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肢端肥大症管理指南:更新版

Guidelines for acromegaly management: an update.

作者信息

Melmed S, Colao A, Barkan A, Molitch M, Grossman A B, Kleinberg D, Clemmons D, Chanson P, Laws E, Schlechte J, Vance M L, Ho K, Giustina A

机构信息

Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.

出版信息

J Clin Endocrinol Metab. 2009 May;94(5):1509-17. doi: 10.1210/jc.2008-2421. Epub 2009 Feb 10.

Abstract

OBJECTIVE

The Acromegaly Consensus Group reconvened in November 2007 to update guidelines for acromegaly management.

PARTICIPANTS

The meeting participants comprised 68 pituitary specialists, including neurosurgeons and endocrinologists with extensive experience treating patients with acromegaly. EVIDENCE/CONSENSUS PROCESS: Goals of treatment and the appropriate imaging and biochemical and clinical monitoring of patients with acromegaly were enunciated, based on the available published evidence.

CONCLUSIONS

The group developed a consensus on the approach to managing acromegaly including appropriate roles for neurosurgery, medical therapy, and radiation therapy in the management of these patients.

摘要

目的

肢端肥大症共识小组于2007年11月再次召开会议,以更新肢端肥大症管理指南。

参与者

与会者包括68名垂体专家,其中有神经外科医生和内分泌学家,他们在治疗肢端肥大症患者方面经验丰富。

证据/共识过程:基于已发表的现有证据,阐明了肢端肥大症患者的治疗目标以及适当的影像学、生化和临床监测方法。

结论

该小组就肢端肥大症的管理方法达成了共识,包括神经外科手术、药物治疗和放射治疗在这些患者管理中的适当作用。

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