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Risk Factors for Epithelial Ovarian Cancer by Histologic Subtype.
- Source :
-
American Journal of Epidemiology . Jan2010, Vol. 171 Issue 1, p45-53. 9p. 5 Charts. - Publication Year :
- 2010
-
Abstract
- Previous epidemiologic studies suggest that the major histologic subtypes of epithelial ovarian cancer may have different risk factor profiles; however, no known prospective study has systematically examined differences in risk by subtype. The authors used Cox proportional hazards regression, stratified by histologic subtype and time period, to examine the association between ovarian cancer risk factors and incidence of serous invasive, endometrioid, and mucinous ovarian cancers in the US Nurses’ Health Study (1976–2006) and Nurses’ Health Study II (1989–2005). For each exposure, they calculated P-heterogeneity using a likelihood ratio test comparing models with separate estimates for the 3 subtypes versus a single estimate across subtypes. Analysis included 221,866 women and 721 cases with the histologies of interest (496 serous invasive, 139 endometrioid, 86 mucinous). In analyses of reproductive/hormonal exposures, the associations with age, duration of breastfeeding, age at natural menopause, and duration of estrogen use differed significantly by subtype (all P-heterogeneity ≤0.05). The associations with several nonreproductive exposures also appeared to vary by subtype, but only the association with smoking differed significantly (P-heterogeneity = 0.03). Results suggest that associations with several ovarian cancer risk factors vary by subtype, and these differences are consistent with known similarities between each major histologic subtype and its normal tissue counterpart. [ABSTRACT FROM PUBLISHER]
- Subjects :
- *OVARIAN cancer
*ADENOCARCINOMA
*CANCER risk factors
*BREASTFEEDING
*HISTOPATHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 00029262
- Volume :
- 171
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- American Journal of Epidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 51492101
- Full Text :
- https://doi.org/10.1093/aje/kwp314