Bartstra R W, Bentvelzen P A, Zoetelief J, Mulder A H, Broerse J J, van Bekkum D W
TNO Centre for Radiological Protection and Dosimetry, Rijswijk, The Netherlands.
Radiat Res. 1998 Oct;150(4):442-50.
The effect of age at exposure on induction of mammary tumors was studied in female rats of the inbred WAG/Rij strain. Groups of 40 animals were exposed to a single total-body dose of 1 or 2 Gy of 137Cs gamma radiation at ages of 8, 12, 16, 22, 36 or 64 weeks and were observed for life. Mammary tumors, identified as nodules persisting and growing for 6 weeks, were resected and classified histologically as carcinoma or fibroadenoma. The age-specific incidence of mammary carcinoma was compared with that in a group of 120 unirradiated control rats, using lifetime statistical analysis with both parametric and nonparametric methods. The excess normalized risk of carcinoma was 0.9 for 1 Gy and 2.2 for 2 Gy in age groups 8-36 weeks, with no significant differences between the age groups. However, irradiation at 64 weeks yielded fewer carcinomas than in the controls, the excess normalized risk being -0.7 and -0.3 for 1 and 2 Gy, respectively. The occurrence of one or more fibroadenomas did not influence the incidence of carcinoma. The present data agree closely with the results reported previously for rats irradiated at age 8 or 17 weeks with a dose of 1.2 Gy. The reduced risk of radiation exposure at midlife is consistent with the available epidemiological data for exposed women. Although our findings have been obtained with a single total-body dose that is several orders of magnitude higher than the multiple doses delivered to the mammary gland during mammography, it is suggested that radiological screening for mammary cancer after the age of menopause will not increase the normal incidence of breast cancer.
在近交系WAG/Rij品系的雌性大鼠中,研究了暴露年龄对乳腺肿瘤诱发的影响。将40只动物分为一组,在8、12、16、22、36或64周龄时接受单次全身剂量1或2 Gy的137Csγ射线照射,并进行终生观察。将持续存在并生长6周的结节鉴定为乳腺肿瘤,切除后进行组织学分类为癌或纤维腺瘤。使用参数和非参数方法进行终生统计分析,将乳腺癌的年龄特异性发病率与一组120只未照射的对照大鼠进行比较。在8 - 36周龄组中,1 Gy照射的癌超额标准化风险为0.9,2 Gy照射的为2.2,各年龄组之间无显著差异。然而,64周龄时照射产生的癌比对照组少,1 Gy和2 Gy的超额标准化风险分别为 - 0.7和 - 0.3。发生一个或多个纤维腺瘤并不影响癌的发病率。本数据与先前报道的8或17周龄时接受1.2 Gy剂量照射的大鼠结果非常一致。中年时辐射暴露风险降低与暴露女性的现有流行病学数据一致。尽管我们的研究结果是通过单次全身剂量获得的,该剂量比乳腺摄影期间给予乳腺的多次剂量高几个数量级,但建议绝经后乳腺癌的放射学筛查不会增加乳腺癌的正常发病率。