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免疫检查点抑制剂所致内分泌病:发病率、结局及管理

Endocrinopathies from checkpoint inhibitors: Incidence, outcomes, and management.

作者信息

Kennedy Randol, Awada Hussein, Vura Naga, Ciltea Daniela, Morocco Michael

机构信息

Department of Internal Medicine, Cleveland Clinic Akron General Hospital, Akron, OH

Department of Internal Medicine, Cleveland Clinic Akron General Hospital, Akron, OH.

出版信息

Cleve Clin J Med. 2023 May 1;90(5):307-317. doi: 10.3949/ccjm.90a.22032.

Abstract

Immune checkpoint inhibitors are used more and more to treat several types of cancer, significantly extending cancer-free survival. However, concerns are growing about their toxic effects, which are many and varied. Endocrinopathies are some of the most frequently reported adverse effects, and thyroid dysfunction is the most common of these. Here, we review the incidence and severity of each immune checkpoint inhibitor-related endocrinopathy, possible factors related to toxicity risk, and principles of management.

摘要

免疫检查点抑制剂越来越多地用于治疗多种类型的癌症,显著延长了无癌生存期。然而,人们对其毒性作用的担忧日益增加,这些毒性作用多种多样。内分泌病是最常报告的不良反应之一,而甲状腺功能障碍是其中最常见的。在此,我们综述了每种免疫检查点抑制剂相关内分泌病的发生率和严重程度、与毒性风险相关的可能因素以及管理原则。

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