Cyclophosphamide-induced ovarian failure and its therapeutic significance in patients with breast cancer.

Abstract:

:The effect of cyclophosphamide (CY) on ovarian function was studied in patients with breast cancer receiving prolonged daily administration of this agent (100 mg/day) after radical surgery. Out of 18 premenopausal patients that received 8.4-39.9 g CY, 15 developed permanent amenorrhea. The average dose given before the onset of amenorrhea was 5.2 g in patients in their 40s and 9.3 in their 30s. Urinary estrogens and serum progesterone were measured weekly for approximately 6 months postoperatively in six patients receiving CY. After the onset of amenorrhea, the levels of both hormones ceased to show their normal cyclic changes and remained low persistently, meanwhile serum FSH and LH were markedly elevated. No ovarian follicle was histologically found in three amenorrheic patients who underwent therapeutic oophorectomy after CY therapy. These findings indicate that CY induced primary ovarian failure.

journal_name

Cancer

journal_title

Cancer

authors

Koyama H,Wada T,Nishizawa Y,Iwanaga T,Aoki Y

doi

10.1002/1097-0142(197704)39:4<1403::aid-cncr282039

subject

Has Abstract

pub_date

1977-04-01 00:00:00

pages

1403-9

issue

4

eissn

0008-543X

issn

1097-0142

journal_volume

39

pub_type

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