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酒精与胃肠道肿瘤学。

Alcohol and gastrointestinal oncology.

机构信息

Gianni Testino, Paolo Borro, Department of Specialist Medicine, S. Martino Hospital, 16136 Genova, Italy.

出版信息

World J Gastrointest Oncol. 2010 Aug 15;2(8):322-5. doi: 10.4251/wjgo.v2.i8.322.

DOI:10.4251/wjgo.v2.i8.322
PMID:21160893
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2999678/
Abstract

Results from several large epidemiological studies have firmly established that alcohol is associated with elevated cancer incidence and mortality. Recently the International Agency for Cancer Research stated that acetaldehyde associated with alcoholic beverages is carcinogenic to humans and confirmed the Group 1 classification of alcohol consumption and of ethanol in alcoholic beverages. Alcohol consumption causes cancers of the oral cavity, pharynx, larynx, oesophagus, colorectum, liver, pancreas and female breast. The frequency of most alcohol-induced diseases increases in a linear fashion as intake increases: oral, oesophagus and colon cancer fall into this pattern. Very little is known about safe margins of alcohol consumption. US Department of Health and Human Services suggest a maximum of 28 g of alcohol a day in man and half of this in women.

摘要

几项大型流行病学研究的结果已经明确确立,酒精与癌症发病率和死亡率升高有关。最近,国际癌症研究机构表示,与酒精饮料相关的乙醛对人类具有致癌性,并确认了酒精摄入和酒精饮料中乙醇的第 1 组分类。酒精消费会导致口腔、咽、喉、食管、结肠、直肠、肝、胰腺和女性乳房的癌症。随着摄入量的增加,大多数与酒精相关疾病的发生频率呈线性增加:口腔癌、食管癌和结肠癌就属于这种模式。关于安全饮酒量,我们知之甚少。美国卫生与公众服务部建议男性每天摄入的酒精量不超过 28 克,女性则减半。

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本文引用的文献

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The relation between different dimensions of alcohol consumption and burden of disease: an overview.不同维度的饮酒量与疾病负担之间的关系:概述。
Addiction. 2010 May;105(5):817-43. doi: 10.1111/j.1360-0443.2010.02899.x. Epub 2010 Mar 15.
2
A review of human carcinogens--Part E: tobacco, areca nut, alcohol, coal smoke, and salted fish.人类致癌物综述——E部分:烟草、槟榔、酒精、煤烟和咸鱼。
Lancet Oncol. 2009 Nov;10(11):1033-4. doi: 10.1016/s1470-2045(09)70326-2.
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Tobacco smoking, alcohol consumption and pancreatic cancer risk: a case-control study in Italy.吸烟、饮酒与胰腺癌风险:意大利的一项病例对照研究。
Eur J Cancer. 2010 Jan;46(2):370-6. doi: 10.1016/j.ejca.2009.09.002. Epub 2009 Sep 24.
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Myeloperoxidase and superoxide dismutase 2 polymorphisms comodulate the risk of hepatocellular carcinoma and death in alcoholic cirrhosis.髓过氧化物酶和超氧化物歧化酶2基因多态性共同调节酒精性肝硬化患者肝细胞癌发生风险及死亡风险。
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Cancer incidence among patients with alcohol use disorders--long-term follow-up.酒精使用障碍患者的癌症发病率——长期随访
Alcohol Alcohol. 2009 Jul-Aug;44(4):387-91. doi: 10.1093/alcalc/agp034. Epub 2009 Jun 2.
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Acetaldehyde as a common denominator and cumulative carcinogen in digestive tract cancers.乙醛作为消化道癌症中的一个共同因素和累积致癌物。
Scand J Gastroenterol. 2009;44(8):912-25. doi: 10.1080/00365520902912563.
7
Alcoholic diseases in hepato-gastroenterology: a point of view.肝脏胃肠病学中的酒精性疾病:一种观点
Hepatogastroenterology. 2008 Mar-Apr;55(82-83):371-7.
8
The role of acetaldehyde outside ethanol metabolism in the carcinogenicity of alcoholic beverages: evidence from a large chemical survey.乙醛在乙醇代谢之外在酒精饮料致癌性中的作用:来自大规模化学调查的证据。
Food Chem Toxicol. 2008 Aug;46(8):2903-11. doi: 10.1016/j.fct.2008.05.034. Epub 2008 Jun 6.
9
Alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH) in the cancer diseases.癌症疾病中的乙醇脱氢酶(ADH)和乙醛脱氢酶(ALDH)。
Clin Chim Acta. 2008 Sep;395(1-2):1-5. doi: 10.1016/j.cca.2008.05.001. Epub 2008 May 8.
10
An evidence-based alcohol policy.一项基于证据的酒精政策。
Gut. 2008 Oct;57(10):1341-4. doi: 10.1136/gut.2007.146753. Epub 2008 Apr 29.