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雌激素与子宫内膜癌

Estrogens and endometrial carcinoma.

作者信息

Gray L A, Christopherson W M, Hoover R N

出版信息

Obstet Gynecol. 1977 Apr;49(4):385-9.

PMID:193072
Abstract

A group of 205 women with endometrial carcinoma was matched for age, parity, and year of operation with a group of 205 women who had had hysterectomies for benign disease. In the former group, 32 patients had used conjugated estrogens, while in the latter group 12 had used this hormone, yielding a relative risk of 3.1 (P = 0.0008). Users of other forms of systemic estrogens showed similar elevations in relative risk. Relative risk was related to duration of use, progressing from no evidence of risk among those using the hormone for less than 5 years to an 11.5-fold greater risk for those using it for 10 years or more. Risk was also related to the strength of the medication. The relative risk for users of the 1.25-mg tablets was 12.7 as compared to a two- to fourfold greater risk among users of lesser strength tablets.

摘要

一组205例子宫内膜癌女性患者,在年龄、产次和手术年份方面与一组205例因良性疾病接受子宫切除术的女性进行匹配。在前一组中,32例患者使用过结合雌激素,而后一组中有12例使用过这种激素,相对风险为3.1(P = 0.0008)。其他形式全身雌激素的使用者相对风险也有类似升高。相对风险与使用持续时间有关,使用激素少于5年者无风险证据,而使用10年或更长时间者风险高11.5倍。风险还与药物强度有关。1.25毫克片剂使用者的相对风险为12.7,而使用较低强度片剂者的风险高两至四倍。

相似文献

1
Estrogens and endometrial carcinoma.雌激素与子宫内膜癌
Obstet Gynecol. 1977 Apr;49(4):385-9.
2
[Estrogen therapy and carcinoma of the endometrium (author's transl)].雌激素疗法与子宫内膜癌(作者译)
Geburtshilfe Frauenheilkd. 1978 Sep;38(9):735-43.
3
Prophylactic Oophorectomy: Reducing the U.S. Death Rate from Epithelial Ovarian Cancer. A Continuing Debate.预防性卵巢切除术:降低美国上皮性卵巢癌死亡率。一场持续的争论。
Oncologist. 1996;1(5):326-330.
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Exogenous estrogens and endometrial carcinoma: review and comments for the clinician.外源性雌激素与子宫内膜癌:临床医生的综述与评论
J Reprod Med. 1977 Apr;18(4):177-80.
5
Estrogen replacement therapy and endometrial cancer risk: unresolved issues. The Endometrial Cancer Collaborative Group.雌激素替代疗法与子宫内膜癌风险:未解决的问题。子宫内膜癌协作组。
Obstet Gynecol. 1993 Feb;81(2):265-71.
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Endometrial cancer and estrogen use. Report of a large case-control study.子宫内膜癌与雌激素使用。一项大型病例对照研究报告。
N Engl J Med. 1979 Jan 4;300(1):9-13. doi: 10.1056/NEJM197901043000103.
7
Hormone replacement therapy and endometrial cancer risk: a meta-analysis.激素替代疗法与子宫内膜癌风险:一项荟萃分析。
Obstet Gynecol. 1995 Feb;85(2):304-13. doi: 10.1016/0029-7844(94)00383-O.
8
Exogenous estrogen and endometrial carcinoma: case-control and incidence study.外源性雌激素与子宫内膜癌:病例对照研究及发病率研究
Am J Obstet Gynecol. 1977 Mar 15;127(6):572-80. doi: 10.1016/0002-9378(77)90351-9.
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Estrogen regimen of women with endometrial carcinoma. A retrospective case-control study at Radiumhemmet.子宫内膜癌女性的雌激素治疗方案。镭疗医院的一项回顾性病例对照研究。
Acta Obstet Gynecol Scand. 1981;60(2):191-7.
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Increased risk of endometrial carcinoma among users of conjugated estrogens.使用结合雌激素的人群患子宫内膜癌的风险增加。
N Engl J Med. 1975 Dec 4;293(23):1167-70. doi: 10.1056/NEJM197512042932303.

引用本文的文献

1
Endometrial safety of low-dose vaginal estrogens in menopausal women: a systematic evidence review.绝经后妇女使用低剂量阴道雌激素的子宫内膜安全性:系统证据评价。
Menopause. 2019 Jul;26(7):800-807. doi: 10.1097/GME.0000000000001315.
2
Hormonal replacement therapy.激素替代疗法
Rev Endocr Metab Disord. 2002 Sep;3(3):243-56. doi: 10.1023/a:1020028510797.
3
Postmenopausal hormone replacement: are two hormones better than one?绝经后激素替代疗法:两种激素会比一种更好吗?
J Gen Intern Med. 1993 Aug;8(8):451-8. doi: 10.1007/BF02599627.
4
The epidemic of endometrial cancer: a commentary.子宫内膜癌的流行:一篇评论
Am J Public Health. 1980 Mar;70(3):264-7. doi: 10.2105/ajph.70.3.264.
5
The menopause.更年期。
West J Med. 1982 Mar;136(3):211-9.
6
The decreasing incidence of endometrial cancer: public health implications.子宫内膜癌发病率的下降:对公共卫生的影响
Am J Public Health. 1982 Jan;72(1):65-8. doi: 10.2105/ajph.72.1.65.
7
Prescribing estrogen during menopause: physician survey of practices in 1974 and 1981.更年期雌激素处方:1974年和1981年医生实践调查
Public Health Rep. 1984 Jul-Aug;99(4):424-9.
8
Endometrial cancer and patterns of use of oestrogen replacement therapy: a cohort study.子宫内膜癌与雌激素替代疗法的使用模式:一项队列研究。
Br J Cancer. 1989 Mar;59(3):445-7. doi: 10.1038/bjc.1989.91.
9
[The role of progestins].[孕激素的作用]
Arch Gynecol Obstet. 1989;246 Suppl:S85-91. doi: 10.1007/BF00935858.
10
Sex steroids and cancer in older women.老年女性体内的性激素与癌症
Drugs Aging. 1992 May-Jun;2(3):174-95. doi: 10.2165/00002512-199202030-00003.