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体外受精对乳腺癌风险的影响:一篇综述文章。

In-Vitro Fertilization Impact on the Risk of Breast Cancer: A Review Article.

作者信息

Farhud Dariush D, Zokaei Shaghayegh, Keykhaei Mohammad, Hedayati Mehdi, Zarif Yeganeh Marjan

机构信息

School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Department of Basic Sciences, Iranian Academy of Medical Sciences, Tehran, Iran.

出版信息

Iran J Public Health. 2021 Mar;50(3):438-447. doi: 10.18502/ijph.v50i3.5583.

DOI:10.18502/ijph.v50i3.5583
PMID:34178791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8214614/
Abstract

BACKGROUND

Due to the increasing prevalence of infertility, the number of referrals to infertility treatment centers has also increased. Nowadays, assisted reproductive technology (ART), including in vitro fertilization (IVF), is a treatment for infertility or genetic problems. Considering the possible consequences of this method among women undergoing in vitro fertilization (IVF) and kids conceived by IVF, extensive research has been conducted in this regard.

METHODS

Overall, 100 articles were entered into the study, and relevant articles were searched and extracted from PubMed, Springer, and Google Scholar databases. In IVF procedure, medications such as Clomiphene citrate and gonadotropins are used to stimulate and mature follicles and thus increase ovulation.

RESULTS

There are conflicting opinions on this issue. Some findings report a slight increase in cancer risk for hormone-sensitive cancers including breast cancer. The long-term use of IVF medications can increase estrogen hormones and cause excessive expression of genes, resulting in an increased risk of breast cancer, which is one of the most frequent cancers among women.

CONCLUSION

There are some risks to be aware of, which followed the hypothesis that long IVF treatment process may lead to breast cancer among IVF candidates. Furthermore, the risk of breast cancer may be increased in those women with a positive family history and related inherited genes. Therefore, women candidates for IVF should be informed of the probable implications of the reproductive therapy techniques.

摘要

背景

由于不孕症的患病率不断上升,转诊至不孕症治疗中心的人数也有所增加。如今,包括体外受精(IVF)在内的辅助生殖技术(ART)是治疗不孕症或遗传问题的一种方法。鉴于这种方法在接受体外受精(IVF)的女性以及通过IVF受孕的儿童中可能产生的后果,对此已进行了广泛的研究。

方法

总体而言,100篇文章被纳入该研究,并从PubMed、Springer和谷歌学术数据库中搜索并提取相关文章。在IVF过程中,使用诸如枸橼酸氯米芬和促性腺激素等药物来刺激卵泡成熟,从而增加排卵。

结果

关于这个问题存在相互矛盾的观点。一些研究结果报告称,包括乳腺癌在内的激素敏感性癌症的癌症风险略有增加。长期使用IVF药物会增加雌激素水平并导致基因过度表达,从而增加患乳腺癌的风险,乳腺癌是女性中最常见的癌症之一。

结论

有一些风险需要注意,这遵循了长期的IVF治疗过程可能导致IVF候选者患乳腺癌的假设。此外,有家族病史和相关遗传基因的女性患乳腺癌的风险可能会增加。因此,应该告知IVF候选女性生殖治疗技术可能产生的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/309a/8214614/37c552be72b4/IJPH-50-438-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/309a/8214614/7777f3ffe479/IJPH-50-438-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/309a/8214614/37c552be72b4/IJPH-50-438-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/309a/8214614/7777f3ffe479/IJPH-50-438-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/309a/8214614/37c552be72b4/IJPH-50-438-g002.jpg

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Family History of Breast Cancer and Breast Cancer Risk between Malays Ethnicity in Malaysia and Indonesia: A Meta-Analysis.马来西亚和印度尼西亚马来族裔的乳腺癌家族史与乳腺癌风险:一项荟萃分析
Iran J Public Health. 2019 Feb;48(2):198-205.
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Risks of ovarian, breast, and corpus uteri cancer in women treated with assisted reproductive technology in Great Britain, 1991-2010: data linkage study including 2.2 million person years of observation.
Clin Pract. 2023 Nov 13;13(6):1413-1426. doi: 10.3390/clinpract13060127.
英国 1991-2010 年接受辅助生殖技术治疗的女性的卵巢癌、乳腺癌和子宫体癌风险:包括 220 万人年观察的数据分析研究。
BMJ. 2018 Jul 11;362:k2644. doi: 10.1136/bmj.k2644.
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Breast Cancer and Ovulation Induction Treatments.乳腺癌与促排卵治疗。
Clin Breast Cancer. 2018 Oct;18(5):395-399. doi: 10.1016/j.clbc.2018.03.003. Epub 2018 Mar 15.
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The importance of hCG in human endometrial adenocarcinoma and breast cancer.人绒毛膜促性腺激素(hCG)在人类子宫内膜腺癌和乳腺癌中的重要性。
Int J Biol Markers. 2018 Jan;33(1):33-39. doi: 10.5301/ijbm.5000290.
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Breastfeeding and Breast Cancer Risk Reduction: Implications for Black Mothers.母乳喂养与乳腺癌风险降低:对黑人生育母亲的影响。
Am J Prev Med. 2017 Sep;53(3S1):S40-S46. doi: 10.1016/j.amepre.2017.04.024.
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Human Chorionic Gonadotropin and Breast Cancer.人绒毛膜促性腺激素与乳腺癌
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