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[口咽、下咽及喉恶性肿瘤患者。肿瘤学随访咨询的意义/重要性]

[Patients with malignancies of the oro- and hypopharynx as well as the larynx. Significance/importance of oncological aftercare consultation].

作者信息

Fritzsche K, Breitenstein K, Esser D

机构信息

HNO-Klinik des Helios Klinikums, Nordhäuser Strasse 74, 99089, Erfurt, Deutschland.

出版信息

HNO. 2010 Aug;58(8):756-61. doi: 10.1007/s00106-010-2154-2.

DOI:10.1007/s00106-010-2154-2
PMID:20694544
Abstract

The necessity of a long-time, closely monitored, well-structured, personal and time-consuming aftercare consultation is still discussed controversially. Based on the analysis of our oncological patients with tumours of the pharynx and larynx in the period from 1999-2000 we want to emphasize that after treatment is of vital importance. Besides the main focus of oncology on the early detection of recurrent tumours, distant metastases and second primary tumours as well as a fast interdisciplinary and mostly multimodal treatment planning, consultation is also a central point of reference and coordination site for rehabilitation, psycho-oncology and quality assurance of treatment. Last but not least consultation serves for purposes of continuous data collection and oncological epidemiology.

摘要

长期、密切监测、结构良好、个性化且耗时的术后护理咨询的必要性仍存在争议。基于对1999年至2000年期间我们收治的咽喉部肿瘤肿瘤患者的分析,我们想强调术后护理至关重要。除了肿瘤学主要关注复发性肿瘤、远处转移和第二原发性肿瘤的早期检测以及快速的多学科且大多是多模式的治疗规划外,咨询也是康复、心理肿瘤学和治疗质量保证的核心参考点和协调场所。最后但同样重要的是,咨询有助于持续的数据收集和肿瘤流行病学研究。

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HNO. 2010 Aug;58(8):756-61. doi: 10.1007/s00106-010-2154-2.
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本文引用的文献

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Measurement of tumor volume by PET to evaluate prognosis in patients with head and neck cancer treated by chemo-radiation therapy.通过 PET 测量肿瘤体积以评估头颈部癌症患者接受放化疗治疗的预后。
Acta Oncol. 2010;49(2):201-8. doi: 10.3109/02841860903440270.
2
Determination of malnourishment in the head and neck cancer patient: assessment tools and nutrition education of radiation oncologists.头颈癌患者营养不良的判定:评估工具及放射肿瘤学家的营养教育
Support Care Cancer. 2011 Jan;19(1):123-30. doi: 10.1007/s00520-009-0796-y. Epub 2010 Jan 14.
3
Outcomes of salvage surgery with free flap reconstruction for recurrent oral and oropharyngeal cancer.
[Prevalence of abnormal mucosal findings in patients in HNO practices].[耳鼻喉科诊所患者黏膜异常发现的患病率]
HNO. 2012 Mar;60(3):240-8. doi: 10.1007/s00106-011-2381-1.
挽救性手术联合游离皮瓣重建治疗复发性口腔和口咽癌的疗效。
Laryngoscope. 2010 Feb;120(2):267-72. doi: 10.1002/lary.20743.
4
Combined cetuximab and reirradiation for locoregional recurrent and inoperable squamous cell carcinoma of the head and neck.西妥昔单抗联合再程放疗治疗局部区域复发性及不可切除的头颈部鳞状细胞癌。
Strahlenther Onkol. 2009 Dec;185(12):775-81. doi: 10.1007/s00066-009-2092-7.
5
Alcohol and tobacco use prediagnosis and postdiagnosis, and survival in a cohort of patients with early stage cancers of the oral cavity, pharynx, and larynx.饮酒和吸烟与口腔、咽和喉的早期癌症患者的诊断前和诊断后以及生存相关。
Cancer Epidemiol Biomarkers Prev. 2009 Dec;18(12):3368-74. doi: 10.1158/1055-9965.EPI-09-0944.
6
Cetuximab in metastatic or recurrent head and neck cancer: the EXTREME trial.西妥昔单抗治疗转移性或复发性头颈癌:EXTREME试验
Expert Rev Anticancer Ther. 2009 Oct;9(10):1421-8. doi: 10.1586/era.09.113.
7
The role of pain in head and neck cancer recurrence and survivorship.疼痛在头颈癌复发和生存中的作用。
Arch Otolaryngol Head Neck Surg. 2009 Aug;135(8):789-94. doi: 10.1001/archoto.2009.107.
8
[Combined modality approaches in the treatment of head and neck cancer patients].[联合模式治疗头颈部癌症患者的方法]
HNO. 2008 Jun;56(6):575-84. doi: 10.1007/s00106-008-1718-x.
9
[Incidence, latency, and prognosis of local and regional recurrences in patients with upper aerodigestive tract cancer treated by laser microsurgery: influence of initial tumor parameters].[激光显微手术治疗上消化道癌患者局部及区域复发的发生率、潜伏期和预后:初始肿瘤参数的影响]
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[Responsibilities of the otorhinolaryngologist in the follow-up of malignancies of the head and neck].[耳鼻喉科医生在头颈部恶性肿瘤随访中的职责]
HNO. 2006 Sep;54(9):721-6; quiz 727-8. doi: 10.1007/s00106-006-1422-7.