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JCR 2016
جستجوی مقالات
دوشنبه 24 آذر 1404
Middle East Journal of Cancer
، جلد ۶، شماره ۱، صفحات ۳۵-۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژههای فارسی مقاله
عنوان انگلیسی
Rate and Time of Ovarian Function Restoration in Menopausal Breast Cancer Patients Who Received Letrozole Following Chemotherapy
چکیده انگلیسی مقاله
Background : The present study aimed to investigate the rate and time of ovarian function restoration in breast cancer patients between 40 and 60 years of age who were in menopause (biochemically documented) and received letrozole after chemotherapy. We intended to further clarify the management strategy for breast cancer patients with different menopausal status. Methods : We prospectively measured the effects of replacing tamoxifen with letrozole on ovarian function recovery in 90 women from two age groups (40-50 and 51-60 years). All had breast cancer and were treated by chemotherapy. Patients had laboratory documentation of menopause (FSH >40 mIU/ml and estradiol < 20 pg/mL). Patients did not have menstruation for at least one year. Study patients received letrozole. At three month intervals, we checked their FSH and estradiol levels. Results : At three months after beginning letrozole, 12 patients in the younger age group had laboratory ovarian function restoration, among which three had vaginal bleeding. In the older group, 8 patients had increased estradiol levels; however, there was no evidence of vaginal bleeding in this group. At 6, 9 and 12 months, no ovarian function restoration was seen in the older group. However in younger patients, 4 had laboratory evidence of ovarian function restoration at 6 months, 2 at 9 months and 1 patient showed laboratory ovarian function restoration at 12 months of follow-up. Totally, there was a significant difference in the occurrence of ovarian function restoration between the two groups ( P =0.03). Conclusion : A remarkable portion of women with chemotherapy-induced amenorrhea may develop ovarian function restoration. Therefore, endocrine therapy using aromatase inhibitors in patients with chemotherapy-induced amenorrhea should be followed by a regular hormonal study.
کلیدواژههای انگلیسی مقاله
نویسندگان مقاله
شاپور امیدواری | shapour omidvari
department of radiation oncology, nemazee hospital, shiraz university of medical sciences, shiraz, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)
سمیرا رزاقی | samira razzaghi
student research committee, nemazee hospital, shiraz university of medical sciences, shiraz, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)
علی زمانی | ali zamani
endocrinology research center, department of internal medicine, shiraz university of medical sciences, shiraz, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)
حمید نصرالهی | hamid nasrolahi
department of radiation oncology, nemazee hospital, shiraz university of medical sciences, shiraz, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)
سید حسن حامدی | sayed hasan hamedi
student research committee, nemazee hospital, shiraz university of medical sciences, shiraz, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)
احمد مصلایی | ahmad mosalaei
shiraz institute for cancer research, shiraz university of medical sciences, shiraz, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)
نیلوفر احمدلو | niloofar ahmadloo
department of radiation oncology, nemazee hospital, shiraz university of medical sciences, shiraz, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)
منصور انصاری | mansour ansari
department of radiation oncology, nemazee hospital, shiraz university of medical sciences, shiraz, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)
سعیده پوراحمد | saeedeh pourahmad
department of biostatistics, medical school, shiraz university of medical sciences, shiraz, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)
محمد محمدیان پناه | mohammad mohammadianpanah
colorectal research center, shiraz university of medical sciences, shiraz, iran
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی شیراز (Shiraz university of medical sciences)
نشانی اینترنتی
http://mejc.sums.ac.ir/index.php/mejc/article/view/187
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زبان مقاله منتشر شده
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Original Article
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