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多囊卵巢综合征与妇科癌症风险。

The polycystic ovary syndrome and gynecological cancer risk.

机构信息

Department of Gynecological Endocrinology, Poznan University of Medical Sciences, Poznan, Poland.

Red de Investigación de Ginecología, Obstetricia y Reproducción, Instituto de Investigaciones Sanitarias de Aragón, Zaragoza, Spain.

出版信息

Gynecol Endocrinol. 2020 Apr;36(4):289-293. doi: 10.1080/09513590.2020.1730794. Epub 2020 Feb 27.

Abstract

This review updates the knowledge regarding the association between the polycystic ovary syndrome (PCOS) and the risk of gynecological cancer. We performed a literature review of clinical and epidemiological studies concerning PCOS and the risk of breast, endometrial and ovarian cancer after selecting information by quality of scientific methodology. It was found that evidence does not support a link between PCOS and breast cancer risk. There is an increased risk of endometrial cancer, while data concerning ovarian cancer are contradictory. Regarding PCOS and its association to cervical, fallopian tube, and vulvar cancer, the quality of evidence is heterogeneous. In conclusion, women with PCOS should be screened for endometrial cancer and more research is warranted to determine in this population the true risk of developing other gynecological cancers such as breast and ovarian.

摘要

这篇综述更新了多囊卵巢综合征(PCOS)与妇科癌症风险之间关联的知识。我们通过科学方法质量选择信息,对有关 PCOS 和乳腺癌、子宫内膜癌和卵巢癌风险的临床和流行病学研究进行了文献回顾。结果发现,没有证据表明 PCOS 与乳腺癌风险之间存在联系。子宫内膜癌风险增加,而关于卵巢癌的数据则存在矛盾。关于 PCOS 与其与宫颈癌、输卵管癌和外阴癌的关联,证据质量存在异质性。总之,应筛查 PCOS 患者的子宫内膜癌,需要进行更多的研究以确定该人群罹患其他妇科癌症(如乳腺癌和卵巢癌)的真实风险。

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