Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Cancer Causes Control. 2012 Dec;23(12):1985-94. doi: 10.1007/s10552-012-0076-x. Epub 2012 Oct 12.
Associations between sun exposure (a primary source of vitamin D) and risk of ovarian cancer have been inconsistent. Furthermore, studies have not investigated whether sun exposure at different periods in the lifetime of a person results in differences in risk associations, and little is known about differences according to histological subtype.
Using a population-based case-control study of 1,334 non-Hispanic white women diagnosed with epithelial ovarian cancer in western Washington State between 2002 and 2009 and 1,679 non-Hispanic white controls, we assessed the relation of epithelial ovarian cancer with constitutional pigmentation characteristics, sun exposure behaviors, and an index of ultraviolet (UV) exposure based on residential history. Information was collected through in-person interviews. Logistic regression was used to compute odds ratios, 95 % confidence intervals, and trend p values (P(trend)).
We noted no association with residence-based measures of UV exposure or self-reported sun exposure, either over the lifetime or within specific age intervals. Also, we observed little evidence of association between constitutional pigmentation characteristics and risk, save for a suggestion of increased risk among women who reported increased ability to suntan upon prolonged sun exposure (P(trend) = 0.03).
Results from this study suggest that sun exposure has little influence on the risk of epithelial ovarian cancer. Additional studies in populations with a wider gradient of sun exposure may yet be warranted.
阳光暴露(维生素 D 的主要来源)与卵巢癌风险之间的关联一直存在争议。此外,研究尚未调查一个人一生中不同时期的阳光暴露是否会导致风险关联的差异,并且根据组织学亚型的差异知之甚少。
我们使用了一项基于人群的病例对照研究,该研究纳入了 2002 年至 2009 年期间在华盛顿州西部被诊断为上皮性卵巢癌的 1334 名非西班牙裔白人女性和 1679 名非西班牙裔白人对照,评估了上皮性卵巢癌与体质色素沉着特征、阳光暴露行为以及基于居住史的紫外线(UV)暴露指数之间的关系。信息通过面对面访谈收集。使用逻辑回归计算比值比、95%置信区间和趋势 p 值(P(trend))。
我们没有发现与基于居住地的 UV 暴露或自我报告的阳光暴露的任何关联,无论是在一生中还是在特定的年龄间隔内。此外,我们观察到体质色素沉着特征与风险之间几乎没有关联,除了那些报告在长时间暴露于阳光下后增加晒黑能力的女性风险增加(P(trend) = 0.03)。
这项研究的结果表明,阳光暴露对上皮性卵巢癌的风险影响很小。在阳光暴露梯度更大的人群中进行的额外研究可能仍然是必要的。