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维生素在宫颈肿瘤病因学中的作用:一项流行病学综述。

The role of vitamins in the etiology of cervical neoplasia: an epidemiological review.

作者信息

Schneider A, Shah K

机构信息

Department of Obstetrics and Gynecology, University of Ulm, FRG.

出版信息

Arch Gynecol Obstet. 1989;246(1):1-13. doi: 10.1007/BF00933072.

DOI:10.1007/BF00933072
PMID:2673070
Abstract

Diet may act as a cofactor in the development of cancer of the cervix. A consistent correlation exists between low tissue concentrations, low serum level, and low intake of vitamin A, beta-carotene, vitamin C, or folic acid and an increased prevalence of cervical neoplasia. A moderate effect is seen in clinical trials with vitamin treatment of cervical intraepithelial neoplasias. The studies reviewed here were not consistent especially in the choice of controls and methods for the assessment of dietary and confounding factors. Proper morphologic identification of cervical intraepithelial neoplasia was not always achieved. Longitudinal and prospective cohort studies using more reliable methods for diet monitoring may be valuable for future research in this field.

摘要

饮食可能是宫颈癌发生发展中的一个辅助因素。组织中维生素A、β-胡萝卜素、维生素C或叶酸浓度低、血清水平低以及摄入量低与宫颈肿瘤患病率增加之间存在一致的相关性。在对宫颈上皮内瘤变进行维生素治疗的临床试验中观察到了适度的效果。此处综述的研究并不一致,尤其是在对照的选择以及饮食和混杂因素评估方法方面。并非总能对宫颈上皮内瘤变进行恰当的形态学鉴定。采用更可靠的饮食监测方法进行纵向和前瞻性队列研究可能对该领域未来的研究有价值。

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1
The role of vitamins in the etiology of cervical neoplasia: an epidemiological review.维生素在宫颈肿瘤病因学中的作用:一项流行病学综述。
Arch Gynecol Obstet. 1989;246(1):1-13. doi: 10.1007/BF00933072.
2
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Br J Cancer. 1996 Jun;73(12):1600-4. doi: 10.1038/bjc.1996.301.
3
Pathogenesis of genital HPV infection.生殖器人乳头瘤病毒感染的发病机制。

本文引用的文献

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IMPAIRMENT OF RESPONSE TO STILBESTROL IN THE OVIDUCT OF CHICKS DEFICIENT IN L. CASEI FACTOR ("FOLIC ACID").缺乏干酪乳杆菌因子(“叶酸”)的雏鸡输卵管对己烯雌酚反应的损害
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Influence of selection versus lifestyle on risk of fatal cancer and cardiovascular disease among Seventh-day Adventists.
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Dietary vitamin C and uterine cervical dysplasia.膳食维生素C与子宫颈发育异常
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Retinoids and the prevention of cervical dysplasias.维甲酸与宫颈发育异常的预防
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Improvement in cervical dysplasia associated with folic acid therapy in users of oral contraceptives.口服避孕药使用者中,叶酸治疗与宫颈发育异常改善相关。
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Evaluation of topically applied trans-retinoic acid in the treatment of cervical intraepithelial lesions.外用全反式维甲酸治疗宫颈上皮内瘤变的评估。
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Can dietary beta-carotene materially reduce human cancer rates?膳食中的β-胡萝卜素能显著降低人类患癌率吗?
Nature. 1981 Mar 19;290(5803):201-8. doi: 10.1038/290201a0.
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Diet and reproductive hormones: a study of vegetarian and nonvegetarian postmenopausal women.饮食与生殖激素:一项针对绝经后素食与非素食女性的研究。
J Natl Cancer Inst. 1981 Oct;67(4):761-7.
10
Folic acid and vitamin C in cervical dysplasia.宫颈发育异常中的叶酸与维生素C
Am J Clin Nutr. 1983 Feb;37(2):332-3. doi: 10.1093/ajcn/37.2.332.