Moïse, Luporsi Elisabeth, Gligorov Joseph, Lokiec François, Spielmann Marc
Centre Antoine-Lacassagne, Nice, France.
Bull Cancer. 2008 Sep;95(9):871-80. doi: 10.1684/bdc.2008.0679.
Based on the observation of a high incidence of breast cancer in the upper outer quadrant adjacent to the usual area of application of deodorants and/or antiperspirants, several scientific teams have advanced the hypothesis of a possible link between antiperspirants and breast cancer. The possibility of the involvement of parabens and aluminium salts, traditional components of a number of cosmetic products, has been advanced by the same teams. In order to ascertain whether this hypothesis could or could not be confirmed, a group of clinical experts in oncology was set up to search and analyse the literature data relating to the problem raised with the aim of answering three predefined questions: 1) does it exist experimental or biological arguments supporting a potential link between the use of deodorants/antiperspirants and breast cancer? 2) Does the use of deodorants/antiperspirants have any effect on the increase in the risk of breast cancer? 3) Could a causal relationship between the use of deodorants/antiperspirants and breast cancer be accepted? The scientific data were searched systematically in the PubMed database (http://www.ncbi.nlm.nih.gov/sites/entrez) using standardised search equations. Fifty-nine studies resulting from the literature search were reviewed and nineteen articles with various methodologies were selected for in-depth analysis. In view of the fact that parabens are generally not present in deodorants/antiperspirants, the reflection group's search related purely to the question of aluminium salts. Among these nineteen articles, many are methodologically unsound, do not answer to the questions posed or deal with the question of parabens and were therefore discarded by the reflection group. The expert group's conclusion coincides with those of the French, European and American health authorities. After analysis of the available literature on the subject, no scientific evidence to support the hypothesis was identified and no validated hypothesis appears likely to open the way to interesting avenues of research.
基于观察到在靠近通常涂抹除臭剂和/或止汗剂部位的外上象限乳腺癌发病率较高,几个科研团队提出了止汗剂与乳腺癌之间可能存在关联的假说。这些团队还提出,一些化妆品的传统成分对羟基苯甲酸酯和铝盐可能与之有关。为了确定这一假说能否得到证实,成立了一组肿瘤学临床专家,以搜索和分析与该问题相关的文献数据,旨在回答三个预先设定的问题:1)是否存在支持使用除臭剂/止汗剂与乳腺癌之间潜在关联的实验或生物学论据?2)使用除臭剂/止汗剂对乳腺癌风险增加有何影响?3)能否接受使用除臭剂/止汗剂与乳腺癌之间的因果关系?使用标准化搜索公式在PubMed数据库(http://www.ncbi.nlm.nih.gov/sites/entrez)中系统搜索科学数据。对文献检索得到的59项研究进行了综述,并挑选了19篇采用各种方法的文章进行深入分析。鉴于除臭剂/止汗剂中通常不存在对羟基苯甲酸酯,反思小组的搜索仅涉及铝盐问题。在这19篇文章中,许多在方法上存在缺陷,未回答所提出的问题或未涉及对羟基苯甲酸酯问题,因此被反思小组舍弃。专家组的结论与法国、欧洲和美国卫生当局的结论一致。在分析了关于该主题的现有文献后,未发现支持该假说的科学证据,也没有经过验证的假说似乎可能开辟有趣的研究途径。