Features of hormone status of patients with benign breast diseases and concomitant gynecological pathology
Yu.V. GARIFULLOVA
Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012
Garifullova Yu.V. ― Assistant of the Department of Obstetrics and Gynecology, e-mail: gamil.garifullov@yandex.ru
The research objective was to evaluate the hormonal characteristics, including vitamin D status in patients with benign breast diseases (BBD) and different types of coexisting gynecological pathology. A total of 258 women were examined: the study group ― 134 patients with BBD (92 ― diffuse form of fibrocystic breast disease, 42 ― fibroadenoma of the breast), the control group ― 124 healthy women. A comprehensive examination was conducted for all patients, which included physical examination, ultrasound of mammary glands, and digital mammography for the patients of 40 years of age and older. The levels of the circulating form of vitamin D (VD), prolactin, progesterone, thyroid-stimulating hormone were determined in the blood. It was found that there is a high incidence of non-tumorous uterine diseases, low VD supply, increased prolactin level in women with BBD, patients with diffuse form of fibrocystic breast disease also have decreased progesterone level in the age group of 30 years and younger. Significant risk factors for the development of diffuse form of fibrocystic breast disease, according to the logistic regression model, are: VD deficiency, high density of the breast tissue and the presence of concomitant gynecological pathology.
Key words: benign breast diseases, hormonal status, risk factors.
(For citation: Garifullova Yu.V. Features of hormone status of patients with benign breast diseases and concomitant gynecological pathology. Practical Medicine. 2018)
REFERENCES
- Novikova V.A. Risk factors for breast cancer at reproductive age. Akusherstvo i ginekologiya, 2015, no. 10, pp. 27-34 (in Russ.).
- Malʹtseva L.I., Garifullova Yu.V. Vitamin D and breast cancer in women. Akusherstvo i ginekologiya, 2015, no. 8, pp. 33-38 (in Russ.).
- Kravchenko E.N., Ozherelʹeva M.A. The state of the mammary glands in gynecological diseases (literature review) . Matʹ i ditya v Kuzbasse, 2014, no. 2, pp. 19-23 (in Russ.).
- Tagieva T.T. Risk factors for the development of breast diseases. Vestnik RONTS im. N.N. Blokhina RAMN, 2007, vol. 18, no. 2, pp. 68-73 (in Russ.).
- Trubnikova L.I., Tikhonova N.Yu., Savinova N.A. Comprehensive examination and treatment of women with diseases of the mammary glands and genitals. Ulʹyanovskiy mediko-biologicheskiy zhurnal, 2013, no.3, pp. 65-75 (in Russ.).
- Popov Eh.N., Kogan I.Yu., Baylyuk E.N. Features of fibrocystic breast disease in women with hyperplastic processes of the uterus. Zhurnal akusherstva i zhenskikh bolezney, 2012, vol. LXI, iss. 1, pp. 68-72 (in Russ.).
- Radzinskiy V.E. Molochnye zhelezy i ginekologicheskie bolezni [Mammary glands and gynecological diseases]. Moscow: Status Praesens, 2010. 340 p.
- Korzhenkova G.P. Cystic mastopathy: a variant of the norm or a disease? Onkoginekologiya, 2012, no. 3, pp. 46-55 (in Russ.).
- Ashbeck E.L., Rosenberg R.D., Stauber P.M. et al. Benign breast biopsy diagnosis and subsequent risk of breast cancer. Cancer Epidemiol Biomarkers Prev, 2007, no.16 (3), rr. 467-472.
- Malʹtseva L.I., Garifullova Yu.V., Kravtsova O.A. Clinical and genetic parallels of vitamin D provision and benign breast diseases. Akusherstvo i ginekologiya, 2018, no.1 (in Russ.).


