Testicular dysfunction after cyclophosphamide‐vincristine‐procarbazine‐prednisolone chemotherapy for advanced hodgkin's disease a long‐term follow‐up study

Autor: Gopal R, Shripad Banavali, Charak Bs, Rahul Gupta, Nandini A. Sheth, Tapan Saikia, Ketayun A. Dinshaw, Suresh H. Advani, Pranoti S. Mandrekar
Rok vydání: 1990
Předmět:
Zdroj: Cancer. 65:1903-1906
ISSN: 1097-0142
0008-543X
DOI: 10.1002/1097-0142(19900501)65:9<1903::aid-cncr2820650905>3.0.co;2-#
Popis: Gonadal functions were evaluated in 92 male patients after treatment for advanced Hodgkin's disease. The patients received six to ten cycles of cyclophosphamide, vincristine, procarbazine, and prednisolone (COPP) chemotherapy. All patients were in remission and were followed for 1 to 17 years (median, 6). Testicular atrophy was noticed in 89 (96.7%) patients. All patients remained azoospermic during the period of follow-up. The testosterone levels did not differ before and after treatment. The follicle stimulating hormone levels rose from pretreatment values (mean +/- standard deviation) of 179.27 +/- 21.99 ng/ml to 578.79 +/- 102.36 ng/ml after the treatment; the rise was significant (P less than 0.001). The luteinizing hormone levels rose from pretreatment values of 106.96 +/- 20.37 ng/ml to 127.37 +/- 32.19 ng/ml after treatment; the rise was significant (P less than 0.05). Testicular biopsy specimens in 19 patients showed germinal aplasia in all cases. It is concluded that six or more cycles of COPP chemotherapy for advanced Hodgkin's disease in men leads to permanent sterility.
Databáze: OpenAIRE
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