期刊
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
卷 203, 期 4, 页码 -出版社
MOSBY-ELSEVIER
DOI: 10.1016/j.ajog.2010.06.001
关键词
bone loss; chemotherapy; quantitative computed tomography; radiation
资金
- NIAMS NIH HHS [R03 AR055333, 1R03-AR05333-01] Funding Source: Medline
- NICHD NIH HHS [1K12-HD055887-01, K12 HD055887] Funding Source: Medline
OBJECTIVE: The objective of the study was to measure the volumetric bone mineral density (vBMD) using diagnostic computed tomography scans in gynecologic oncology patients. STUDY DESIGN: In a retrospective study, spine and femoral neck (FN) vBMD was measured for 1 year in 40 patients receiving chemotherapy or radiation. RESULTS: There is significant bone loss after chemotherapy, radiation, and a combination of radiation and chemotherapy (P = .0211). In 1 year, the percent reduction in vBMD (+/-SE) at L1-L2 spine and the FN was a 15.9% (+/-5.67) and 10.4% (+/-4.06) in chemotherapy; 11% (+/-5.68) and 15.8% (+/-2.56) in radiation; and 21.0% (+/-7.03) and 3.6% (+/-3.3.7) in the combined therapy group. Bone loss was evident immediately after treatment and persisted or worsened in most women. CONCLUSION: Gynecologic cancer patients treated with chemotherapy or radiation experience immediate and prolonged bone loss; thus, pre- and posttreatment monitoring of bone loss is important in these patients.
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