Skip to main content
Japanese Journal of Cancer Research : Gann logoLink to Japanese Journal of Cancer Research : Gann
. 1994 Apr;85(4):346–350. doi: 10.1111/j.1349-7006.1994.tb02365.x

A Case‐Control Study on Risk Factors for Uterine Endometrial Cancer in Japan

Masaki Inoue 1,, Akira Okayama 2, Masami Fujita 1, Takayuki Enomoto 1, Osamu Tanizawa 1, Hirotsugu Ueshima 2
PMCID: PMC5919475  PMID: 8200846

Abstract

A case control study of 143 Japanese women with uterine endometrial cancer and 143 individually age‐matched controls was conducted to assess the risk factors for endometrial cancers in Japan. Among the characteristics studied, the following factors were significantly greater in the cases than in the controls: nulliparity (odds ratio for parity 1–3 and ≥4 versus nullipara are 0.40 and 0.02, respectively), obesity (odds ratio: 2.73), hypertension (odds ratio: 2.4), diabetes mellitus (odds ratio: 6.30), and a personal medical history of cancer (odds ratio: 3.06). The present study showed that Japanese women have the same risk factors for endometrial cancer as those reported in Western countries. The recent increase in the incidence of endometrial cancer in Japan may be largely attributed to the decrease in parity.

Keywords: Endometrial cancer, Risk factor, Epidemiology, Case control study

Full Text

The Full Text of this article is available as a PDF (322.6 KB).

