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Determinants of Papillary Cancer of the Thyroid
Determinants of papillary thyroid cancer were evaluated in a questionnaire-based case-control study from southeastern Sweden. A total of 104 cases, diagnosed from 1977 to 1987, and 387 randomly selected controls were included in the analyses. Female subjects with papillary cancer reported a work his...
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Published in: | American journal of epidemiology 1993-10, Vol.138 (7), p.482-491 |
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container_title | American journal of epidemiology |
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description | Determinants of papillary thyroid cancer were evaluated in a questionnaire-based case-control study from southeastern Sweden. A total of 104 cases, diagnosed from 1977 to 1987, and 387 randomly selected controls were included in the analyses. Female subjects with papillary cancer reported a work history as dentists/dental assistants, telephone operators, teachers, and day nursery personnel, and an occupational contact with chemicals and video display terminals more often than did controls. The 11 male cases more often reported working as mechanics and metal workers and having occupational contact with solvents. Other factors associated with increased risk for female papillary cancer were having private well water at the birth address; leisure time exposure to combustion smoke; low intake of cruciferous vegetables and seafood; and a family history of goiter, heart disease, biliary disorder, or female genital cancer. Diagnostic radiographic examinations, especially to the head, neck, or upper back/chest area, or repeated dental examinations, were also found to be associated with this form of cancer. With regard to the possible influence from hormonal factors among women less than age 50 years at time of diagnosis, an increased risk was found for a pregnancy soon after puberty. Tendencies toward a decreasing risk with increasing age at first pregnancy as well as an increasing risk with increasing number of pregnancies were found as well. Multiparity seemed to potentiate the effect from prior radiographic examinations. |
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A total of 104 cases, diagnosed from 1977 to 1987, and 387 randomly selected controls were included in the analyses. Female subjects with papillary cancer reported a work history as dentists/dental assistants, telephone operators, teachers, and day nursery personnel, and an occupational contact with chemicals and video display terminals more often than did controls. The 11 male cases more often reported working as mechanics and metal workers and having occupational contact with solvents. Other factors associated with increased risk for female papillary cancer were having private well water at the birth address; leisure time exposure to combustion smoke; low intake of cruciferous vegetables and seafood; and a family history of goiter, heart disease, biliary disorder, or female genital cancer. Diagnostic radiographic examinations, especially to the head, neck, or upper back/chest area, or repeated dental examinations, were also found to be associated with this form of cancer. With regard to the possible influence from hormonal factors among women less than age 50 years at time of diagnosis, an increased risk was found for a pregnancy soon after puberty. Tendencies toward a decreasing risk with increasing age at first pregnancy as well as an increasing risk with increasing number of pregnancies were found as well. 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Thyroid axis (diseases) ; VEGETABLES ; VERTEBRATES ; WESTERN EUROPE 550900 -- Pathology ; WOMEN ; x-rays</subject><ispartof>American journal of epidemiology, 1993-10, Vol.138 (7), p.482-491</ispartof><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-8a54ab471e9919a6508937fd421f31ae0cb0e8d06d396028eab265bd0bc8c74e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3773740$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8213752$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/5729473$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Wingren, Gun</creatorcontrib><creatorcontrib>Hatschek, Thomas</creatorcontrib><creatorcontrib>Axelson, Olav</creatorcontrib><title>Determinants