A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Incidence of cancer in finnish families with clinically aggressive and nonaggressive prostate cancer
Tekijät: Pakkanen S, Pukkala E, Kainulainen H, Matikainen MP, Koivisto PA, Tammela TL, Schleutker J
Julkaisuvuosi: 2009
Journal: Cancer Epidemiology, Biomarkers and Prevention
Tietokannassa oleva lehden nimi: Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
Lehden akronyymi: Cancer Epidemiol Biomarkers Prev
Vuosikerta: 18
Numero: 11
Aloitussivu: 3049
Lopetussivu: 56
Sivujen määrä: 8
ISSN: 1055-9965
eISSN: 1538-7755
DOI: https://doi.org/10.1158/1055-9965.EPI-09-0382
Tiivistelmä
Clinical features of familial prostate cancer (PCa) and other malignancies associated with PCa are poorly described. Using a large family-based data registry of histologically confirmed cancers with a 40-year follow-up, we sought to determine incidence of cancer in Finnish PCa families, separately for clinically aggressive and clinically nonaggressive PCa.\nWe calculated standardized incidence ratios (SIR) for 5,523 members of 202 families by dividing the number of observed cancers (altogether 497 cases) by the number of expected cancers. The number of expected cancers is based on the national cancer incidence rates.\nSIR for overall cancer risk, excluding PCa, for male relatives in clinically nonaggressive families was 0.7 [95% confidence interval (95% CI), 0.6-0.8] and in clinically aggressive families 0.8 (95% CI, 0.6-1.0). The respective SIRs for women were 1.0 (95% CI, 0.8-1.1) and 1.1 (95% CI, 0.8-1.3). The incidence of lung cancer among men was significantly lower than in the general population. The SIR for gastric cancer among women was 1.9 in both clinically nonaggressive and clinically aggressive families. In clinically aggressive families, there was borderline significant excess of cancer of the gallbladder in men and liver cancer in women.\nThe incidence of non-PCa cancers is not increased in clinically aggressive or clinically nonaggressive PCa families except for stomach cancer among women.\nBACKGROUND\nMETHODS\nRESULTS\nCONCLUSIONS
Clinical features of familial prostate cancer (PCa) and other malignancies associated with PCa are poorly described. Using a large family-based data registry of histologically confirmed cancers with a 40-year follow-up, we sought to determine incidence of cancer in Finnish PCa families, separately for clinically aggressive and clinically nonaggressive PCa.\nWe calculated standardized incidence ratios (SIR) for 5,523 members of 202 families by dividing the number of observed cancers (altogether 497 cases) by the number of expected cancers. The number of expected cancers is based on the national cancer incidence rates.\nSIR for overall cancer risk, excluding PCa, for male relatives in clinically nonaggressive families was 0.7 [95% confidence interval (95% CI), 0.6-0.8] and in clinically aggressive families 0.8 (95% CI, 0.6-1.0). The respective SIRs for women were 1.0 (95% CI, 0.8-1.1) and 1.1 (95% CI, 0.8-1.3). The incidence of lung cancer among men was significantly lower than in the general population. The SIR for gastric cancer among women was 1.9 in both clinically nonaggressive and clinically aggressive families. In clinically aggressive families, there was borderline significant excess of cancer of the gallbladder in men and liver cancer in women.\nThe incidence of non-PCa cancers is not increased in clinically aggressive or clinically nonaggressive PCa families except for stomach cancer among women.\nBACKGROUND\nMETHODS\nRESULTS\nCONCLUSIONS
Turun yliopiston Tutkimustietojärjestelmän portaali