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表皮生长因子受体靶向治疗及相关皮肤毒性

EGFR-targeted therapy and related skin toxicity.

作者信息

Morse Linda, Calarese Pamela

机构信息

Dana-Farber Cancer Institute, Boston, MA. 02115, USA.

出版信息

Semin Oncol Nurs. 2006 Aug;22(3):152-62. doi: 10.1016/j.soncn.2006.04.005.

DOI:10.1016/j.soncn.2006.04.005
PMID:16893744
Abstract

OBJECTIVES

To discuss the mechanism by which epidermal growth factor receptor (EGFR)-targeted agents work, the resulting cutaneous toxicities, the pathophysiology of the unique rash associated with these agents, and the management of these skin problems.

DATA SOURCES

Published scientific papers, review articles, book chapters, and clinical experiences.

CONCLUSION

These new targeted agents result in unique cutaneous toxicities. Researchers and clinicians have made numerous suggestions for managing the various side effects, although there is currently no research to guide evidence-based practice.

IMPLICATIONS FOR NURSING PRACTICE

With any new treatment option, it is imperative that nurses understand how agents work to enrich their own knowledge base, as well as have a strong foundation for patient education. It is important that nurses understand potential side effects of these agents, know of possible interventions, and participate in research to identify effective interventions.

摘要

目的

探讨表皮生长因子受体(EGFR)靶向药物的作用机制、由此产生的皮肤毒性、与这些药物相关的独特皮疹的病理生理学以及这些皮肤问题的管理。

数据来源

已发表的科学论文、综述文章、书籍章节及临床经验。

结论

这些新型靶向药物会导致独特的皮肤毒性。尽管目前尚无指导循证实践的研究,但研究人员和临床医生已针对管理各种副作用提出了众多建议。

对护理实践的启示

对于任何新的治疗选择,护士必须了解药物的作用方式以丰富自身知识库,并为患者教育奠定坚实基础。护士了解这些药物的潜在副作用、知晓可能的干预措施并参与研究以确定有效干预措施非常重要。

相似文献

1
EGFR-targeted therapy and related skin toxicity.表皮生长因子受体靶向治疗及相关皮肤毒性
Semin Oncol Nurs. 2006 Aug;22(3):152-62. doi: 10.1016/j.soncn.2006.04.005.
2
What kind of rash is it?: deciphering the dermatologic toxicities of biologic and targeted therapies.这是哪种皮疹?:解读生物制剂和靶向治疗的皮肤毒性
Clin J Oncol Nurs. 2007 Oct;11(5):659-66. doi: 10.1188/07.CJON.659-666.
3
Common side effects of anti-EGFR therapy: acneform rash.
Semin Oncol Nurs. 2006 Feb;22(1 Suppl 1):28-34. doi: 10.1016/j.soncn.2006.01.013.
4
Chemotherapy and cutaneous toxicities: implications for oncology nurses.化疗与皮肤毒性:对肿瘤护理的影响
Semin Oncol Nurs. 2006 Aug;22(3):144-51. doi: 10.1016/j.soncn.2006.04.007.
5
Clinical breakthroughs in EGFR inhibition: applying the science to your clinical practice.
ONS News. 2006;21(8 Suppl):59-60.
6
[Cutaneous side effects of EGFR inhibitors--appearance and management].表皮生长因子受体抑制剂的皮肤副作用——表现与处理
Dtsch Med Wochenschr. 2010 Jan;135(4):149-54. doi: 10.1055/s-0029-1244831. Epub 2010 Jan 25.
7
EGFR as a target: rationale for therapy.表皮生长因子受体作为靶点:治疗原理
Semin Oncol Nurs. 2006 Feb;22(1 Suppl 1):5-9. doi: 10.1016/j.soncn.2006.01.010.
8
Emerging therapies in head and neck cancers: EGFR inhibitors.
ONS News. 2006;21(8 Suppl):61-2.
9
Clinical approaches to minimize rash associated with EGFR inhibitors.尽量减少与表皮生长因子受体(EGFR)抑制剂相关皮疹的临床方法。
Oncol Nurs Forum. 2008 Jan;35(1):103-11. doi: 10.1188/08.ONF.103-111.
10
An interdisciplinary consensus on managing skin reactions associated with human epidermal growth factor receptor inhibitors.关于管理与人类表皮生长因子受体抑制剂相关皮肤反应的多学科共识。
Clin J Oncol Nurs. 2008 Apr;12(2):283-90. doi: 10.1188/08.CJON.283-290.

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