早期乳腺癌的绝经后妇女的化疗似乎不会导致甲状腺功能在临床上显著的变化
Djordje Marina1, Kristian Buch-Larsen1, Linn Gillberg2
1Department of Endocrinology and Metabolism, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Cancer medicine
|August 7, 2024
概括
早期乳腺癌 (EBC) 的化疗可以改变甲状腺功能,导致甲状腺刺激激素和自由甲状腺素的显著变化. 然而,这些荷尔蒙变化并没有临床意义,也与体重变化或自身免疫性甲状腺炎无关.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 乳腺癌研究研究 乳腺癌研究
背景情况:
- 辅助化疗是早期乳腺癌 (EBC) 的标准.
- 化疗可以引起副作用,包括潜在的体重增加,尽管机制尚不清楚.
- 化疗后的甲状腺功能变化需要进行调查.
研究的目的:
- 评估甲状腺功能和EBC患者的体重变化在化疗前后.
- 探索化疗,甲状腺功能和放射治疗之间的关系.
主要方法:
- 对72名接受辅助化疗的EBC患者进行前性队列研究.
- 甲状腺功能测试 (TSH,自由T4) 和测量化疗前后的体重.
- 二次分析包括甲状腺自身抗体和放射治疗剂量.
主要成果:
- 在化疗后观察到甲状腺刺激激素 (TSH) 的统计显著增加和自由甲状腺素 (fT4) 的减少.
- 没有检测到体重的显著变化.
- 接受放射治疗和不接受放射治疗的患者之间的甲状腺功能差异并不显著.
结论:
- 虽然化疗诱导了统计学上显著的甲状腺激素变化,但对于EBC患者来说,它们并不具有临床意义.
- 观察到的甲状腺功能变化与自身免疫,非甲状腺疾病,放射治疗或皮质类固醇使用无关.
- 需要进一步的长期研究,以充分了解化疗和放射治疗后的甲状腺功能.
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