Determinants of Clinical Behavior and Prognosis in Cushing's Disease: A Quest for Useful Biomarkers



Título del documento: Determinants of Clinical Behavior and Prognosis in Cushing's Disease: A Quest for Useful Biomarkers
Revista: Revista de investigación clínica
Base de datos: PERIÓDICA
Número de sistema: 000452930
ISSN: 0034-8376
Autores: 1
Instituciones: 1Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México. México
Año:
Periodo: Sep-Oct
Volumen: 74
Número: 5
Paginación: 244-257
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Cushing's disease (CD) is the most common cause of endogenous hypercortisolemia. The clinical management of this condition is complex and entails multiple therapeutic strategies, treatment of chronic comorbidities, and lifelong surveillance for recurrences and complications. The identification of robust, practical, and reliable markers of disease behavior and prognosis could potentially allow for a tailored and cost-efficient management of each patient, as well as for a reduction of the medical procedure-associated stress. For this purpose, multiple clinical, biochemical, imaging, histopathological, molecular, and genetic features have been evaluated over the years. Only a handful of them, however, have been sufficiently validated for their application in the routine care of patients with CD. This review summarizes the current status of the established and potential biomarkers of CD, bases for their use, proposed and/or established utility, as well as advantages and barriers for their implementation in the clinic
Disciplinas: Medicina
Palabras clave: Endocrinología,
Diagnóstico,
Enfermedad de Cushing,
Biomarcadores,
Corticotropinoma,
Adenoma de células de Crooke,
Glucocorticoides,
Tumores,
Pituitaria
Keyword: Endocrinology,
Diagnosis,
Cushing disease,
Biomarkers,
Corticotropinoma,
Crooke's cell adenoma,
Glucocorticoids,
Pituitary gland,
Tumors
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