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小细胞肺癌患者的认知功能障碍:发病率、病因及管理建议

Cognitive dysfunction in patients with small-cell lung cancer: incidence, causes, and suggestions on management.

作者信息

Kanard Anne, Frytak Stephen, Jatoi Aminah

机构信息

Department of Oncology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA.

出版信息

J Support Oncol. 2004 Mar-Apr;2(2):127-32; discussion 133-5, 138-40.

PMID:15328816
Abstract

Cognitive dysfunction is a common occurrence among patients with small-cell lung cancer, with prevalence rates ranging anywhere from 15% to 90%. Although prophylactic cranial irradiation has been described as one culprit to explain these cognitive deficits, other causes also have been implicated. This review provides a summary of the factors that may contribute to cognitive decline in this group of patients and comments upon how cognitive dysfunction or the risk for it might influence patient management.

摘要

认知功能障碍在小细胞肺癌患者中很常见,患病率在15%至90%之间不等。尽管预防性颅脑照射被认为是导致这些认知缺陷的一个原因,但其他原因也有牵连。这篇综述总结了可能导致该组患者认知能力下降的因素,并对认知功能障碍或其风险如何影响患者管理进行了评论。

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引用本文的文献

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Primary analysis of a phase II randomized trial Radiation Therapy Oncology Group (RTOG) 0212: impact of different total doses and schedules of prophylactic cranial irradiation on chronic neurotoxicity and quality of life for patients with limited-disease small-cell lung cancer.局限性小细胞肺癌患者预防性全脑照射不同总剂量和方案的随机 2 期临床试验 RTOG0212 的初步分析:对慢性神经毒性和生活质量的影响。
Int J Radiat Oncol Biol Phys. 2011 Sep 1;81(1):77-84. doi: 10.1016/j.ijrobp.2010.05.013. Epub 2010 Aug 26.
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Cognitive Sparing during the Administration of Whole Brain Radiotherapy and Prophylactic Cranial Irradiation: Current Concepts and Approaches.全脑放疗和预防性颅脑照射期间的认知保护:当前的概念和方法。
J Oncol. 2010;2010:198208. doi: 10.1155/2010/198208. Epub 2010 Jun 27.