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@ARTICLE{Fortner:143359,
author = {R. Fortner$^*$ and K. L. Terry and N. Bender$^*$ and N.
Brenner$^*$ and K. Hufnagel$^*$ and J. Butt$^*$ and T.
Waterboer$^*$ and S. S. Tworoger},
title = {{S}exually transmitted infections and risk of epithelial
ovarian cancer: results from the {N}urses' {H}ealth
{S}tudies.},
journal = {British journal of cancer},
volume = {120},
number = {8},
issn = {1532-1827},
address = {Edinburgh},
publisher = {Nature Publ. Group},
reportid = {DKFZ-2019-00947},
pages = {855-860},
year = {2019},
note = {;120(8):855-860, mm},
abstract = {Sexually transmitted infections (STIs) are associated with
pelvic inflammatory disease and tubal pathologies. Given the
tubal origin of a proportion of ovarian cancers, STIs may be
relevant in their aetiology.Antibodies indicating past
infection with Chlamydia trachomatis, Mycoplasma
genitalium, herpes simplex virus type 2, and against human
papillomavirus oncogenes (L1 and E6+E7 oncoproteins of types
16, 18, 45) were measured in prediagnosis plasma samples in
a nested case-control study in the Nurses' Health Studies
(n = 337 cases 1:1 matched to controls). Logistic
regression was used to estimate multivariable-adjusted
relative risks (RRs) and $95\%$ confidence intervals [CIs]
comparing women seropositive vs. seronegative among all
cases (invasive and borderline), invasive (n = 257), and
invasive serous ovarian cancers; n = 170), and
borderline ovarian tumours (n = 80).C. trachomatis
seropositivity was associated with higher risk of ovarian
cancer overall (RR = 2.07 [1.25-3.43]); results were
similar for invasive, invasive serous, and borderline
tumours. We observed no associations for the other STIs.
Relative to women seronegative to all infections, strongest
associations were observed for seropositivity to C.
trachomatis plus another STI (2.74 [1.20-6.27]; C.
trachomatis alone, 1.88 [1.03-3.42]; all cases); however,
the RRs were not significantly different.C. trachomatis
infection may increase ovarian cancer risk; additional
studies are required.},
cin = {C020 / F020 / F022},
ddc = {610},
cid = {I:(DE-He78)C020-20160331 / I:(DE-He78)F020-20160331 /
I:(DE-He78)F022-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30894687},
doi = {10.1038/s41416-019-0422-9},
url = {https://inrepo02.dkfz.de/record/143359},
}