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[顺铂耳毒性:病例系列]

[Cisplatin ototoxicity: series of cases].

作者信息

Mota Luiz Alberto Alves, Melo Marília Silvino Iglésias, Santos Maria Heloísa Pedrosa, de Albuquerque Kátia Maria Gomes, Tavares Cristiana de Lima

机构信息

Hospital Universitário Oswaldo Cruz.

出版信息

Rev Assoc Med Bras (1992). 2007 Jul-Aug;53(4):370-3. doi: 10.1590/s0104-42302007000400026.

DOI:10.1590/s0104-42302007000400026
PMID:17823744
Abstract

OBJECTIVE

To evaluate the clinic and audiometric evolution of individuals who underwent chemotherapy with cisplatin.

METHODS

Four volunteers, all women, between 38 and 69 years of age were descriptively evaluated. All did otorinolaryngoiatric exam and audiometric evaluation with tonal and speech audiometric and impedance tests before and after treatment with cisplatin. In addition, all were subjectively evaluated pre- and post-chemotherapy by a questionnaire.

RESULTS

One volunteer did not present auditory disorders. Three volunteers presented bilateral hearing loss, mild to moderate in 6 kHz and 8 kHz frequencies, after chemotherapy with cisplatin. All volunteers who developed hearing loss after treatment also presented tinnitus.

CONCLUSION

Since cisplatin is considered ototoxic, all individuals undergoing chemotherapy with this drug must be submitted to audiometric monitoring for early diagnosis of a hearing loss.

摘要

目的

评估接受顺铂化疗的个体的临床和听力变化情况。

方法

对4名年龄在38至69岁之间的女性志愿者进行描述性评估。所有志愿者在顺铂治疗前后均进行了耳鼻喉科检查以及纯音听力测试、言语听力测试和声阻抗测试的听力评估。此外,所有志愿者在化疗前后均通过问卷调查进行主观评估。

结果

1名志愿者未出现听觉障碍。3名志愿者在接受顺铂化疗后出现双侧听力损失,在6千赫兹和8千赫兹频率处为轻度至中度。所有在治疗后出现听力损失的志愿者也都出现了耳鸣。

结论

由于顺铂被认为具有耳毒性,所有接受该药物化疗的个体都必须接受听力监测,以便早期诊断听力损失。

相似文献

1
[Cisplatin ototoxicity: series of cases].[顺铂耳毒性:病例系列]
Rev Assoc Med Bras (1992). 2007 Jul-Aug;53(4):370-3. doi: 10.1590/s0104-42302007000400026.
2
Ototoxicity due to cis-diamminedichloroplatinum in the treatment of ovarian cancer: influence of dosage and schedule of administration.顺二氨二氯铂治疗卵巢癌时的耳毒性:给药剂量和方案的影响
Ear Hear. 1991 Apr;12(2):91-102. doi: 10.1097/00003446-199104000-00003.
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Comprehensive Audiometric Analysis of Hearing Impairment and Tinnitus After Cisplatin-Based Chemotherapy in Survivors of Adult-Onset Cancer.基于顺铂的化疗后成年期癌症幸存者听力障碍和耳鸣的综合听力测定分析
J Clin Oncol. 2016 Aug 10;34(23):2712-20. doi: 10.1200/JCO.2016.66.8822. Epub 2016 Jun 27.
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[The "Muenster classification" of high frequency hearing loss following cisplatin chemotherapy].[顺铂化疗后高频听力损失的“明斯特分类”]
HNO. 2007 Apr;55(4):299-306. doi: 10.1007/s00106-005-1368-1.
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Evoked otoacoustic emissions--an approach for monitoring cisplatin induced ototoxicity in children.诱发耳声发射——一种监测顺铂所致儿童耳毒性的方法。
Int J Pediatr Otorhinolaryngol. 2001 May 31;59(1):47-57. doi: 10.1016/s0165-5876(01)00455-4.
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Ototoxic effects of supradose cisplatin with sodium thiosulfate neutralization in patients with head and neck cancer.硫代硫酸钠中和超剂量顺铂对头颈部癌患者的耳毒性作用。
Arch Otolaryngol Head Neck Surg. 1997 Sep;123(9):978-81. doi: 10.1001/archotol.1997.01900090094014.
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Factors influencing ototoxicity in ovarian cancer patients treated with Cis-platinum based chemotherapy.顺铂类化疗治疗的卵巢癌患者耳毒性的影响因素
Eur J Gynaecol Oncol. 1992;13(1):35-44.
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Risk factors associated with cisplatin-induced ototoxicity in Japanese patients with solid tumors.与日本实体瘤患者顺铂诱导耳毒性相关的风险因素。
Cancer Med. 2023 Apr;12(7):7904-7910. doi: 10.1002/cam4.5565. Epub 2022 Dec 25.
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Long-term ototoxicity in women after cisplatin treatment for ovarian germ cell cancer.卵巢生殖细胞癌顺铂治疗后的女性长期耳毒性。
Gynecol Oncol. 2017 Apr;145(1):148-153. doi: 10.1016/j.ygyno.2017.02.006. Epub 2017 Feb 12.
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Analysis of risk factors for cisplatin-induced ototoxicity in patients with testicular cancer.睾丸癌患者顺铂诱导耳毒性的危险因素分析。
Br J Cancer. 1998 Apr;77(8):1355-62. doi: 10.1038/bjc.1998.226.

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