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人类癌症发病率的性别二态性。

Sexual dimorphism in the incidence of human cancers.

机构信息

Department of Cancer Biology, Mayo Clinic, 4500 San Pablo Road, Griffin 210, Jacksonville, FL, 32224, USA.

KTH Royal Institute of Technology, Karolinska Institutet, Science for Life Laboratory, Stockholm, Sweden.

出版信息

BMC Cancer. 2019 Jul 12;19(1):684. doi: 10.1186/s12885-019-5902-z.

Abstract

BACKGROUND

Sex differences in the incidences of cancers become a critical issue in both cancer research and the development of precision medicine. However, details in these differences have not been well reported. We provide a comprehensive analysis of sexual dimorphism in human cancers.

METHODS

We analyzed four sets of cancer incidence data from the SEER (USA, 1975-2015), from the Cancer Registry at Mayo Clinic (1970-2015), from Sweden (1970-2015), and from the World Cancer Report in 2012.

RESULTS

We found that all human cancers had statistically significant sexual dimorphism with male dominance in the United States and mostly significant in the Mayo Clinic, Sweden, and the world data, except for thyroid cancer, which is female-dominant.

CONCLUSIONS

Sexual dimorphism is a clear but mostly neglected phenotype for most human cancers regarding the clinical practice of cancer. We expect that our study will facilitate the mechanistic studies of sexual dimorphism in human cancers. We believe that fully addressing the mechanisms of sexual dimorphism in human cancers will greatly benefit current development of individualized precision medicine beginning from the sex-specific diagnosis, prognosis, and treatment.

摘要

背景

癌症发病率的性别差异在癌症研究和精准医学发展中是一个关键问题。然而,这些差异的细节尚未得到很好的报道。我们对人类癌症中的性别二态性进行了全面分析。

方法

我们分析了来自 SEER(美国,1975-2015 年)、梅奥诊所癌症登记处(1970-2015 年)、瑞典(1970-2015 年)和 2012 年世界癌症报告的四组癌症发病率数据。

结果

我们发现,除了甲状腺癌以外,所有人类癌症在美国和梅奥诊所、瑞典和世界数据中均存在统计学上显著的性别二态性,男性占主导地位,除了甲状腺癌,女性占主导地位。

结论

性别二态性是大多数人类癌症的一种明显但大多被忽视的表型,这与癌症的临床实践有关。我们希望我们的研究将促进人类癌症性别二态性的机制研究。我们相信,充分解决人类癌症性别二态性的机制将极大地受益于当前从性别特异性诊断、预后和治疗开始的个体化精准医学的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7aa9/6625025/2d402e14a700/12885_2019_5902_Fig1_HTML.jpg

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