© 1998 by Oxford University Press
Journal Of The National Cancer Institute, Vol 90, 1774-1786, Copyright © 1998 by Oxford University Press
HA Risch
In the United States, ovarian cancer is the fourth most frequent cause of
cancer death among women, following lung, breast, and colorectal cancers.
Each year, approximately 26,000 women are diagnosed with ovarian cancer and
14,000 die of it. Germline mutations in BRCA1, BRCA2, or other genes have
been implicated in a small fraction of cases. However, it has been
suggested that, for the great majority of patients, the risk of epithelial
ovarian cancer could be related to "incessant ovulation" (i.e., to the
chronically repeated formation of stromal epithelial clefts and inclusion
cysts following ovulation) or to some type of hormonal stimulation of
ovarian epithelial cells, either on the surface of the ovary or within
ovarian inclusion cysts, possibly mediated through excessive gonadotropin
secretion. From the evidence to date, the relative importance of these two
hypotheses-- incessant ovulation and gonadotropin stimulation--cannot be
distinguished. While either or both may play a role in the development of
ovarian cancer, it appears that an additional major factor must also be
involved. The purpose of this review is to evaluate evidence for and
against the incessant ovulation and gonadotropin hypotheses, as well as to
consider the possibility that risk of ovarian cancer may be increased by
factors associated with excess androgenic stimulation of ovarian epithelial
cells and may be decreased by factors related to greater progesterone
stimulation. Many features of the evidence bearing on the pathophysiology
of ovarian cancer appear to support a connection with androgens and
progesterone.
REVIEWS
Hormonal etiology of epithelial ovarian cancer, with a hypothesis concerning the role of androgens and progesterone
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT 06520-8034, USA.
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A. Engeland, S. Tretli, and T. Bjorge Height, Body Mass Index, and Ovarian Cancer: A Follow-Up of 1.1 Million Norwegian Women J Natl Cancer Inst, August 20, 2003; 95(16): 1244 - 1248. [Abstract] [Full Text] [PDF] |
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G. M. Yousef, A. Scorilas, D. Katsaros, S. Fracchioli, L. Iskander, C. Borgono, I. A. Rigault de la Longrais, M. Puopolo, M. Massobrio, and E. P. Diamandis Prognostic Value of the Human Kallikrein Gene 15 Expression in Ovarian Cancer J. Clin. Oncol., August 15, 2003; 21(16): 3119 - 3126. [Abstract] [Full Text] [PDF] |
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A. Evangelou, M. Letarte, I. Jurisica, M. Sultan, K. J. Murphy, B. Rosen, and T. J. Brown Loss of Coordinated Androgen Regulation in Nonmalignant Ovarian Epithelial Cells with BRCA1/2 Mutations and Ovarian Cancer Cells Cancer Res., May 15, 2003; 63(10): 2416 - 2424. [Abstract] [Full Text] [PDF] |
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Y. Dong, A. Kaushal, M. Brattsand, J. Nicklin, and J. A. Clements Differential Splicing of KLK5 and KLK7 in Epithelial Ovarian Cancer Produces Novel Variants with Potential as Cancer Biomarkers Clin. Cancer Res., May 1, 2003; 9(5): 1710 - 1720. [Abstract] [Full Text] [PDF] |
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A. C. McDonnel, E. A. Van Kirk, D. D. Isaak, and W. J. Murdoch Inhibitory Effects of Progesterone on Plasma Membrane Fluidity and Tumorigenic Potential of Ovarian Epithelial Cancer Cells Experimental Biology and Medicine, March 1, 2003; 228(3): 308 - 314. [Abstract] [Full Text] [PDF] |
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L. J. Schouten, R. A. Goldbohm, and P. A. van den Brandt Height, Weight, Weight Change, and Ovarian Cancer Risk in the Netherlands Cohort Study on Diet and Cancer Am. J. Epidemiol., March 1, 2003; 157(5): 424 - 433. [Abstract] [Full Text] [PDF] |
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F. Lubin, A. Chetrit, L. S. Freedman, E. Alfandary, Y. Fishler, H. Nitzan, A. Zultan, and B. Modan Body Mass Index at Age 18 Years and during Adult Life and Ovarian Cancer Risk Am. J. Epidemiol., January 15, 2003; 157(2): 113 - 120. [Abstract] [Full Text] [PDF] |
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D. C. Whiteman, V. Siskind, D. M. Purdie, and A. C. Green Timing of Pregnancy and the Risk of Epithelial Ovarian Cancer Cancer Epidemiol. Biomarkers Prev., January 1, 2003; 12(1): 42 - 46. [Abstract] [Full Text] [PDF] |
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L. S. A. Augustin, J. Polesel, C. Bosetti, C. W. C. Kendall, C. La Vecchia, M. Parpinel, E. Conti, M. Montella, S. Franceschi, D. J. A. Jenkins, et al. Dietary glycemic index, glycemic load and ovarian cancer risk: a case-control study in Italy Ann. Onc., January 1, 2003; 14(1): 78 - 84. [Abstract] [Full Text] [PDF] |
