Josephson Maureen B, Goldfarb Samuel Brian
Department of Pediatrics, University of Pennsylvania, Philadelphia, PA, USA.
Expert Rev Respir Med. 2014 Oct;8(5):561-71. doi: 10.1586/17476348.2014.923311. Epub 2014 May 28.
Pulmonary complications are frequently seen in survivors of childhood cancer, and are due to both disease-related and treatment-related causes. While primary lung cancer is extremely rare in the pediatric population, the lung is a common site for metastatic disease. Furthermore, therapies used to treat the pediatric population can often cause pulmonary toxicity. Specifically, chemotherapy, radiation, hematopoietic stem cell transplant, and surgery can all cause long-term damage to the sensitive lung tissue. These pulmonary sequelae can be further subdivided into acute and late effects.
肺部并发症在儿童癌症幸存者中很常见,其病因既有疾病相关的,也有治疗相关的。虽然原发性肺癌在儿科人群中极为罕见,但肺部是转移性疾病的常见部位。此外,用于治疗儿科人群的疗法常常会导致肺部毒性。具体而言,化疗、放疗、造血干细胞移植和手术都可能对敏感的肺组织造成长期损害。这些肺部后遗症可进一步细分为急性效应和晚期效应。