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肿瘤患者高脂血症的特点

Peculiarities of hyperlipidaemia in tumour patients.

作者信息

Dilman V M, Berstein L M, Ostroumova M N, Tsyrlina Y V, Golubev A G

出版信息

Br J Cancer. 1981 May;43(5):637-43. doi: 10.1038/bjc.1981.94.

Abstract

The study group included 684 cases: 258 patients with breast carcinoma, 113 males with lung cancer, 42 patients with rectal tumours, 42 patients with stomach tumours, 59 patients with fibroadenomatosis, and 170 healthy subjects of varying age (male and female). A relatively high blood triglyceride level was found in patients with breast, lung, rectal (females), and stomach (female) tumours. The blood concentration of high-density lipoprotein-cholesterol in patients with breast, lung, and stomach (female) tumours was relatively low. The elimination of tumour (breast carcinoma) did not lead to significant changes in lipid metabolism. There was no correlation between degree of lipidaemia and stage of tumour progression except in the cases of rectal cancer. Preliminary results are presented on the tentative classification of hyperlipoproteinaemia in tumour patients, using the lipid concentration threshold values advocated by Carlson et al. (1977); an increased frequency of Type IV hyperlipoproteinaemia proved to be the most characteristic feature of tumour patients. The results are discussed in terms of the concept of the importance of lipid metabolic disturbances, primarily those due to ageing, in the genesis of the syndrome of "cancerophilia" (predisposition to cancer).

摘要

研究组包括684例:258例乳腺癌患者、113例男性肺癌患者、42例直肠肿瘤患者、42例胃肿瘤患者、59例纤维腺瘤病患者以及170名不同年龄的健康受试者(男女均有)。在乳腺癌、肺癌、直肠肿瘤(女性)和胃肿瘤(女性)患者中发现相对较高的血甘油三酯水平。乳腺癌、肺癌和胃肿瘤(女性)患者的高密度脂蛋白胆固醇血浓度相对较低。肿瘤(乳腺癌)的消除并未导致脂质代谢的显著变化。除直肠癌外,血脂异常程度与肿瘤进展阶段之间无相关性。利用卡尔森等人(1977年)倡导的脂质浓度阈值,给出了肿瘤患者高脂蛋白血症初步分类的初步结果;IV型高脂蛋白血症频率增加被证明是肿瘤患者最具特征性的表现。根据脂质代谢紊乱(主要是由于衰老引起的紊乱)在“嗜癌”(易患癌症)综合征发生中的重要性这一概念对结果进行了讨论。

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Peculiarities of hyperlipidaemia in tumour patients.肿瘤患者高脂血症的特点
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