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青少年和青年肿瘤学。肿瘤学临床实践指南。

Adolescent and young adult oncology. Clinical practice guidelines in oncology.

机构信息

UNMC Eppley Cancer Center at The Nebraska Medical Center, USA.

出版信息

J Natl Compr Canc Netw. 2012 Sep;10(9):1112-50. doi: 10.6004/jnccn.2012.0117.

Abstract

Cancer is the leading cause of death among the adolescent and young adult (AYA) population, excluding homicide, suicide, or unintentional injury. AYA patients should be managed by a multidisciplinary team of health care professionals who are well-versed in the specific developmental issues relevant to this patient population. The recommendations for age-appropriate care outlined in these NCCN Guidelines include psychosocial assessment, a discussion of infertility risks associated with treatment and options for fertility preservation, genetic and familial risk assessment for all patients after diagnosis, screening and monitoring of late effects in AYA cancer survivors after successful completion of therapy, and palliative care and end-of-life considerations for patients for whom curative therapy fails.

摘要

癌症是除了凶杀、自杀或意外事故之外导致青少年和年轻成人(AYA)人群死亡的主要原因。AYA 患者应由医疗保健专业人员组成的多学科团队进行管理,这些人员对与该患者群体相关的特定发育问题有深入的了解。这些 NCCN 指南中概述的适合年龄的护理建议包括心理社会评估、讨论与治疗相关的生育力风险以及生育力保存的选择、所有患者确诊后的遗传和家族风险评估、治疗成功后对 AYA 癌症幸存者的晚期效应进行筛查和监测、以及对无法进行治愈性治疗的患者的姑息治疗和临终关怀考虑。

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