风险因素 下垂体腺瘤 在多重内分泌新陈代谢类型中的发展:一项全国性研究 240 个病例
Nuria Valdés1,2, Ana R Romero-Lluch3, Estrella Diego4
1Endocrinology & Nutrition Department, Hospital Universitario Cruces, Bizkaia, Spain.
The Journal of clinical endocrinology and metabolism
|September 8, 2025
概括
在多发性内分泌新陈代谢1型 (MEN1) 中,垂体腺瘤 (PAs) 的风险在年轻人中最高. 以前的甲状腺功能障碍症,非错误的MEN1变体和女性性别增加了PA风险.
科学领域:
- 内分泌学 在内分泌学.
- 遗传学 是一个遗传学.
- 在瘤学瘤学.
背景情况:
- 垂体腺瘤 (PAs) 是多发性内分泌新陈代谢1型 (MEN1) 的常见表现.
- 在MEN1患者中发展PA的特定危险因素在很大程度上仍未确定.
- 了解这些因素对于早期检测和管理至关重要.
研究的目的:
- 确定影响患有MEN1.1的患者下垂体腺瘤发生的预测因素.
- 在MEN1人群中建立PA发展的风险概况.
主要方法:
- 全国范围,多中心,对240名MEN1患者进行回顾性队列研究.
- 分析包括与年龄相关的透率,PA亚型/大小以及MEN1生殖系致病变体 (PVs).
- 使用考克斯回归,对前性选子组进行分析,以最大限度地减少偏差.
主要成果:
- 在46.6%的患者中检测到PAs,主要是前性腺瘤和微腺瘤.
- 肺炎发展的独立预测因素包括年轻的年龄,先前的原发性副甲状腺功能障碍,非错误的MEN1 PVs和女性性别.
- 这些因素在偏差最小化选子组中仍然很重要.
结论:
- 在MEN1中,PA风险集中在年轻人身上,并且随着年龄的增长而降低.
- 之前的原发性甲状腺功能增强症,非错误的MEN1 PVs和女性性别与更高的PA风险有关.
- 这些发现支持在MEN1患者中个性化PA监测策略.
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