摘要
Ovariancancer(OC)istheseventhmostcommonlydiagnosedcanceramongwomenintheworldandthetenthmostcommoninChina.EpithelialOCisthemostpredominantpathologicsubtype,withfivemajorhistotypesthatdifferinorigination,pathogenesis,molecularalterations,riskfactors,andprognosis.Geneticsusceptibilityismanifestedbyrareinheritedmutationswithhightomoderatepenetrance.Genome-wideassociationstudieshaveadditionallyidentified29commonsusceptibilityallelesforOC,including14subtype-specificalleles.Severalreproductiveandhormonalfactorsmaylowerrisk,includingparity,oralcontraceptiveuse,andlactation,whileotherssuchasolderageatmenopauseandhormonereplacementtherapyconferincreasedrisks.Theseassociationsdifferbyhistotype,especiallyformucinousOC,likelyreflectingdifferencesinetiology.EndometrioidandclearcellOCshareasimilar,uniquepatternofassociationswithincreasedrisksamongwomenwithendometriosisanddecreasedrisksassociatedwithtuballigation.OCrisksassociatedwithothergynecologicalconditionsandprocedures,suchashysterectomy,pelvicinflammatorydisease,andpolycysticovariansyndrome,arelessclear.Otherpossibleriskfactorsincludeenvironmentalandlifestylefactorssuchasasbestosandtalcpowderexposures,andcigarettesmoking.Theepidemiologyprovidescluesonetiology,primaryprevention,earlydetection,andpossiblyeventherapeuticstrategies.
出版日期
2017年01月11日（中国期刊网平台首次上网日期，不代表论文的发表时间）
