Tiutiunova A M, Chirvina E D, Mironenko T V, Kartashov S Z, Luntovskaia V A
Vopr Onkol. 1986;32(4):26-30.
A relatively more favorable course of lung cancer and higher survival rates observed in female patients than in males make the case for further study of the problem. Endocrine system study group included female lung cancer patients. Blood-ACTH, FSH, LH, STH, T3 and T4 as well as F, 17-CS and estrogen excretion with urine were followed prior to, immediately and long after treatment in 25 menopausal and 11 premenopausal cases (at folliculin phase). Most patients revealed increased levels of free hydrocortisone in blood and urine matched by a lowered excretion of 17-CS. Hyperproduction of ACTH was registered in 40%, whereas 60% showed subnormal concentrations of said hormone. On the average, the levels of estrogens were increased, gonadotropin--decreased, T3--below normal concentrations and T4 and STH--within norm. TTH levels showed a wide-range variation: half that in healthy females-20%, and much higher than in healthy one-65%. Concentration of F was close to normal 15-20 days after surgery while ACTH and 17-CS--after one year. The levels of the other hormones remained virtually unchanged within 1-3 years.
女性肺癌患者的病程相对更为有利,生存率也高于男性,这使得有必要对该问题进行进一步研究。内分泌系统研究组纳入了女性肺癌患者。对25例绝经和11例绝经前(卵泡期)病例在治疗前、治疗即刻和治疗后长期跟踪检测血促肾上腺皮质激素(ACTH)、促卵泡激素(FSH)、促黄体生成素(LH)、生长激素(STH)、三碘甲状腺原氨酸(T3)和甲状腺素(T4)以及尿游离皮质醇(F)、17 - 羟皮质类固醇(17 - CS)和雌激素排泄量。大多数患者血和尿中游离氢化可的松水平升高,同时17 - CS排泄量降低。40%的患者促肾上腺皮质激素分泌过多,而60%的患者该激素浓度低于正常水平。平均而言,雌激素水平升高,促性腺激素水平降低,T3浓度低于正常,T4和生长激素水平正常。促甲状腺激素(TTH)水平变化范围较大:为健康女性一半的占20%,远高于健康女性的占65%。术后15 - 20天F浓度接近正常,术后一年促肾上腺皮质激素和17 - CS浓度接近正常。其他激素水平在1 - 3年内基本保持不变。