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Associations between pregnancy-related factors and birth characteristics with risk of rare uterine cancer subtypes : a Nordic population-based case-control study
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- Abril, Jazmine (författare)
- Univ Utah, Sch Med, Salt Lake City, UT USA.
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- Trabert, Britton (författare)
- Huntsman Canc Inst Univ Utah, Huntsman Canc Inst, Dept Obstet & Gynecol, 2000 Circle Hope Dr Res South 4719, Salt Lake City, UT 84112 USA.
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- Troisi, Rebecca (författare)
- NCI, NIH, Div Canc Epidemiol & Genet, Bethesda, MD USA.
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- Grotmol, Tom (författare)
- Canc Registry Norway, Oslo, Norway.
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- Ekbom, Anders (författare)
- Karolinska Inst, Dept Med, Clin Epidemiol Div, Stockholm, Sweden.
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- Engeland, Anders (författare)
- Norwegian Inst Publ Hlth, Dept Chron Dis, Oslo, Norway.;Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway.
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- Gissler, Mika (författare)
- Karolinska Institutet,THL Finnish Inst Hlth & Welf, Dept Knowledge Brokers, Helsinki, Finland.;Acad Primary Hlth Care Ctr Reg Stockholm, Stockholm, Sweden.;Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.
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- Glimelius, Ingrid, 1975- (författare)
- Karolinska Institutet,Uppsala universitet,Cancerprecisionsmedicin,Karolinska Inst, Dept Med, Clin Epidemiol Div, Stockholm, Sweden.
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- Madanat-Harjuoja, Laura (författare)
- Finnish Canc Registry, Helsinki, Finland.;Univ Helsinki, Dept Pediat, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland.
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- Ording, Anne Gulbech (författare)
- Helsinki Univ Hosp, Helsinki, Finland.
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- Sorensen, Henrik Toft (författare)
- Aarhus Univ, Dept Clin Epidemiol, Aarhus, Denmark.
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- Tretli, Steinar (författare)
- Canc Registry Norway, Oslo, Norway.
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- Bjorge, Tone (författare)
- Canc Registry Norway, Oslo, Norway.;Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway.
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Univ Utah, Sch Med, Salt Lake City, UT USA Huntsman Canc Inst Univ Utah, Huntsman Canc Inst, Dept Obstet & Gynecol, 2000 Circle Hope Dr Res South 4719, Salt Lake City, UT 84112 USA. (creator_code:org_t)
- Springer, 2024
- 2024
- Engelska.
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Ingår i: Cancer Causes and Control. - : Springer. - 0957-5243 .- 1573-7225. ; 35:5, s. 741-747
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Purpose: Uterine sarcomas are a rare group of uterine malignancies. Due to the low incidence and changes in uterine sarcoma classification, risk factors are not well characterized. Our objective was to evaluate risk factors for uterine sarcoma and compare risk factors between uterine sarcoma, malignant mixed Mullerian tumors (MMMTs), and type I endometrial carcinomas.Methods: This nested case-control study utilized linked data from population-based medical birth and cancer registries in Denmark, Finland, Norway, and Sweden. Up to 10 controls were matched on country and birth year for each uterine cancer case. Using multivariable adjusted multinomial logistic regression, estimates of the associations between pregnancy-related factors and risk of uterine sarcoma, MMMTs, and type I endometrial carcinomas were determined.Results: Having a very-low-birth-weight infant (< 1500 vs. 2500-3999 g: OR [95% CI] 2.83 [1.61-4.96]) was associated with an increased risk of uterine sarcoma. Whereas, having a more recent pregnancy was associated with reduced risks of MMMT (< 10 vs. >= 30 years: 0.66 [0.20-2.23]) and type 1 endometrial carcinomas (0.35 [0.30-0.41]) but not uterine sarcomas (1.33 [0.90-1.98], p-heterogeneity < 0.01).Conclusion: Our study provides evidence that risk factors for uterine sarcoma and MMMT, previously grouped with uterine sarcomas, vary substantially. Additionally, MMMT and type I endometrial carcinomas are more similar than uterine sarcoma in that pregnancy complications like gestational hypertension and preeclampsia were associated with reduced risks of both but not uterine sarcoma, suggesting different etiologies.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Nyckelord
- Uterine sarcoma
- Malignant mixed mullerian tumors
- Type I endometrial cancer
- Pregnancy-related factors
- Risk
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- ref (ämneskategori)
- art (ämneskategori)
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Abril, Jazmine
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Trabert, Britton
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Troisi, Rebecca
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Grotmol, Tom
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Ekbom, Anders
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Engeland, Anders
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Gissler, Mika
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Glimelius, Ingri ...
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Madanat-Harjuoja ...
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Ording, Anne Gul ...
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Sorensen, Henrik ...
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Tretli, Steinar
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Bjorge, Tone
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Cancer Causes an ...
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Uppsala universitet
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Karolinska Institutet