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与乳腺癌相关的激素替代疗法
Chi-Ling Chen1, Noel S Weiss, Polly Newcomb
1Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, MP702, Seattle, WA 98109, USA.
JAMA
|February 20, 2002
概括
长期使用激素替代疗法 (HRT) 会增加乳腺癌的风险,特别是对于叶状瘤. 这种风险在仅用雌激素和组合疗法中都很明显.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 流行病学 流行病学
背景情况:
- 长期使用激素替代疗法 (HRT) 与乳腺癌风险增加有关.
- 之前的研究没有广泛研究这种关联是否因癌症组织学而异.
研究的目的:
- 调查HRT与乳腺癌风险之间的关联是否因HRT配方而异.
- 为了确定HRT对乳腺癌风险的影响是否因不同组织癌症类型而有所不同.
主要方法:
- 在50-74岁的绝经后妇女中进行了一项嵌套病例控制研究.
- 乳腺癌的发病率和类型根据使用HRT的持续时间,使用药房记录进行了分析.
主要成果:
- 最近长期使用HRT (单独或联合使用雌激素) 增加了60-85%的乳腺癌总体发病率.
- 较长时间使用HRT和组合疗法与较高的叶状乳腺癌风险密切相关.
- 长期使用HRT与非球状乳腺癌的风险增加50%有关.
结论:
- 最近长期使用HRT与患乳腺癌的风险增加有关.
- 这种增加的风险在乳腺叶状瘤中显得尤为明显.
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