Bhatavdekar J M, Patel D D, Shah N G, Giri D D, Vora H H, Karelia N H, Trivedi S N, Ghosh N, Suthar T P
Division of Research, Gujarat Cancer, Ahmedabad, India.
Neoplasma. 1992;39(1):39-42.
Circulating preoperative levels of DHEA-S, androstenedione and SHBG were measured in 40 premenopausal and 49 postmenopausal breast cancer patients, and in 30 and 15 age-matched healthy controls, respectively. Moreover, the levels of LH, FSH, prolactin, estradiol, progesterone, testosterone, DHEA-S, androstenedione and SHBG of Stage II breast cancer patients were compared with advanced patients and also with controls. In premenopausal patients the levels of steroid hormones were significantly low whereas those of peptide hormones were significantly high. On the contrary, in postmenopausal patients, except DHEA-S, all other hormones were significantly elevated in comparison with controls. In premenopausal patients, DHEA-S, androstenedione, estradiol, progesterone, and testosterone decreased as stage advanced with concomitant increase of SHBG, LH, FSH and prolactin when compared with hormone levels of Stage II patients. In postmenopausal advanced breast cancer patients, when compared with Stage II patients, the levels of SHBG, LH, FSH, and prolactin increased significantly, while DHEA-S, androstenedione, estradiol, and progesterone decreased as stage advanced.
分别对40名绝经前和49名绝经后乳腺癌患者以及30名和15名年龄匹配的健康对照者测量术前血液中脱氢表雄酮硫酸盐(DHEA-S)、雄烯二酮和性激素结合球蛋白(SHBG)的水平。此外,还比较了II期乳腺癌患者与晚期患者以及对照者的促黄体生成素(LH)、促卵泡生成素(FSH)、催乳素、雌二醇、孕酮、睾酮、DHEA-S、雄烯二酮和SHBG的水平。绝经前患者的甾体激素水平显著降低,而肽类激素水平显著升高。相反,在绝经后患者中,与对照者相比,除DHEA-S外,所有其他激素水平均显著升高。在绝经前患者中,与II期患者的激素水平相比,随着分期进展,DHEA-S、雄烯二酮、雌二醇、孕酮和睾酮水平下降,同时SHBG、LH、FSH和催乳素水平升高。在绝经后晚期乳腺癌患者中,与II期患者相比,随着分期进展,SHBG、LH、FSH和催乳素水平显著升高,而DHEA-S、雄烯二酮、雌二醇和孕酮水平下降。