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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1993-11-16
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pubmed:abstractText |
We investigated the role of urinary testosterone levels as a marker of risk of recurrent disease in 113 operable breast cancer patients (70 premenopausal, 43 postmenopausal). Twenty-four-hour urine collections for testosterone measurement were obtained before surgical treatment, between 20-40 days thereafter, and then every 6 months for 5 years. The cutoff values to separate 'high testosterone (A+)' from 'normal testosterone (A-)' were 8.0 micrograms/24 h in premenopause and 4.9 micrograms/24 h in postmenopause. Urinary testosterone levels were considered high when they exceeded the cutoff value in at least 2 of the first 3 measurements (pretreatment, post-treatment, 6 months) of each patient. According to the aforementioned criterion, 33 patients (29.2%) had high testosterone levels, which were associated to axillary node involvement in 16 patients. Thirteen of the latter relapsed during the 5-year follow-up period (5/7 in premenopause, 8/9 in postmenopause). Relapse-free survival (RFS) curves were drawn only for node-positive patients owning to the small number of recurrences observed in the node-negative group. In premenopausal node-positive patients, RFS was significantly different for patients presenting high and normal urinary testosterone levels (77% vs 28%, respectively; logrank test, p < 0.006). In postmenopausal node-positive patients, RFS was also different between the two groups (54% vs 11% in 'high' and 'normal' excretors, respectively) but the difference was not statistically significant. The present findings suggest that urinary testosterone is a prognostic indicator of early breast cancer recurrence in node-positive patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0167-6806
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
26
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8400317-Adult,
pubmed-meshheading:8400317-Aged,
pubmed-meshheading:8400317-Breast Neoplasms,
pubmed-meshheading:8400317-Female,
pubmed-meshheading:8400317-Humans,
pubmed-meshheading:8400317-Lymph Nodes,
pubmed-meshheading:8400317-Lymphatic Metastasis,
pubmed-meshheading:8400317-Middle Aged,
pubmed-meshheading:8400317-Neoplasm Recurrence, Local,
pubmed-meshheading:8400317-Postmenopause,
pubmed-meshheading:8400317-Predictive Value of Tests,
pubmed-meshheading:8400317-Premenopause,
pubmed-meshheading:8400317-Risk Factors,
pubmed-meshheading:8400317-Testosterone,
pubmed-meshheading:8400317-Tumor Markers, Biological
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pubmed:year |
1993
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pubmed:articleTitle |
Urinary testosterone as a marker of risk of recurrence in operable breast cancer.
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pubmed:affiliation |
National Cancer Institute of Milan, Italy.
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pubmed:publicationType |
Journal Article,
Clinical Trial
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