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[使用女性甾体激素的危害有多大?]

[How hazardous is the use of female steroid hormones?].

作者信息

Orbo A, Sager G

机构信息

Gynekologisk onkologisk avsnitt Kvinneklinikken Regionsykehuset i Tromsø.

出版信息

Tidsskr Nor Laegeforen. 1997 Mar 10;117(7):972-6.

PMID:9103012
Abstract

The development of female steroid hormone-related neoplasms such as gynaecologic and mammary cancers is influenced by hormones administered exogenously. Hormonal contraceptives and hormone replacement therapy both affect the risk of developing cancers in the endometrium, cervix, ovarium, and mammary glands. The authors refer to the recent literature and discuss the findings for the different types of cancers individually. Oestrogens promote development of cancers of the uterine corpus, but women who take progestins combined with oestrogens run no greater risk than women who do not take hormones. Female steroid hormones appear to increase the risk of developing cancer of the uterine cervix slightly, but protect against the development of ovarian cancer. An higher risk of developing mammary cancer is seen after taking oral contraceptive pills.

摘要

诸如妇科癌和乳腺癌等与女性甾体激素相关肿瘤的发生受外源性给予的激素影响。激素避孕药和激素替代疗法均会影响子宫内膜、子宫颈、卵巢和乳腺发生癌症的风险。作者参考了近期文献并分别讨论了不同类型癌症的研究结果。雌激素会促进子宫体癌的发生,但服用孕激素与雌激素联合制剂的女性并不比未服用激素的女性有更高风险。女性甾体激素似乎会略微增加子宫颈癌的发生风险,但可预防卵巢癌的发生。服用口服避孕药后乳腺癌的发生风险会升高。

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