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肢端肥大症患者患肿瘤的风险。

Risk of neoplasms in acromegaly.

作者信息

Ruchała Marek, Szczepanek-Parulska Ewelina, Fularz Maciej, Woliński Kosma

机构信息

Department of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Poland.

出版信息

Contemp Oncol (Pozn). 2012;16(2):111-7. doi: 10.5114/wo.2012.28790. Epub 2012 May 29.

Abstract

Acromegaly is a chronic disease caused by the excessive secretion of growth hormone (GH), and as a result, of insulin-like growth factor-1 (IGF-1). Untreated, the condition reduces the patients' life expectancy and leads to a series of complications, among which an increased risk of carcinogenesis is considered most important. This paper is an analysis of the publications on the issue of the formation of neoplasms, both malignant and benign, in acromegalic patients. Although the influence of acromegaly on carcinogenesis remains controversial, a number of studies indicate that the frequency of developing tumors in this patient group is higher. Moreover, numerous publications particularly stress the increased risk of developing neoplasms in patients who had been untreated for a long period of time and show elevated levels of GH and IGF-1. Consequently, a quick diagnosis and the implementation of effective treatment play a key role in the management of this disease.

摘要

肢端肥大症是一种由生长激素(GH)过度分泌导致的慢性疾病,进而也是由胰岛素样生长因子-1(IGF-1)过度分泌所致。若不治疗,该病症会缩短患者的预期寿命,并引发一系列并发症,其中癌变风险增加被认为是最为重要的。本文对有关肢端肥大症患者发生恶性和良性肿瘤形成问题的出版物进行了分析。尽管肢端肥大症对癌变的影响仍存在争议,但多项研究表明,该患者群体发生肿瘤的频率更高。此外,众多出版物特别强调了长期未接受治疗且GH和IGF-1水平升高的患者发生肿瘤的风险增加。因此,快速诊断和实施有效治疗在该疾病的管理中起着关键作用。

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Guidelines for acromegaly management: an update.肢端肥大症管理指南:更新版
J Clin Endocrinol Metab. 2009 May;94(5):1509-17. doi: 10.1210/jc.2008-2421. Epub 2009 Feb 10.
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Acromegaly, growth hormone and cancer risk.肢端肥大症、生长激素与癌症风险
Best Pract Res Clin Endocrinol Metab. 2008 Aug;22(4):639-57. doi: 10.1016/j.beem.2008.08.011.
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Acromegaly: re-thinking the cancer risk.肢端肥大症:重新审视癌症风险。
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