In a population-based case-control study of stomach cancer conducted in War
saw, Poland, 464 cases and 480 controls were interviewed to evaluate the ro
le of family history and other risk factors. A greater than threefold incre
ase in risk was associated with a history of stomach cancer in a first degr
ee relative (OR = 3.5; 95% CI = 2.0-6.2), but no excess risk was seen with
other forms of cancer. The risk associated with familial occurrence was not
significantly modified by gender, age or ABO blood type, and did not vary
with Lauren histologic classification. Our findings add to evidence for a f
amilial predisposition to both diffuse and intestinal types of gastric canc
er, Further studies are needed to identify the susceptibility genes and env
ironmental exposures that may account for the familial tendency to stomach
cancer. (C) 1999 Lippincott Williams & Wilkins.