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Department of Biochemistry and Animal Science, University of Wisconsin-Madison Madison, Wisconsin 53706
Department of Obstetrics and Gynecology, University of Wisconsin-Madison Madison, Wisconsin 53706
Correspondence: Address requests for reprints to: Jack Gorski, Ph.D, Department of Biochemistry, University of Wisconsin-Madison, 420 Henry Mall, Madison, Wisconsin 53706–1569.
Abstract
I. Introduction: DIETHYLSTILBESTROL (DES), a potent estrogen, once thought to be effective in preventing first trimester miscarriages, was administered in the 1950s to a population of pregnant women who were considered to be at risk (1, 2). A generation later, an increase in cases of a rare form of vaginal adenocarcinoma in girls when they reached puberty led Herbst and co-workers (3, 4) to suggest a link between prenatal exposure to DES and this cancer. There was widespread use of DES for maintenance of pregnancies between the years 1945–1971, and it has been estimated that 980,000 to 4.5 million boys and girls born during those years were exposed to DES in utero (5). For example, the annual incidence rate of genital cancer (per 10,000,000) for 16-yr-old white females born in 1955 was 17.8 as compared to 0 for 16-yr-old girls born in 1949 (4). In addition to the neoplasia, benign anomalies were also reported in women exposed to DES in utero (6–8).
Footnotes
* Supported in part by NIH Grants HD-08192 and HD-07259, by USDA Grant 8901604, and by a grant from the National Foundation for Cancer Research (to J.G.).
Current address: Steroid Research Unit, Department of Obstetrics and Gynecology, The University of Michigan, Ann Arbor, Michigan 48109–0278.
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