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服用避孕类固醇的女性中的乳腺癌。

Breast cancer in women who have taken contraceptive steroids.

作者信息

Matthews P N, Millis R R, Hayward J L

出版信息

Br Med J (Clin Res Ed). 1981 Mar 7;282(6266):774-6. doi: 10.1136/bmj.282.6266.774.

Abstract

The prognosis and clinical and pathological findings in 93 patients with breast cancer who had taken contraceptive steroids before diagnosis (study group) were compared with those in 93 control patients, also with breast cancer, matched for age and parity. The tumours in the women in the study group were found to have more favourable clinical and histological features than those in the control group. When only patients who had been treated by radical mastectomy were considered, those who had taken contraceptive steroids survived significantly longer even when differences in nodal state were taken into account. Significantly more patients in the study group had a family history of breast cancer. No evidence was found that taken oral contraceptive steroids had any harmful effect on tumour growth and spread, except possibly in patients with a close family history of breast cancer.

摘要

将93例在诊断前服用过避孕类固醇的乳腺癌患者(研究组)的预后以及临床和病理结果,与93例同样患有乳腺癌、年龄和产次相匹配的对照患者进行了比较。结果发现,研究组女性的肿瘤在临床和组织学特征方面比对照组的更有利。仅考虑接受根治性乳房切除术治疗的患者时,即使考虑到淋巴结状态的差异,服用过避孕类固醇的患者存活时间也显著更长。研究组中有家族乳腺癌病史的患者明显更多。没有发现证据表明服用口服避孕类固醇对肿瘤生长和扩散有任何有害影响,可能除了有乳腺癌家族病史的患者之外。

相似文献

1
Breast cancer in women who have taken contraceptive steroids.服用避孕类固醇的女性中的乳腺癌。
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引用本文的文献

本文引用的文献

1
Hormonal treatment of cancer.癌症的激素治疗
N Engl J Med. 1952 Jan 24;246(4):135-45; contd. doi: 10.1056/NEJM195201242460405.
2
The problem of possible effects of oral contraceptives on cancer of the breast.口服避孕药对乳腺癌可能产生的影响问题。
Cancer. 1969 Dec;24(6):1140-5. doi: 10.1002/1097-0142(196912)24:6<1140::aid-cncr2820240611>3.0.co;2-l.
3
Some characteristics of familial breast cancer.家族性乳腺癌的一些特征。
Cancer. 1971 Dec;28(6):1500-4. doi: 10.1002/1097-0142(197112)28:6<1500::aid-cncr2820280623>3.0.co;2-d.
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Investigation of the possible relationship between oral contraceptives and benign and malignant breast disease.
Cancer. 1971 Dec;28(6):1395-9. doi: 10.1002/1097-0142(197112)28:6<1395::aid-cncr2820280610>3.0.co;2-5.
6
Familial breast cancer.
Clin Oncol. 1976 Mar;2(1):41-5.
7
Cancer risk as related to use of oral contraceptives during fertile years.与育龄期口服避孕药使用相关的癌症风险。
Cancer. 1977 Apr;39(4 Suppl):1887-91. doi: 10.1002/1097-0142(197704)39:4+<1887::aid-cncr2820390822>3.0.co;2-i.
8
Contraceptive steroids and breast cancer.避孕甾体激素与乳腺癌
Br Med J. 1978 Apr 22;1(6119):1024-6. doi: 10.1136/bmj.1.6119.1024.

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