Miller R W
Clinical Epidemiology Branch, National Cancer Institute, Bethesda, MD 20892, USA.
Environ Health Perspect. 1995 Sep;103 Suppl 6(Suppl 6):41-4. doi: 10.1289/ehp.95103s641.
The carcinogenic effects of exposure to ionizing radiation vary markedly with age, as revealed by studies of Japanese atomic bomb survivors and of Marshall Islanders exposed to fallout from U.S. nuclear weapons tests in the South Pacific in 1954. An increase in cancers of adulthood after intrauterine exposure, as reported in 1988, has not been sustained. After childhood exposure, increases in leukemia, breast cancer, and thyroid cancer are well established. The carcinogenic effects of radiation on the young have been reported after intrauterine exposures and after exposures during childhood. Cancers with short latent periods such as leukemia occur during childhood, but those with long latent periods such as breast cancer occur in adulthood.
对日本原子弹爆炸幸存者以及1954年在南太平洋因受美国核武器试验落下灰尘影响的马绍尔群岛居民的研究表明,暴露于电离辐射的致癌作用随年龄有显著差异。1988年报告的子宫内暴露后成年期癌症增加的情况并未持续。儿童期暴露后,白血病、乳腺癌和甲状腺癌的增加已得到充分证实。辐射对年轻人的致癌作用在子宫内暴露和儿童期暴露后均有报告。潜伏期短的癌症如白血病发生在儿童期,而潜伏期长的癌症如乳腺癌则发生在成年期。