Evolution of pulmonary function after treatment with goserelin in patients with lymphangioleiomyomatosis

被引:18
作者
Baldi, Bruno Guedes [1 ]
Medeiros Junior, Pedro [1 ]
Pimenta, Suzana Pinheiro [1 ]
Lopes, Roberto Iglesias [2 ]
Kairalla, Ronaldo Adib [1 ]
Ribeiro Carvalho, Carlos Roberto [1 ]
机构
[1] Univ Sao Paulo, Div Pneumol, InCor, Hosp Clin,Fac Med, Sao Paulo, Brazil
[2] Univ Sao Paulo, Div Urol, Hosp Clin, Fac Med, Sao Paulo, Brazil
关键词
Lymphangioleiomyomatosis; Spirometry; Goserelin; LUNG-FUNCTION; PROGESTERONE; LYMPHANGIOMYOMATOSIS; EFFICACY; HORMONE; DECLINE; ANALOG;
D O I
10.1590/S1806-37132011000300015
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
In the atypical smooth muscle cells that are characteristic of lymphangioleiomyomatosis (LAM), there are estrogen and progesterone receptors. Therefore, anti-hormonal therapy, despite having produced controversial results, can be considered a treatment option. The objective of this retrospective study was to evaluate hormonal and spirometric data for nine women with LAM after one year of treatment with goserelin. The mean increase in FEV(1) and FVC was 80 mL and 130 mL, respectively. There was effective blockage of the hormonal axis. It is still not possible to exclude a potential beneficial effect of the use of gonadotropin-releasing hormone analogues in LAM patients, which underscores the need for randomized trials.
引用
收藏
页码:375 / 379
页数:5
相关论文
共 20 条
[1]   EFFICACY OF OOPHORECTOMY IN LYMPHANGIOLEIOMYOMATOSIS AND BENIGN METASTASIZING LEIOMYOMA [J].
BANNER, AS ;
CARRINGTON, CB ;
EMORY, WB ;
KITTLE, F ;
LEONARD, G ;
RINGUS, J ;
TAYLOR, P ;
ADDINGTON, WW .
NEW ENGLAND JOURNAL OF MEDICINE, 1981, 305 (04) :204-209
[2]   STEROID-RECEPTORS IN PULMONARY LYMPHANGIOMYOMATOSIS [J].
BRENTANI, MM ;
CARVALHO, CRR ;
SALDIVA, PH ;
PACHECO, MM ;
OSHIMA, CTF .
CHEST, 1984, 85 (01) :96-99
[3]   Comprehensive evaluation of 35 patients with lymphangioleiomyomatosis [J].
Chu, SC ;
Horiba, K ;
Usuki, J ;
Avila, NA ;
Chen, CC ;
Travis, WD ;
Ferrand, VJ ;
Moss, J .
CHEST, 1999, 115 (04) :1041-1052
[4]  
de la Fuente J, 1993, Eur J Med, V2, P377
[5]   Effect of a gonadotrophin-releasing hormone analogue on lung function in lymphangioleiomyomatosis [J].
Harari, Sergio ;
Cassandro, Roberto ;
Chiodini, Acopo ;
Taveira-DaSilva, Angelo M. ;
Moss, Joel .
CHEST, 2008, 133 (02) :448-454
[6]   European Respiratory Society guidelines for the diagnosis and management of lymphangioleiomyomatosis [J].
Johnson, S. R. ;
Cordier, J. F. ;
Lazor, R. ;
Cottin, V. ;
Costabel, U. ;
Harari, S. ;
Reynaud-Gaubert, M. ;
Boehler, A. ;
Brauner, M. ;
Popper, H. ;
Bonetti, F. ;
Kingswood, C. .
EUROPEAN RESPIRATORY JOURNAL, 2010, 35 (01) :14-26
[7]   Decline in lung function in lymphangioleiomyomatosis - Relation to menopause and progesterone treatment [J].
Johnson, SR ;
Tattersfield, AE .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1999, 160 (02) :628-633
[8]   The US experience with lung, transplantation for pulmonary lymphangioleiomyomatosis [J].
Kpodonu, J ;
Massad, MG ;
Chaer, RA ;
Caines, A ;
Evans, A ;
Snow, NJ ;
Geha, AS .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2005, 24 (09) :1247-1253
[9]   Frequent estrogen and progesterone receptor immunoreactivity in renal angiomyolipomas from women with pulmonary lymphangioleiomyomatosis [J].
Logginidou, H ;
Ao, X ;
Russo, I ;
Henske, EP .
CHEST, 2000, 117 (01) :25-30
[10]  
MCCORMACK FX, 2011, N ENGL J MED