骨转移性骨红细胞瘤/副骨瘤患者的骨相关不良事件
Marta Laganà1, Mouhammed Amir Habra2, Hanna Remde3
1Medical Oncology Unit, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, ASST Spedali Civili, Brescia, Italy.
概括
骨相关事件 (SREs) 常见于转移性骨红细胞瘤和具有骨转移的骨转移瘤 (PPGLs). 像I-131-MIBG放射性核酸疗法和骨再吸收抑制剂等治疗方法可以改善结果和生存率.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 骨生物学 骨生物学
背景情况:
- 转移性叶绿细胞瘤和偏角细胞瘤 (PPGLs) 经常导致骨并发症.
- 骨相关事件 (SREs) 显著影响患者的生活质量和治疗结果.
研究的目的:
- 确定PPGL患者骨转移 (BMs) 的SRE的频率.
- 为了确定预测SREs的因素,并评估骨再吸收抑制剂的有效性.
- 评估治疗对生存和SRE发作的影响.
主要方法:
- 这是一项回顾性,多中心的多国性研究,涉及294名患有骨髓瘤的PPGL患者.
- 分析SRE发生,类型 (骨折,脊髓压缩,高血症) 和时间.
- 多变量分析以确定预测/预后因素和治疗疗效.
主要成果:
- 在31%的患者中发生了SRE,骨折 (19%) 和脊髓压缩 (16%) 是最常见的.
- 降低SRE风险的独立因素包括I-131-MIBG治疗和缺乏肝转移.
- 年龄较小,缺少肝转移,骨吸收抑制剂和MIBG治疗与死亡率降低有关.
结论:
- 突发性突发性事件是常见的,并且在骨转移的PPGL患者中早期发生.
- MIBG放射性核素治疗和骨再吸收抑制剂与改善生存率和降低SRE风险有关.
- 这些治疗方法为患有骨转移的PPGL患者提供了有利的结果.
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