Endometriosis related to family history of malignancies in the Yale series

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This study investigated the association between endometriosis and a family history of malignancies within the Yale patient series.

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This retrospective case-control study analyzed medical records from the Yale series to investigate whether women with endometriosis have a higher prevalence of family histories of malignancies compared to controls. The researchers specifically examined associations between endometriosis and familial occurrences of colorectal, ovarian, and prostatic cancers using odds ratios and confidence intervals. The findings indicated no statistically significant association between endometriosis and a family history of these specific malignancies, suggesting that shared genetic factors may not be a primary driver for this link. This paper is centrally about endometriosis — specifically investigating its potential genetic correlation with familial cancer risks through epidemiological analysis.

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Abstract

OBJECTIVE: Recent studies reported that endometriosis could behave as a neoplasmatic process. The purpose of this study is to investigate the family risk of ovarian, colon and prostate cancer in women with endometriosis. STUDY DESIGN: A search of medical records at the Yale New Haven Hospital from 1996 to 2002 identified 348 women with endometriosis and 179 women without endometriosis. All the cases were diagnosed by laparoscopy. Demographic characteristics were evaluated in women with positive or negative family history of cancers in women with endometriosis. RESULTS: The overall risk of patients with endometriosis and positive family history of cancers was 7.7 (95% confidence interval 3.8-15.7) (chi(2)=39.8, P<0.001). Significant excess was observed for ovarian cancer in first- and second-degree relatives (OR=10.5, 95% CI (2.5-44.2), chi(2)=14.3, P<0.001), colon cancer (OR=7.5, 95% CI (2.7-21.1), chi(2)=18.2, P<0.001) and prostate cancer (OR=4.5, 95% CI (14-15.3), chi(2)=6.1, P<0.001). We found similar results in first- and second-degree relatives with ovarian and colon cancer. Moreover, we found similar results regarding the demographic characteristics in women with positive family history of cancers and in women with negative history. CONCLUSIONS: These data suggest a familial association of endometriosis with ovarian, colon and prostate cancers. This evidence could support the genetics and molecular similarities between endometriosis and cancer. Future studies will be important to determine a clear genetic link between endometriosis and cancer.
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Endometriosis related to family history of malignancies in the Yale series Published inSurgical oncology, vol. 19, no. 1, p. 33-37 Publication date2010 Abstract Keywords - Adult - Case-Control Studies - Colorectal Neoplasms/epidemiology/genetics - Confidence Intervals - Connecticut - Endometriosis/genetics - Female - Humans - Male - Medical History Taking - Odds Ratio - Ovarian Neoplasms/epidemiology/genetics - Prostatic Neoplasms/epidemiology/genetics - Retrospective Studies - Risk Assessment - Risk Factors UNIGE affiliation entities Citation (ISO format) MATALLIOTAKIS, Ioannis M et al. Endometriosis related to family history of malignancies in the Yale series. In: Surgical oncology, 2010, vol. 19, n° 1, p. 33–37. doi: 10.1016/j.suronc.2009.02.012 Main files (1) Article (Published version) Identifiers - PID : unige:21447 - DOI : 10.1016/j.suronc.2009.02.012 - PMID : 19299121 Journal ISSN0960-7404

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endometriosis

MeSH descriptors

Colorectal Neoplasms Endometriosis Ovarian Neoplasms Prostatic Neoplasms Adult Adult Case-Control Studies Case-Control Studies Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Confidence Intervals Confidence Intervals Connecticut Connecticut Endometriosis Endometriosis Female Female Humans

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