EFFECT OF TAMOXIFEN ON SERUM-CHOLESTEROL AND LIPOPROTEINS DURING CHEMOHORMONAL THERAPY

被引:39
作者
DNISTRIAN, AM [1 ]
SCHWARTZ, MK [1 ]
GREENBERG, EJ [1 ]
SMITH, CA [1 ]
SCHWARTZ, DC [1 ]
机构
[1] MEM SLOAN KETTERING CANC CTR,DEPT MED,NEW YORK,NY 10021
关键词
BREAST CANCER; TAMOXIFEN; SERUM CHOLESTEROL; SERUM LIPOPROTEINS; CARDIOVASCULAR RISK;
D O I
10.1016/0009-8981(93)90061-8
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
The effect of tamoxifen on serum cholesterol, high density lipoprotein cholesterol (HDL-cholesterol), low density lipoprotein cholesterol (LDL-cholesterol) and the ratio of LDL-cholesterol to HDL-cholesterol (LDL-C/HDL-C) was investigated in breast cancer patients undergoing therapy for advanced disease. Longitudinal studies in 24 patients treated with tamoxifen (10 mg, twice daily) indicated average decreases in total serum cholesterol (17%) and LDL-cholesterol (27%), whereas the effect of tamoxifen on HDL-cholesterol varied with the individual patient. There was a significant decrease in the LDL-C/HDL-C ratio (33%) consistent with a decreased risk for coronary artery disease. This beneficial influence of tamoxifen on risk factors associated with cardiovascular disease was evident in both premenopausal and postmenopausal patients whether tamoxifen was administered alone or in combination with cytotoxic chemotherapy.
引用
收藏
页码:43 / 52
页数:10
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