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使用免疫检查点抑制剂的垂体并发症。

Pituitary Complications of Checkpoint Inhibitor Use.

机构信息

Neuroendocrine Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.

出版信息

Endocrinology. 2024 Jul 26;165(9). doi: 10.1210/endocr/bqae084.

Abstract

Immune checkpoint inhibitors have revolutionized cancer therapy but are associated with a risk of endocrine immune-related adverse events, including pituitary complications. Autoimmune hypophysitis, traditionally a rare diagnosis, has become a more frequently encountered clinical entity with the emergence of antitumor immunotherapy. This mini-review aims to consolidate current knowledge, encompassing the epidemiology, pathophysiology, clinical presentation, diagnosis, and management of pituitary complications of immune checkpoint inhibitor use.

摘要

免疫检查点抑制剂彻底改变了癌症治疗方法,但也存在发生内分泌免疫相关不良事件的风险,包括垂体并发症。自身免疫性垂体炎传统上是一种罕见的诊断,但随着抗肿瘤免疫疗法的出现,已成为一种更常见的临床实体。本迷你综述旨在整合目前关于免疫检查点抑制剂使用相关垂体并发症的流行病学、病理生理学、临床表现、诊断和管理的知识。

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