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[骨肉瘤伴性发育迟缓青少年的性别与垂体激素分泌]

[Sex and pituitary hormone secretion in adolescents with osteogenic sarcoma and retarded sexual development].

作者信息

Kushlinskiĭ N E, Bassalyk L S, Pashkov Iu V, Liakina L T, Valenteĭ L V

出版信息

Vopr Onkol. 1992;38(4):425-33.

PMID:1300736
Abstract

Basal levels of secretion of total testosterone, estradiol-17 beta, their free, albumin-binding and sex steroid-binding globulin (SSBG)--binding fractions, luteinizing hormone, follicle-stimulating hormone, prolactin and somatotropic hormone were measured in blood serum in the following groups of adolescents: (1) healthy, (2) suffering primary osteogenic sarcoma of the bone, (3) osteogenic sarcoma patients with pubertal retardation, and (4) pubertal retardation. A significant increase in total testosterone fraction, free androgen index and a decrease in blood SSBG level were established in osteogenic sarcoma patients as compared to corresponding controls, irrespective of pubertal status. No difference in the above indexes for estrogens was established between osteogenic sarcoma patients and controls in both pubertal status subgroups. The role of sex steroid hormones, particularly, androgens in the pathogenesis of osteogenic sarcoma is discussed.

摘要

在以下几组青少年的血清中,测量了总睾酮、雌二醇 - 17β、其游离、与白蛋白结合以及与性类固醇结合球蛋白(SSBG)结合的部分、促黄体生成素、促卵泡激素、催乳素和生长激素的基础分泌水平:(1)健康青少年;(2)患有原发性骨肉瘤的青少年;(3)患有青春期发育迟缓的骨肉瘤患者;(4)青春期发育迟缓患者。与相应对照组相比,骨肉瘤患者无论青春期状态如何,总睾酮部分、游离雄激素指数均显著增加,血液中SSBG水平降低。在两个青春期状态亚组中,骨肉瘤患者与对照组之间,上述雌激素指标均无差异。本文讨论了性类固醇激素,特别是雄激素在骨肉瘤发病机制中的作用。

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