ABSTRACT
A clinical/genealogical study of colorectal adenomas (CRA) and cancer (CRC), and multiple primary malignant tumors (MPMT) was performed. The CRA prevalence in the population was 4.7 +/- 1.4% (single CRA--6.3% and multiple CRA--3.0%). The frequencies of malignant adenomas, 0.7% CRC, and MPMT were 0.7, 0.17 +/- 0.07%, and 0.004 +/- 0.003%, respectively. The prevalence of cancer of the female reproductive organs was also estimated (cancer of uterine body, 0.2 +/- 0.1%; cancer of ovaries, 0.08 +/- 0.1%; cancer of uterine cervix, 0.55 +/- 0.1%; cancer of mammary gland 0.57 +/- 0.1%). The main parameters of the familial inheritance of adenomas, CRC, and MPMT were also studied in general and at various clinical variants of these pathologies. Among the first-degree relatives of patients with solitary and multiple adenomas, the adenoma frequencies were 5.9 +/- 0.6 and 3.7 +/- 0.5%, respectively. The CRC frequency among the first-degree relatives of patients with adenoma was 3.0 +/- 0.6% and the frequency of MPMT was 5.8 +/- 0.6%. On the basis of the data obtained on frequencies of malignant tumors in various groups of relatives, the following conclusions were made: (1) in families of each proband group, specific pathology was accumulated; (2) the familial frequency of malignant tumors increased with an increase in proliferative processes and the severity of a pathology in probands.
Subject(s)
Adenoma/genetics , Intestinal Neoplasms/genetics , Intestine, Large , Adenoma/epidemiology , Breast Neoplasms/epidemiology , Female , Genital Neoplasms, Female/epidemiology , Humans , Intestinal Neoplasms/epidemiology , Male , Prevalence , Retrospective Studies , Russia/epidemiologyABSTRACT
Segregation analysis of inheritance of adenomas, colorectal cancer (CRC), and multiple primary malignant tumors (MPMT) revealed their low penetrance: from 3.2 to 29% for homozygotes and from 2.0 to 14.4% for heterozygotes. This cast a doubt on the monogenic type of their inheritance, although it formally corresponded to the quasidominant type, i.e., only a fraction of heterozygotes was expressed. Therefore, the multifactorial model of inheritance was tested, which seemed more adequate because genetic heterogeneity of adenomas, CRC, and MPMT was suggested from the data on genetic correlations between various clinical forms. Predisposition to various clinical forms of adenomas, CRC, and MPMT was shown to be specific, i.e., the ratio between genetic and environmental predisposition-determining factors reflected pathogenetic differences between these diseases. However, analysis of variance which revealed genetic (pathogenetic) distinctions between adenomas, CRC, and MPMT is insufficient to confirm complete nosologic identity of each of these clinical forms.
Subject(s)
Adenoma/genetics , Chromosome Segregation , Intestinal Neoplasms/genetics , Intestine, Large , Analysis of Variance , Genetic Predisposition to Disease , Heterozygote , HumansABSTRACT
The study was concerned with the relationship between certain characteristics of reproductive case history and risk for breast cancer development in three different ethnic groups of females living in the Moldavian SSR: Moldavians, Ukrainians and Russians. Risk of cancer was found to be higher in all groups in cases of premenstrual syndrome, late onset of sexual life (greater than or equal to 26 years), suspension of sexual life for more than 12 months, late first pregnancy and delivery, low productivity (0-1 birth in case history), agalactia, and menstrual cycle resumption 1-2 months after childbirth. However, certain ethnic differences in relationships between such factors as age of menopause onset, no pregnancies, late pregnancy (greater than or equal to 40 years) and type of contraceptives used and risk of cancer are rather due to the difference in prevalence of said factors in the groups under study. The results of the investigation suggest a common pattern of influence of reproductive case history factors on risk for breast cancer in different ethnic groups.