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. 1983 Oct 15;52(8):1442-7.
doi: 10.1002/1097-0142(19831015)52:8<1442::aid-cncr2820520817>3.0.co;2-j.

The postabsorptive hydroxyproline in the long-term evaluation of patients with breast cancer

H B Niell, C L Neely, G M Palmieri, M W McDonald

The postabsorptive hydroxyproline in the long-term evaluation of patients with breast cancer

H B Niell et al. Cancer. .

Abstract

The postabsorptive urinary hydroxyproline excretion test (Spot-HYPRO) was evaluated for its usefulness in reflecting the presence or absence of bone metastasis in 75 women with breast cancer. A comparison was made between the Spot-HYPRO values and bone disease, as documented by bone scanning supported by skeletal x-rays. Breast cancer patients with skeletal metastasis had 3-4-fold elevations in Spot-HYPRO above the control values (P less than 0.001). Mild elevations were noted in breast cancer patients without skeletal metastasis (P less than 0.025). Thirty patients received serial Spot-HYPRO and bone scans for 6 to 48 months (average, 24 months). There was a 90% correlation between changes in Spot-HYPRO and simultaneous changes on bone scan. Elevations in Spot-HYPRO preceded changes found on bone scan by an average of 3 months. The authors conclude that the Spot-HYPRO is a simple, convenient, and accurate method of documenting and following bone metastasis in patients with breast cancer.

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