التفاصيل البيبلوغرافية
| العنوان: |
Local recurrence and metastatic disease in pheochromocytomas and sympathetic paragangliomas |
| المؤلفون: |
Marta Araujo-Castro, Iñigo García Sanz, César Mínguez Ojeda, Felicia Hanzu, Mireia Mora, Almudena Vicente, Concepción Blanco Carrera, Paz de Miguel Novoa, María del Carmen López García, Cristina Lamas, Laura Manjón-Miguélez, María del Castillo Tous, Pablo Rodríguez de Vera, Rebeca Barahona San Millán, Mónica Recasens, Mariana Tomé Fernández-Ladreda, Nuria Valdés, Paola Gracia Gimeno, Cristina Robles Lazaro, Theodora Michalopoulou, Cristina Álvarez Escolá, Rogelio García Centeno, Verónica Barca-Tierno, Aura D. Herrera-Martínez, María Calatayud |
| المصدر: |
Frontiers in Endocrinology, Vol 14 (2023) |
| بيانات النشر: |
Frontiers Media S.A., 2023. |
| سنة النشر: |
2023 |
| المجموعة: |
LCC:Diseases of the endocrine glands. Clinical endocrinology |
| مصطلحات موضوعية: |
adrenal tumor, SDHB gene, recurrent disease, metastatic PPGL, catecholamines, Diseases of the endocrine glands. Clinical endocrinology, RC648-665 |
| الوصف: |
PurposeTo evaluate the rate of recurrence among patients with pheochromocytomas and sympathetic paragangliomas (PGLs; together PPGLs) and to identify predictors of recurrence (local recurrence and/or metastatic disease).MethodsThis retrospective multicenter study included information of 303 patients with PPGLs in follow-up in 19 Spanish tertiary hospitals. Recurrent disease was defined by the development of local recurrence and/or metastatic disease after initial complete surgical resection.ResultsA total of 303 patients with PPGLs that underwent 311 resections were included (288 pheochromocytomas and 15 sympathetic PGLs). After a median follow-up of 4.8 years (range 1-19), 24 patients (7.9%) had recurrent disease (3 local recurrence, 17 metastatic disease and 4 local recurrence followed by metastatic disease). The median time from the diagnosis of the PPGL to the recurrence was of 11.2 months (range 0.5-174) and recurrent disease cases distributed uniformly during the follow-up period. The presence of a pathogenic variant in SDHB gene (hazard ratio [HR] 13.3, 95% CI 4.20-41.92), higher urinary normetanephrine levels (HR 1.02 per each increase in standard deviation, 95% CI 1.01-1.03) and a larger tumor size (HR 1.01 per each increase in mm, 95% CI 1.00-1.02) were independently associated with disease recurrence.ConclusionThe recurrence of PPGLs occurred more frequently in patients with SDHB mutations, with larger tumors and with higher urinary normetanephrine levels. Since PPGL recurrence may occur at any time after the initial PPGL diagnosis is performed, we recommend performing a strict follow-up in all patients with PPGLs, especially in those patients with a higher risk of recurrent disease. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
1664-2392 |
| Relation: |
https://www.frontiersin.org/articles/10.3389/fendo.2023.1279828/full; https://doaj.org/toc/1664-2392 |
| DOI: |
10.3389/fendo.2023.1279828 |
| URL الوصول: |
https://doaj.org/article/a1279ceb415c425193ec1646b5df5aea |
| رقم الانضمام: |
edsdoj.1279ceb415c425193ec1646b5df5aea |
| قاعدة البيانات: |
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