Rybin E P, Mosidze B A, Nemsadze G G
Vopr Onkol. 1986;32(9):43-7.
A study of 94 case histories of primary multiple tumors of the large bowel, uterus and breast showed relative risk of development of uterine body cancer in patients with colonic cancer to be 37 times that for a general population of healthy females over 40 years of age. Post-treatment risk of breast cancer in cases of large bowel cancer increases 17-fold, uterine body--15-fold and cervix uteri--10-fold. Risk for large bowel cancer increases 179-fold in patients treated for uterine body tumors. On the whole, it serves as a confirmation of a possible role of endocrine-metabolic disorders played in the pathogenesis of primary multiple tumors of the large bowel and uterus. Radiation is the key factor of induction of rectal and rectosigmoidal tumors as a result of radiotherapy for cancer of the uterus. The results of the study make the case for timely diagnosis of primary multiple tumors of the large bowel, uterus and breast and adequate follow-up, no matter at what site the first tumor was found.
一项针对94例大肠、子宫和乳腺原发性多发性肿瘤病例史的研究表明,结肠癌患者发生子宫体癌的相对风险是40岁以上健康女性普通人群的37倍。大肠癌患者治疗后患乳腺癌的风险增加17倍,子宫体癌增加15倍,子宫颈癌增加10倍。子宫体肿瘤患者患大肠癌的风险增加179倍。总体而言,这证实了内分泌代谢紊乱在大肠和子宫原发性多发性肿瘤发病机制中可能发挥的作用。放疗是子宫癌放疗导致直肠和直肠乙状结肠肿瘤的关键因素。该研究结果表明,无论首个肿瘤在何处发现,都应对大肠、子宫和乳腺原发性多发性肿瘤进行及时诊断和充分随访。