[Show abstract][Hide abstract] ABSTRACT: To analyze the incidence of benign lesions in Chinese patients undergoing nephrectomies for renal masses identified as localized renal cell carcinoma (RCC) in preoperative imaging.
Between 1999 and 2007, 303 patients (112 female, 191 male) with presumed localized RCC underwent nephrectomy (234 radical nephrectomies and 69 partial nephrectomies). Preoperative computed tomography images and pathological findings were reviewed and analyzed.
Pathological examinations revealed 31 (10.2%) benign lesions in the 303 patients. Among these 31 benign lesions, 15 (5.0%) were angiomyolipomas (AML) and only four (1.3%) were oncocytomas. Significantly, 20 (17.9%) of the 112 female patients had benign lesions compared with 11 (5.8%; P = 0.001) male patients. Benign renal lesions were found in five (25.0%) of the 20 patients with renal masses smaller than 2 cm, 13 (13.0%) of the 100 patients with renal masses 2-4 cm in size and 13 (7.1%) of the 183 patients with renal masses larger than 4 cm.
Patients in the present study population show a low incidence of benign renal lesions, approximately half of them being AML. Female patients and patients with renal masses smaller than 4 cm are more likely to have benign renal lesions.
International Journal of Urology 03/2010; 17(6):517-21. · 1.73 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: To explore the etiologic relationship of prostate cancer and environmental and genetic polymorphism in southern China
A hospital-based and 1:1 matched case-control study was conducted. A total of 142 matched pairs of subjects were investigated in this study. The blood samples were collected from 85 cases of prostate cancer and 82 controls of other diseases after informing consent. The CYP1A1, CYP17 and AR genes were analyzed by using the method of PCR, PCR-RFLP. The data were analyzed with conditional logistic regression model.
An increased risk of prostate cancer development was observed with the early first spermatorrhea (age < 18) (OR = 2.90, 95% CI: 1.76 - 4.80), early first sexual intercourse (age < or = 24) (OR = 2.38, 95% CI: 1.14 - 4.96), frequent sexual intercourse before 35 year old (OR = 1.80, 95% CI: 1.19 - 2.70), family history of cancer (OR = 2.70, 95% CI: 1.31 - 5.58), more intake of pork (OR =2.27, 95% CI: 1.38 - 3.70). Factors in lowing the risks were the fruit intake and drinking of green tea by OR value at 0.25 (95% CI: 0.08 - 0.75) and 0.52 (95% CI: 0.28 -0.96) respectively. CYP17 A1/A2 and CYP17 A2/A2 genotypes were related with a high risk of prostate cancer and OR values of 1.78 (95% CI: 0.70 - 4.53) and 2.57 (95% CI: 0.91 - 7.25) respectively. Study also showed that there was an interaction between CYP17 polymorphisms and early first spermatorrhea and family cancer history related to the risk of prostate cancer with OR value at 13.35 (95% CI: 1.58 - 113.00) and 4.01 (95% CI: 1.22 - 13.17) respectively.
Sexual intercourse, dietary intake and family cancer history should be related to prostate cancer occurrence. CYP17 polymorphism might be associated with a high risk of prostate cancer. It suggests that there are multiple environmental and genetic factors to the prostate cancer.
Zhonghua yu fang yi xue za zhi [Chinese journal of preventive medicine] 07/2009; 43(7):581-5.
[Show abstract][Hide abstract] ABSTRACT: Prostate cancer is a common cancer in American and European men. The incidence of prostate cancer is low in China, but increases year by year. The previous etiologic studies on prostate cancer in China were mainly conducted in Shanghai, Wuhan, and Beijing, but rarely in Guangdong. This study was to explore the etiologic correlations of prostate cancer to sexual and marital factors and family history of cancers among Cantonese.
A hospital-based case-control study was conducted from 2005 through 2006 in 4 affiliated hospitals of Sun Yat-sen University. The cases and controls were matched by age (+/-5 years), sex, race and resident location. All the subjects were interviewed by experienced investigators. The data were analyzed with conditional Logistic regression model.
A total of 186 subjects were investigated in this study, including 62 patients with prostate cancer, 62 with benign prostatic hyperplasia (BPH) and 62 with other diseases as controls. When BPH was referred to, an increased prostate cancer risk was seen for the men with the age at the first spermatorrhea of less than 15 as compared with those with the age of over 18 [odds ratio (OR) = 6.37, 95% confidence interval (CI) = 0.63-63.95]. The men with the first sexual activity in early age were at higher risk of prostate cancer than those in the age of over 30 (in the age of 20-24, OR = 2.25, 95% CI = 0.75-6.71; in the age of 25-29, OR = 2.34, 95% CI= 0.89-6.13). A decreased risk of prostate cancer was found among those men who lost sexual activity after 60 years (in the age of 60-69, OR = 0.51, 95% CI = 0.20-1.27; in the age of over 70, OR = 0.31, 95% CI = 0.08-1.24). When other diseases were referred to, the men with 1 first-degree relative suffered from cancer had greater risk to develop prostate cancer than those without family history of cancers (OR = 2.25, 95% CI = 0.69-7.31). Compared with the age of over 30, an earlier age of the first sexual activity increased the risk of prostate cancer (in the age of less than 20, OR = 5.07, 95% CI = 0.50-51.46); A decreased risk of prostate cancer was also found in the men without sexual activities after 60 years (in the age of 60-69, OR = 0.55, 95% CI = 0.24-1.26; in the age of over 70, OR = 0.41, 95% CI = 0.11-1.47).
Earlier age of the first spermatorrhea and the first sexual activity may increase the risk of prostate cancer. Positive family history of cancers in first-degree relatives can promote the incidence of prostate cancer.
Ai zheng = Aizheng = Chinese journal of cancer 05/2007; 26(5):484-8.