Exp Clin Endocrinol Diabetes 2009; 117(2): 78-82
DOI: 10.1055/s-2008-1078732
Article

© J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York

Metabolic Carcinogenesis in the Maltese Population

C. Savona-Ventura 1 , S. Grima 1 , G.G. Buttigieg 1
  • 1Department of Obstetrics-Gynaecology, University of Malta, Malta
Further Information

Publication History

received 05.03.2008 first decision 13.05.2008

accepted 15.05.2008

Publication Date:
25 August 2008 (online)

Abstract

Endometrial adenocarcinoma has been associated with prolonged oestrogen exposure causing endometrial hyperplasia and adenocarcinoma. Metabolic disorders and nutritional factors may contribute towards obesity and the increased adipose production of oestrogen. The study confirms the association between endometrial carcinoma risk and diabetes mellitus and increased total fat intake. It further relates the malignancy to a prolonged natural oestrogen exposure period and confirms the protective role of past pregnancies.

References

  • 1 Executive Summary of The Third Report of the National Cholesterol Education Program (NCEP) . Expert Panel on Detection, Evaluation, and treatment of High Blood Cholesterol in Adults (Adult treatment Panel III).  JAMA. 2001;  285 2486-2497
  • 2 Sharpless JL. Polycystic ovary syndrome and the metabolic syndrome.  Clinical Diabetes. 2003;  21 ((4)) 154-161
  • 3 Savona-Ventura C. The Thrifty Diet Phenotype – A case for endogenous physiological teratogenesis. In: Engels JV (Ed). Birth Defects: New Research. Nova Science Publishers: USA 2006: 183-200
  • 4 Katona G, Aganovic I, Vuskan V, Skrabalo Z. The National Diabetes Programme in Malta – Final report Phases I & II. WHO.NCD/OND/DIAB/83.2 WHO: Geneva 1983
  • 5 Savona-Ventura C, Grech ES. Endometrial adenocarcinoma in the Maltese population: an epidemiological study.  Eur J Gynaecol Oncol. 1986;  7 ((3)) 209-217
  • 6 , Prevalence estimates of diabetes mellitus (DM) – European Region. Diabetes Atlas, International Diabetes Federation, Belgium, 2nd edition, 2003. [e-version from http://www.eatlas.idf.org/About_e_Atlas/ , ]
  • 7 Ferlay J, Bray F, Pisani P, Parkin DM. , GLOBOCAN 2002. Cancer Incidence, Mortality and Prevalence Worldwide. IARC CancerBase No. 5, version 2.0, IARCPress, Lyon, 2004. [ downloaded from http://www-dep.iarc.fr/ , ]
  • 8 Food Consumption Food Groups. Food and Agricultural Organization of the United Nations: .Food Security Statistics – FAOStat. FAO 2007 [downloaded from http://www.fao.org/es/ess/faostat/foodsecurity/Files/DietFoodGroupsFat_en.xls ]
  • 9 Czyzk A, Szczepanik Z. Diabetes mellitus and cancer.  Eur J Inter Med. 2000;  11 ((5)) 245-252
  • 10 Tannenbaum A. Relationship of body weight to cancer incidence.  Arch Pathol. 1940;  30 509-517
  • 11 Karadeniz M, Erdoğan M, Tamsel S, Zengi A, Alper GE, Cağlayan O. et al . Oxidative stress markers in young patients with polycystic ovary syndrome, the relationship between insulin resistances.  Exp Clin Endocrinol Diabetes. 2008;  116 ((04)) 231-235
  • 12 Hinkula M, Pukkala E, Kyyrönen P, Kauppila A. Grand multiparity and incidence of endometrial cancer: a population-based study in Finland.  Int J Cancer. 2002;  20;98 ((6)) 912-915
  • 13 Britt K, Ashworth A, Smalley M. Pregnancy and the risk of breast cancer.  Endocr Relat Cancer. 2007;  14 ((4)) 907-933
  • 14 Cust AE, Kaaks R, Friedenreich C, Bonnet F, Laville M, Tjønneland A. et al . Metabolic syndrome, plasma lipid, lipoprotein and glucose levels, and endometrial cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC).  Endocr Relat Cancer. 2007;  14 ((3)) 755-767
  • 15 Staiger H, Häring HU. Adipocytokines: fat-derived humoral mediators of metabolic homeostasis.  Exp Clin Endocrinol Diabetes. 2005;  113 ((02)) 67-79
  • 16 Wynder EL, Esher GC, Mantel N. An epidemiological investigation of cancer of the endometrium.  Cancer. 1966;  19 ((4)) 489-520
  • 17 Hershcopf RJ, Bradlow HL. Obesity, diet, endogenous estrogens, and the risk of hormone-sensitive cancer.  Am J Clin Nutr. 1987;  45 ((1 Suppl)) 283-289

Correspondence

Prof. C. Savona-Ventura

“NorthWynds” 7 Antonio Zammit Street

Gharghur GHR2040

Malta

Email: charles.savona-ventura@um.edu.mt

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