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替莫唑胺治疗对多巴胺激动剂耐药的侵袭性催乳素瘤

Temozolomide in the treatment of an invasive prolactinoma resistant to dopamine agonists.

作者信息

Neff Lisa M, Weil Michelle, Cole Alan, Hedges Thomas R, Shucart William, Lawrence Donald, Zhu Jay-Jiguang, Tischler Arthur S, Lechan Ronald M

机构信息

Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, Tufts-New England Medical Center, Boston, MA 02111, USA.

出版信息

Pituitary. 2007;10(1):81-6. doi: 10.1007/s11102-007-0014-1.

Abstract

Prolactinomas are common tumors of the anterior pituitary gland. While conventional therapies, including dopamine agonists, transsphenoidal surgery and radiotherapy, are usually effective in controlling tumor growth, some patients develop treatment-resistant tumors. In this report, we describe a patient with an invasive prolactinoma resistant to conventional therapy that responded to the administration of the alkylating agent, temozolomide.

摘要

催乳素瘤是常见的垂体前叶肿瘤。虽然包括多巴胺激动剂、经蝶窦手术和放疗在内的传统疗法通常能有效控制肿瘤生长,但一些患者会出现对治疗耐药的肿瘤。在本报告中,我们描述了一名侵袭性催乳素瘤患者,该患者对传统治疗耐药,但对烷化剂替莫唑胺的给药有反应。

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