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黑色素瘤诊断时的维生素D水平与肿瘤分期有关吗?对生活在高紫外线辐射环境中的黑色素瘤患者的一项观察性研究。

Is Vitamin D Level at Melanoma Diagnosis Associated With Stage Of Tumor? An Observational Study of Melanoma Patients Living in a High Ultraviolet Radiation Environment.

作者信息

Kimlin Michael G, Youl Pip, Baade Peter, Rye Sheree, Brodie Alison

机构信息

University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, QLD Australia.

Cancer Council Queensland, 553 Gregory Terrace, Fortitude Valley, QLD Australia.

出版信息

Mil Med. 2019 Mar 1;184(Suppl 1):506-510. doi: 10.1093/milmed/usy384.

DOI:10.1093/milmed/usy384
PMID:30901465
Abstract

OBJECTIVES

This study will assess the relationship between vitamin D concentration at melanoma diagnosis and melanoma tumor characteristics, in individuals in a high ultraviolet radiation (UVR) environment.

METHODS

We aim to recruit 600 recently diagnosed melanoma patients from Queensland, Australia, a high UVR location with one of the world's highest melanoma incidence rates. Patients are recruited through general practitioner, skin cancer specialist, dermatological and hospital-based practices. As close as possible to diagnosis, participants provide a blood sample for vitamin D analysis and have their sun exposure/sun protection behavior, melanoma risk factors and dietary vitamin D intake assessed by questionnaire and phone interview. Details of tumor pathology, including tumor level, thickness, and ulceration, are abstracted from cancer registry records. Here, we describe the study methods and present preliminary findings from early participants.

RESULTS

As of December 2017, we have recruited 128 participants (48% male, mean age 60.2 years, mean Breslow thickness 0.63 mm).

CONCLUSIONS

When complete, this study will give insights into the association between vitamin D at diagnosis and melanoma tumor characteristics whilst adjusting for recent sun exposure and sun protection use. This study may impact military sun exposure and nutrition policies as vitamin D may play a role in melanomagenesis.

摘要

目的

本研究将评估在高紫外线辐射(UVR)环境中的个体,黑色素瘤诊断时维生素D浓度与黑色素瘤肿瘤特征之间的关系。

方法

我们旨在从澳大利亚昆士兰州招募600名最近诊断出的黑色素瘤患者,该地区紫外线辐射高,是世界上黑色素瘤发病率最高的地区之一。通过全科医生、皮肤癌专家、皮肤科和医院诊所招募患者。在尽可能接近诊断时,参与者提供血液样本进行维生素D分析,并通过问卷调查和电话访谈评估他们的日晒/防晒行为、黑色素瘤风险因素和饮食中维生素D的摄入量。肿瘤病理学细节,包括肿瘤分期、厚度和溃疡情况,从癌症登记记录中提取。在此,我们描述研究方法并展示早期参与者的初步结果。

结果

截至2017年12月,我们已招募了128名参与者(48%为男性,平均年龄60.2岁,平均 Breslow厚度0.63 mm)。

结论

研究完成后,本研究将深入了解诊断时的维生素D与黑色素瘤肿瘤特征之间的关联,同时调整近期日晒和防晒措施的影响。由于维生素D可能在黑色素瘤发生中起作用,本研究可能会影响军事日晒和营养政策。

相似文献

1
Is Vitamin D Level at Melanoma Diagnosis Associated With Stage Of Tumor? An Observational Study of Melanoma Patients Living in a High Ultraviolet Radiation Environment.黑色素瘤诊断时的维生素D水平与肿瘤分期有关吗?对生活在高紫外线辐射环境中的黑色素瘤患者的一项观察性研究。
Mil Med. 2019 Mar 1;184(Suppl 1):506-510. doi: 10.1093/milmed/usy384.
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Sun Protection and Skin Examination Practices in a Setting of High Ambient Solar Radiation: A Population-Based Cohort Study.高环境太阳辐射环境下的防晒与皮肤检查实践:一项基于人群的队列研究。
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Eur J Cancer Prev. 2016 Jan;25(1):34-40. doi: 10.1097/CEJ.0000000000000127.

引用本文的文献

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Vitamin D and Skin Cancer: An Epidemiological, Patient-Centered Update and Review.维生素 D 与皮肤癌:流行病学、以患者为中心的最新研究与综述。
Nutrients. 2021 Nov 28;13(12):4292. doi: 10.3390/nu13124292.