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妊娠滋养细胞肿瘤中的甲状腺功能。

Thyroid function in gestational trophoblastic tumors.

作者信息

Vergadoro F, Tabacchi L, Barbacini P, Vassena L, Zanaboni F, Bolis G

出版信息

Tumori. 1986 Apr 30;72(2):205-9. doi: 10.1177/030089168607200216.

DOI:10.1177/030089168607200216
PMID:2422801
Abstract

Thyroid function was assessed in a total of 15 cases, 7 of whom had choriocarcinoma and 8 hydatidiform mole, by measuring free T3, free T4, thyroxin-binding globulin (TBG), basal thyroid-stimulating hormone (TSH) and after the thyrotropin-releasing hormone test (delta TSH). Free T3, free T4 and TBG were investigated in the same number of healthy women within the first three months of pregnancy. Only 13.4% of the cases presented elevated levels of free T3 and T4 and TBG; TSH and delta TSH were within normal limits. Both thyroid hormones and TBG returned to within normal limits when beta-human chorionic gonadotropin became undetectable. One patient was found to be hypothyroid. Comparison with the control group showed no significant differences except in TBG levels, which were higher in controls. A significant, direct correlation was found between levels of free T3 and T4 and TBG and the pattern of human chorionic gonadotropin.

摘要

通过测量游离T3、游离T4、甲状腺素结合球蛋白(TBG)、基础促甲状腺激素(TSH)以及促甲状腺激素释放激素试验后(△TSH),对总共15例患者的甲状腺功能进行了评估,其中7例为绒毛膜癌,8例为葡萄胎。对相同数量的妊娠前三个月内的健康女性进行了游离T3、游离T4和TBG的检测。仅13.4%的病例出现游离T3、T4和TBG水平升高;TSH和△TSH在正常范围内。当β-人绒毛膜促性腺激素检测不到时,甲状腺激素和TBG均恢复到正常范围内。发现1例患者甲状腺功能减退。与对照组比较,除TBG水平外无显著差异,对照组的TBG水平更高。游离T3、T4和TBG水平与人绒毛膜促性腺激素的模式之间存在显著的直接相关性。

相似文献

1
Thyroid function in gestational trophoblastic tumors.妊娠滋养细胞肿瘤中的甲状腺功能。
Tumori. 1986 Apr 30;72(2):205-9. doi: 10.1177/030089168607200216.
2
Pituitary-thyroid function in trophoblastic disease.滋养层疾病中的垂体-甲状腺功能
J Clin Endocrinol Metab. 1976 Feb;42(2):254-9. doi: 10.1210/jcem-42-2-254.
3
Human chorionic gonadotropin and the thyroid: hyperemesis gravidarum and trophoblastic tumors.人绒毛膜促性腺激素与甲状腺:妊娠剧吐和滋养细胞肿瘤。
Thyroid. 1999 Jul;9(7):653-7. doi: 10.1089/thy.1999.9.653.
4
Thyroid function in trophoblastic disease.滋养细胞疾病中的甲状腺功能。
Br J Obstet Gynaecol. 1987 Nov;94(11):1084-8. doi: 10.1111/j.1471-0528.1987.tb02294.x.
5
Components of the total serum thyroid hormone concentrations during pregnancy: high free thyroxine and blunted thyrotropin (TSH) response to TSH-releasing hormone in the first trimester.孕期总血清甲状腺激素浓度的组成部分:孕早期游离甲状腺素水平升高,促甲状腺激素(TSH)对促甲状腺激素释放激素的反应减弱。
J Clin Endocrinol Metab. 1985 Apr;60(4):678-84. doi: 10.1210/jcem-60-4-678.
6
Thyroid function in gestational trophoblastic neoplasia: evidence that the thyrotropic activity of chorionic gonadotropin mediates the thyrotoxicosis of choriocarcinoma.妊娠滋养细胞肿瘤中的甲状腺功能:绒毛膜促性腺激素的促甲状腺活性介导绒毛膜癌甲状腺毒症的证据。
Am J Obstet Gynecol. 1980 Sep 1;138(1):77-85. doi: 10.1016/0002-9378(80)90014-9.
7
[T4, T3, T3 resin uptake, TBG and free T4 levels for thyroid functions in normal and molar pregnancy (author's transl)].
Nihon Sanka Fujinka Gakkai Zasshi. 1982 Mar;34(3):292-8.
8
Thyroid function in molar pregnancy.葡萄胎中的甲状腺功能。
J Clin Endocrinol Metab. 1977 Feb;44(2):254-63. doi: 10.1210/jcem-44-2-254.
9
Human chorionic gonadotropin and thyroid function in patients with hydatidiform mole.
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10
Thyroid function among women with gestational trophoblastic diseases. A cross-sectional study.妊娠滋养细胞疾病女性的甲状腺功能。一项横断面研究。
Sao Paulo Med J. 2019 Aug 8;137(3):278-283. doi: 10.1590/1516-3180.2018.0481090519.