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[营养状况、激素血清水平及家族史对乳腺癌发生发展的影响]

[Influence of nutritional status, hormones serum levels, and family history on breast cancer development].

作者信息

González Jiménez Emilio, García López Pedro A, Schmidt-Río-Valle Jacqueline, Valenza Carmen

机构信息

Departamento de Enfermería, Facultad de Enfermería, Universidad de Granada, Melilla, Spain.

出版信息

Rev Med Chil. 2012 Oct;140(10):1263-7. doi: 10.4067/S0034-98872012001000004.

Abstract

BACKGROUND

Several studies have analyzed the relation between obesity and the hormonal imbalances generated by overweight and a family history of breast cancer. All of these factors are potentially implicated in the early development of breast cancer.

AIM

To verify the existence of a significant relation between the nutritional status of breast cancer patients, their hormone serum levels (estrogens, prolactin, and progesterone), and the existence of a family history of breast cancer.

MATERIAL AND METHODS

Retrospective data was collected from clinical records of 524 women diagnosed with breast cancer in a Spanish hospital.

RESULTS

There was a positive association between estrogen, progesterone and prolactin serum levels and body mass index. The elevations in hormone levels occurred earlier in life among women with a family history of breast cancer. A two way ANOVA found a significant association between progesterone and prolactin levels with the age at diagnosis of breast cancer.

CONCLUSIONS

Extreme serum levels of these hormones appear to be related to the early development of breast cancer, which in turn is influenced by the existence of a family history of cancer among those women with normal or average hormone levels.

摘要

背景

多项研究分析了肥胖与超重及乳腺癌家族史所导致的激素失衡之间的关系。所有这些因素都可能与乳腺癌的早期发展有关。

目的

验证乳腺癌患者的营养状况、血清激素水平(雌激素、催乳素和孕酮)以及乳腺癌家族史之间是否存在显著关联。

材料与方法

从西班牙一家医院524例确诊为乳腺癌的女性患者的临床记录中收集回顾性数据。

结果

雌激素、孕酮和催乳素血清水平与体重指数呈正相关。有乳腺癌家族史的女性激素水平升高出现在生命早期。双向方差分析发现孕酮和催乳素水平与乳腺癌诊断年龄之间存在显著关联。

结论

这些激素的极端血清水平似乎与乳腺癌的早期发展有关,而对于激素水平正常或平均的女性,乳腺癌的早期发展又受癌症家族史的影响。

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