Treatment of Prostatic Cancer with Diethylstilboestrol — Detection and Evaluation of the Vascular Risk

  • C. C. Abbou
  • V. Beaumont
  • D. Chopin
  • J. P. Deburge
  • J. L. Beaumont
  • J. Auvert
Part of the NATO Advanced Science Institutes Series book series (NSSA, volume 53)

Summary

A retrospective study of patients suffering from prostatic cancer and treated with estrogens has allowed us to develop a test to discriminate a population with a high risk of thrombotic complications due to estrogens from a population that can benefit without danger from this form of hormonal therapy. The so-called “estrogen tolerance test” relies on the presence of circulating immune complexes which can be precipitated from serum by 25% saturated ammonium sulphate.

In the group of patients in which immune complexes exceeded 700μg/ml, 41% developed thrombo-embolic complications including embolism and arterial thrombosis. The group of patients in whom the values were under 300 μg/ml had a lower risk of arterial thrombosis (2.5%) and the observed incidents were benign and mostly venous thrombosis.

Test values above 700 μg/ml should preclude treatment with diethylstilboestrol.

Keywords

Ischemia Estrogen Adenocarcinoma Testosterone Androgen 

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Copyright information

© Springer Science+Business Media New York 1983

Authors and Affiliations

  • C. C. Abbou
    • 1
  • V. Beaumont
    • 1
  • D. Chopin
    • 1
  • J. P. Deburge
    • 1
  • J. L. Beaumont
    • 1
  • J. Auvert
    • 1
  1. 1.Hôpital Henri-MondorCreteilFrance

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