在绝经前的乳腺癌患者中,卵巢功能不完全抑制,这些患者接受了淋巴激素释放激素agonists治疗
Jinna Lin1, Shuqi Zheng1, Qiang Liu1
1Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, 510120 Guangzhou, China; Breast Tumor Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, 510120 Guangzhou, China.
Cancer treatment reviews
|January 10, 2025
概括
不完全的卵巢功能抑制 (OFS) 影响5-50%的绝经前乳腺癌患者. 监测雌激素水平和调整治疗可以确保成功的OFS,改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 卵巢功能抑制 (OFS) 对于绝经前乳腺癌治疗至关重要.
- 一些患者出现不完全的OFS,定义和发病率不清楚.
- 本综述涉及不完整的OFS的定义,发生率,影响和管理.
研究的目的:
- 综合审查不完整的OFS的定义,发生率和影响.
- 探索治疗策略,以管理不完整的OFS在绝经前乳腺癌患者.
- 为了澄清不完整OFS的预后意义.
主要方法:
- 在PubMed,Embase和Cochrane图书馆数据库中进行系统的文献搜索.
- 对接受OFS的绝经前乳腺癌患者的临床文献进行查.
- 提取有关患者特征,OFS定义,发病率,预后和干预措施的数据.
主要成果:
- 包括17项研究 (RCT,队列研究,病例报告).
- 不完全OFS的发病率在不同雌激素值的基础上从5-50%不等.
- 不完整OFS的危险因素包括年轻,高BMI和没有先前的化疗.
结论:
- 不完全OFS的发病率随着治疗持续时间的延长而下降.
- 对于高风险患者或服用芳酶抑制剂的患者,建议监测雌激素水平.
- 暂时不完整的OFS可能不会影响预后,但持续不完整的OFS需要个性化治疗调整.
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