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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
Main Authors: Wingren, Gun, Hatschek, Thomas, Axelson, Olav
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Hatschek, Thomas
Axelson, Olav
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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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. 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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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