Adrenal failure in patients with breast carcinoma after long-term treatment of cyclic alternating oestrogen progesterone
1991

Adrenal Failure in Breast Cancer Patients After Hormone Treatment

Sample size: 30 publication Evidence: moderate

Author Information

Author(s): V. Hug, S. Kau, G.N. Hortobagyi, L. Jones

Primary Institution: The University of Texas, M.D. Anderson Cancer Center

Hypothesis

Long-term endocrine treatments for breast carcinoma may lead to adrenal insufficiency.

Conclusion

18% of patients receiving long-term treatment with cyclic-alternating hormones developed clinical signs of adrenal insufficiency.

Supporting Evidence

  • 18% of patients developed clinical signs of adrenal insufficiency after treatment.
  • Patients who developed adrenal failure were older and received treatment for longer.
  • Symptoms of adrenal insufficiency included nausea, vomiting, and fatigue.

Takeaway

Some breast cancer treatments can make your body stop making important hormones, which can make you very sick.

Methodology

Patients were treated with cyclic-alternating hormones of oestradiol and medroxyprogesterone acetate, and their responses were monitored.

Potential Biases

Potential bias in patient selection and reporting of symptoms.

Limitations

The study had a small sample size and focused only on patients who responded to treatment.

Participant Demographics

30 post-menopausal women with stage IV breast carcinoma, median age 64 years.

Statistical Information

P-Value

0.025

Statistical Significance

p<0.05

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication