文章摘要
杨纾旖 1 地力木拉提 · 艾斯木吐拉 1 王永高 1 阿迪力江· 买买提明 1 栾梅香 1 任智慧 2△.甲状腺特异性抗体与乳腺癌相关性研究的系统评价 *[J].,2014,14(6):1170-1173
甲状腺特异性抗体与乳腺癌相关性研究的系统评价 *
A Systematic Review of Studies in Relationship between ThyroidAutoantibodies and Breast Cancer*
  
DOI:
中文关键词: 甲状腺特异性抗体  甲状腺过氧化物酶抗体  甲状腺球蛋白抗体  乳腺癌  系统评价
英文关键词: Thyroid autoantibodies  Anti-TPO  Anti-TG  Breast cancer  Systematic review
基金项目:新疆维吾尔自治区自然科学基金面上项目(2011211A084)
作者单位
杨纾旖 1 地力木拉提 · 艾斯木吐拉 1 王永高 1 阿迪力江· 买买提明 1 栾梅香 1 任智慧 2△ 1 新疆医科大学第一附属医院乳腺科 新疆乌鲁木齐 830054 2 新疆医科大学第一附属医院临床医学研究院 新疆乌鲁木齐 830054 
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中文摘要:
      摘要 目的:评价血清中甲状腺特异性抗体的存在对乳腺癌患病风险的影响,为评估乳腺癌的预后及制定治疗方案提供理论依 据。方法: 计算机检索 Medline ( 1950~2012 ) 、 EMBASE ( 1949~2012 ) 、 Pubmed (1946~2012 ) 、 Current Contents Connect ( 1998~2012 ) 和 Google Scholar ( 1992~2012 ) 等英文数据库。 收集关于甲状腺特异性抗体与乳腺癌(Breast Cancer, BC)相关性分析的横断面研究 或队列研究。 按 Cochrane 系统评价方法, 评价所纳入研究的文献质量, 有效数据采用 RevMan5.2 软件进行系统评价。结果: 最终 纳入 6 项研究, 共计 6945 例患者。系统评价结果显示: 乳腺癌的风险会随血清中甲状腺特异性抗体 (包括甲状腺过氧化物酶抗体 anti-TPO 和甲状腺球蛋白抗体 anti-TG )的存在而增加 (anti-TPO OR 2.51, 95%CI: 1.94-3.25; anti-TG 2.67, 95%CI: 1.65-4.33 )。结 论: 乳腺癌的风险会随血清中甲状腺特异性抗体的存在而增加,甲状腺特异性抗体可能为乳腺癌预后的评估以及治疗原则的制 定提供理论基础
英文摘要:
      ABSTRACT Objective:To evaluate the effect of the thyroid autoantibodies in serum on breast cancer risks. Methods:Medline (1950~2012), EMBASE (1949~2012), Pubmed (1946~2012), Current Contents Connect (1998~2012) and Google Scholar (1992~2012) and other English database were searched. The data on correlation analysis about both thyroid autoantibodies and breast cancer (Breast Cancer, BC) in cross-sectional or cohort studies were collected. According to the Cochrane Handbook for systematic method, the quality of the included studies were evaluated by using Review Manager 5.2 software for Meta-analysis. Results:Ultimately six studies were included, a total of 6945 cases of patients. Meta-analysis results showed that the risk of breast cancer increased with the presence of serum thyroid autoantibodies including thyroid peroxidase antibodies ( anti-TPO ) and thyroglobulin antibodies ( anti-TG )(antiTPO OR 2.51, 95% CI: 1.94-3.25; anti-TG 2.67, 95% CI: 1.65-4.33). Conclusion:The risk of breast cancer would increase with the presence of thyroid autoantibodies in serum which may be used for assessing breast cancer prognosis, and providing a theoretical basis for the formulation of treatment principles.
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