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“激素”风险因素、“乳腺组织年龄”与乳腺癌的年龄发病率

'Hormonal' risk factors, 'breast tissue age' and the age-incidence of breast cancer.

作者信息

Pike M C, Krailo M D, Henderson B E, Casagrande J T, Hoel D G

出版信息

Nature. 1983 Jun 30;303(5920):767-70. doi: 10.1038/303767a0.

Abstract

For most cancer sites there is a linear log-log relationship between incidence and age. This relationship does not hold for breast cancer, and certain 'key' breast cancer risk factors suggest that breast tissue does not 'age' in step with calendar time. A quantitative description of 'breast tissue age' is suggested which brings the age-incidence curve of breast cancer into line with the common log-log cancers and explains quantitatively the known key risk factors. The model also explains the 'anomalous' finding that although early first birth is protective, late first birth carries a higher risk than nulliparity. US breast cancer rates are some four to six times the rates in Japan--the model suggests that the key risk factors, when considered jointly with weight, can explain about 85% of the difference.

摘要

对于大多数癌症部位,发病率与年龄之间存在线性对数-对数关系。这种关系在乳腺癌中并不成立,某些“关键”乳腺癌风险因素表明乳腺组织的“老化”与日历时间不同步。本文提出了一种对“乳腺组织年龄”的定量描述,该描述使乳腺癌的年龄-发病率曲线与常见的对数-对数型癌症一致,并对已知的关键风险因素进行了定量解释。该模型还解释了“异常”发现,即虽然早育具有保护作用,但晚育比未生育的风险更高。美国的乳腺癌发病率约为日本的四到六倍——该模型表明,与体重共同考虑时,关键风险因素可解释约85%的差异。

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