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Associations between metabolic syndrome and gynecologic cancer
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논문 기본 정보

Type
Academic journal
Author
Journal
Korean Society of Obstetrics and Gynecology Obstetrics & Gynecology Science Obstetrics & Gynecology Science 제63권 제3호 KCI Accredited Journals
Published
2020.1
Pages
215 - 224 (10page)

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Associations between metabolic syndrome and gynecologic cancer
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Abstract· Keywords

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Metabolic syndrome (MetS) is a group of risk factors that causes cardiovascular and diabetic morbidity and mortality,which is diagnosed by central obesity, dyslipidemia, hyperglycemia, and hypertension. Increasing epidemiological dataand experimental results indicate that the presence of MetS increases the incidence of common malignancies andrelated mortality. Epidemiological studies have previously reported an association of endometrial cancer occurrencewith MetS. Aromatization of androstenedione to estrogen, insulin resistance, and diabetes can cause increased levelsof free estrogen, and the detrimental effect of elevated estrogen as a carcinogen is well studied in endometrialcancer. Medications used to manage MetS such as metformin and statins are suggested to reduce endometrial cancerrisk and improve survival. Some large population-based epidemiological studies have suggested that the MetS isrelated to an increased risk of cervical carcinoma. MetS may contribute to viral-host interactions, which lead topersistent human papilloma virus (HPV) infection, although limited epidemiological data are available. Specific effectsof obesity and diabetes on the occurrence of ovarian cancer have been suggested. However, the direct correlationbetween MetS and ovarian cancer is still lacking. Previous retrospective studies reported that the use of metformin,statins, and beta-blockers could be associated with cancer prevention or better prognosis. Proper diagnosis andmanagement of the MetS should be a part of the strategies undertaken to prevent and treat gynecologic cancer. Sofar, only limited data is available on this subject, and further clinical and fundamental research is required to furtherclarify the effect of these therapies on gynecologic cancer treatment.

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References (71)

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Alberti KG / 2009 / Harmonizing the metabolic syndrome : a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute;American Heart Association; World Heart Federation;International Atherosclerosis Society; and International Association for the Study of Obesity / Circulation 120:1640~1645 google schola Hong AR / 2015 / Clinical characteristics of metabolic syndrome in Korea, and its comparison with other Asian countries / J Diabetes Investig 6:508~515 google schola Cowey S / 2006 / The metabolic syndrome : a highrisk state for cancer? / Am J Pathol 169:1505~1522 google schola Renehan AG / 2008 / Body-mass index and incidence of cancer : a systematic review and meta-analysis of prospective observational studies / Lancet 371:569~578 google schola 이석우 / 2010 / 폐경 후 여성에서 혈청 렙틴 농도와 대사증후군과의 관계 / Obstetrics & Gynecology Science 53(03):254~263 dbpia

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