Use of a levonorgestrel-releasing intrauterine device for menorrhagia treatment during adjuvant therapy of adrenocortical carcinoma with mitotane.

Abstract:

:Adrenocortical carcinoma is a rare tumour with high malignancy and poor prognosis. This tumour is rarely diagnosed in the reproductive age. Complete surgical resection is the only curative treatment for adrenal cancer in all stages. After surgery adjuvant chemotherapy is required. Mitotane is the most important drug in adrenal cancer chemotherapy. Mitotane's mode of action is not entirely explained. Animal studies have shown that the substance exerts a direct cytotoxic effect on the cells of the adrenal cortex. This activity is selective, progressive and affects only the zona reticularis and fasciculata of the adrenal cortex. Mitotane inhibits cortisol synthesis by disrupting the chain of cholesterol. It has been suggested, that mitotane also affects the peripheral metabolism of steroids, especially of transcortin (CBG). This results in an increase of CBG blood concentration and a reduction of the amount of free hormones.

journal_name

Ginekol Pol

journal_title

Ginekologia polska

authors

Szkodziak PR,Czuczwar P,Woźniak S,Szkodziak F,Paszkowski T

doi

10.5603/GP.a2017.0104

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

576-577

issue

10

eissn

0017-0011

issn

2543-6767

pii

VM/OJS/J/54006

journal_volume

88

pub_type

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