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AMNE:(Cancer Research.)
 

Sökning: AMNE:(Cancer Research.) > (2010-2014) > Associations of hor...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00006169naa a2200685 4500
001oai:lup.lub.lu.se:775db729-79f3-45e1-8a1f-a6b482a0ce4a
003SwePub
008160401s2014 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/45295102 URI
024a https://doi.org/10.1186/1471-2407-14-3712 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Brändstedt, Jennyu Lund University,Lunds universitet,Tumörmikromiljö,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Tumor microenvironment,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)med-jyb
2451 0a Associations of hormone replacement therapy and oral contraceptives with risk of colorectal cancer defined by clinicopathological factors, beta-catenin alterations, expression of cyclin D1, p53, and microsatellite-instability
264 c 2014-05-25
264 1b Springer Science and Business Media LLC,c 2014
338 a electronic2 rdacarrier
520 a BACKGROUND: Postmenopausal hormone therapy (HRT) and oral contraceptive (OC) use have in several studies been reported to be associated with a decreased colorectal cancer (CRC) risk. However, data on the association between HRT and OC and risk of different clinicopathological and molecular subsets of CRC are lacking. The aim of this molecular pathological epidemiology study was therefore to evaluate the associations between HRT and OC use and risk of specific CRC subgroups, overall and by tumour site.METHOD: In the population-based prospective cohort study Mamö Diet and Cancer, including 17035 women, 304 cases of CRC were diagnosed up until 31 December 2008. Immunohistochemical expression of beta-catenin, cyclin D1, p53 and MSI-screening status had previously been assessed in tissue microarrays with tumours from 280 cases. HRT was assessed as current use of combined HRT (CHRT) or unopposed oestrogen (ERT), and analysed among 12583 peri-and postmenopausal women. OC use was assessed as ever vs never use among all women in the cohort. A multivariate Cox regression model was applied to determine hazard ratios for risk of CRC, overall and according to molecular subgroups, in relation to HRT and OC use.RESULTS: There was no significantly reduced risk of CRC by CHRT or ERT use, however a reduced risk of T-stage 1-2 tumours was seen among CHRT users (HR: 0.24; 95% CI: 0.09-0.77).Analysis stratified by tumour location revealed a reduced overall risk of rectal, but not colon, cancer among CHRT and ERT users, including T stage 1-2, lymph node negative, distant metastasis-free, cyclin D1 - and p53 negative tumours.In unadjusted analysis, OC use was significantly associated with a reduced overall risk of CRC (HR: 0.56; 95% CI: 0.44-0.71), but this significance was not retained in adjusted analysis (HR: 1.05: 95% CI: 0.80-1.37). A similar risk reduction was seen for the majority of clinicopathological and molecular subgroups.CONCLUSION: Our findings provide information on the relationship between use of HRT and OC and risk of clinicopathological and molecular subsets of CRC.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
653 a Biomarkers, Tumor
653 a Colorectal Neoplasms
653 a Contraceptives, Oral, Hormonal
653 a Cyclin D1
653 a Estrogen Replacement Therapy
653 a Female
653 a Genetic Predisposition to Disease
653 a Humans
653 a Immunohistochemistry
653 a Microsatellite Instability
653 a Middle Aged
653 a Multivariate Analysis
653 a Neoplasm Staging
653 a Proportional Hazards Models
653 a Prospective Studies
653 a Risk Assessment
653 a Risk Factors
653 a Sweden
653 a Time Factors
653 a Tissue Array Analysis
653 a Tumor Suppressor Protein p53
653 a beta Catenin
653 a Journal Article
653 a Research Support, Non-U.S. Gov't
700a Wangefjord, Sakariasu Lund University,Lunds universitet,Tumörmikromiljö,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Tumor microenvironment,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)med-swa
700a Nodin, Björnu Lund University,Lunds universitet,Tumörmikromiljö,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Tumor microenvironment,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)immu-bnn
700a Eberhard, Jakobu Lund University,Lunds universitet,Bröstcancer-genetik,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Breastcancer-genetics,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)kir-jeb
700a Jirström, Karinu Lund University,Lunds universitet,Tumörmikromiljö,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Tumor microenvironment,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)pat-kji
700a Manjer, Jonasu Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups4 aut0 (Swepub:lu)smi-jma
710a Tumörmikromiljöb Sektion I4 org
773t BMC Cancerd : Springer Science and Business Media LLCg 14:1q 14:1x 1471-2407
856u https://portal.research.lu.se/files/3270918/5147936x primaryx freey FULLTEXT
856u http://www.ncbi.nlm.nih.gov/pubmed/24885829?dopt=Abstracty FULLTEXT
856u http://dx.doi.org/10.1186/1471-2407-14-371x freey FULLTEXT
856u https://bmccancer.biomedcentral.com/track/pdf/10.1186/1471-2407-14-371
8564 8u https://lup.lub.lu.se/record/4529510
8564 8u https://doi.org/10.1186/1471-2407-14-371

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