The objective of this study was to evaluate the levels of several pitu
itary and gonadal hormones in pancreatic adenocarcinoma. We examined c
irculating levels of LH, FSH, Testosterone, Oestradiol, Progesterone a
nd Delta 4-Androstenedione in 36 patients with pancreatic adenocarcino
ma, 12 patients with chronic pancreatitis and 87 age matched controls.
According to our findings males with pancreatic cancer were found to
have higher levels of FSH (p<0.01), LH and oestradiol (p<0.001) and lo
wer levels of progesterone (p<0.01) and testosterone (p<0.05) than the
controls. Female patients with pancreatic cancer were found to have h
igher levels of oestradiol (p<0.001) and lower levels of LH, FSH and p
rogesterone (p<0.001), compared with group of healthy volunteers. Our
data provide evidence of a generalised dysfunction of the hypothalamic
-hypophysial-gonadal axis in pancreatic cancer patients.