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A hormonal association between estrogen metabolism and proliferative thyroid disease. | LitMetric

A hormonal association between estrogen metabolism and proliferative thyroid disease.

Otolaryngol Head Neck Surg

Department of Otolaryngology-Head and Neck Surgery, New York Medical College, New York, New York 10003, USA.

Published: June 2006

AI Article Synopsis

Article Abstract

Objective: To illustrate a relationship between proliferative thyroid disease and estrogen metabolism through the analysis of urinary estrogen metabolites.

Study Design And Setting: Case-control study of 49 subjects with proliferative thyroid disorders and matching them to 49 controls. Urinary estrogen metabolite ratios were obtained, measuring 2-hydroxyestrone, an anti-proliferative metabolite, to 16alpha-hydroxyestrone, a proliferative metabolite. The patients were stratified into low (0 to 1.00), medium (1.01 to 2.00), or high (>2.00) groups according to their estrogen metabolite ratio.

Results: Fifty-one percent (25 of 49) of the cases had a low 2/16 ratio compared to 31% (15 of 49) in the control group while 20% (10 of 49) of the control group had a high 2/16 ratio as compared to 8% (4 of 49) in the case group (P value < 0.05).

Conclusions: Increased 16alpha-hydroxyestrone activity compared to 2-hydroxyestrone activity appears to be associated with proliferative thyroid disease.

Significance: Further study of estrogen metabolites in relation to proliferative thyroid disease is warranted and may lead to implications for new treatment modalities for proliferative thyroid disease.

Ebm Rating: B-3b.

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Source
http://dx.doi.org/10.1016/j.otohns.2006.01.020DOI Listing

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