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024 7 _ |a 10.1093/infdis/jiad171
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037 _ _ |a DKFZ-2023-01003
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Skarga, Elizaveta
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245 _ _ |a Sexually transmitted infections and risk of epithelial ovarian cancer: results from the Finnish Maternity Cohort.
260 _ _ |a Oxford [u.a.]
|c 2023
|b Oxford Univ. Press
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500 _ _ |a #EA:C020#LA:C020# / 2023 Nov 28;228(11):1621-1629
520 _ _ |a Sexually transmitted infections, specifically Chlamydia trachomatis (CT), may be associated with epithelial ovarian cancer (EOC) risk. The association between CT and EOC subtypes is unclear. Our aim was to investigate whether history of CT and other infections (M. genitalium (MG), herpes simplex virus type 2, and human papillomaviruses) are associated with EOC risk by histotype.We measured antibodies (Ab) to CT, MG, HSV2, and HPV-16 and 18 in serum samples in a nested case-control study in the Finnish Maternity Cohort (n= 484 cases 1:1 matched to controls). Logistic Regression was used to calculate relative risks (RRs) and 95% confidence intervals [CIs] in seropositive vs. seronegative individuals in all cases, as well as serous (n=249), clear cell and endometrioid (n=91), and mucinous (n=142) EOC.CT-seropositivity was not associated with EOC risk (e.g., CT pGP3-Ab RR=0.92 [0.72- 1.19]), regardless of disease subtype. We observed a positive association between MG-seropositivity and mucinous EOC (RR=1.66 [1.09-2.54]; p-het_histotype≤0.001), but not other subtypes. No associations were observed with seropositivity to multiple STIs.CT infection was not associated with EOC risk, with associations observed only for MG and mucinous EOC. Mechanisms linking MG to mucinous EOC remain to be elucidated.
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650 _ 7 |a Chlamydia Trachomatis
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650 _ 7 |a Ovarian Cancer
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650 _ 7 |a Risk
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650 _ 7 |a Serology
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650 _ 7 |a Sexually Transmitted Infections
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700 1 _ |a Surcel, Heljä-Marja
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700 1 _ |a Kaaks, Rudolf
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700 1 _ |a Waterboer, Tim
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700 1 _ |a Turzanski-Fortner, Renée
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773 _ _ |a 10.1093/infdis/jiad171
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