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上海市卵巢癌危险因素探索

EXPLORATION OF RISK FACTORS OF OVARIAN CANCER IN SHANGHAI

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【作者】 舒晓鸥高玉堂袁剑敏LouiseA.Brinton

【Author】 Shu Xiao-ou;Gao Yu-tang;Yuan Jian-ming Loulse A. Bronton Shanghai Cancer Institute, Shanghai. National Cancer Institute, U. S. A.

【机构】 上海市肿瘤研究所美国国立癌症研究所

【摘要】 <正> 卵巢癌为妇科常见肿瘤之一,但其病因还不甚清楚,为了探讨卵巢癌的危险因素,于1984~1986年在上海市区进行了一次基于全人群的病例一对照研究。 材料与方法 研究的病例为1984.9.1~1986.6.30日期间新诊断的年龄在18~70岁之间上海市区户口的卵巢癌病例。共收集了258例。完成访问229例

【Abstract】 A case-control study of 229 ovarian cancer cases and 229 population based controlswas conducted during 1984-1986 in Shanghai. This study revealed that nulliparity wasassociated with elevated risk (OR=1.9, 95% .OI=1.0 - 3.6). The protective effect ofparity was positively related to number of livebirths (P<0. 01 ). Tubosterilization andIUD applied were associated with40-50%reduction in risk,with further decrease in riskfor those sterilized many years prior to diagnosis. A history of ovarian cyst was asso-ciated with significantly elevated OR of 6. 3 (95% CI = 2. 1- 19. 0). A dose-dependentrelationship was observed for cigarette smoking with postmenopausal women beingprimarily affected. More cancer cases than controls reported a family history of cancerwith reproductive cancer prodominated. Occupational exposure to paint was related toa 2. 6-fold elevation in risk (95% CI = 1. 1 - 6. 1), no other occupational exposuresshowed any affect.

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