低强度雌激素和子宫内膜癌的风险:一个病例控制研究
E Weiderpass1, J A Baron, H O Adami
1Department of Medical Epidemiology, Karolinska Institutet, Stockholm, Sweden. Elisabete.Weiderpass@mep.ki.se
Lancet (London, England)
|June 8, 1999
概括
口服低强度雌激素配方,特别是雌性醇,在绝经后妇女中显著增加子宫内膜癌的风险. 阴道使用显示较小的关联,突出需要仔细监测和孕激素考虑.
科学领域:
- 妇科瘤学 妇科瘤学
- 内分泌学 在内分泌学.
- 生殖健康 生殖健康
背景情况:
- 泌尿器官症状在绝经后妇女中很普遍,并且经常用低效雌激素治疗.
- 这些配方的子宫内膜安全性,特别是关于瘤风险的安全性,仍然不完全理解.
研究的目的:
- 调查低功率雌激素配方与绝经后妇女子宫内膜瘤风险之间的关联.
主要方法:
- 在瑞典,一项基于全国人口的病例控制研究.
- 这涉及789例子宫内膜癌病例和3368例对照.
- 使用无条件逻辑回归计算几率比率,经过组织病理学审查和多变量调整.
主要成果:
- 口服雌性醇 (每天1-2毫克) 使用时间≥5年与子宫内膜癌的相对风险增加有关 (OR 3.0) 和非典型增生 (OR 8.3).
- 对于分化良好的癌症,风险更高,在停止治疗后迅速减少.
- 阴道低强度雌激素只显示了与子宫内膜瘤风险的微弱关联.
结论:
- 口服低强度雌激素配方,与阴道配方不同,会增加子宫内膜瘤的风险.
- 对于使用口服配方的女性,建议对患者进行密切监测,并考虑增加孕激素.
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