Department of Oncology, Wayne State University, Karmanos Cancer Institute, Detroit, Mich., USA.
Am J Med. 2011 Jul;124(7):598-601. doi: 10.1016/j.amjmed.2010.07.031.
Advances in early detection and treatment have improved survival in common adult cancers. Surveillance for late recurrence and secondary primary malignancies is recommended for most patients. Initial treatment with surgery, radiation, chemotherapy, or hormonal therapy can result in both local and systemic sequelae, including treatment-related new cancers. Patients with head and neck, lung, breast, colorectal, and prostate cancers constitute the largest groups requiring long-term monitoring and follow-up care.
早期检测和治疗的进展提高了常见成人癌症的存活率。建议大多数患者对晚期复发和第二原发恶性肿瘤进行监测。手术、放疗、化疗或激素治疗的初始治疗可导致局部和全身后遗症,包括与治疗相关的新发癌症。需要长期监测和随访护理的最大群体是头颈部、肺、乳腺、结直肠和前列腺癌患者。