TY - JOUR T1 - Malign Lenfoma Tedavisinde Kullanılan İlaçların Gonad Fonksiyonlarına Etkisi TT - EFFECT OF DRUGS USED IN MALIGNANT LYMPHOMA TREATMENT ON GONAD FUNCTIONS AU - Yıldırım, Bülent PY - 1992 DA - September JF - Ankara Üniversitesi Tıp Fakültesi Mecmuası PB - Ankara University WT - DergiPark SN - 0365-8104 SP - 457 EP - 464 VL - 45 IS - 3 LA - tr AB - Çalışmaya malign lenfoma tanısı nedeniyle kemoterapi uygulahan 22'si erkek, 10'u kadın 32 hasta alınmıştır. Kemoterapinin gonad fonksiyonları üzerine olan toksik etkileri gonad hormonları ve spermogramlar ile izlenmiştir. Erkek hastaların 12'sinde 2. veya 3. kürlerden sonra azospermi gelişirken serum FSH düzeylerinde yükselme gözlendi. Ortalama 11.5 aylık takip sonrası spermogram yapılan 12 hastanın 10'unda azospermi tespit edildi. 10 kadın hastanın 4'ünde amenore gelişirken serum FSH, LH ve östradiol değerleri menapoz düzeyleri ile uyumlu idi. Kemoterapinin overler üzerine toksik etkisinin 25 yaşın üzerinde daha belirgin olduğu gözlendi. KW - Malign lenfoma KW - kemoterapi KW - gonad fonksiyonu N2 - The effects of chemotherapy on fertility and gonad functions Was investigated in 22 male and 10 female patients who have been treated for malign Iymphoma., With this purpose, gonadal hormone Tevels, spermiograms of patients were followed Having Znd and 3rd course of therapy, 12 of the male patients were azoospermic and F5H levels were significantiy elevated. Twelve men were also followed for one year after they have completed their chemotherapy and in 10 of them was observed to be developed azoospermia, Amenorrhea has occurred in 4 of 10 patients treated with combination chemotherapy. FSH, LH and estradiol levels of these patients were consistent with menopause, It has been observed that toxic effects of chemotherapy on ovaries were prominent after 25 ages. CR - 1. Chapman RM Sutcliffte SB Rees LH et al : Cydical combination chemotherapy and gonadal function. Lancet i: 285-289, 1979. CR - 2. De EKretser DM Burger HG Fortune D et al : Hormonal, histological and chromosomal studies in adult males with testicular disorders. J Clin Endocrinol Metab. 35 : 392-401, 1972. CR - 3. De Vita VT Jr : The conseguences of the chemotherapy of Hodgkin's disease. Cancer 47 : 1-13, 1981. CR - 4. DevVita VT Jr Canellos GP Möxley JH : A decade of combination chemotherapy of advanced Hodgkin's disease. Cancer 30 : 1495 - 1905, 1972. CR - 5. Karnofsky DA Clarkson BD : Cellular effects of anticancer drugs. Ann Rev Pharmacol 3 : 357-428, 1963. CR - 6. Miller DG : Alkylating agents and human spermatogenesiş. JAMA 217 ; 1662-1665, 1971. CR - 7. Schilsky RI Lewis BJ Sherins RJ et al : Gonadal dysfunction in patients receiving chemotherapy for cancer. Ann Intern Med 83 ; 109-114, 1980. CR - 8. Shilsky RI Sherins RJ Hubbard SM et al : Long-term follow-up of ovarian functon in woman treated with MOPP chemotherapy for Hodkin's disease, Am J Med 71 : 552-556, 1981, CR - 9. Sherins RJ DeVita VT Jr : Effects of drug treatment of Iyrıphoma on male rep- roductive capacity. Ann İntern Med 86 : 216-220, 1973. CR - 10. Sherins RJ Mulvihill JJ : Gonadal Dyşfuncetion ; Principles and Practice of On- cology. DeVita VT Jr Hellman S Rosenberg SA (eds.) 3rd edition JB Lippin- coti Company Philadelphia, pp 2170-2180, 1989. CR - 11. Sherins RJ Olweny CLM Zeigler Jl : Gynecomastia and gunadal dysfunction in adolescent boys treated with combination therapy for Hodgkin's disease, N Engl J Med 299: 12-16, 1978, CR - 12. Viviani S Santoro A Ragni G et al ; Gonedal toxicity after combination therapy, Comparative resulis of MOPP vs ABVD Bur J Cancer Clin Oncol 21 : 801-605, 1985, CR - 13. Whitehead E Shalet SM Blackledge G et al : The effects of Hodgkin's disease and combination therapy on gonadal function in adult male, Cancer 49 ; 418-422, 1982. CR - 14. Whitehead E Shalet SM Blackledge G et al : The effect of combination çchemöt- herapy on ovarian function treated for Hodgkin's disease. Cancer 52 ; 988-903, 1983, UR - https://dergipark.org.tr/en/pub/autfm/issue//1722052 L1 - https://dergipark.org.tr/en/download/article-file/4969784 ER -