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K.-C. Choi, C.-J. Tai, C.-R. Tzeng, N. Auersperg, and P. C.K. Leung Adenosine Triphosphate Activates Mitogen-Activated Protein Kinase in Pre-Neoplastic and Neoplastic Ovarian Surface Epithelial Cells Biol Reprod, January 1, 2003; 68(1): 309 - 315. [Abstract] [Full Text] [PDF] |
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S. B. Rulli, A. Kuorelahti, O. Karaer, L. J. Pelliniemi, M. Poutanen, and I. Huhtaniemi Reproductive Disturbances, Pituitary Lactotrope Adenomas, and Mammary Gland Tumors in Transgenic Female Mice Producing High Levels of Human Chorionic Gonadotropin Endocrinology, October 1, 2002; 143(10): 4084 - 4095. [Abstract] [Full Text] [PDF] |
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C. Rodriguez, E. E. Calle, D. Fakhrabadi-Shokoohi, E. J. Jacobs, and M. J. Thun Body Mass Index, Height, and the Risk of Ovarian Cancer Mortality in a Prospective Cohort of Postmenopausal Women Cancer Epidemiol. Biomarkers Prev., September 1, 2002; 11(9): 822 - 828. [Abstract] [Full Text] [PDF] |
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T. Riman, P. W. Dickman, S. Nilsson, N. Correia, H. Nordlinder, C. M. Magnusson, and I. R. Persson Risk Factors for Invasive Epithelial Ovarian Cancer: Results from a Swedish Case-Control Study Am. J. Epidemiol., August 15, 2002; 156(4): 363 - 373. [Abstract] [Full Text] [PDF] |
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J. V. Lacey Jr, P. J. Mink, J. H. Lubin, M. E. Sherman, R. Troisi, P. Hartge, A. Schatzkin, and C. Schairer Menopausal Hormone Replacement Therapy and Risk of Ovarian Cancer JAMA, July 17, 2002; 288(3): 334 - 341. [Abstract] [Full Text] [PDF] |
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M. N. Barnes, W. E. Grizzle, C. J. Grubbs, and E. E. Partridge Paradigms for Primary Prevention of Ovarian Carcinoma CA Cancer J Clin, July 1, 2002; 52(4): 216 - 225. [Abstract] [Full Text] [PDF] |
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K.-C. Choi, S. K. Kang, C.-J. Tai, N. Auersperg, and P. C. K. Leung Follicle-Stimulating Hormone Activates Mitogen-Activated Protein Kinase in Preneoplastic and Neoplastic Ovarian Surface Epithelial Cells J. Clin. Endocrinol. Metab., May 1, 2002; 87(5): 2245 - 2253. [Abstract] [Full Text] [PDF] |
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V. Syed, G. Ulinski, S. C. Mok, and S.-M. Ho Reproductive Hormone-Induced, STAT3-Mediated Interleukin 6 Action in Normal and Malignant Human Ovarian Surface Epithelial Cells J Natl Cancer Inst, April 17, 2002; 94(8): 617 - 629. [Abstract] [Full Text] [PDF] |
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T. Riman, P. W. Dickman, S. Nilsson, N. Correia, H. Nordlinder, C. M. Magnusson, E. Weiderpass, and I. R. Persson Hormone Replacement Therapy and the Risk of Invasive Epithelial Ovarian Cancer in Swedish Women J Natl Cancer Inst, April 3, 2002; 94(7): 497 - 504. [Abstract] [Full Text] [PDF] |
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J. M. Schildkraut, B. Calingaert, P. A. Marchbanks, P. G. Moorman, and G. C. Rodriguez Impact of Progestin and Estrogen Potency in Oral Contraceptives on Ovarian Cancer Risk J Natl Cancer Inst, January 2, 2002; 94(1): 32 - 38. [Abstract] [Full Text] [PDF] |
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G. C. Rodriguez, N. P. Nagarsheth, K. L. Lee, R. C. Bentley, D. K. Walmer, M. Cline, R. S. Whitaker, P. Isner, A. Berchuck, R. K. Dodge, et al. Progestin-Induced Apoptosis in the Macaque Ovarian Epithelium: Differential Regulation of Transforming Growth Factor-{beta} J Natl Cancer Inst, January 2, 2002; 94(1): 50 - 60. [Abstract] [Full Text] [PDF] |
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A. B. Spurdle, J. L. Hopper, X. Chen, G. S. Dite, M. R. E. McCredie, G. G. Giles, D. J. Venter, M. C. Southey, D. M. Purdie, and G. Chenevix-Trench The Steroid 5{alpha}-Reductase Type II TA Repeat Polymorphism Is Not Associated with Risk of Breast or Ovarian Cancer in Australian Women Cancer Epidemiol. Biomarkers Prev., December 1, 2001; 10(12): 1287 - 1293. [Abstract] [Full Text] [PDF] |
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V. Syed, G. Ulinski, S. C. Mok, G. K. Yiu, and S.-M. Ho Expression of Gonadotropin Receptor and Growth Responses to Key Reproductive Hormones in Normal and Malignant Human Ovarian Surface Epithelial Cells Cancer Res., September 1, 2001; 61(18): 6768 - 6776. [Abstract] [Full Text] [PDF] |
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