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一项关于内源性激素与乳腺癌的前瞻性研究。

A prospective study of endogenous hormones and breast cancer.

作者信息

Helzlsouer K J, Alberg A J, Bush T L, Longcope C, Gordon G B, Comstock G W

机构信息

Department of Epidemiology, Johns Hopkins University School of Hygiene and Public Health, Baltimore, Maryland 21205.

出版信息

Cancer Detect Prev. 1994;18(2):79-85.

PMID:8025899
Abstract

To examine the association prospectively between endogenous hormones and breast cancer, a population-based, nested case-control study was conducted using serum collected in 1974. Serum hormone levels among 51 women, who subsequently developed breast cancer, were compared with controls matched on age and time since last menstrual period. The levels of estrogens, progesterone, sex-hormone binding globulin, and androstenedione were compared between cases and controls. No statistically significant differences in endogenous hormones levels were observed between women who subsequently developed breast cancer and controls. Despite the fact that risk factors for breast cancer implicated endogenous hormones, especially estrogen, in the etiology of this disease, our study failed to demonstrate a statistically significant association between endogenous hormones and the risk of breast cancer. If there is an association between endogenous hormones and breast cancer, the magnitude of the effect is weak.

摘要

为了前瞻性地研究内源性激素与乳腺癌之间的关联,我们利用1974年采集的血清进行了一项基于人群的巢式病例对照研究。将51名随后患乳腺癌的女性的血清激素水平与在年龄和末次月经时间上相匹配的对照组进行比较。对病例组和对照组的雌激素、孕激素、性激素结合球蛋白和雄烯二酮水平进行了比较。在随后患乳腺癌的女性与对照组之间,未观察到内源性激素水平存在统计学上的显著差异。尽管乳腺癌的危险因素表明内源性激素,尤其是雌激素,在该疾病的病因中起作用,但我们的研究未能证明内源性激素与乳腺癌风险之间存在统计学上的显著关联。如果内源性激素与乳腺癌之间存在关联,其影响程度也很微弱。

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