Holly E A, Aston D A, Ahn D K, Kristiansen J J, Char D H
Northern California Cancer Center, Program in Epidemiology, Belmont 94002.
Ophthalmology. 1991 May;98(5):608-11. doi: 10.1016/s0161-6420(91)32244-9.
To determine whether there were more prior cancers in uveal melanoma patients than in a geographically matched control group, the authors compared the history of prior cancer in 407 uveal melanoma patients who lived in the western United States with that of 870 control subjects. Control subjects were selected by random digit dial and frequency-matched for age at diagnosis of patient, race, and sex. Fifty-one (12.5%) patients and 86 (9.9%) control subjects reported skin cancers whereas 25 (6.1%) patients and 47 (5.4%) control subjects reported other cancers. No statistically significant elevated estimates of relative risk (RR) were found for uveal melanoma with history of skin cancer in either men (RR = 1.4, 95% confidence interval (CI) = 0.87-2.3) or women (RR = 1.1, 95% CI = 0.58-2.0), or with history of other prior cancer in either sex (men, RR = 1.0, 95% CI = 0.42-2.2; women, RR = 1.1, 95% CI = 0.55-2.1). Data from this study do not support an association between prior cancer and increased risk of uveal melanoma.
为了确定葡萄膜黑色素瘤患者的既往癌症是否比地理匹配的对照组更多,作者比较了居住在美国西部的407例葡萄膜黑色素瘤患者与870名对照者的既往癌症史。对照者通过随机数字拨号选择,并根据患者诊断时的年龄、种族和性别进行频率匹配。51例(12.5%)患者和86例(9.9%)对照者报告有皮肤癌,而25例(6.1%)患者和47例(5.4%)对照者报告有其他癌症。在有皮肤癌病史的葡萄膜黑色素瘤患者中,男性(相对风险[RR]=1.4,95%置信区间[CI]=0.87-2.3)或女性(RR=1.1,95%CI=0.58-2.0),以及在有其他既往癌症病史的任何性别患者中(男性,RR=1.0,95%CI=0.42-2.2;女性,RR=1.1,95%CI=0.55-2.1),均未发现相对风险有统计学意义的升高。这项研究的数据不支持既往癌症与葡萄膜黑色素瘤风险增加之间存在关联。