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内分泌外科中的基因检测:精准手术的机遇。

Genetic testing in endocrine surgery: Opportunities for precision surgery.

机构信息

Department of Surgery and Stanford Cancer Institute, Stanford University School of Medicine, CA.

Department of Medicine, Division of Endocrinology, Stanford University School of Medicine, CA.

出版信息

Surgery. 2020 Aug;168(2):328-334. doi: 10.1016/j.surg.2020.03.009. Epub 2020 May 4.

DOI:10.1016/j.surg.2020.03.009
PMID:32376047
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7724998/
Abstract

Recent innovations in molecular and genetic diagnostic techniques have led to rapid advances in genomic medicine and their application to the clinic. The identification and classification of various genetic associations, syndromes, and susceptibility genes in endocrine surgical disorders are increasingly relevant to patient care. Hereditary endocrine disorders represent a significant proportion of disease encountered by endocrine surgeons. Hence, genetic testing has emerged as an important adjunct for the diagnosis and management of patients with endocrine surgical disorders. This article summarizes commonly encountered inherited endocrine disorders and their tumor susceptibility genes, with a focus on the clinical utility of genetic testing and its impact on the surgical management of endocrine disorders.

摘要

近年来,分子和遗传诊断技术的创新使得基因组医学取得了快速进展,并将其应用于临床实践。在内分泌外科疾病中,各种遗传关联、综合征和易感基因的鉴定和分类与患者的治疗越来越相关。遗传性内分泌疾病在内分泌外科医生所遇到的疾病中占很大比例。因此,基因检测已成为内分泌外科疾病患者诊断和治疗的重要辅助手段。本文总结了常见的遗传性内分泌疾病及其肿瘤易感性基因,重点介绍了基因检测的临床应用及其对内分泌疾病手术管理的影响。

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本文引用的文献

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Clinical, Diagnostic, and Treatment Characteristics of -Related Metastatic Pheochromocytoma and Paraganglioma.与[具体内容缺失]相关的转移性嗜铬细胞瘤和副神经节瘤的临床、诊断及治疗特征
Front Oncol. 2019 Feb 22;9:53. doi: 10.3389/fonc.2019.00053. eCollection 2019.
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Do patients with familial nonmedullary thyroid cancer present with more aggressive disease? Implications for initial surgical treatment.家族性非髓样甲状腺癌患者的疾病是否更具侵袭性?对初始手术治疗的影响。
Surgery. 2019 Jan;165(1):50-57. doi: 10.1016/j.surg.2018.05.075. Epub 2018 Oct 14.
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Medullary Thyroid Carcinoma: Survival Analysis and Evaluation of Mutation-Specific Immunohistochemistry in Detection of Sporadic Disease.髓样甲状腺癌:散发性疾病检测中生存分析及突变特异性免疫组化评估
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Probability of Positive Genetic Testing Results in Patients with Family History of Primary Hyperparathyroidism.具有原发性甲状旁腺功能亢进家族史患者的阳性基因检测结果的概率。
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In silico VHL Gene Mutation Analysis and Prognosis of Pancreatic Neuroendocrine Tumors in von Hippel-Lindau Disease.基于计算机的 von Hippel-Lindau 病胰腺神经内分泌肿瘤 VHL 基因突变分析与预后预测。
J Clin Endocrinol Metab. 2018 Apr 1;103(4):1631-1638. doi: 10.1210/jc.2017-02434.
6
Preoperative genetic testing in pheochromocytomas and paragangliomas influences the surgical approach and the extent of adrenal surgery.嗜铬细胞瘤和副神经节瘤的术前基因检测会影响手术方式及肾上腺手术范围。
Surgery. 2018 Jan;163(1):191-196. doi: 10.1016/j.surg.2017.05.025. Epub 2017 Nov 7.
7
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J Clin Endocrinol Metab. 2017 Oct 1;102(10):3795-3805. doi: 10.1210/jc.2017-00372.