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早期乳腺癌患者的支持性护理。

Supportive care for patients with early breast cancer.

机构信息

Servicio de Oncología Médica, Centro Integral Oncológico Clara Campal, Madrid, Spain.

出版信息

Clin Transl Oncol. 2010 Jan;12(1):32-42. doi: 10.1007/s12094-010-0464-1.

DOI:10.1007/s12094-010-0464-1
PMID:20080469
Abstract

Breast cancer treatment currently requires the joint efforts of a multidisciplinary team to effectively combine chemotherapy, hormone therapy, biological agents, surgery and radiation therapy when needed. To develop such a treatment plan, it is important to know the benefits as well as the potential toxic effects of each therapy. Thus, many patients with early breast cancer complain of collateral adverse events such as fatigue, nausea, vomiting, loss of libido, hot flashes, night sweats or neuropathy due to the complex therapies they are receiving. To date, the treatment of such symptoms is an important issue that greatly affects the quality of life of these patients. In this review, we report the content of a multi-expert meeting where the incidence of and medical approach to some of the most common adverse events encountered during the treatment of patients with early breast cancer were analysed.

摘要

目前,乳腺癌的治疗需要多学科团队的共同努力,在需要时有效结合化疗、激素治疗、生物制剂、手术和放疗。为了制定这样的治疗计划,了解每种治疗方法的益处以及潜在的毒副作用非常重要。因此,许多早期乳腺癌患者由于接受了复杂的治疗,会出现疲劳、恶心、呕吐、性欲减退、热潮红、盗汗或神经病变等不良反应。迄今为止,治疗这些症状是一个重要的问题,极大地影响了这些患者的生活质量。在本次综述中,我们报告了一次多专家会议的内容,对早期乳腺癌患者治疗过程中遇到的一些最常见的不良反应的发生率和医疗方法进行了分析。

相似文献

1
Supportive care for patients with early breast cancer.早期乳腺癌患者的支持性护理。
Clin Transl Oncol. 2010 Jan;12(1):32-42. doi: 10.1007/s12094-010-0464-1.
2
Overview of resistance to systemic therapy in patients with breast cancer.乳腺癌患者全身治疗耐药概述。
Adv Exp Med Biol. 2007;608:1-22. doi: 10.1007/978-0-387-74039-3_1.
3
Health-related quality of life in early breast cancer.早期乳腺癌患者的健康相关生活质量
Dan Med Bull. 2010 Sep;57(9):B4184.
4
Multidisciplinary Management of Breast Cancer Brain Metastases.乳腺癌脑转移的多学科管理
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DEGRO practice guidelines for palliative radiotherapy of metastatic breast cancer: bone metastases and metastatic spinal cord compression (MSCC).DEGRO转移性乳腺癌姑息性放疗实践指南:骨转移和转移性脊髓压迫(MSCC)
Strahlenther Onkol. 2009 Jul;185(7):417-24. doi: 10.1007/s00066-009-2044-2. Epub 2009 Aug 28.
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Towards an optimal multidisciplinary approach to breast cancer treatment for older women.探索针对老年女性乳腺癌治疗的最佳多学科方法。
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The requirements of a specialist Breast Centre.专科乳腺中心的要求。
Eur J Cancer. 2013 Nov;49(17):3579-87. doi: 10.1016/j.ejca.2013.07.017. Epub 2013 Aug 19.
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Breast cancer treatment: A phased approach to implementation.乳腺癌治疗:分阶段实施方法。
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[Case report - interprofessional teamwork in palliative care].[病例报告——姑息治疗中的跨专业团队合作]
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[Doctor, I'm hot! Managing the effects of menopause in patients with breast cancer].[医生,我好热!应对乳腺癌患者的更年期症状]
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Barrier protective use of skin care to prevent chemotherapy-induced cutaneous symptoms and to maintain quality of life in patients with breast cancer.预防性使用皮肤护理产品以保护皮肤,预防乳腺癌患者因化疗引起的皮肤症状,维持其生活质量。
Breast Cancer (Dove Med Press). 2014 Aug 1;6:115-22. doi: 10.2147/BCTT.S61699. eCollection 2014.
2
Breast cancer medications and vision: effects of treatments for early-stage disease.乳腺癌药物与视力:早期疾病治疗的影响。
Curr Eye Res. 2011 Oct;36(10):867-85. doi: 10.3109/02713683.2011.594202. Epub 2011 Aug 5.

本文引用的文献

1
Febrile neutropenia and related complications in breast cancer patients receiving pegfilgrastim primary prophylaxis versus current practice neutropaenia management: results from an integrated analysis.接受培非格司亭一级预防的乳腺癌患者的发热性中性粒细胞减少症及相关并发症与现行中性粒细胞减少症管理方法的比较:综合分析结果
Eur J Cancer. 2009 Mar;45(4):608-17. doi: 10.1016/j.ejca.2008.11.021. Epub 2008 Dec 26.
2
Erythropoietin in cancer-related anemia.促红细胞生成素与癌症相关性贫血
Curr Opin Oncol. 2008 Nov;20(6):685-9. doi: 10.1097/CCO.0b013e3283136971.
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Febrile neutropenia.
发热性中性粒细胞减少症
Ann N Y Acad Sci. 2008 Sep;1138:329-50. doi: 10.1196/annals.1414.035.
4
Aromatase inhibitors for breast cancer: proven efficacy across the spectrum of disease.用于乳腺癌的芳香化酶抑制剂:在整个疾病谱中已证实的疗效。
Clin Breast Cancer. 2008 Feb;8(1):50-64. doi: 10.3816/CBC.2008.n.003.
5
Optimal delivery of anthracycline-based chemotherapy in the adjuvant setting improves outcome of breast cancer patients.在辅助治疗中,基于蒽环类药物的化疗的优化给药可改善乳腺癌患者的预后。
Breast Cancer Res Treat. 2009 Apr;114(3):479-84. doi: 10.1007/s10549-008-0018-1. Epub 2008 May 8.
6
Chemotherapy-induced neuropathy.化疗引起的神经病变
J Peripher Nerv Syst. 2008 Mar;13(1):27-46. doi: 10.1111/j.1529-8027.2008.00156.x.
7
Antiemetics: an update and the MASCC guidelines applied in clinical practice.止吐药:最新进展及临床实践中应用的MASCC指南
Nat Clin Pract Oncol. 2008 Jan;5(1):32-43. doi: 10.1038/ncponc1021.
8
Use of epoetin and darbepoetin in patients with cancer: 2007 American Society of Clinical Oncology/American Society of Hematology clinical practice guideline update.促红细胞生成素和达贝泊汀在癌症患者中的应用:2007年美国临床肿瘤学会/美国血液学会临床实践指南更新
J Clin Oncol. 2008 Jan 1;26(1):132-49. doi: 10.1200/JCO.2007.14.3396. Epub 2007 Oct 22.
9
Symptom clusters in cancer patients: a review of the literature.癌症患者的症状群:文献综述。
Curr Oncol. 2007 Oct;14(5):173-9. doi: 10.3747/co.2007.145.
10
A prospective observational study of chemotherapy-related nausea and vomiting in routine practice in a UK cancer centre.英国一家癌症中心常规实践中化疗相关恶心和呕吐的前瞻性观察研究。
Support Care Cancer. 2008 Feb;16(2):201-8. doi: 10.1007/s00520-007-0343-7. Epub 2007 Oct 10.