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卡帕西替尼治疗与脾脏代谢亢进有关。

Capivasertib treatment associated with hypermetabolism of the spleen.

作者信息

Ly Maria, Yu Gary Z, Jahromi Amin Haghighat

机构信息

Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, USA.

Radiology, Division of Nuclear Medicine, Mallinckrodt Institute of Radiology, Washington University School of Medicine in St. Louis, 510 South Kingshighway Blvd, Campus Box 8223, St Louis, Missouri, 63110, USA.

出版信息

EJNMMI Rep. 2025 Mar 24;9(1):10. doi: 10.1186/s41824-024-00231-7.

DOI:10.1186/s41824-024-00231-7
PMID:40122972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11930895/
Abstract

Capivasertib has emerged as a promising treatment for advanced breast and prostate cancer. Here, we report two cases of metastatic breast cancer patients who developed splenic hypermetabolism on [18 F]-FDG PET/CT following treatment with capivasertib. To our knowledge, these are the first documented instances of this treatment-related phenomenon. Although the mechanism behind this side effect remains unclear, these cases highlight an important imaging phenomenon that radiologists should consider when interpreting [18 F]-FDG PET/CT scans in patients treated with capivasertib.

摘要

卡匹西利已成为晚期乳腺癌和前列腺癌的一种有前景的治疗方法。在此,我们报告两例转移性乳腺癌患者,她们在接受卡匹西利治疗后,[18F]-FDG PET/CT显示脾脏代谢亢进。据我们所知,这些是这种治疗相关现象的首例记录病例。尽管这种副作用背后的机制尚不清楚,但这些病例突出了一种重要的影像学现象,放射科医生在解读接受卡匹西利治疗患者的[18F]-FDG PET/CT扫描时应予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae54/11930895/fe7b25ef1910/41824_2024_231_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae54/11930895/fe7b25ef1910/41824_2024_231_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae54/11930895/fe7b25ef1910/41824_2024_231_Fig1_HTML.jpg

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本文引用的文献

1
Capivasertib: A Novel AKT Inhibitor Approved for Hormone-Receptor-Positive, HER-2-Negative Metastatic Breast Cancer.卡培他滨:一种新型 AKT 抑制剂,获批用于激素受体阳性、HER2 阴性转移性乳腺癌。
Ann Pharmacother. 2024 Dec;58(12):1229-1237. doi: 10.1177/10600280241241531. Epub 2024 Apr 2.
2
Capivasertib in Hormone Receptor-Positive Advanced Breast Cancer.卡培他滨联合卡培他滨对比安慰剂联合氟维司群治疗激素受体阳性、人表皮生长因子受体 2 阴性晚期乳腺癌的随机、双盲、III 期临床研究
N Engl J Med. 2023 Jun 1;388(22):2058-2070. doi: 10.1056/NEJMoa2214131.
3
"The emerging role of capivasertib in breast cancer".
卡培他滨在乳腺癌中的新作用。
Breast. 2022 Jun;63:157-167. doi: 10.1016/j.breast.2022.03.018. Epub 2022 Apr 1.