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十年分子靶向治疗:药物毒性的腹部表现——放射科医生应该知道什么。

Decade of molecular targeted therapy: abdominal manifestations of drug toxicities--what radiologists should know.

机构信息

Department of Imaging, Dana Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02115, USA.

出版信息

AJR Am J Roentgenol. 2012 Jul;199(1):58-64. doi: 10.2214/AJR.11.7432.

Abstract

OBJECTIVE

Novel drugs targeting molecular pathways involved in tumor development have revolutionized cancer treatment. Radiologists often focus on therapeutic response when evaluating cancer patients and may miss important signs of drug toxicity. This article familiarizes radiologists with the complications of molecular targeted agents in abdominal solid organs, enabling early identification and appropriate intervention and thus reducing patient morbidity and mortality.

CONCLUSION

Knowledge of the common abdominal toxicities--including hepatitis, cholecystitis, pancreatitis, fluid retention, and infection--is crucial for early diagnosis, which may spare patients devastating complications or the need for surgery.

摘要

目的

针对肿瘤发生相关分子通路的新型药物已彻底改变了癌症治疗方法。放射科医师在评估癌症患者时通常关注治疗反应,可能会错过药物毒性的重要迹象。本文使放射科医师熟悉腹部实体器官中分子靶向药物的并发症,从而能够早期识别和进行适当干预,从而降低患者的发病率和死亡率。

结论

了解常见的腹部毒性反应(包括肝炎、胆囊炎、胰腺炎、体液潴留和感染)对于早期诊断至关重要,这可能使患者免受严重并发症或手术的需要。

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