乳腺癌与酒精、烟草的关系.doc

Breast cancer, alcohol, and tobacco HYPERLINK http://www.medicine.ox.ac.uk/bandolier/band109/b109-4.html \l Heading2 Study  HYPERLINK http://www.medicine.ox.ac.uk/bandolier/band109/b109-4.html \l Heading3 Results  HYPERLINK http://www.medicine.ox.ac.uk/bandolier/band109/b109-4.html \l Heading4 Comment One of the most important developments in recent years has been collaboration between research groups to pool information on individual patients better to understand disease development and treatment. One such is investigating breast cancer [1].  Study The influence of alcohol and tobacco on breast cancer was examined in 65 studies contributing individual patient data on over 66,000 women with breast cancer and nearly 130,000 controls. Of these, 53 had information on both alcohol and tobacco in 58,500 cases of breast cancer and 95,000 controls. Case-control and cohort studies were eligible if they recruited at least 100 women with invasive breast cancer and recorded information on reproductive factors and use of hormonal therapies. Information on individual women was collated and analysed centrally to use as similar definitions as possible. One drink was 12 grams of alcohol in the USA and Italy, 8 grams in the UK and 10 grams elsewhere.  Results The average age at diagnosis of breast cancer was 52 years. Women with higher alcohol consumption also tended to smoke more in cases and controls. Only 37% of women who never drank alcohol had ever smoked, a proportion rising to about 70% in those with the highest alcohol intake. In women who had never drunk alcohol (22,000 cases and 41,000 controls) there was no relationship between breast cancer and smoking history (relative risk 1.03). Because of the relationship between increased alcohol consumption and increased smoking, no reliable information could be drawn for smokers who also drank alcohol. The relative risk of breast cancer was positively linked to increased daily alcohol consumption (Figure