Byers T, Vena J, Mettlin C, Swanson M, Graham S
Am J Epidemiol. 1984 Nov;120(5):769-76. doi: 10.1093/oxfordjournals.aje.a113945.
A case-control study was conducted based on 427 white males with lung cancer of the squamous, small cell, and adenocarcinoma histologic subtypes and 1,094 white male controls admitted to Roswell Park Memorial Institute between the years 1957 and 1965. The relation between selected dietary factors and lung cancer risk was examined for each histologic subtype while controlling for past cigarette use. Dietary vitamin A was found to be negatively associated with risk for squamous cell and small cell carcinoma, but not for adenocarcinoma of the lung. No significant association was observed, however, between dietary vitamin C, fats, or fiber and any of the lung cancer subtypes. These results suggest that the apparent protective effect of vitamin A in lung cancer may be histologic type-specific.
一项病例对照研究以427名患有鳞状细胞癌、小细胞癌和腺癌组织学亚型肺癌的白人男性以及1957年至1965年间入住罗斯威尔公园纪念研究所的1094名白人男性对照为基础展开。在控制既往吸烟情况的同时,针对每种组织学亚型研究了选定饮食因素与肺癌风险之间的关系。研究发现,饮食中的维生素A与鳞状细胞癌和小细胞癌的风险呈负相关,但与肺腺癌风险无关。然而,饮食中的维生素C、脂肪或纤维与任何一种肺癌亚型之间均未观察到显著关联。这些结果表明,维生素A对肺癌的明显保护作用可能具有组织学类型特异性。