Murata M
Gan To Kagaku Ryoho. 1982 May;9(5):808-14.
Recent results in family studies of breast cancer were overviewed. Site specific familial aggregation of the disease, with no significant increase of other cancers, by itself suggests a specified etiological role of the familial predisposition. Probably it must be interpreted by a synergism of some genetic and environmental factors. Among the cases in Cancer Institute Hospital, familially predisposed patients showed a significant differences in younger age at menarche and taller stature compared with the other patients. It has been frequently observed that a risk for the disease in the relatives of a patient is higher in pre-than in postmenopausal onset. It appears, however, that the age specific incidence rate among those women with a positive family history is consistently higher than that of the general population in any age classes except the premenopausal period. Findings obtained by recent endoclinological studies point out the concept that a possible genetic abnormality associated with the breast cancer disposition should be pertaining to the metabolism of ovarian hormone.
对乳腺癌家族研究的近期结果进行了综述。该疾病在特定部位的家族聚集性,且其他癌症无显著增加,这本身就表明家族易感性具有特定的病因学作用。可能必须通过一些遗传和环境因素的协同作用来解释。在癌症研究所医院的病例中,家族性易感患者与其他患者相比,初潮年龄显著更小,身材更高。经常观察到,患者亲属中该病的风险在绝经前发病时比绝经后发病时更高。然而,似乎除绝经前期外,在任何年龄段,有家族史的女性的年龄别发病率始终高于一般人群。近期内分泌学研究获得的结果指出了这样一个概念,即与乳腺癌易感性相关的可能遗传异常应与卵巢激素的代谢有关。