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本文引用的文献

1
Liver transplantation for acute hepatic failure due to chemotherapy-induced HBV reactivation in lymphoma patients.因化疗引起的乙型肝炎病毒再激活导致淋巴瘤患者发生急性肝衰竭而进行的肝移植。
World J Gastroenterol. 2011 Jul 7;17(25):3069-72. doi: 10.3748/wjg.v17.i25.3069.
2
Cost-effectiveness of universal hepatitis B virus screening in patients beginning chemotherapy for solid tumors.在开始接受实体瘤化疗的患者中进行乙型肝炎病毒普遍筛查的成本效益。
J Clin Oncol. 2011 Aug 20;29(24):3270-7. doi: 10.1200/JCO.2011.35.1635. Epub 2011 Jul 25.
3
Risk of hepatitis B virus (HBV) reactivation in hepatitis B surface antigen negative/hepatitis B core antibody positive patients receiving rituximab-containing combination chemotherapy without routine antiviral prophylaxis.乙肝表面抗原阴性/乙肝核心抗体阳性患者接受利妥昔单抗联合化疗而未常规进行抗病毒预防时乙型肝炎病毒(HBV)再激活的风险。
Ann Hematol. 2011 Oct;90(10):1219-23. doi: 10.1007/s00277-011-1241-0. Epub 2011 Apr 26.
4
Prophylactic use of lamivudine for hepatitis B exacerbation in post-operative breast cancer patients receiving anthracycline-based adjuvant chemotherapy.术后接受基于蒽环类药物的辅助化疗的乳腺癌患者中,预防性应用拉米夫定治疗乙型肝炎恶化。
Br J Cancer. 2011 Feb 15;104(4):559-63. doi: 10.1038/bjc.2011.4. Epub 2011 Feb 1.
5
Comparison of entecavir and lamivudine in preventing hepatitis B reactivation in lymphoma patients during chemotherapy.恩替卡韦和拉米夫定在预防淋巴瘤患者化疗期间乙型肝炎病毒再激活中的比较。
J Viral Hepat. 2011 Dec;18(12):877-83. doi: 10.1111/j.1365-2893.2010.01386.x. Epub 2010 Nov 5.
6
Hepatitis B screening, prophylaxis and re-activation in the era of rituximab-based chemotherapy.在利妥昔单抗为基础的化疗时代的乙型肝炎病毒筛查、预防和再激活。
Liver Int. 2011 Mar;31(3):330-9. doi: 10.1111/j.1478-3231.2010.02332.x. Epub 2010 Aug 25.
7
When treating cancer, please don't forget hepatitis B.在治疗癌症时,请不要忘记乙型肝炎。
Oncologist. 2010;15(8):826-9. doi: 10.1634/theoncologist.2009-0282. Epub 2010 Jul 20.
8
Reactivation of hepatitis B virus after rituximab-containing treatment in patients with CD20-positive B-cell lymphoma.利妥昔单抗治疗后 CD20 阳性 B 细胞淋巴瘤患者乙型肝炎病毒再激活。
Cancer. 2010 Oct 15;116(20):4769-76. doi: 10.1002/cncr.25253.
9
American Society of Clinical Oncology provisional clinical opinion: chronic hepatitis B virus infection screening in patients receiving cytotoxic chemotherapy for treatment of malignant diseases.美国临床肿瘤学会临时临床意见:恶性疾病治疗中接受细胞毒性化疗患者的慢性乙型肝炎病毒感染筛查。
J Clin Oncol. 2010 Jul 1;28(19):3199-202. doi: 10.1200/JCO.2010.30.0673. Epub 2010 Jun 1.
10
Low incidence of hepatitis B virus reactivation during chemotherapy among diffuse large B-cell lymphoma patients who are HBsAg-negative/ HBcAb-positive: a multicenter retrospective study.HBsAg 阴性/抗-HBc 阳性的弥漫性大 B 细胞淋巴瘤患者化疗期间乙型肝炎病毒再激活发生率低:一项多中心回顾性研究。
Eur J Haematol. 2010 Sep;85(3):243-50. doi: 10.1111/j.1600-0609.2010.01474.x. Epub 2010 May 20.

乙型肝炎病毒再激活患者在接受癌症化疗时的管理。

Management of hepatitis B reactivation in patients receiving cancer chemotherapy.

机构信息

Gastrointestinal Unit, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

出版信息

Therap Adv Gastroenterol. 2012 Sep;5(5):359-70. doi: 10.1177/1756283X12450245.

DOI:10.1177/1756283X12450245
PMID:22973419
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3437537/
Abstract

Hepatitis B virus (HBV) reactivation is well documented in previously resolved or inactive HBV carriers who receive cancer chemotherapy. The consequences of HBV reactivation range from self-limited conditions to fulminant hepatic failure and death. HBV reactivation also leads to premature termination of chemotherapy or delay in treatment schedules. This review summarizes current knowledge of management of HBV reactivation in patients receiving cancer chemotherapy. HBV surface antigen (HBsAg) testing should be performed in patients who require cancer chemotherapy. Four meta-analyses support lamivudine prophylaxis for HBV reactivation during chemotherapy in HBsAg-positive patients. Randomized controlled trials to compare different HBV antiviral agents are needed to define optimal regimens for the prevention and treatment of HBV reactivation in patients receiving cancer chemotherapy.

摘要

乙型肝炎病毒 (HBV) 再激活在既往已缓解或无活动的 HBV 携带者中已有充分记录,这些携带者在接受癌症化疗时会发生 HBV 再激活。HBV 再激活的后果从自限性疾病到暴发性肝衰竭和死亡不等。HBV 再激活还会导致化疗提前终止或治疗计划延迟。这篇综述总结了目前在接受癌症化疗的患者中管理 HBV 再激活的知识。需要接受癌症化疗的患者应进行乙型肝炎表面抗原 (HBsAg) 检测。四项荟萃分析支持在 HBsAg 阳性患者中使用拉米夫定预防化疗期间的 HBV 再激活。需要进行随机对照试验来比较不同的乙型肝炎抗病毒药物,以确定用于预防和治疗接受癌症化疗的患者的 HBV 再激活的最佳方案。