of Papillary Cancer of the Thyroid</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><description>Determinants of papillary thyroid cancer were evaluated in a questionnaire-based case-control study from southeastern Sweden. A total of 104 cases, diagnosed from 1977 to 1987, and 387 randomly selected controls were included in the analyses. Female subjects with papillary cancer reported a work history as dentists/dental assistants, telephone operators, teachers, and day nursery personnel, and an occupational contact with chemicals and video display terminals more often than did controls. The 11 male cases more often reported working as mechanics and metal workers and having occupational contact with solvents. Other factors associated with increased risk for female papillary cancer were having private well water at the birth address; leisure time exposure to combustion smoke; low intake of cruciferous vegetables and seafood; and a family history of goiter, heart disease, biliary disorder, or female genital cancer. Diagnostic radiographic examinations, especially to the head, neck, or upper back/chest area, or repeated dental examinations, were also found to be associated with this form of cancer. With regard to the possible influence from hormonal factors among women less than age 50 years at time of diagnosis, an increased risk was found for a pregnancy soon after puberty. Tendencies toward a decreasing risk with increasing age at first pregnancy as well as an increasing risk with increasing number of pregnancies were found as well. Multiparity seemed to potentiate the effect from prior radiographic examinations.</description><subject>Adult</subject><subject>Age Factors</subject><subject>ANIMALS</subject><subject>BASIC BIOLOGICAL SCIENCES</subject><subject>Biological and medical sciences</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>BODY</subject><subject>Carcinoma, Papillary - epidemiology</subject><subject>Carcinoma, Papillary - etiology</subject><subject>Case-Control Studies</subject><subject>DEVELOPED COUNTRIES</subject><subject>DIAGNOSTIC TECHNIQUES</subject><subject>DIET</subject><subject>Diet - adverse effects</subject><subject>DISEASE INCIDENCE</subject><subject>DISEASES</subject><subject>Dose-Response Relationship, Radiation</subject><subject>ENDOCRINE DISEASES</subject><subject>ENDOCRINE GLANDS</subject><subject>Endocrinopathies</subject><subject>ENVIRONMENTAL EXPOSURE</subject><subject>Environmental Exposure - adverse effects</subject><subject>Environmental Pollutants - adverse effects</subject><subject>EUROPE</subject><subject>Female</subject><subject>FEMALES</subject><subject>FISH PRODUCTS</subject><subject>FOOD</subject><subject>GLANDS</subject><subject>GOITER</subject><subject>Humans</subject><subject>Male</subject><subject>Malignant tumors</subject><subject>MAMMALS</subject><subject>MAN</subject><subject>Medical sciences</subject><subject>MEDICINE</subject><subject>Middle Aged</subject><subject>NEOPLASMS</subject><subject>NUCLEAR MEDICINE</subject><subject>OCCUPATIONAL EXPOSURE</subject><subject>ORGANS</subject><subject>PLANTS</subject><subject>POLLUTANTS</subject><subject>PREGNANCY</subject><subject>PRIMATES</subject><subject>Radiography - adverse effects</subject><subject>RADIOLOGY</subject><subject>Regression Analysis</subject><subject>RISK ASSESSMENT</subject><subject>Risk Factors</subject><subject>SCANDINAVIA</subject><subject>SEAFOOD</subject><subject>SWEDEN</subject><subject>Sweden - epidemiology</subject><subject>THYROID</subject><subject>Thyroid Gland - radiation effects</subject><subject>thyroid neoplasms</subject><subject>Thyroid Neoplasms - epidemiology</subject><subject>Thyroid Neoplasms - etiology</subject><subject>Thyroid. Thyroid axis (diseases)</subject><subject>VEGETABLES</subject><subject>VERTEBRATES</subject><subject>WESTERN EUROPE 550900 -- Pathology</subject><subject>WOMEN</subject><subject>x-rays</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><recordid>eNpVkN1qGzEQRkVoSZ00j1AwaW7XGUkradW74vxC2prgkJAbodXO4nXtlSPJkLx9FLw19GpgvjMzzCHklMKEgubn_rX1oVn6bejtKk7sEieWUllV7ICMaKlkIZmQn8gIAFihmWRfyFGMSwBKtYBDclgxypVgI3J-gQnDuuttn-LYt-OZ3XSrlQ1v46ntHYaPXlrgeL54C75rvpLPbb6JJ0M9Jg9Xl_PpTXH35_p2-vOucAJYKiorSluXiqLWVFspoNJctU3JaMupRXA1YNWAbLiWwCq0NZOibqB2lVMl8mNyutvrY-pMdF1Ct3C-79ElIxTTpeIZ-r6DNsG_bDEm88-JoRykFByYyNSPHeWCjzFgazahW-cPDQXz4dP879Nkn2bwmYe_DSe29Rqb_eggMOdnQ26js6s2ZGld3GNcKa5KyFixw7qY8HUf2_DXyEwIc_P0bO7579l8dv_LPPJ3kBmRqg</recordid><startdate>19931001</startdate><enddate>19931001</enddate><creator>Wingren, Gun</creator><creator>Hatschek, Thomas</creator><creator>Axelson, Olav</creator><general>Oxford