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[男性与女性喉癌临床分期与血清中甾体激素水平的相关性]

[Correlation between the clinical stage of larynx cancer in male and female and levels of steroid hormones in serum].

作者信息

Szmeja Z, Kruk-Zagajewska A, Kozak W, Szyfter W, Wójtowicz J

机构信息

Kliniki Otolaryngologii Katedry Chorób Ucha, Nosa, Gardła i Krtani AM w Poznaniu.

出版信息

Otolaryngol Pol. 1996;50(1):21-31.

PMID:9045129
Abstract

264 patients with cancer of larynx, 21 female and 234 male, had a testosterone and sex hormone binding globulin (SHBG) before the treatment in serum estimated. Because of dependence of levels of hormones the group of patients was divided into three following groups: "lower than standard", "standard", "higher than standard". The correlation between these groups and sex, age, localization of tumor, organs' advances, stage of morphological malignancy and type of cancer was reported. Anomalous values of testosterone were in male group more frequently reported. Anomalous values of SHBG were similar in male and female groups, but in the female group there was a significant majority of "lower than standard" values reported. The majority of abnormal values of testosterone and SHBG was described in groups of age higher than 50 years. There were no differences in testosterone and SHBG levels in different localization of tumors in larynx. In advanced stage T3 and T4 there were more frequent lower mean values of testosterone levels and higher values of SHBG levels in comparison to T2 stages. In tumors in G1 and G2 stages of histological malignancy higher levels of SHBG and higher mean levels of testosterone. The tumors in stage G3 the hormone levels were lowers were observed. The levels of SHBG in groups of carcinoma planoepitheliale keratodes were in 66% higher than in a group of carcinoma planoepitheliale akeratodes but in both groups the levels of testosterone were nearing the same. In group of patients with larynx cancer the negative correlation between the levels of testosterone and SHBG was not observed. Higher SHBG levels were not always accompanied by lower testosterone levels.

摘要

264例喉癌患者,其中女性21例,男性234例,在治疗前测定了血清中的睾酮和性激素结合球蛋白(SHBG)。由于激素水平的依赖性,将患者组分为以下三组:“低于标准”、“标准”、“高于标准”。报告了这些组与性别、年龄、肿瘤部位、器官进展、形态学恶性程度分期和癌症类型之间的相关性。男性组中睾酮异常值的报告更为频繁。男性和女性组中SHBG异常值相似,但女性组中“低于标准”值的报告占显著多数。睾酮和SHBG的大多数异常值出现在年龄大于50岁的组中。喉癌不同部位的睾酮和SHBG水平没有差异。与T2期相比,T3和T4期晚期的睾酮水平均值较低,SHBG水平较高。在组织学恶性程度为G1和G2期的肿瘤中,SHBG水平较高,睾酮平均水平也较高。在G3期肿瘤中观察到激素水平较低。角化型鳞状上皮癌组的SHBG水平比非角化型鳞状上皮癌组高66%,但两组的睾酮水平接近相同。在喉癌患者组中未观察到睾酮水平与SHBG水平之间的负相关。较高的SHBG水平并不总是伴随着较低的睾酮水平。

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