Risk factors for cholangiocarcinoma in a low risk Caucasian population

被引:14
作者
Kuper, H [1 ]
Lagiou, P [1 ]
Mucci, LA [1 ]
Tamimi, R [1 ]
Benetou, V [1 ]
Trichopoulos, D [1 ]
机构
[1] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
来源
SOZIAL-UND PRAVENTIVMEDIZIN | 2001年 / 46卷 / 03期
关键词
cholangiocarcinoma; etiology; estradiol; thyroid disease; liver disease;
D O I
10.1007/BF01324254
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: Little is known about the etiology of cholangiocarcinoma, apart from its association with liver fluke infestation. Methods: A case-control study was conducted in Athens and included six cholangiocarcinoma cases, 333 hepatocellular carcinoma cases and 360 controls with minor ailments or injuries. All subjects were interviewed and tested for hepatitis 8 and C infection. For all six cholangiocarcinomas, 97 hepatocellular carcinomas and 129 controls, sex steroids were determined in the blood. Results: Hepatitis B or C viruses, tobacco smoking, alcohol drinking and diabetes mellitus were not related to cholangiocarcinoma, but history of thyroid disease was. Estradiol levels were higher among cholangiocarcinoma cases than among the other two groups. Conclusions: This study provides evidence that endocrine and autoimmune factors are important in the etiology of cholangiocarcinoma.
引用
收藏
页码:182 / 185
页数:4
相关论文
共 37 条
[1]  
ALTAEE MY, 1991, CANCER, V68, P2051, DOI 10.1002/1097-0142(19911101)68:9<2051::AID-CNCR2820680934>3.0.CO
[2]  
2-M
[3]   Risk factors and clinical presentation of hepatobiliary carcinoma in patients with primary sclerosing cholangitis:: A case-control study [J].
Bergquist, A ;
Glaumann, H ;
Persson, B ;
Broomé, U .
HEPATOLOGY, 1998, 27 (02) :311-316
[4]  
BROOME U, 1995, HEPATOLOGY, V22, P1404, DOI 10.1002/hep.1840220511
[5]   Cholangiocarcinoma in patients with primary sclerosing cholangitis: A multicenter case-control study [J].
Chalasani, N ;
Baluyut, A ;
Ismail, A ;
Zaman, A ;
Sood, G ;
Ghalib, R ;
McCashland, TM ;
Reddy, KR ;
Zervos, X ;
Anbari, MA ;
Hoen, H .
HEPATOLOGY, 2000, 31 (01) :7-11
[7]   CANCER OF THE LIVER AND THE USE OF ORAL-CONTRACEPTIVES [J].
FORMAN, D ;
VINCENT, TJ ;
DOLL, R .
BRITISH MEDICAL JOURNAL, 1986, 292 (6532) :1357-1361
[8]  
*INT AG RES CANC, 1986, IARC MON EV CARC RIS, V74
[9]  
International Agency for Research on Cancer, 1994, IARC MON EV CARC RIS, V61
[10]   Graves' hyperthyroidism in a patient with primary sclerosing cholangitis. Coincidence or combined pathogenesis? [J].
Janssen, HLA ;
Smelt, AHM ;
van Hoek, B .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 1998, 10 (03) :269-271