子宫内膜异位症和癌症风险。

IF 2.5 4区 医学 Q3 ONCOLOGY European Journal of Cancer Prevention Pub Date : 2025-05-01 Epub Date: 2025-03-12 DOI:10.1097/CEJ.0000000000000965
Giorgio Bogani, Valentina Chiappa, Francesco Raspagliesi, Giovanni Corso
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引用次数: 0

摘要

子宫内膜异位症是最常见的妇科良性疾病之一。流行病学证据表明子宫内膜异位症与癌症风险之间存在潜在关联。越来越多的证据强调了卵巢癌的风险,特别是子宫内膜样细胞和透明细胞亚型。很少有研究报道子宫内膜异位症与包括子宫内膜癌和黑色素瘤在内的各种实体肿瘤之间存在适度的相关性。然而,研究之间仍然存在不一致性。此外,一些数据表明黑色素瘤、基底细胞癌和非霍奇金淋巴瘤的风险增加,强调了子宫内膜异位症女性癌症风险的多面性。潜在的机制包括慢性炎症、氧化应激、激素失调和遗传改变,如ARID1A、PTEN和KRAS突变,这些都导致了子宫内膜异位症和癌症之间的共同病理。本文探讨了子宫内膜异位症与癌症之间的复杂关系,重点是特定的恶性肿瘤。这篇综述强调了理解子宫内膜异位症和癌症之间的共同机制的重要性。虽然大多数患有子宫内膜异位症的女性不会发展成癌症,但进一步的研究是必要的,以揭示与这些疾病相关的分子途径,并提高受影响女性的长期治疗效果。
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Endometriosis and cancer risk.

Endometriosis is one of the most common gynecological benign disease. Epidemiological evidence suggests a potential association between endometriosis and cancer risk. Accumulating evidence highlighted the risk of ovarian cancer, particularly endometrioid and clear cell subtypes. Few studies reported a modest correlation between endometriosis and various solid tumors including, endometrial cancer, and melanoma. However, inconsistencies remain across studies. Additionally, some data indicate an increased risk of melanoma, basal cell carcinoma, and non-Hodgkin lymphoma, underscoring the multifaceted nature of cancer risk in women with endometriosis. The underlying mechanisms include chronic inflammation, oxidative stress, hormonal dysregulation, and genetic alterations, such as mutations in ARID1A , PTEN , and KRAS , which contribute to the shared pathology between endometriosis and cancer. This paper explores the complex association between endometriosis and cancer, focusing on specific malignancies. This review emphasizes the importance of understanding the shared mechanisms between endometriosis and cancer. Although most women with endometriosis will not develop cancer, further research is essential to unravel the molecular pathways linking these conditions and enhance long-term outcomes for affected women.

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来源期刊
CiteScore
4.10
自引率
4.20%
发文量
96
审稿时长
1 months
期刊介绍: European Journal of Cancer Prevention aims to promote an increased awareness of all aspects of cancer prevention and to stimulate new ideas and innovations. The Journal has a wide-ranging scope, covering such aspects as descriptive and metabolic epidemiology, histopathology, genetics, biochemistry, molecular biology, microbiology, clinical medicine, intervention trials and public education, basic laboratory studies and special group studies. Although affiliated to a European organization, the journal addresses issues of international importance.
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