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达沙替尼治疗的慢性期慢性髓性白血病患者的胸腔积液:识别与管理

Pleural Effusion in Dasatinib-Treated Patients With Chronic Myeloid Leukemia in Chronic Phase: Identification and Management.

作者信息

Cortes Jorge E, Jimenez Carlos A, Mauro Michael J, Geyer Alex, Pinilla-Ibarz Javier, Smith B Douglas

机构信息

Department of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX.

Department of Pulmonary Medicine, University of Texas MD Anderson Cancer Center, Houston, TX.

出版信息

Clin Lymphoma Myeloma Leuk. 2017 Feb;17(2):78-82. doi: 10.1016/j.clml.2016.09.012. Epub 2016 Sep 17.

Abstract

Dasatinib has demonstrated durable clinical responses in patients, both as first-line and subsequent lines of therapy. Dasatinib use can result in pleural effusion in some patients, occurring any time during treatment and commonly characterized as mild to moderate in severity. Early identification of symptoms is essential in the proper management of pleural effusion. Prompt confirmation of diagnosis and management of pleural effusion can minimize morbidity and maximize the ability to preserve long-term clinical benefits with dasatinib. Here, we provide guidance on early identification and management of dasatinib-related pleural effusion.

摘要

达沙替尼在患者中已显示出持久的临床反应,无论是作为一线治疗还是后续治疗。使用达沙替尼可能会导致一些患者出现胸腔积液,在治疗期间的任何时候都可能发生,严重程度通常为轻度至中度。早期识别症状对于胸腔积液的妥善管理至关重要。迅速确诊和处理胸腔积液可将发病率降至最低,并最大限度地保留达沙替尼的长期临床益处。在此,我们提供关于达沙替尼相关胸腔积液的早期识别和管理的指导。

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