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棉顶狨中家族史作为溃疡性结肠炎相关结肠癌的一个风险因素。

Family history as a risk factor for ulcerative colitis-associated colon cancer in cotton-top tamarin.

作者信息

Bertone E R, Giovannucci E L, King N W, Petto A J, Johnson L D

机构信息

Departments of Epidemiology and Nutrition, Harvard School of Public Health, Boston, Massachusetts, USA.

出版信息

Gastroenterology. 1998 Apr;114(4):669-74. doi: 10.1016/s0016-5085(98)70580-3.

Abstract

BACKGROUND & AIMS: Little is currently known about the relationship between family history of colon cancer and ulcerative colitis-associated colon cancer. A nested case-control study was performed to evaluate the association between family history of colon cancer and spontaneously occurring colon cancer in cotton-top tamarins (Saguinus oedipus).

METHODS

Subjects were chosen from a colony of cotton-top tamarins held in captivity between 1968 and 1995. The cancer status of parents and grandparents was compared for 48 animals with colon cancer and 58 controls, all with histological confirmation of ulcerative colitis. Multivariate odds ratios were calculated using logistic regression.

RESULTS

A parental history of colon cancer was positively associated with risk of colon cancer (multivariate odds ratio, 2.7; 95% confidence interval, 1.1-6.3). Risk also increased as an animal's total number of family members with colon cancer increased (multivariate odds ratio, 1.7 for each increase in the total number of family members with cancer; 95% confidence interval, 1.1-2.8).

CONCLUSIONS

The results suggest that cotton-top tamarins with ulcerative colitis are at significant increased risk for developing colon cancer if they have a family history of colon cancer. Further investigation of this relationship in both tamarins and humans is warranted.

摘要

背景与目的

目前对于结肠癌家族史与溃疡性结肠炎相关结肠癌之间的关系知之甚少。我们进行了一项巢式病例对照研究,以评估棉顶狨猴(Saguinus oedipus)结肠癌家族史与自发性结肠癌之间的关联。

方法

研究对象选自1968年至1995年圈养的一群棉顶狨猴。比较了48只患有结肠癌的动物和58只对照动物的父母及祖父母的癌症状况,所有动物均经组织学确诊为溃疡性结肠炎。使用逻辑回归计算多变量优势比。

结果

结肠癌家族史与患结肠癌风险呈正相关(多变量优势比为2.7;95%置信区间为1.1 - 6.3)。随着动物家族中患结肠癌成员总数的增加,风险也会增加(家族中患癌成员总数每增加一个,多变量优势比为1.7;95%置信区间为1.1 - 2.8)。

结论

结果表明,患有溃疡性结肠炎的棉顶狨猴若有结肠癌家族史,则患结肠癌的风险会显著增加。有必要对狨猴和人类中的这种关系进行进一步研究。

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