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在患有高血压的个体中,乳头甲状腺癌和初级阿尔多斯特罗尼斯症之间的关联
Ana Alice W Maciel1, Debora L S Danilovic2,3, Ibere C Soares4
1Unidade de Adrenal, Laboratório de Endocrinologia Molecular e Celular LIM25, Divisão de Endocrinologia e Metabologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, 01246-903, Brazil.
The Journal of clinical endocrinology and metabolism
|September 18, 2024
概括
原发性阿尔多斯特隆症 (PA) 在患有高血压的患者中与乳头甲状腺癌 (PTC) 独立相关. 这表明,无论高血压的严重程度如何,在患有这两种疾病的个体中都应该对PA进行查.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 过多的阿尔多斯特与氧化应激和细胞增殖有关.
- 之前对原发性阿尔多斯特隆症 (PA) 和乳头甲状腺癌 (PTC) 的研究缺乏匹配的对照.
研究的目的:
- 在患有动脉高血压 (HT) 的患者中研究PA和PTC之间的关联.
- 使用倾向得分匹配,病例控制设计进行可靠的分析.
主要方法:
- 招募了137名PTC和HT患者.
- 根据年龄,性别和BMI,匹配了137名HT患者作为对照 (1:1比率).
- 根据HT阶段进行了二次分析匹配控制.
主要成果:
- 最初,PA的患病率相似 (29.20%在PTC和20.44%在对照组).
- 然而,在对HT阶段进行匹配后,PTC组的PA患病率明显高于PTC组 (9.56%与对照组相比,P < .0001).
- 在多变量分析中,乳头甲状腺癌是PA (OR 5.88,P < .001) 的独立预测因子.
结论:
- 乳头甲状腺癌是与高血压患者的PA诊断相关的独立因素.
- 建议对PTC和HT患者进行PA查,无论HT的严重程度如何.
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