中枢神经系统瘤在使用阴道雌二醇片的人群中:一项全国性基于人口的研究
Nelsan Pourhadi1,2, Amani Meaidi2, Søren Friis2
1Danish Dementia Research Centre, Department of Neurology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
European journal of neurology
|June 13, 2023
概括
阴道雌激素的使用显示,脑膜瘤发病率略有增加,但与质瘤没有关联. 需要进一步的研究来证实这些关于激素治疗和脑瘤的发现.
科学领域:
- 内分泌学 在内分泌学.
- 神经学 神经学
- 在瘤学瘤学.
背景情况:
- 阴道雌醇使用与脑膜瘤和质瘤的发展之间的关联尚未得到充分证实.
- 阴道雌激醇通常用于治疗更年期症状.
研究的目的:
- 调查阴道雌激醇片的累积使用和治疗强度以及脑膜瘤和质瘤的发生率之间的关系.
- 分析激素治疗对脑瘤发展的影响.
主要方法:
- 在丹麦 (2000 - 2018) 进行的一项全国性嵌套病例控制研究,包括590,676名年龄在50-60岁的妇女.
- 处方数据评估了阴道雌激素使用的累积剂量,持续时间和强度.
- 条件后勤回归计算了脑膜瘤和质瘤发病率的危险比率 (HRs).
主要成果:
- 确诊了1108例脑膜瘤和835例脑瘤病例.
- 常用阴道雌激素与脑膜瘤 (1.14) 的HR略有增加有关,但与质瘤 (0.90) 无关.
- 在新使用者中,高强度使用 (2+年) 显示了脑膜瘤 (1.66) 的HR升高,但并没有质瘤 (0.77).
结论:
- 阴道雌激素的使用与脑膜瘤发病率的适度增加有关,但对于质瘤没有发现显著的关联.
- 该研究的观察性质意味着不能排除残留偏差.
- 需要进一步调查以澄清潜在风险.
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