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Published on: December 9, 2016
[Studies on hereditary epidemiology of cardia cancer in Shanxi province.]
Yuan Wang1, Xiao-you Han, Ti Din
1Shanxi Provincial Research Institute of Tumor, Taiyuan 030013, China. 865925755@qq.com
Insights
Hereditary factors contribute to cardia cancer risk, with higher prevalence in first-degree relatives. While genetics play a role, it is not the primary cause of high cardia cancer rates.
Area of Science:
- Oncology
- Genetics
- Epidemiology
Context:
- Cardia cancer presents a significant health concern, particularly in regions like Shanxi province.
- Understanding the role of hereditary factors is crucial for risk assessment and prevention strategies.
- Previous studies have suggested a potential link between family history and cardia cancer development.
Purpose:
- To investigate the prevalence and hereditary probability of cardia cancer and upper-digestive-tract cancers within families.
- To determine the mode of inheritance for cardia cancer using statistical analysis.
- To identify the significance of hereditary factors in the etiology of cardia cancer in the studied population.
Summary:
- A case-control study analyzed cardia cancer patients and their relatives (I, II, III degrees).
- Prevalence rates and hereditary probabilities were calculated, indicating a higher risk for first-degree relatives.
- Results suggest a multi-gene inheritance pattern for cardia cancer, classifying it as a low hereditary cancer.
Impact:
- Identifies hereditary factors as a significant risk for cardia cancer.
- Provides data to inform public health initiatives and targeted screening programs.
- Contributes to the understanding of cardia cancer's complex etiology, emphasizing genetic predisposition alongside other factors.
Objective:
Studies on cardia-cancer caused by hereditary factors.
Methods:
Case-control method was adopted, with information including name, sex, date of birth, date of death of all the I, II, III relatives of the patients, diagnosis and the treatment collected. The hereditary probability of cardia cancer and the separation degree were calculated by Falconer and Li-Mentel-Gart.
Results:
(1) Prevalence rates of cardia-cancer on relative I, relative II, relative III of cardia-cancer patients appeared to be 0.54%, 0.04%, and 0.05% respectively. Prevalence rates of upper-digestive-tract-cancer of relative I, relative II, relative III of cardia-cancer patients showed as: 2.50%, 0.36% and 0.13% respectively. Data showed that relative I > relative II > relative III and family cluster existed in both males and females. (2) Cardia-cancer hereditary probability of the relative I cardia-cancer probands was 11.71%, with males as 14.01% and females as 14.72%. The upper-digestive-tract-cancer hereditary probability of the relative I cardia-cancer probands was 13.87%, with males as 11.49% and females as 23.08%, both below 25%, indicating this was a low hereditary cancer. (3) The upper-digestive-tract-cancer separation of the blood compatriots of cardia-cancer patients was 0.0452, with males as 0.0441 and females as 0.0507, both below 0.25, indicating the nature of a multi-gene but not single-gene hereditary way.
Conclusion:
Hereditary factor is recognized as one of the high risk cardia cancer, but not the most risky factor causing the high morbidity of cardia cancer in Shanxi province.
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