A Case-control Study in Hiroshima and Nagasaki Examining Non-radiation Risk Factors for Thyroid Cancer

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概要

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• BACKGROUND: Because little is known about the etiology of thyroid cancer in Japan, we conducted a case-control study of thyroid cancer and lifestyle and other risk factors. The present report focuses on medical history, family history, smoking and alcohol drinking, and their interactions with radiation exposure.METHODS: Thyroid cancer cases reported to the Hiroshima and Nagasaki tumor registries during 1970-1986 were histologically reviewed by pathologists. For each of 362 cases with papillary or follicular adenocarcinoma diagnosed at <75 years of age, one control without cancer matched on city, sex, year of birth, and atomic-bomb radiation exposure was selected from the Life Span Study cohort or the offspring cohort. The cohort subjects were residents of Hiroshima and Nagasaki with or without atomicbomb radiation exposure. Information on risk factors was obtained through a pre-structured interview carried out in 1986-1988.RESULTS: Analysis using conditional logistic regression showed history of goiter or thyroid nodule and family history of cancer to be significantly associated with an increased odds ratio for thyroid cancer. Smoking and alcohol drinking were significantly and independently associated with a reduced odds ratio. Interaction between smoking and alcohol drinking was not evident based on either an additive model or a multiplicative model. Radiation exposure did not significantly modify the associations between these factors and thyroid cancer risk.CONCLUSION: History of goiter/nodule and family history of cancer were risk factors for thyroid cancer. Smoking and alcohol drinking were independently associated with reduced risk. Self-reported retrospective information presents some limitations in interpretation of the data.J Epidemiol 2007; 17: 76-85.

• 日本疫学会の論文
• 2007-05-01

著者

• LAND CHARLES

  Radiation Epidemiology Branch, NCI, Bethesda

• Hayashi Yuzo

  Department of Pharmaceutical Sciences, Kitasato University, 5-9-1, Shirogane, Minato-ku, Tokyo 108-0

• Hayashi Yuzo

  Department Of Cardiology Nagoya University Graduate School Of Medicine

• NAGANO Jun

  Department of Preventive Medicine, Graduate School of Medical Sciences, Kyushu University

• Nagano Jun

  Kyushu Univ.

• Tsuda Nobuo

  Department Of Applied Physics Science University Of Tokyo

• Kodama Kazunori

  Department of Epidemiology, Radiation Effect Research Foundation

• Kodama Kazunori

  Department Of Clinical Studies Radiation Effects Research Foundation

• MABUCHI Kiyohiko

  Radiat. Effects Res. Found.

• Mabuchi Kiyohiko

  Department Of Epidemiology Radiation Effects Research Foundation

• Land Charles

  Radiation Epidemiology Branch Division Of Cancer Epidemiology And Genetics National Cancer Institute

• Land Charles

  Radiation Epidemiology Branch Division Of Cancer Epidemiology And Genetics National Cancer Institute

• Nagano Jun

  Department Of Epidemiology Radiation Effects Research Foundation

• YOSHIMOTO Yasuhiko

  National Institute of Radiological Sciences

• Yoshimoto Yasuhiko

  National Inst. Radiological Sci.

• Hayashi Yuzo

  Department Of Pathology Hiroshima City Asa Hospital

• Tsuda Nobuo

  Department Of Pathology Nagasaki Prefecture Medical Health Group Program

• Hayashi Yuzo

  Department Of Cardiology Kasugai Municipal Hospital

• Kodama Kazunori

  Department Of Clinical Studies Radiation Effect Research Foundation

• Tsuda Nobuo

  Department Of Applied Physics Saience University Of Tokyo

• HAYASHI Yuzo

  Department of Pathology, Hiroshima City, Asa Hospital

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