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转移性睾丸癌患者对生长激素释放激素和促甲状腺激素释放激素的生长激素反应增强。

Increased growth hormone responses to growth hormone releasing hormone and thyrotropin releasing hormone in patients with metastatic testicular cancer.

作者信息

Pietschmann P, Kuzmits R, Schernthaner G

机构信息

II. Medizinische Universitätsklinik, Wien, Austria.

出版信息

Horm Metab Res. 1990 Feb;22(2):109-13. doi: 10.1055/s-2007-1004861.

DOI:10.1055/s-2007-1004861
PMID:2108920
Abstract

In 16 patients with metastatic testicular cancer and 10 age matched male control subjects growth hormone (GH) responses to growth hormone releasing hormone (GHRH; 1 microgram/kg body weight iv.) and thyrotropin releasing hormone (TRH; 200 micrograms iv.) were measured. Basal GH levels and GH levels following stimulation with GHRH or TRH were significantly increased in cancer patients compared to control subjects. 9 patients with testicular cancer were studied both in the stage of metastatic disease and after they had reached a complete remission. In complete remission GH responses to GHRH tended to decrease but the differences did not reach statistical significance. Our data suggest an alteration of hypothalamic and/or pituitary regulation of GH secretion in patients with metastatic testicular cancer.

摘要

对16例转移性睾丸癌患者和10例年龄匹配的男性对照受试者,测量了生长激素(GH)对生长激素释放激素(GHRH;1微克/千克体重,静脉注射)和促甲状腺激素释放激素(TRH;200微克,静脉注射)的反应。与对照受试者相比,癌症患者的基础GH水平以及GHRH或TRH刺激后的GH水平显著升高。对9例睾丸癌患者在转移性疾病阶段以及达到完全缓解后均进行了研究。在完全缓解时,GH对GHRH的反应趋于降低,但差异未达到统计学显著性。我们的数据提示转移性睾丸癌患者下丘脑和/或垂体对GH分泌的调节存在改变。

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