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@ARTICLE{TurzanskiFortner:157337,
author = {R. Turzanski-Fortner$^*$ and M. S. Rice and S. F. Knutsen
and M. J. Orlich and K. Visvanathan and A. V. Patel and M.
M. Gaudet and A. Tjonneland and M. Kvaskoff and R. Kaaks$^*$
and A. Trichopoulou and V. Pala and N. C. Onland-Moret and
I. T. Gram and P. Amiano and A. Idahl and N. E. Allen and E.
Weiderpass and J. N. Poynter and K. Robien and G. G. Giles
and R. L. Milne and V. W. Setiawan and M. A. Merritt and P.
A. van den Brandt and A. Zeleniuch-Jacquotte and A. A.
Arslan and K. M. O'Brien and D. P. Sandler and A. Wolk and
N. Håkansson and H. R. Harris and B. Trabert and N.
Wentzensen and S. S. Tworoger and L. J. Schouten},
title = {{O}varian cancer risk factor associations by primary
anatomic site: the {O}varian {C}ancer {C}ohort
{C}onsortium.},
journal = {Cancer epidemiology, biomarkers $\&$ prevention},
volume = {29},
number = {10},
issn = {1538-7755},
address = {Philadelphia, Pa.},
publisher = {AACR},
reportid = {DKFZ-2020-01566},
pages = {2010-2018},
year = {2020},
note = {2020 Oct;29(10):2010-2018#EA:C020#},
abstract = {Epithelial ovarian, fallopian tube, and primary peritoneal
cancer have shared developmental pathways. Few studies have
prospectively examined heterogeneity in risk factor
associations across these three anatomic sites.We identified
3,738 ovarian, 337 peritoneal, and 176 fallopian tube
incident cancer cases in 891,731 women from 15 prospective
cohorts in the Ovarian Cancer Cohort Consortium.
Associations between 18 putative risk factors and risk of
ovarian, peritoneal, and fallopian tube cancer, overall and
for serous and high-grade serous tumors, were evaluated
using competing risks Cox proportional hazards regression.
Heterogeneity was assessed by likelihood ratio tests.Most
associations did not vary by tumor site (phet≥0.05).
Associations between first pregnancy (phet=0.04), tubal
ligation (phet=0.01) and early-adult (age 18-21 years) body
mass index (BMI) (phet=0.02) and risk differed between
ovarian and peritoneal cancers. The association between
early adult BMI and risk further differed between peritoneal
and fallopian tube cancer (phet=0.03). First pregnancy and
tubal ligation were inversely associated with ovarian, but
not peritoneal, cancer. Higher early-adult BMI was
associated with higher risk of peritoneal, but not ovarian
or fallopian tube, cancer. Patterns were generally similar
when restricted to serous and high-grade serous
cases.Ovarian, fallopian tube, and primary peritoneal
cancers appear to have both shared and distinct etiologic
pathways, although most risk factors appear to have similar
associations by anatomic site.Further studies on the
mechanisms underlying the differences in risk profiles may
provide insights regarding the developmental origins of
tumors arising in the peritoneal cavity and inform
prevention efforts.},
cin = {C020},
ddc = {610},
cid = {I:(DE-He78)C020-20160331},
pnm = {312 - Functional and structural genomics (POF3-312)},
pid = {G:(DE-HGF)POF3-312},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:32732252},
doi = {10.1158/1055-9965.EPI-20-0354},
url = {https://inrepo02.dkfz.de/record/157337},
}