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他莫昔芬诱导的良性乳腺病变消退。

Tamoxifen-induced regression of benign breast lesions.

作者信息

Ricciardi I, Ianniruberto A

出版信息

Obstet Gynecol. 1979 Jul;54(1):80-4. doi: 10.1097/00006250-197907000-00018.

Abstract

Sixty-three patients with severe breast dysplasia were treated with tamoxifen, 10 mg/day from day 5 to day 25 of the menstrual cycle for 4 months. Lesions were assessed by mammography, thermography, and echography (A- and B-mode scanning). In 45 patients (71.43%) there was complete remission of symptoms and disappearance of lesions as assessed by echography and clinical examination. Some improvement was seen in 12 patients. In all but 2 of those in whom lesions disappeared completely, no recurrence was seen in 12 months after treatment was discontinued. Estrogen receptors were assayed in 10 patients, but were detected in none. A decrease of doubtful statistical significance was observed in some patients in basal and thyrotropin-releasing hormone (TRH)-stimulated levels of prolactin during the treatment period. No other significant or unequivocal change in endocrine parameters was observed during tamoxifen treatment.

摘要

63例重度乳腺发育异常患者接受了他莫昔芬治疗,在月经周期的第5天至第25天每天服用10毫克,共治疗4个月。通过乳房X线摄影、热成像和超声检查(A模式和B模式扫描)对病变进行评估。经超声检查和临床检查评估,45例患者(71.43%)症状完全缓解且病变消失。12例患者有一定改善。在病变完全消失的患者中,除2例外,停药后12个月均未见复发。对10例患者进行了雌激素受体检测,但均未检测到。治疗期间,部分患者基础催乳素水平和促甲状腺激素释放激素(TRH)刺激后的催乳素水平出现了具有可疑统计学意义的下降。在他莫昔芬治疗期间,未观察到内分泌参数的其他显著或明确变化。

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