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女性健康与夜班工作:乳腺癌未来策略的潜在目标(综述)

Women's health and night shift work: Potential targets for future strategies in breast cancer (Review).

作者信息

Briguglio Giusi, Costa Chiara, Teodoro Michele, Giambò Federica, Italia Sebastiano, Fenga Concettina

机构信息

Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Occupational Medicine Section, University of Messina, I-98125 Messina, Italy.

Department of Clinical and Experimental Medicine, University of Messina, I-98125 Messina, Italy.

出版信息

Biomed Rep. 2021 Dec;15(6):98. doi: 10.3892/br.2021.1474. Epub 2021 Sep 24.

Abstract

Breast cancer is the leading cause of cancer-associated amongst women worldwide. Several studies have shown that individual, environmental and occupational factors can serve an important role in the onset of breast cancer; although the majority of studies have demonstrated this association, and several studies have investigated the biological pathways, it is impossible to describe with certainty the causal relationship that involve circadian rhythm disruption and melatonin dysregulation with the oncogenic processes. Over the years, due to the introduction of more effective screening tools, an increase in the incidence of breast cancer as well as a decrease in the age at diagnosis has been witnessed. Subsequently, an increasing number of individuals have obtained care at a younger age, which has meant that after surgery and chemotherapy, these workers have had to return to work. In light of these paradigmatic changes, the aim of the present review was to identify potential targets for future organisational strategies that should be adopted in the workplace by occupational physicians, both for prevention and for the return-to-work process of working women who have suffered from breast cancer.

摘要

乳腺癌是全球女性癌症相关死亡的主要原因。多项研究表明,个体、环境和职业因素在乳腺癌的发病中可发挥重要作用;尽管大多数研究已证实这种关联,且多项研究已对生物学途径进行了调查,但无法确切描述昼夜节律紊乱和褪黑素失调与致癌过程之间的因果关系。多年来,由于引入了更有效的筛查工具,乳腺癌的发病率有所上升,诊断年龄有所下降。随后,越来越多的人在年轻时就接受了治疗,这意味着这些患者在手术和化疗后不得不重返工作岗位。鉴于这些范式变化,本综述的目的是确定职业医生在工作场所应采用的未来组织策略的潜在目标,以预防乳腺癌职业女性的发病,并帮助她们重返工作岗位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28a8/8517754/bc4f01e14ce6/br-15-06-01474-g00.jpg

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