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Disfunzioni tiroidee in pazienti con tumori solidi trattati con farmaci inibitori delle tirosino-chinasi

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L'Endocrinologo Aims and scope

Sommario

Con l’utilizzo dei nuovi farmaci a bersaglio molecolare chiamati inibitori delle tirosino-chinasi (TKI), la sopravvivenza dei pazienti metastatici è nettamente migliorata. Questi farmaci determinano numerosi effetti collaterali tra cui anche tossicità tiroidea con conseguente ipotiroidismo preceduto, talvolta, da tireotossicosi transitoria. Lo scopo di questa rassegna è quello di esaminare sinteticamente il quadro clinico, le metodologie diagnostiche e la rilevanza oncologica delle disfunzioni tiroidee indotte dai TKI. Saranno anche discusse le ipotesi relative ai meccanismi d’azione coinvolti e al potenziale rapporto tra tossicità tiroidea e risposta terapeutica al tumore.

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Correspondence to Fabiana Pani.

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Conflitti di interesse

Gli autori Fabiana Pani e Stefano Mariotti dichiarano di avere i seguenti conflitti di interesse: Stefano Mariotti: Contributi per partecipazione a Congressi da IBSA Farmaceutici Italia S.r.l. e da Sanofi-Genzyme; contributi per conferenze e partecipazione a gruppi di lavoro da Sanofi_Genzyme. Fabiana Pani: Contributi per partecipazione a Congressi da IBSA Farmaceutici Italia S.r.l. e da Bayer S.p.A.

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Lo studio presentato in questo articolo non ha richiesto sperimentazione umana.

Studi sugli animali

Gli autori di questo articolo non hanno eseguito studi sugli animali.

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Proposto da Francesco Trimarchi.

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Pani, F., Mariotti, S. Disfunzioni tiroidee in pazienti con tumori solidi trattati con farmaci inibitori delle tirosino-chinasi. L'Endocrinologo 18, 257–264 (2017). https://doi.org/10.1007/s40619-017-0366-3

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