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化疗引起的周围神经病变

[Chemotherapy-induced peripheral neuropathy].

作者信息

Noguchi Emi, Maeda Yoshiharu

机构信息

Dept. of Chemotherapy, Tokyo Metropolitan Cancer and Infectious Diseases Center, Tokyo, Japan.

出版信息

Gan To Kagaku Ryoho. 2011 Nov;38(11):1773-6.

Abstract

Chemotherapy-induced peripheral neuropathy(CIPN)is one of chemotherapy's common and disabling adverse effects. It may be caused by many chemotherapeutic agents including the taxanes(paclitaxel, docetaxel), the vinca alkaloids(vincristine, vinorelbine, vinblastine), the platinum analogues(cisplatin, carboplatin, oxaliplatin), bortezomib and thalidomide, among others. Once the symptoms have developed, they may lead to compromising patients' quality of life(QOL). For medical oncologists, the management of CIPN remains an important challenge. At the present time, no agent has shown enough solid beneficial evidence to be recommended for the treatment or/prophylaxis of CIPN. The standard of care for CIPN includes awareness and early detection of neuropathy, and dose reduction and/or discontinuation of the problematic agents.

摘要

化疗引起的周围神经病变(CIPN)是化疗常见且致残的不良反应之一。它可能由多种化疗药物引起,包括紫杉烷类(紫杉醇、多西他赛)、长春花生物碱类(长春新碱、长春瑞滨、长春碱)、铂类类似物(顺铂、卡铂、奥沙利铂)、硼替佐米和沙利度胺等。一旦症状出现,可能会影响患者的生活质量(QOL)。对于肿瘤内科医生来说,CIPN的管理仍然是一项重要挑战。目前,尚无药物显示出足够确凿的有益证据可推荐用于CIPN的治疗或预防。CIPN的标准治疗包括对神经病变的认识和早期检测,以及减少有问题药物的剂量和/或停药。

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