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低剂量辐射——乳腺癌的一个病因?

Low-dose radiation--a cause of breast cancer?

作者信息

Land C E

出版信息

Cancer. 1980 Aug 15;46(4 Suppl):868-73. doi: 10.1002/1097-0142(19800815)46:4+<868::aid-cncr2820461304>3.0.co;2-s.

DOI:10.1002/1097-0142(19800815)46:4+<868::aid-cncr2820461304>3.0.co;2-s
PMID:7397663
Abstract

It is likely that the breast is the organ most sensitive to radiation carcinogenesis in postpubertal women. Studies of different exposed populations have yielded remarkably consistent results, in spite of wide differences in underlying breast cancer rates and conditions of exposure. Excess risk is approximately proportional to dose, and is relatively independent of ionization density and fractionization of dose. This implies that the risk associated with low-dose exposures to ionizing radiation can be estimated with some confidence from higher-dose data. Excess risk is heavily dependent on age at exposure but relatively independent of population differences in normal risk. The temporal patterns after exposure of both radiation-induced and naturally occurring breast cancer are similar, suggesting a strong influence of factors other than radiation on radiation-induced breast cancer. Uncertainties remain about risks from exposures before puberty and after menopause.

摘要

青春期后女性的乳房很可能是对辐射致癌作用最敏感的器官。对不同受照射人群的研究得出了非常一致的结果,尽管潜在的乳腺癌发病率和照射条件存在很大差异。超额风险大致与剂量成正比,并且相对独立于电离密度和剂量分割。这意味着可以根据高剂量数据较为可靠地估计低剂量电离辐射暴露所带来的风险。超额风险在很大程度上取决于暴露时的年龄,但相对独立于正常风险的人群差异。辐射诱发的乳腺癌和自然发生的乳腺癌在暴露后的时间模式相似,这表明除辐射外的其他因素对辐射诱发的乳腺癌有很大影响。青春期前和绝经后暴露的风险仍存在不确定性。

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引用本文的文献

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Exposure to diagnostic radiation and risk of breast cancer among carriers of BRCA1/2 mutations: retrospective cohort study (GENE-RAD-RISK).BRCA1/2 基因突变携带者接受诊断性辐射与乳腺癌风险:回顾性队列研究(GENE-RAD-RISK)。
BMJ. 2012 Sep 6;345:e5660. doi: 10.1136/bmj.e5660.
2
Population-based mammography screening below age 50: balancing radiation-induced vs prevented breast cancer deaths.基于人群的 50 岁以下女性乳腺癌筛查:权衡因辐射导致的与预防的乳腺癌死亡。
Br J Cancer. 2011 Mar 29;104(7):1214-20. doi: 10.1038/bjc.2011.67. Epub 2011 Mar 1.
3
Risk of breast cancer among female airline cabin attendants. Findings may have been due to exposure to cosmic radiation or recall bias.
女性航空公司乘务员患乳腺癌的风险。研究结果可能归因于宇宙辐射暴露或回忆偏倚。
BMJ. 1999 Jan 9;318(7176):125.
4
Risks of low-level radiation--the evidence of epidemiology.低水平辐射的风险——流行病学证据
Br Med J. 1980 Nov 29;281(6253):1479-82. doi: 10.1136/bmj.281.6253.1479.
5
Factors that promote the development of human breast cancer.促进人类乳腺癌发展的因素。
Environ Health Perspect. 1983 Apr;50:209-18. doi: 10.1289/ehp.8350209.
6
Risk of contralateral breast cancer in Denmark 1943-80.1943年至1980年丹麦对侧乳腺癌的风险。
Br J Cancer. 1986 Sep;54(3):483-92. doi: 10.1038/bjc.1986.201.
7
Pathologic changes secondary to radiation.辐射继发的病理变化
World J Surg. 1986 Apr;10(2):155-70. doi: 10.1007/BF01658133.
8
Breast cancer. Advances in management.乳腺癌。治疗进展。
Drugs. 1988 May;35(5):584-95. doi: 10.2165/00003495-198835050-00006.