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在患有肌肉性肌肉衰竭的患者中,癌症风险较大
Shahinaz M Gadalla1, Marie Lund, Ruth M Pfeiffer
1Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, 6120 Executive Blvd, Rockville, MD 20892, USA.
JAMA
|December 15, 2011
概括
肌性肌肉发育不良 (MMD) 患者的癌症发病风险显著增加,包括整体癌症,以及子宫内膜,大脑,卵巢和结肠等特定部位的癌症. 这项研究量化了MMD患者的癌症风险,显示与普通人群相比,整体风险翻了一番.
科学领域:
- 神经学 神经学
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 肌性肌肉发育不良 (MMD) 是一种遗传性神经肌肉疾病.
- 以前的报道表明MMD与恶性瘤风险增加之间存在潜在联系.
- 这种风险尚未得到定量评估.
研究的目的:
- 为了确定诊断为MMD的患者的整体癌症风险.
- 为了评估根据患者的性别和年龄分层的癌症风险.
- 为了确定特定的癌症类型,在MMD患者中患病率较高.
主要方法:
- 利用瑞典和丹麦国家患者登记 (1977-2008) 来识别1658名MMD患者.
- 将MMD患者的数据与国家癌症登记处联系起来,以进行后续调查.
- 针对整体和特定部位的癌症计算标准化发病率 (SIR).
主要成果:
- 患有MMD的患者的整体癌症风险增加了2倍 (SIR, 2.0).
- 在子宫内膜 (SIR,7.6),大脑 (SIR,5.3),卵巢 (SIR,5.2) 和结肠癌 (SIR,2.9) 中观察到显著的过度.
- 癌症风险的增加在性别之间和整个队列之间是一致的.
结论:
- 患有肌肉性肌肉衰竭的患者面临患癌症的风险大幅增加.
- 特定的癌症类型,包括子宫内膜,大脑,卵巢和结肠,显示出明显的发病率增加.
- 这些发现凸显了在MMD患者中加强癌症监测的必要性.
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