与婴儿急性淋巴细胞白血病相关的产前和产周因素:一个范围审查
Arantza Sanvisens1,2, Clara Bueno3,4,5, Oriol Calvete6
1Epidemiology Unit and Girona Cancer Registry, Catalan Institute of Oncology, Catalan Cancer Plan, Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta (IDIBGI-CERCA), 17004 Girona, Spain.
Cancers
|February 13, 2025
概括
这次审查探讨了婴儿急性淋巴细胞白血病 (ALL) 的产前和周围风险因素. 研究结果表明,婴儿ALL和母亲暴露于农药,高出生体重,父母吸烟,某些药物和空气污染之间存在联系.
科学领域:
- 儿科瘤学 儿科瘤学
- 流行病学 流行病学
- 环境健康 环境健康
背景情况:
- 婴儿急性淋巴细胞白血病 (ALL) (<1年) 的预后不佳,特别是在KMT2A重组的情况下.
- 鉴定婴儿ALL的产前和周围风险因素是具有挑战性的,因为流行病学研究的样本大小有限.
研究的目的:
- 进行范围审查,以确定与婴儿ALL相关的产前或产周因素.
- 阐明导致婴儿ALL发展的潜在风险因素.
主要方法:
- 一个全面的范围审查原始文章,信件和会议摘要.
- 在PubMed,Web of Science和Embase数据库中进行文献搜索,截至2022年6月.
- 选择了33项观察性研究进行分析.
主要成果:
- 已建立的关联包括孕产妇接触农药和高出生体重.
- 发现了暗示性关联:父母的大量吸烟,父母使用药物 (例如,二皮龙),以及母亲在怀孕期间暴露于空气污染.
结论:
- 本综述总结了关于婴儿ALL产前/产周风险因素的观察性研究.
- 突出了这个特定的儿科年龄组的研究中的重大差距.
- 强调需要对婴儿ALL风险因素进行进一步调查.
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