在服用雌激素激素治疗的生物学男性中,甲状腺癌的风险增加
Andrew Meci1, F Jeffrey Lorenz1, Neerav Goyal1
1Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, Pennsylvania, USA.
概括
雌激素治疗可能会增加生物男性甲状腺癌的风险. 这项研究发现,雌激素服用男性的甲状腺恶性瘤风险是雌激素服用男性的2.35倍,而非非雌激素服用男性的2.35倍.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 雌激素和甲状腺癌风险之间的联系尚未完全理解.
- 以前的研究表明,外源性雌激素增加了女性甲状腺恶性瘤的风险.
- 没有研究探讨了在接受雌激素治疗的生物男性中这种关联.
研究的目的:
- 调查雌激素激素治疗与生物男性甲状腺恶性瘤风险之间的关联.
- 为了确定雌激素治疗是否会影响这种人群中甲状腺癌的发病率.
主要方法:
- 使用TriNetX研究网络进行的回顾性队列研究.
- 鉴定了6394名生物学上男性患者,他们接受了雌激素的处方,并进行了至少5年的随访.
- 在启动雌激素治疗5年内分析甲状腺恶性瘤诊断率.
主要成果:
- 接受雌激素治疗的患者在5年内患甲状腺恶性瘤的风险为0.64%.
- 这与对照组 (不使用雌激素) 的0.27%风险形成鲜明对比.
- 雌激素治疗与甲状腺癌的2.35 (P=.002) 的相对风险有关.
结论:
- 雌激素激素治疗与生物男性患甲状腺癌的风险增加有关.
- 这项研究提供了第一个证据,表明雌激素与甲状腺恶性瘤在这个人口群体之间存在关联.
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