Patel D D, Bhatavdekar J M, Vora H H, Balar D B
Gujarat Cancer & Research Institute, Ahmedabad, India.
Eur J Surg Oncol. 1994 Apr;20(2):155-9.
Pre-therapeutic circulating prolactin levels and tumoral prolactin receptors (PRLR) were determined in 25 male patients with tongue cancer. The patients were divided into PRLR positive (PRLR+) and PRLR negative (PRLR-) groups. The overall survival was statistically non-significant between these two groups of PRLR as well as when considering 2% as the cut-off level. Moreover, no correlation was observed between PRLR status and clinicopathologic prognosticators. Furthermore, patients with < 2% PRLR had significantly higher levels of circulating prolactin than their counterparts (P < 0.05). Patients with PRLR- tumors having hyperprolactinemia (prolactin > 15.0 ng/ml) had unfavourable overall survival (chi 2 = 4.08, df = 1, P < 0.04) than those with normoprolactin (prolactin < 15.0 ng/ml). From this pilot study, it seems that PRLR negativity with hyperprolactinemia could be used as an independent predictor of short-term prognosis in cancer tongue patients.
对25例男性舌癌患者测定了治疗前循环催乳素水平和肿瘤催乳素受体(PRLR)。患者被分为PRLR阳性(PRLR+)组和PRLR阴性(PRLR-)组。在这两组PRLR之间以及以2%作为临界值时,总生存率在统计学上无显著差异。此外,未观察到PRLR状态与临床病理预后指标之间存在相关性。此外,PRLR<2%的患者循环催乳素水平显著高于其对应患者(P<0.05)。PRLR-肿瘤且伴有高催乳素血症(催乳素>15.0 ng/ml)的患者总生存率(χ2=4.08,自由度=1,P<0.04)比催乳素正常(催乳素<15.0 ng/ml)的患者差。从这项初步研究来看,PRLR阴性伴高催乳素血症似乎可作为舌癌患者短期预后的独立预测指标。