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癌症患者和对照组病史中的常见感染。

Common infections in the history of cancer patients and controls.

作者信息

Abel U, Becker N, Angerer R, Frentzel-Beyme R, Kaufmann M, Schlag P, Wysocki S, Wahrendorf J, Schulz G

机构信息

Tumorzentrum Heidelberg/Mannheim, FRG.

出版信息

J Cancer Res Clin Oncol. 1991;117(4):339-44. doi: 10.1007/BF01630717.

Abstract

The association between the frequency of manifest infectious diseases and cancer risk was investigated in a case-control study at Heidelberg, FRG. A total of 255 cases with carcinomas of the stomach, colon, rectum, breast, and ovary, as well as 255 population controls and 230 hospital controls were interviewed using a standard questionnaire. Controls were matched to the cases for age, sex, and region of residence at the time of the interview. A history of common colds or gastroenteric influenza prior to the interview was found to be associated with a decreased cancer risk. Thus the odds ratios for "three or more common colds per year (on average)" versus "no common cold within the last 5 years prior to the interview" were 0.18 (95% CI = 0.05-0.69) and 0.23 (95% CI = 0.06-0.89) relative to population controls and hospital controls, respectively. There was no apparent relationship between childhood infections or other diseases reported in the earlier history, and cancer risk. While the findings are supported by previous studies and fit well into the results of other fields of cancer research, a conclusive interpretation and biological explanation cannot yet be given.

摘要

在德国海德堡进行的一项病例对照研究中,调查了显性传染病的发病频率与癌症风险之间的关联。使用标准问卷对总共255例患有胃癌、结肠癌、直肠癌、乳腺癌和卵巢癌的患者,以及255名人群对照和230名医院对照进行了访谈。在访谈时,对照在年龄、性别和居住地区方面与病例进行了匹配。发现访谈前有感冒或胃肠型流感病史与癌症风险降低有关。因此,相对于人群对照和医院对照,“每年三次或更多次感冒(平均)”与“访谈前最近5年内无感冒”的优势比分别为0.18(95%可信区间=0.05 - 0.69)和0.23(95%可信区间=0.06 - 0.89)。早期病史中报告的儿童期感染或其他疾病与癌症风险之间没有明显关系。虽然这些发现得到了先前研究的支持,并且与癌症研究其他领域的结果相吻合,但尚无法给出确定性的解释和生物学解释。

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