关节痛和肌痛与芳香酶抑制剂相关:现实患者的频率和特征
Natalia Camejo1,2, Cecilia Castillo1, Diego Santana1
1Oncology Service, Hospital de Clínicas Dr. Manuel Quintela, Montevideo 11600, Uruguay.
Ecancermedicalscience
|May 22, 2024
概括
乳腺癌的芳酶抑制剂 (AI) 治疗通常会导致关节疼痛 (关节痛) 和肌肉疼痛 (肌痛). 这项研究发现,这些副作用发生在70%以上的患者身上,尤其是老年女性.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
背景情况:
- 辅助性芳酶抑制剂 (AI) 治疗改善了雌激素受体阳性乳腺癌的存活率.
- 人工智能治疗经常导致关节痛和肌痛,影响患者的生活质量.
研究的目的:
- 在早期乳腺癌患者中确定AI相关关节痛和肌痛的频率和特征.
- 为了确定与这些不良反应相关的患者和治疗因素.
主要方法:
- 一项前性,横截面研究,涉及83名早期乳腺癌患者接受人工智能治疗.
- 患者填写了问卷,详细说明了疼痛的存在,特征和管理.
- 统计分析,包括后勤模型,确定了与患者和瘤特征的关联.
主要成果:
- 75.9%的患者经历了与治疗相关的关节痛和/或肌痛,强度中度至严重.
- 疼痛与年龄较大 (>50岁) 和自上次月经以来的时间较长 (>5年) 有关.
- 非类固醇抗炎药物 (NSAIDs) 在80.9%的患者中提供了令人满意的疼痛缓解.
结论:
- 人工智能诱导的关节痛和肌痛在乳腺癌患者中非常普遍.
- 雌激素禁用可能在这些副作用的机制中发挥作用.
- 需要进一步的研究来了解病因学,并优化治疗AI相关的疼痛.
相关概念视频
Myasthenia Gravis: Overview and Treatment
1.4K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.4K
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
167
Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
167
Myasthenia Gravis: Diagnostic Tests
782
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
782
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
421
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
421
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
155
Endothelins (ETs) are potent vasoactive peptides critical in the human body's various physiological and pathological processes. One of the most promising therapeutic strategies for treating pulmonary arterial hypertension (PAH) involves counteracting the effects of these endothelins using a class of drugs known as endothelin receptor antagonists.
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
155


