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环境因素与乳腺癌。

Environmental factors and breast cancer.

机构信息

Institute for Biomedical Research, Medical Academy, Lithuanian University of Health Sciences, Eivenių 4, 50161 Kaunas, Lithuania.

出版信息

Medicina (Kaunas). 2010;46(12):867-73.

Abstract

This review summarizes the results of studies on the effects of environment on breast cancer risk. As known risk factors such as reproductive life, inheritance, and socioeconomic status are estimated to explain only about half of the breast cancer cases, it has been thought that environmental factors could also be related to the risk of this disease. It is known that ionizing radiation is an environmental risk factor increasing the risk of breast cancer. The data of experimental studies show that some organochlorines could be associated with breast cancer risk although the data from epidemiological studies are not consistent due to the difficulties to assess exposure and other risk factors. Recent experimental studies show that cadmium is an environmental factor that mimics the effects of estradiol in estrogen-responsive breast cancer cell lines while solar radiation possibly decreases the risk due to protective effect of vitamin D. The data on the effect of electromagnetic fields are not consistent. Although evidence about the effect of environmental factors on the risk of breast cancer is not convincing, some of these factors together with inheritance, reproductive life, and age at exposure could be associated with an increased risk of the disease.

摘要

这篇综述总结了环境因素对乳腺癌风险影响的研究结果。已知的风险因素如生殖生活、遗传和社会经济地位据估计仅能解释大约一半的乳腺癌病例,因此人们认为环境因素也可能与这种疾病的风险有关。已知电离辐射是增加乳腺癌风险的环境危险因素。实验研究的数据表明,一些有机氯化合物可能与乳腺癌风险相关,尽管由于难以评估暴露和其他危险因素,来自流行病学研究的数据并不一致。最近的实验研究表明,镉是一种环境因素,它在雌激素反应性乳腺癌细胞系中模拟雌二醇的作用,而太阳辐射可能由于维生素 D 的保护作用而降低风险。电磁场影响的数据不一致。虽然关于环境因素对乳腺癌风险影响的证据并不令人信服,但这些因素与遗传、生殖生活和暴露年龄一起,可能与疾病风险的增加有关。

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