Constance N. Nwadike, Oluchi Aloy-Amadi, Kingsley U. Mbionwu and Emmanuel Ifeanyi Obeagu
Some epidemiological studies have reported a relationship between thyroid dysfunctions and the risk of breast cancer’s giving the similarities between estrogen and thyroid function. This study was therefore aimed at evaluating the level of thyroid gland hormones, TSH and estrogen in breast cancer patients. A cross-sectional study was carried out in the month of September to November 2019. A total of 60 subjects attending breast cancer screening clinic of Federal Medical Center and Imo State University, Owerri were recruited for this study. The 60 subjects are between the ages of 20-60 years. The 60 subjects were divided into two groups: Group 1 (Test) consists of 30 females with breast cancer. Group 2 (Control) consists of 30 apparently healthy women with no breast cancer. Blood samples were collected, and the level of thyroid hormone and estrogen was determined. Data generated was then analysed using SPSS version 21. There was no significant difference (p=0.308 and p=0.626 respectively) in the mean value of T3 and T4 in breast cancer patients (3.42±0.07 and 1.41±0.15 respectively)µIU/ml when compared to Controls (3.11±0.64 and 1.35±0.23)µIU/ml. The mean value of TSH was significantly increased (p=0.02) in breast cancer patients (2.79±1.05)Pmol/ml when compared to controls (1.40±0.17)Pmol/ml. The mean value of estrogen was significantly increased (p=0.000) in breast cancer patients (540.39±66.70)pg/ml when compared to controls (222.10±58.09)pg/ml. There was a non significant negative correlation of serum estrogen with serum T3, and T4, (r= -0.253, p=0.682 and r=-0.107, p=0.864). There was a non significant positive correlation of serum estrogen with serum TSH (r=0.380, p=0.528). There is a strong association between breast cancer and serum concentrations of thyroid stimulating hormone and estrogen, but there is no alteration in TSH hormones in breast cancer.
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Constance N. Nwadike, Oluchi Aloy-Amadi, Ukamaka Edward, Eberechi Nwanguma and Emmanuel Ifeanyi Obeagu
Previous studies indicate that uterine fibroid is associated with estrogen and other female reproductive hormones and abnormal cell proliferation. This study is aimed at determining hormones of the pituitary/gonadal axis and some trace elements in women with uterine fibroids. The study was conducted at the Obstetrics and Gynaecology unit of the Federal Medical Centre, Owerri. A total of fifty (50) subjects were recruited for the study, their blood samples were collected and used for the laboratory diagnosis of testosterone, oestrogen, Follicle Stimulating Hormone (FSH), Leutinizing Hormone (LH) and trace elements. All reagents used were commercially prepared and procured and the manufacturer’s standard operating procedures were strictly followed. All data generated from this study were subjected to statistical analysis, mean, Standard deviations, student’s t-Test, and were determined using SPSS Statistical package software for windows version 21. Results shows that serum estrogen concentration (307.71 + 71.73 mIU/L) and Testosterone concentration (3.90+ 1.08 ng/ml) was significantly higher in uterine fibroid when compared with the serum concentrations of Oestrogen (173.67+ 33.98 mIU /L) and testosterone (1.26+ 0.39 ng/ml) in control subjects at p=0.002 and p=0.000 respectively. The mean value of serum FSH (4.45+ 0.72 IU/ml) and LH (3.15+ 0.84 IU/ml) was significantly lower in uterine fibroid when compared with the mean value of serum FSH (10.69+ 2.64 IU/ml) and LH (6.10+ 0.79 IU/ml) in control subjects at p=0.000 and p=0.000 respectively. The mean value of serum copper (5.99+ 0.62 ?g/dl) and zinc (7.86+ 0.76?mol /L) was significantly lower in uterine fibroid when compared with the mean value of copper (8.56+ 1.19 ?g/dl) and Zinc (9.25+ 0.83 ?mol /L) in control subjects at p=0.000 and p=0.004 respectively. There is an alteration in the level of testosterone, estrogen, FSH, LH and trace element in women with uterine fibroid. In conclusion, increased circulating levels of testosterone with estradiol in women of child bearing age can be a higher risk factors in the development of uterine fibroid.
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