Abstract
杨工,高玉堂,季步天,郑树,金凡,刘希永,高汝聂.青年人大肠癌与中老年人大肠癌的比较病例对照研究[J].Chinese journal of Epidemiology,1993,14(6):341-345
青年人大肠癌与中老年人大肠癌的比较病例对照研究
Comparison between Large Bowel Cancer in Young People and that in Middle-aged and Old-aged People
Received:January 20, 1993  
DOI:
KeyWord: 肿瘤,大肠  对比研究
English Key Word: Large bowel cancer  Comparative study
FundProject:本课题受上海市科委科学技术发展基金资助部分受国家“八五”攻关项目资助
Author NameAffiliation
Yang Gong Cancer Institute Zhejiang Medical University, Hangzhou, 310009 
高玉堂 上海市肿瘤研究所 
季步天 上海市肿瘤研究所 
郑树 Cancer Institute Zhejiang Medical University, Hangzhou, 310009 
金凡 上海市肿瘤研究所 
刘希永 Cancer Institute Zhejiang Medical University, Hangzhou, 310009 
高汝聂 上海市肿瘤研究所 
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Abstract:
      本研究通过比较影响不同年龄组大肠癌发病的危险因素,说明青年人与中老年人大肠癌的可能病因学差异。结果表明:①>40岁组大肠癌与环境因素(主要是饮食、营养因素)的联系性比≤40岁组密切;②家族遗传因素对≤40岁组大肠癌的发病影响比>40岁组高2倍以上。提示大肠癌发病是环境因素与遗传易感性的累积效应,但各自的作用度在不同年龄组大肠癌中存在差异性。
English Abstract:
      In order to understand the difference in risk factors of large bowel cancer in different age groups, a population-based case-control study including two age groups, one group with the age of ≤ 40 (180 cases and 184 controls). And the other group with the age of >40 (1148 cases and 1161 controls), was conducted in Shanghai. The study indicated that:1. The patients of age >40 with large bowel cancer had closer relationship with the environmental factors (esp. dietary and nutritional factors) than the patients of age ≤ 40. 2. The familial genetic risk factor which affected development of the cancer in younger group was two-fold higher than that in elder group. The results suggested that both genetic and environmental factors influenced the occurrence of the cancer, and the role of the genetic factor in ≤ 40-yr group and that of the environmental factors in >40-yr group appeared to be important.
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