Gulabi MEŞE, Hakan SAKALLI, Didem Arslan TAŞ, Abdullah CANATAROĞLU

Aromataz İnhibitörleri Tarafından İndüklenen Artraljinin Değerlendirilmesi

Amaç: Meme kanseri hormon tedavisinde, aromataz inhibitörleri (AI) ve (Tamoksifen) Tmx sık olarak kullanılmaktadır. Bu çalışmada, meme kanserli kadınlarda görülen artralji yakınmalarının hormon tedavisinde kullanılan ajanlarla ilişkisi araştırılmıştır. Yöntem: Meme kanseri olan ve AI grubu ilaç alan 32 hasta ve Tmx alan 32 hasta çalışmaya dahil edildi. Hastaların eklem ağrılarının şiddetini belirlemek için Görsel Analog Skalası (VAS) kullanıldı. Yine tüm hastalara mevcut eklem ağrılarınızın kaynağı hakkındaki nedenlerle ilgili düşünceniz nedir?‟ sorusuna cevap arayan beş seçenekli Likert ölçeği uygulandı. Laboratuar parametresi olarak, hastaların CBC, BUN, kreatinin, ALT, AST, alkalen fosfataz, kalsiyum, CRP, ESR, ANA, Anti-DNA, RF, östradiol seviyelerine bakıldı. Bulgular: AI kullanan hasta grubun yaş ortalaması 52,7±8,2 yıl, Tmx kullanan grubun yaş ortalaması 47,4±6,5 yıl idi (p

Anahtar Kelimeler:

Aromataz inhibitörleri, artralji, meme kanseri, Tamoksifen, Likert skalası

Evaluation of Arthralgia Induced by Aromatase Inhibitor Therapy

Background: In breast cancer treatment, aromatase inhibitors (AI) and tamoxifen (Tmx) are frequently used. In this study, the relationship between the hormonal therapy and arthralgia in women with breast cancer was studied. Methods: Sixty-four patients of whom 32 taking AI and 32 taking Tmx were included into the study. VAS was used to determine the intensity of pain. Also five options Likert scale was applied to all patients to answer the question "what are your thoughts about the sources of your current pain?". As laboratory parameters, CBC, BUN creatinine, ALT, AST, alkaline phosphatase, calcium, CRP, ESR, ANA, RF, and estradiol levels of the patients were analyzed. Results: The mean age of the AI group was 52.7 ± 8.2 years and in the Tmx group, it was 47.4 ± 6.5 years (p

Keywords:

Aromatase inhibitors, Arthralgia, Breast Cancer, Tamoxifen, Likert scale,

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Yazışma Adresi / Address for Correspondence: Dr. Didem Arslan Taş Cukurova University Internal Medicine and Rheumatology Deparment ADANA e-mail: arslan_didem@yahoo.com geliş tarihi/received :19.06.2012 kabul tarihi/accepted:21.07.2012