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[高危人群——乳腺癌]

[High-risk group--breast cancer].

作者信息

Yoshida M

出版信息

Gan To Kagaku Ryoho. 1987 Sep;14(9):2644-9.

PMID:3631969
Abstract

Amongst the various elements regarded as risk factors of breast cancer, such as family history of breast cancer, past history of mammary diseases, unmarried status, sterility and first birth at a late age, the most critical is weight and height increase due to a high fat/high protein diet. Only twenty years ago, Japan was one of the countries with the lowest mortality rate due to breast cancer, and the rapid rise seen since then is presumably because of the westernization of food. Our present investigation has proved that breast cancer patients are larger in weight and height in comparison with normal women. The second cause of this increase in breast cancer patients in Japan is the longer period for which women menstruate, due to early menarche and late menopause. This tendency has lately become conspicuous and is considered to have a strong influence on the increase of breast cancer. It has also been noted that the age of occurrence of breast cancer in Japan is gradually advancing, so that the range is shifting from middle-aged patients to those in old age, as in Western countries.

摘要

在被视为乳腺癌风险因素的各种因素中,如乳腺癌家族史、既往乳腺疾病史、未婚状态、不育以及高龄初产等,最关键的是高脂肪/高蛋白饮食导致的体重增加和身高增长。仅在二十年前,日本还是乳腺癌死亡率最低的国家之一,而此后乳腺癌死亡率的迅速上升大概是由于饮食的西化。我们目前的调查证明,与正常女性相比,乳腺癌患者的体重和身高更大。日本乳腺癌患者增加的第二个原因是女性月经周期延长,这是由于初潮早和绝经晚。这种趋势最近变得很明显,并且被认为对乳腺癌的增加有很大影响。还注意到,日本乳腺癌的发病年龄正在逐渐上升,以至于发病范围正从中年患者转向老年患者,就像西方国家那样。

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