多囊卵巢综合征和子宫内膜癌
Paul Hardiman1, Ouma C Pillay, William Atiomo
1Department of Obstetrics and Gynaecology, Royal Free and University College Medical School, NW3 2PF, London, UK. hardiman@rfc.ucl.ac.uk <hardiman@rfc.ucl.ac.uk>
Lancet (London, England)
|June 5, 2003
概括
多囊卵巢综合征 (PCOS) 和子宫内膜癌之间的联系仍然不清楚,尽管存在风险因素. 需要进一步进行大规模研究,以确定患有PCOS的女性的风险较高,并制定有效的预防策略.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 妇科瘤学 妇科瘤学
背景情况:
- 多囊卵巢综合征 (PCOS) 和子宫内膜癌之间的联系自1949年以来一直在争论.
- 虽然子宫内膜癌的风险因素在PCOS (化,肥胖,高胰岛素血症) 中很常见,但直接证据表明发病率或死亡率增加是不确定的.
- 目前的临床指南建议使用激素治疗以减轻风险,但对最佳方案缺乏共识.
研究的目的:
- 批判性地评估PCOS和子宫内膜癌相关的证据.
- 突出进一步研究的必要性,以澄清关联,并为临床实践提供信息.
主要方法:
- 审查现有的文献和临床实践指南.
- 分析PCOS相关风险因素与子宫内膜癌发展之间的关系.
主要成果:
- 支持PCOS和子宫内膜癌发病率或死亡率增加之间的直接因果关系的证据是不确定的.
- 尽管有共同的风险因素,但尚未确定PCOS是否使女性易患子宫内膜癌.
结论:
- 大规模的流行病学研究对于确定PCOS妇女子宫内膜癌的发病率和死亡率至关重要.
- 确定高风险的PCOS妇女的特定子组,并制定有针对性的降低风险的策略是关键的未来步骤.
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