[功能性下垂体神经内分泌瘤中的医学疗法 (PitNETs) ]
Tomoko Nagamine1, Izumi Fukuda
1Department of Endocrinology, Metabolism and Nephrology, Graduate School of Medicine, Nippon Medical School.
No shinkei geka. Neurological surgery
|July 25, 2023
概括
脑膜外科手术是大多数垂体神经内分泌瘤 (PitNETs) 的首要治疗方法. 医学疗法,包括多巴胺激动剂和体静止素类似物,针对基于特定PitNET类型的残留或耐火瘤.
科学领域:
- 内分泌学 在内分泌学.
- 神经外科 神经外科
- 在瘤学瘤学.
背景情况:
- 转形手术是功能性垂体神经内分泌瘤 (PitNETs) 的首要治疗方法.
- 医疗疗法只适用于残留,耐火或手术禁忌的病例.
- 治疗选择取决于瘤类型和激素的产生.
研究的目的:
- 审查当前的医疗治疗策略,以确保PitNETs的运行.
- 以突出基于PitNET亚型和受体表达的特定疗法的疗效.
- 为指导管理PitNETs的临床决策.
主要方法:
- 对有关PitNET治疗的现有文献的综述.
- 基于瘤组织学和受体配置文件的治疗反应的分析.
- 比较多巴胺激动剂,索马托斯塔丁类似物和其他药物.
主要成果:
- 多巴胺激动剂是前乳腺瘤的第一线药物.
- 索马托斯塔丁类似物是产生GH和TSH的第一线PitNETs.
- 由于SSTR5表达,帕西雷奥提德对产生ACTH的PitNETs有效.
结论:
- 医疗治疗对于管理PitNETs至关重要,特别是在特定的亚型中.
- 组织学模式 (密集与稀疏颗粒) 影响治疗反应.
- 针对性疗法,如沙雷胺,为分泌激素的PitNETs提供了有效的选择.
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