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PMID: 5556579 Published · ppublish English Journal Article

Transplacental carcinogenesis by stilbestrol.

The New England journal of medicine ·Vol. 285 ·No. 7 ·1971-08-12 ·Pages 404-5

Folkman J

Abstract

暂无摘要

Keywords
Adolescent Pregnancy Adolescents Adolescents Female Age Factors Biology Cancer Contraceptive Agents Estrogen Demographic Factors Diethylstilbestrol--contraindications Diethylstilbestrol--side effects Diseases Endocrine System Estrogens Hormones Maternal-fetal Exchange Neoplasms Oral Contraceptives Physiology Population Population Characteristics Pregnancy Reproduction Vaginal Cancer--etiology Youth
MeSH Terms
Adenocarcinoma/chemically induced,prevention & control Age Factors Carcinogens Diethylstilbestrol/adverse effects,metabolism Female Humans Maternal-Fetal Exchange Pregnancy Pregnancy Complications/drug therapy Vaginal Neoplasms/chemically induced,prevention & control
Chemicals
Carcinogens Diethylstilbestrol
Authors & Affiliations
1 authors, click to expand affiliations / ORCID
Folkman J
Other Abstracts
eng

This editorial argues the cause-and-effect relationship between in utero exposure to diethylstilbestrol (DES) and incidence of vaginal adenocarcinoma among young women. It is conjectured that the mechanism by which DES induces tumors is a result of transplacental carcinogenesis

i.e., DES causes a malignant change in any fetal cell of future vaginal tissue, resulting in a genetic defect which may not be realized until puberty, when endogenous hormone production acts as a promoter of the malignancy initiated by DES exposure during gestation. If this theory is correct, local progestational therapy may arrest future adenocarcinoma cases. Though it is obvious that DES therapy must be avoided in the future in the population of pregnant women, of more concern is the presence of residual DES in foodstuffs, particularly livestock meat. A ban of such diet supplementation of human foodstuffs is called for.

Article Info
Journal
The New England journal of medicine
Abbr.
N Engl J Med
ISSN
0028-4793
Published
1971-08-12
Pages
404-5
Language
English
Region
United States
NLM ID
0255562
Subset
IM
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