半个世纪以来,壮症的呈现方式发生了变化:一个单一中心的经验
Ahmet Numan Demir1, Cem Sulu1, Zehra Kara1
1Department of Endocrinology, Metabolism, and Diabetes, Istanbul University-Cerrahpasa, 34098, Istanbul, Türkiye.
Pituitary
|July 31, 2023
概括
宏观壮观症的诊断得到了改善,患者现在可以更早地检测到. 与早期病例相比,最近的诊断显示症状持续时间较短,瘤较小,并出现较少的并发病.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 神经外科 神经外科
背景情况:
- 巨症是一种罕见的疾病,由生长激素 (GH) 过量引起,具有多样化的临床特征.
- 了解随着时间的推移,壮症表现的变化对于改善患者的治疗结果至关重要.
研究的目的:
- 调查壮症临床表现的时间趋势.
- 为了比较过去十年诊断的患者特征与之前的时期.
主要方法:
- 从1980年到2023年,回顾了570名壮病患者的病历.
- 2014年之前和之后诊断的患者之间的临床特征,瘤特征和并发症的比较.
主要成果:
- 在2014年之前诊断的患者的症状持续时间较长,垂体腺瘤较大,GH/IGF-1水平较高.
- 早期的诊断 (过去十年) 与较小的瘤,较少的洞穴性鼻入侵和较少的并发症有关.
- 在2014年之前诊断的患者中,手术缓解率较低.
结论:
- 推测了一种趋势,即提前检测壮症.
- 早期诊断可能会导致改善临床结果和减少疾病负担.
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