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垂体瘤的当前及新兴医学治疗方法

Current and Emerging Medical Therapies in Pituitary Tumors.

作者信息

Sahakian Nicolas, Castinetti Frédéric, Brue Thierry, Cuny Thomas

机构信息

Department of Endocrinology, Hôpital de la Conception, Centre de Référence des Maladies Rares Hypophysaires HYPO, INSERM, U1251, Marseille Medical Genetics, France and AP-HM, Aix-Marseille Université, 13005 Marseille, France.

出版信息

J Clin Med. 2022 Feb 12;11(4):955. doi: 10.3390/jcm11040955.

DOI:10.3390/jcm11040955
PMID:35207228
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8877616/
Abstract

Pituitary tumors (PT) represent in, the majority of cases, benign tumors for which surgical treatment still remains, except for prolactin-secreting PT, the first-line therapeutic option. Nonetheless, the role played by medical therapies for the management of such tumors, before or after surgery, has evolved considerably, due in part to the recent development of well-tolerated and highly efficient molecules. In this review, our aim was to present a state-of-the-art of the current medical therapies used in the field of PT and the benefits and caveats for each of them, and further specify their positioning in the therapeutic algorithm of each phenotype. Finally, we discuss the future of PT medical therapies, based on the most recent studies published in this field.

摘要

垂体瘤(PT)在大多数情况下是良性肿瘤,除分泌催乳素的垂体瘤外,手术治疗仍是其一线治疗选择。然而,药物治疗在这类肿瘤手术前后管理中所起的作用已发生了很大变化,部分原因是近年来出现了耐受性良好且高效的分子。在本综述中,我们的目的是介绍垂体瘤领域当前使用的药物治疗的最新情况以及每种治疗的益处和注意事项,并进一步明确它们在每种表型治疗算法中的定位。最后,我们根据该领域发表的最新研究讨论垂体瘤药物治疗的未来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230f/8877616/4dac70fc1b4a/jcm-11-00955-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230f/8877616/abeaec31726d/jcm-11-00955-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230f/8877616/ed2d950389fb/jcm-11-00955-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230f/8877616/8821d378e268/jcm-11-00955-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230f/8877616/4dac70fc1b4a/jcm-11-00955-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230f/8877616/abeaec31726d/jcm-11-00955-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230f/8877616/ed2d950389fb/jcm-11-00955-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230f/8877616/8821d378e268/jcm-11-00955-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230f/8877616/4dac70fc1b4a/jcm-11-00955-g004.jpg

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Current and Emerging Medical Therapies in Pituitary Tumors.垂体瘤的当前及新兴医学治疗方法
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Ann Med Surg (Lond). 2024 Jun 21;86(8):4613-4623. doi: 10.1097/MS9.0000000000002308. eCollection 2024 Aug.
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Current and Perspective Approaches to the Treatment of Prolactinomas.

本文引用的文献

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Consensus on diagnosis and management of Cushing's disease: a guideline update.库欣病的诊断和治疗共识:指南更新。
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Mutation Is Not a Molecular Biomarker of Long-Term Response to First-Generation Somatostatin Receptor Ligands in Acromegaly.
泌乳素瘤治疗的当前及未来方法
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突变并非肢端肥大症患者对第一代生长抑素受体配体长期反应的分子生物标志物。
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The Future of Somatostatin Receptor Ligands in Acromegaly.肢端肥大症中生长抑素受体配体的未来。
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Shrinkage by the third month predicts long-term response of macroprolactinoma after cabergoline.三个月时的缩小程度可预测卡麦角林治疗大泌乳素瘤的长期反应。
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