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Updated: Jun 18, 2025

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A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
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内源库辛综合征和癌症风险的内源库辛综合征
Yaron Rudman1,2, Maria Fleseriu3, Laura Dery2
1Institute of Endocrinology, Beilinson Hospital, Rabin Medical Center, Petah Tikva, 4941492, Israel.
European journal of endocrinology
|July 27, 2024
概括
与一般人群相比,内源性库辛综合征 (CS) 患者患癌症的风险明显更高. 这凸显了对CS患者进行增强癌症查的必要性.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 以前没有确定内源性库辛综合征 (CS) 患者的癌症发病率.
- CS是一种长期暴露于高皮质醇水平的情况.
研究的目的:
- 评估内源性CS患者的癌症风险.
- 为了将CS患者的癌症发病率与个人匹配的对照进行比较.
主要方法:
- 一项全国性的回顾性匹配队列研究使用以色列克拉利特卫生服务 (2000-2023) 的数据进行.
- 患有上腺癌 (不包括上腺癌或宫外上腺癌) 的患者与基于年龄,性别,社会经济地位和BMI的对照组1:5匹配.
- 癌症风险使用考克斯比例危险模型进行评估,将死亡视为竞争事件.
主要成果:
- 该研究包括609名CS患者和3018名对照患者.
- 与对照组相比,CS患者患癌症的风险增加了1.78倍 (HR 1.78,95% CI 1.44-2.20).
- 在库辛病 (HR 1.65) 和上腺CS (HR 2.36) 中观察到增加的风险,即使排除了甲状腺恶性瘤,这种风险仍然存在.
结论:
- 内源性CS与恶性瘤的风险增加显著相关.
- 进一步的研究是有必要的,为CS人口制定具体的癌症查建议.
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