免疫检查点抑制剂相关的内分泌病变在乳腺癌患者中呈现严重程度增加:现实世界的研究
Rili Gao1, Cheukfai Li2, Shuting Zhang1
1Department of Endocrinology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Endocrine
|July 1, 2024
概括
免疫检查点抑制剂 (ICI) 在超过60%的乳腺癌患者中引起内分泌病变,并观察到延迟发病. 对这些患者来说,定期,延长的内分泌监测至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
背景情况:
- 免疫检查点抑制剂 (ICI) 越来越多地用于癌症治疗.
- 内分泌异常是已知的ICI的副作用.
- 关于乳腺癌 (BC) 患者的ICI相关内分泌病变的数据有限.
研究的目的:
- 评估BC患者ICI相关内分泌病变的发生率和发病时间.
- 确定与这些内分泌疾病相关的危险因素.
主要方法:
- 对122名BC患者的回顾性分析,这些患者接受了ICI治疗.
- 从2019年4月到2022年10月收集的数据.
- 基于临床特征的子组分析.
主要成果:
- 超过60%的BC患者患上了ICI相关的内分泌病变.
- 常见的内分泌病包括甲状腺功能障碍 (34.43%) 和高血糖症 (16.39%).
- 中位发病时间比其他癌症更长,有些病例在500天后出现.
结论:
- 结核病患者表现出较高的发病率和ICI相关内分泌病变的延迟发病.
- 遗传突变和HER2阳性与特定的内分泌问题有关.
- 个性化,扩展的内分泌监测对于ICI上的BC患者至关重要.
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