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Graves 病住院患者的癌症风险:瑞典基于人群的队列研究。

Cancer risk in patients hospitalised for Graves' disease: a population-based cohort study in Sweden.

机构信息

Center for Family and Community Medicine, Karolinska Institute, 141 83 Huddinge, Sweden.

出版信息

Br J Cancer. 2010 Apr 27;102(9):1397-9. doi: 10.1038/sj.bjc.6605624. Epub 2010 Mar 30.

DOI:10.1038/sj.bjc.6605624
PMID:20354521
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2865750/
Abstract

BACKGROUND

The possibility of an association of Graves' disease (GD) with subsequent cancers raised by certain studies.

METHODS

Using a database on 18 156 hospitalised GD patients, subsequent cancers were ascertained.

RESULTS

Increased risks of thyroid and parathyroid tumours were limited to the early follow-up period, which is probably a surveillance bias. Cancer sites with observed excess included the mouth and breast, in contrast to decreased risks of colon cancer, melanoma and non-Hodgkin's lymphoma.

CONCLUSION

Increased subsequent cancers in GD patients appeared to be balanced by decreased risks at other sites; chance cannot be excluded.

摘要

背景

一些研究表明 Graves 病(GD)与随后发生的癌症之间存在关联的可能性。

方法

利用一个包含 18156 名住院 GD 患者的数据库,确定了随后发生的癌症病例。

结果

甲状腺和甲状旁腺瘤的风险增加仅限于早期随访期,这可能是一种监测偏差。观察到的肿瘤部位包括口腔和乳房,而结肠癌、黑色素瘤和非霍奇金淋巴瘤的风险则降低。

结论

GD 患者随后发生的癌症风险增加似乎被其他部位风险降低所平衡;不能排除偶然因素的影响。

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本文引用的文献

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Ann Oncol. 2009 Jun;20(6):1121-6. doi: 10.1093/annonc/mdn767. Epub 2009 Feb 11.
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Cancer and immune response: old and new evidence for future challenges.癌症与免疫反应:未来挑战的新老证据
Oncologist. 2008 Dec;13(12):1246-54. doi: 10.1634/theoncologist.2008-0166. Epub 2008 Dec 4.
3
Postoperative mortality in parathyroid surgery in Sweden during five decades: improved outcome despite older patients.瑞典五十年间甲状旁腺手术的术后死亡率:尽管患者年龄增大,但结局仍有所改善。
Eur J Endocrinol. 2009 Feb;160(2):295-9. doi: 10.1530/EJE-08-0523. Epub 2008 Nov 28.
4
Immigration and the incidence of Graves' thyrotoxicosis, thyrotoxic multinodular goiter and solitary toxic adenoma.移民与格雷夫斯病甲状腺毒症、毒性多结节性甲状腺肿及孤立性毒性腺瘤的发病率
Eur J Endocrinol. 2009 Feb;160(2):201-6. doi: 10.1530/EJE-08-0548. Epub 2008 Nov 12.
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Mortality from thyroid cancer in patients with hyperthyroidism: the Theagenion Cancer Hospital experience.甲状腺功能亢进症患者的甲状腺癌死亡率:泰亚吉尼翁癌症医院的经验
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