丸癌的流行病学和危险因素:一个系统的审查
Valentina Tateo1, Zachary J Thompson2, Scott M Gilbert3
1Department of Medical Oncology, IRCCS Ospedale San Raffaele, Milan, Italy.
European urology
|November 14, 2024
概括
丸生殖细胞瘤 (TGCT) 发病率在全球范围内不断上升,受遗传因素和早期暴露的影响. 进一步的研究对于了解TGCT流行病学和开发查计划至关重要.
科学领域:
- 流行病学 流行病学
- 在瘤学瘤学.
- 遗传学 遗传学 是一个
背景情况:
- 丸生殖细胞瘤 (TGCT) 是罕见的,但显示出显著的全球发病率变化.
- 近几十年来,在全球范围内,TGCT发病率出现了不明原因的增加.
研究的目的:
- 调查TGCT变化的流行病学.
- 确定与TGCT发展相关的关键风险因素.
主要方法:
- 按照PRISMA 2020指南进行了系统审查.
- 包含了53份相关报告进行叙事综合,其中26份正在进行定量综合.
主要成果:
- 遗传倾向 (44%的遗传性) 和生命早期的暴露 (内分泌干扰剂,密封性,不孕症,身高,大麻使用,环境因素) 与TGCT风险有关.
- 分析证实了产前/生命早期因素与TGCT发生率 (OR 1.44) 之间存在显著的关联.
- 限制包括可变的证据质量和数据异质性.
结论:
- TGCT的发病包括遗传倾向和生命早期的暴露.
- 发病率上升可能与社会经济变化和影响风险因素暴露的移民模式有关.
- 由于TGCT发病率上升,需要进一步的研究和最佳的查计划.
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