REFERENCES

  • 1. ) Masubuchi , K. , Nemoto , H. , Masubuchi , S. , Jr. , Fujimoto , I. and Uchino , S.Increasing incidence of endometrial carcinoma in Japan . Gynecol. Oncol. , 3 , 335 – 346 ( 1975. ). [DOI] [PubMed] [Google Scholar]
  • 2. ) Tsutsui , A.Epidemiology of endometrial cancer . Pract. Obstet. Gynecol. , 37 , 831 – 839 ( 1988. ) ( in Japanese ). [Google Scholar]
  • 3. ) Noda , K.Study of mutiple risk factors for endometrial cancer . In “ Annual Report of the Ministry of Health and Welfare ,” pp. 517 – 530 ( 1983. ). Ministry of Health and Welfare; , Tokyo ( in Japanese ). [Google Scholar]
  • 4. ) Fujimoto , I. , Hanai , A. , Oshimura , A. , Hiyama , T. , Tsukuma , H. , Murakami , R. , Sobue , T. , Tanaka , H. and Ajiki , W. “ Cancer Incidence and Mortality in Osaka 1963–1989 ” ( 1993. ). Shinohara Publish. , Tokyo . [Google Scholar]
  • 5. ) Brinton , L. A. and Hoover , R. N.Epidemiology of gynecologic cancers . In “ Principles and Practice of Gynecologic Oncology ,” ed. Hoskins W. J. , Perez C. A. and Young R. C. , pp. 3 – 26 ( 1992. ). J. B. Lippincott Co. , Philadelphia . [Google Scholar]
  • 6. ) Poulsen , H. E. , Taylor , C. W. and Solbin , L. H.Histological typing of female genital tract tumours . In “ International Histological Classification of the Tumors ” ( 1975. ). World Health Organization; , Geneva . [Google Scholar]
  • 7. ) Haenzel , W. and Kurihara , M.Studies of Japanese migrants, I. Mortality from cancer and other disease among Japanese in the United States . J. Natl. Cancer Inst. , 40 , 43 – 68 ( 1968. ). [PubMed] [Google Scholar]
  • 8. ) Wallace , R. B. , Rost , C. , Burmeister , L. F. and Pomrehn , P. R.Cancer incidence in humans: relationship to plasma lipids and relative weight . J. Natl. Cancer Inst. , 68 , 915 – 918 ( 1982. ). [PubMed] [Google Scholar]
  • 9. ) Nutrition Section, Ministry of Health and Welfare . “ National Nutrition Survey, 1960–1992 ” ( 19611993. ). Daiichi Shuppan Co. , Tokyo ( in Japanese ). [Google Scholar]
  • 10. ) Ueshima , H.Changes in dietary habits, cardiovascular risk factors and mortality in Japan . Acta Cardiol. , 45 , 311 – 327 ( 1990. ). [PubMed] [Google Scholar]
  • 11. ) Elwood , J. M. , Cole , P. , Rothman , K. J. and Kaplan , S. D.Epidemiology of endometrial cancer . J. Natl. Cancer Inst. , 59 , 1055 – 1060 ( 1977. ). [DOI] [PubMed] [Google Scholar]
  • 12. ) Minister's Secretariat, Statistics and Information Department, Ministry of Health and Welfare . “ Vital Statistics 1962–1992, Japan Health and Welfare Statistics ” ( 19631993. ). Kosei Tokei‐Kyokai; , Tokyo ( in Japanese ). [Google Scholar]
  • 13. ) Kelsey , J. L. , Livolsi , V. A. , Holford , T. R. , Fischer , D. B. , Mostow , E. D. , Schwartz , D. E. , O'Connor , T. and White , C. A.A case‐control study of cancer of the endometrium . Am. J. Epidemiol. , 116 , 333 – 342 ( 1982. ). [DOI] [PubMed] [Google Scholar]
  • 14. ) Henderson , B. E. , Casagrande , J. T. , Pike , M. C. , Mack , T. , Rosario , I. and Duke , A.The epidemiology of endometrial cancer in young women . Br. J. Cancer , 47 , 749 – 756 ( 1983. ). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15. ) La Vecchia , C. , Decarli , A. , Fasoli , M. and Gentile , A.Nutrition and diet in the etiology of endometrial cancer . Cancer , 57 , 1248 – 1253 ( 1986. ). [DOI] [PubMed] [Google Scholar]
  • 16. ) Elliott , E. A. , Matanokis , G. M. , Rosenshien , N. B. , Grumbine , F. C. and Diamond , E. C.Body fat patterning in women with endometrial cancer . Gynecol. Oncol. , 39 , 253 – 258 ( 1990. ). [DOI] [PubMed] [Google Scholar]
  • 17. ) Austin , H. , Austin , J. M. , Jr. , Partridge , E. E. , Hatch , K. D. and Shingleton , H. M.Endometrial cancer, obesity and body fat distribution . Cancer Res. , 51 , 568 – 572 ( 1991. ). [PubMed] [Google Scholar]
  • 18. ) Armstrong , B. K. , Brown , J. B. , Clarke , H. T. , Crooke , D. K. , Hahnel , R. , Masarei , J. R. and Ratajczak , T.Diet and reproductive hormones. A study of vegetarian and non‐vegetarian postmenopausal women . J. Natl. Cancer Inst. , 67 , 761 – 767 ( 1981. ). [PubMed] [Google Scholar]
  • 19. ) Ueshima , H. , Tatara , K. , Asakura , S. and Okamoto , M.Declining trends in blood pressure levels and the prevalence of hypertension, and changes in related factors in Japan . J. Chron. Dis. , 40 , 137 – 147 ( 1987. ). [DOI] [PubMed] [Google Scholar]
  • 20. ) Kuzuya , T. , Ito , C. , Sasaki , A. , Seino , Y. , Tajima , N. , Doi , K. , Nunoi , K. , Matsuda , A. and Uehara , T.Prevelence and incidence of diabetes in Japanese people compiled from the literature . J. Jpn. Diabetic Soc. , 35 , 173 – 194 ( 1992. ) ( in Japanese ). [Google Scholar]
  • 21. ) Silverberg , S. G. , Sasano , N. and Yajima , A.Endometrioid carcinoma in Miyagi prefecture, Japan: histopathologic analysis of a cancer registry‐based series and comparison with cases in American women . Cancer , 49 , 1504 – 1510 ( 1982. ). [DOI] [PubMed] [Google Scholar]
  • 22. ) Trowbridge , D. I. , Risinger , J. L. , Dent , G. A. , Kohler , M. , Berchuck , A. , McLachlan , J. A. and Boyd , J.Mutations of the ki‐ras oncogene in endometrial carcinoma . Am. J. Obstet. Gynecol. , 167 , 227 – 223 ( 1992. ). [DOI] [PubMed] [Google Scholar]
  • 23. ) Enomoto , T. , Fujita , M. , Inoue , M. , Rice , J. M. , Nakajima , R. , Tanizawa , O. and Nomura , T.Alterations of p53 tumor suppressor gene and its association with activation of the c‐K‐ras protooncogene in premalignant and malignant lesions of the human uterine endometrium . Cancer Res. , 53 , 1883 – 1888 ( 1993. ). [PubMed] [Google Scholar]

Articles from Japanese Journal of Cancer Research : Gann are provided here courtesy of Wiley

RESOURCES