Abstract
The involvement of hormonal factors in developing endometrial cancer is well documented. In particular, excess or unopposed estrogen is a major risk factor. Endometrial cancer is divided into estrogen-dependent and estrogen-independent types. Studies suggested that the subtypes of endometrial cancer share many common risk factors. Whether the levels of sex hormones differ between types 1 and 2 endometrial cancer has not been investigated. In this study, levels of estrogen, progesterone, testosterone, follicle stimulating hormone (FSH) and luteinizing hormone (LH) were investigated between type 1 and type 2 endometrial cancer taking into account menopausal status and parity. The sex hormones levels and estrogen and progesterone receptors were measured in 187 women with endometrial cancer. The levels of estradiol (E2), progesterone, testosterone, FSH and LH were not different between the subtypes of endometrial cancer regardless of menopausal status. In addition, the sex hormones were not different between patients of different party regardless of the menopausal status. The majority of type 1 (96%) and type 2 (82%) endometrial cancers were estrogen and progesterone receptor positive. Our data suggest that type 2 endometrial cancer is not completely estrogen independent, and type 1 and type 2 endometrial cancers may have a similar pathogenesis.
Highlights
Levels and it is implied that the parous women are less likely to have anovulation, polycystic ovarian disease or be markedly obese
This study aimed to investigate the levels of most common sex hormones including estrogen, progesterone, testosterone, follicle stimulating hormone (FSH) and luteinizing hormone (LH), between type 1 and type 2 endometrial cancer taking into account menopausal status
We investigated the serum levels of E2, progesterone, testosterone, FSH and LH in patients taking into account cancer types and menopausal status (Table 2)
Summary
Levels and it is implied that the parous women are less likely to have anovulation, polycystic ovarian disease or be markedly obese. Other studies have suggested that the subtypes of endometrial cancer share many common risk factors, and it has been hypothesised that type 2 endometrial cancer may not be completely estrogen-independent[16]. This prompted us to question whether the levels of sex hormones are different in the different types of endometrial cancer. This study aimed to investigate the levels of most common sex hormones including estrogen, progesterone, testosterone, follicle stimulating hormone (FSH) and luteinizing hormone (LH), between type 1 and type 2 endometrial cancer taking into account menopausal status
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