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[与肺癌临床表现相关的内分泌系统反应]

[Endocrine system reaction in relation to the clinical manifestations of lung cancer].

作者信息

Vereshchagina G V, Kharchenko V P, Losev S I

出版信息

Vopr Onkol. 1978;24(2):42-8.

PMID:636384
Abstract

Using radiobiochemical methods "in vitro" by means of determining hormone production in blood serum, the authors studied the functional state of the hypophysis, adrenal glands, the pancreas and thyroid in 51 patients with lung cancer: stage I--in 8 patients, II--in 7, III--in 23 and IV--in 13. Histological structure: adenocarcinoma--in 9, epidermoid cancer--in 29, undifferentiated cancer--in 5. The analysis indicated that the hormonal disbalance in the organism of lung cancer patients is not evidenced by secondary clinical manifestations of the disease (atelectasis, suppuration, etc), there being a number of general regularities in the response of the hypophysis, adrenal glands, the pancreas and thyroid depending on the stage. This dependence shows a sinusoidal pattern maximum pronounced in stage I. Some common regularities in the endocrinous response of the hypophysis and adrenal glands are observed in different histostructure of the tumor, the response increasing in the following sequence: adenocarcinoma, epidermoid, undifferentiated cancer.

摘要

作者采用放射生化方法“体外”测定血清中的激素产生情况,研究了51例肺癌患者垂体、肾上腺、胰腺和甲状腺的功能状态:Ⅰ期8例,Ⅱ期7例,Ⅲ期23例,Ⅳ期13例。组织学结构:腺癌9例,鳞癌29例,未分化癌5例。分析表明,肺癌患者机体中的激素失衡并非由疾病的继发性临床表现(肺不张、化脓等)所证实,垂体、肾上腺、胰腺和甲状腺的反应存在一些取决于分期的一般规律。这种依赖性呈正弦模式,在Ⅰ期最为明显。在肿瘤的不同组织结构中观察到垂体和肾上腺内分泌反应的一些共同规律,反应按以下顺序增加:腺癌、鳞癌、未分化癌。

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