Why is Parity Protective for Uterine Fibroids?
作者:
Donna Day Baird,
David Dunson,
期刊:
Epidemiology
(OVID Available online 2003)
卷期:
Volume 14,
issue 2
页码: 247-250
ISSN:1044-3983
年代: 2003
出版商: OVID
关键词: uterine leiomyoma;pregnancy;involution;tissue remodeling;tumor regression
数据来源: OVID
摘要:
Uterine fibroids are benign tumors, the etiology of which is not understood. Symptoms can be debilitating, and the primary treatment is surgery, usually hysterectomy. Epidemiologic data show that pregnancy is associated with reduced risk of fibroids. We hypothesize that this association is attributable to a protective effect of postpartum involution of the uterus. After each pregnancy the uterus rapidly returns to prepregnancy size by dramatic remodeling of the tissue. We hypothesize that small fibroids are eliminated during this process. We present preliminary epidemiologic evidence that is consistent with this hypothesis. If the hypothesis is supported by more direct evidence, it may have broader implications, supporting the idea that tissue remodeling may be a general mechanism for limiting tumor development.
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