University Press</general><general>School of Hygiene and Public Health of the Johns Hopkins University</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HVZBN</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>OTOTI</scope></search><sort><creationdate>19931001</creationdate><title>Determinants of Papillary Cancer of the Thyroid</title><author>Wingren, Gun ; Hatschek, Thomas ; Axelson, Olav</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-8a54ab471e9919a6508937fd421f31ae0cb0e8d06d396028eab265bd0bc8c74e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>ANIMALS</topic><topic>BASIC BIOLOGICAL SCIENCES</topic><topic>Biological and medical sciences</topic><topic>BIOMEDICAL RADIOGRAPHY</topic><topic>BODY</topic><topic>Carcinoma, Papillary - epidemiology</topic><topic>Carcinoma, Papillary - etiology</topic><topic>Case-Control Studies</topic><topic>DEVELOPED COUNTRIES</topic><topic>DIAGNOSTIC TECHNIQUES</topic><topic>DIET</topic><topic>Diet - adverse effects</topic><topic>DISEASE INCIDENCE</topic><topic>DISEASES</topic><topic>Dose-Response Relationship, Radiation</topic><topic>ENDOCRINE DISEASES</topic><topic>ENDOCRINE GLANDS</topic><topic>Endocrinopathies</topic><topic>ENVIRONMENTAL EXPOSURE</topic><topic>Environmental Exposure - adverse effects</topic><topic>Environmental Pollutants - adverse effects</topic><topic>EUROPE</topic><topic>Female</topic><topic>FEMALES</topic><topic>FISH PRODUCTS</topic><topic>FOOD</topic><topic>GLANDS</topic><topic>GOITER</topic><topic>Humans</topic><topic>Male</topic><topic>Malignant tumors</topic><topic>MAMMALS</topic><topic>MAN</topic><topic>Medical sciences</topic><topic>MEDICINE</topic><topic>Middle Aged</topic><topic>NEOPLASMS</topic><topic>NUCLEAR MEDICINE</topic><topic>OCCUPATIONAL EXPOSURE</topic><topic>ORGANS</topic><topic>PLANTS</topic><topic>POLLUTANTS</topic><topic>PREGNANCY</topic><topic>PRIMATES</topic><topic>Radiography - adverse effects</topic><topic>RADIOLOGY</topic><topic>Regression Analysis</topic><topic>RISK ASSESSMENT</topic><topic>Risk Factors</topic><topic>SCANDINAVIA</topic><topic>SEAFOOD</topic><topic>SWEDEN</topic><topic>Sweden - epidemiology</topic><topic>THYROID</topic><topic>Thyroid Gland - radiation effects</topic><topic>thyroid neoplasms</topic><topic>Thyroid Neoplasms - epidemiology</topic><topic>Thyroid Neoplasms - etiology</topic><topic>Thyroid. Thyroid axis (diseases)</topic><topic>VEGETABLES</topic><topic>VERTEBRATES</topic><topic>WESTERN EUROPE 550900 -- Pathology</topic><topic>WOMEN</topic><topic>x-rays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wingren, Gun</creatorcontrib><creatorcontrib>Hatschek, Thomas</creatorcontrib><creatorcontrib>Axelson, Olav</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 24</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - West</collection><collection>Primary Sources Access (Plan D) - International</collection><collection>Primary Sources Access & Build (Plan A) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Midwest</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Northeast</collection><collection>Primary Sources Access (Plan D) - Southeast</collection><collection>Primary Sources Access (Plan D) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Southeast</collection><collection>Primary Sources Access (Plan D) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - UK / I</collection><collection>Primary Sources Access (Plan D) - Canada</collection><collection>Primary Sources Access (Plan D) - EMEALA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - International</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - International</collection><collection>Primary Sources Access (Plan D) - West</collection><collection>Periodicals Index Online Segments 1-50</collection><collection>Primary Sources Access (Plan D) - APAC</collection><collection>Primary Sources Access (Plan D) - Midwest</collection><collection>Primary Sources Access (Plan D) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Canada</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - EMEALA</collection><collection>Primary Sources Access & Build (Plan A) - APAC</collection><collection>Primary Sources Access & Build (Plan A) - Canada</collection><collection>Primary Sources Access & Build (Plan A) - West</collection><collection>Primary Sources Access & Build (Plan A) - EMEALA</collection><collection>Primary Sources Access (Plan D) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - Midwest</collection><collection>Primary Sources Access & Build (Plan A) - North Central</collection><collection>Primary Sources Access & Build (Plan A) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - Southeast</collection><collection>Primary Sources Access (Plan D) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - APAC</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - MEA</collection><collection>OSTI.GOV</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wingren, Gun</au><au>Hatschek, Thomas</au><au>Axelson, Olav</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of Papillary Cancer of the Thyroid</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>1993-10-01</date><risdate>1993</risdate><volume>138</volume><issue>7</issue><spage>482</spage><epage>491</epage><pages>482-491</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><coden>AJEPAS</coden><abstract>Determinants of papillary thyroid cancer were evaluated in a questionnaire-based case-control study from southeastern Sweden. A total of 104 cases, diagnosed from 1977 to 1987, and 387 randomly selected controls were included in the analyses. Female subjects with papillary cancer reported a work history as dentists/dental assistants, telephone operators, teachers, and day nursery personnel, and an occupational contact with chemicals and video display terminals more often than did controls. The 11 male cases more often reported working as mechanics and metal workers and having occupational contact with solvents. Other factors associated with increased risk for female papillary cancer were having private well water at the birth address; leisure time exposure to combustion smoke; low intake of cruciferous vegetables and seafood; and a family history of goiter, heart disease, biliary disorder, or female genital cancer. Diagnostic radiographic examinations, especially to the head, neck, or upper back/chest area, or repeated dental examinations, were also found to be associated with this form of cancer. With regard to the possible influence from hormonal factors among women less than age 50 years at time of diagnosis, an increased risk was found for a pregnancy soon after puberty. Tendencies toward a decreasing risk with increasing age at first pregnancy as well as an increasing risk with increasing number of pregnancies were found as well. Multiparity seemed to potentiate the effect from prior radiographic examinations.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>8213752</pmid><doi>10.1093/oxfordjournals.aje.a116882</doi><tpages>10</tpages></addata></record> |
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subjects | Adult Age Factors ANIMALS BASIC BIOLOGICAL SCIENCES Biological and medical sciences BIOMEDICAL RADIOGRAPHY BODY Carcinoma, Papillary - epidemiology Carcinoma, Papillary - etiology Case-Control Studies DEVELOPED COUNTRIES DIAGNOSTIC TECHNIQUES DIET Diet - adverse effects DISEASE INCIDENCE DISEASES Dose-Response Relationship, Radiation ENDOCRINE DISEASES ENDOCRINE GLANDS Endocrinopathies ENVIRONMENTAL EXPOSURE Environmental Exposure - adverse effects Environmental Pollutants - adverse effects EUROPE Female FEMALES FISH PRODUCTS FOOD GLANDS GOITER Humans Male Malignant tumors MAMMALS MAN Medical sciences MEDICINE Middle Aged NEOPLASMS NUCLEAR MEDICINE OCCUPATIONAL EXPOSURE ORGANS PLANTS POLLUTANTS PREGNANCY PRIMATES Radiography - adverse effects RADIOLOGY Regression Analysis RISK ASSESSMENT Risk Factors SCANDINAVIA SEAFOOD SWEDEN Sweden - epidemiology THYROID Thyroid Gland - radiation effects thyroid neoplasms Thyroid Neoplasms - epidemiology Thyroid Neoplasms - etiology Thyroid. Thyroid axis (diseases) VEGETABLES VERTEBRATES WESTERN EUROPE 550900 -- Pathology WOMEN x-rays |
title | Determinants of Papillary Cancer of the Thyroid |
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