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生殖因素与乳腺癌风险。诊断时年龄的影响。

Reproductive factors and breast cancer risk. Effect of age at diagnosis.

作者信息

Clavel-Chapelon F, Launoy G, Auquier A, Gairard B, Brémond A, Piana L, Lansac J, Renaud R

机构信息

INSERM U351, Institut Gustave-Roussy, Villejuif, France.

出版信息

Ann Epidemiol. 1995 Jul;5(4):315-20. doi: 10.1016/1047-2797(95)00099-s.

Abstract

The data from a French case-control study of 495 patients with breast cancer and 542 control subjects interviewed in five French public hospitals, were analyzed to assess the effect of reproductive factors (age at menarche, age at first full-term pregnancy, the time interval between these two ages, and parity) on the risk of breast cancer. Age at menarche, age at first full-term pregnancy, the time interval between these two ages, and parity appeared to have a limited influence on breast cancer risk. However, the relationship between these factors and the risk of breast cancer varied according to the age at breast cancer diagnosis. In the youngest group of women, the most consistent effects came from factors occurring early in life (menarche, first full-term pregnancy, and consequently the time interval between these two events). These factors had a null or weak effect on the oldest group of women. The protective effect of high parity was confined to the oldest group of women.

摘要

对在法国五家公立医院接受访谈的495例乳腺癌患者和542名对照对象的一项病例对照研究数据进行了分析,以评估生殖因素(初潮年龄、首次足月妊娠年龄、这两个年龄之间的时间间隔以及产次)对乳腺癌风险的影响。初潮年龄、首次足月妊娠年龄、这两个年龄之间的时间间隔以及产次似乎对乳腺癌风险的影响有限。然而,这些因素与乳腺癌风险之间的关系因乳腺癌诊断时的年龄而异。在最年轻的女性群体中,最一致的影响来自生命早期出现的因素(初潮、首次足月妊娠,以及这两个事件之间的时间间隔)。这些因素对最年长的女性群体影响为零或微弱。高生育次数的保护作用仅限于最年长的女性群体。

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