Bischoff J, Rebhan E M, Prestele H, Becker H
Geburtshilfe Frauenheilkd. 1980 Jan;40(1):65-71. doi: 10.1055/s-2008-1037023.
78 women with cysts of the mammary gland--proved by aspiration of cystic fluid--had significantly more hyperprolactinaemia than 42 control-persons. Hyperprolactinaemia was twice as frequently found in 46 women with microscopic cystic disease--proved histological in biopsies--than in control-persons. On the average there was a moderate elevation of prolactin. Individual prolactin-levels were up to four or five times higher than normal. The comparison between prolactin and gynecologic data and anamnestic known endocrine and metabolic lesions was without significance. There was no relation between use of prolactin-stimulating drugs (psychopharmacas a.o.) and cystic disease of the breast. Patients with cystic disease used significantly less oral contraceptiva and more estrogens than control-persons. There was no familiar-genetic disposition significant. Our results show prolactin as an etiologic factor of (gross-) cystic breast disease.
78名经囊液抽吸证实患有乳腺囊肿的女性,其高泌乳素血症的发生率显著高于42名对照人员。在46名经活检组织学证实患有微小囊肿病的女性中,高泌乳素血症的发生率是对照人员的两倍。平均而言,泌乳素水平有中度升高。个别泌乳素水平比正常水平高出四到五倍。泌乳素与妇科数据以及已知的既往内分泌和代谢病变之间的比较无显著意义。使用泌乳素刺激药物(如精神药物等)与乳腺囊性疾病之间没有关系。患有囊性疾病的患者口服避孕药的使用量明显少于对照人员,而雌激素的使用量则多于对照人员。没有明显的家族遗传倾向。我们的研究结果表明,泌乳素是(大)囊性乳腺疾病的一个病因。