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母乳喂养与乳腺癌风险:我们的经验及文献综述

Breastfeeding and Breast Cancer Risk: Our Experience and Mini-review of the Literature.

作者信息

Bothou Anastasia, Zervoudis Stefanos, Iliadou Maria, Pappou Panagiota, Iatrakis Georgios, Tsatsaris Georgios, Peitsidis Panagiotis, Gerende Aggeliki, Chalkidou Anna, Anthoulaki Xanthi, Nikolettos Nikolaos, Tsikouras Panagiotis

机构信息

Department of Midwifery, University of West Attica (UniWA), Athens, Greece.

Neonatal Department, "Alexandra" General Hospital, Athens, Greece.

出版信息

Mater Sociomed. 2022 Mar;34(1):28-32. doi: 10.5455/msm.2022.33.28-32.

Abstract

BACKGROUND

According to data from World Health Organization, breast cancer constitutes the second most common diagnosed malignancy after lung cancer and the second leading cause of death among women in 2020, worldwide. The protective role of breastfeeding in the emergence of breast malignancy has been mentioned in several studies, indicating the important part it can have in the effort of reducing breast cancer's incidence.

OBJECTIVE

To investigate a possible association between breastfeeding and breast cancer risk in Greek women.

METHODS

Totally, 391 women participated in our case-control retrospective study. In the case group included 238 women with breast cancer, while in control group 153 women without breast cancer who were enrolled in two breast clinics in Greece. All women were examined clinically and with breast ultrasound, while those older than 40 years old also with bilateral digital mammography.

RESULTS

The x (chi-square) test found a statistically significant reverse correlation between breast cancer and breastfeeding ⩾12 months (cumulative) (p = 0.001). It was observed that the percentages of patients who breastfed ⩾12 months were lower than those of healthy women.

CONCLUSION

Breastfeeding and particularly the cumulative period of ⩾12 months is related to the maximum of the protection from breast cancer.

摘要

背景

根据世界卫生组织的数据,乳腺癌是全球第二大最常被诊断出的恶性肿瘤,仅次于肺癌,也是2020年全球女性第二大死因。多项研究提到了母乳喂养在预防乳腺恶性肿瘤方面的保护作用,表明其在降低乳腺癌发病率方面可发挥重要作用。

目的

研究希腊女性母乳喂养与患乳腺癌风险之间可能存在的关联。

方法

共有391名女性参与了我们的病例对照回顾性研究。病例组包括238名乳腺癌女性,对照组为153名未患乳腺癌的女性,她们来自希腊的两家乳腺诊所。所有女性均接受了临床检查和乳腺超声检查,年龄超过40岁的女性还接受了双侧数字化乳腺钼靶检查。

结果

χ²检验发现,乳腺癌与母乳喂养≥12个月(累积)之间存在统计学上显著的负相关(p = 0.001)。观察到母乳喂养≥12个月的患者百分比低于健康女性。

结论

母乳喂养,尤其是累积时长≥12个月,与预防乳腺癌的最大保护作用相关。

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