Lambert Laura A, Hendrix Ryan J
Surgical Oncology, Huntsman Cancer Institute, 2000 Circle of Hope Drive, Salt Lake City, UT 84112, USA.
Division of Surgical Oncology, Department of Surgery, University of Massachusetts Medical School, 55 Lake Avenue N., Worcester, MA 01608, USA.
Surg Oncol Clin N Am. 2018 Jul;27(3):585-602. doi: 10.1016/j.soc.2018.02.008.
Despite advances in the management of peritoneal carcinomatosis, morbidity remains high with survival often measured in weeks to months. Patients are often subjected to symptoms and complications that impact quality of life. Much of the management revolves around palliation of symptoms and providing support and resources to address emotional and existential concerns. This article reviews surgical and nonsurgical palliative treatments for the symptoms and complications associated with advanced, incurable peritoneal carcinomatosis. It is important that providers caring for patients with peritoneal carcinomatosis be knowledgeable in the palliative management of this condition, including the usefulness of early palliative care referral.
尽管在腹膜癌病的管理方面取得了进展，但发病率仍然很高，生存期通常以数周或数月来衡量。患者经常遭受影响生活质量的症状和并发症。大部分管理工作围绕症状的缓解以及提供支持和资源以解决情感和生存问题。本文综述了针对晚期、无法治愈的腹膜癌病相关症状和并发症的手术及非手术姑息治疗。对于照顾腹膜癌病患者的医护人员而言，了解这种疾病的姑息治疗管理，包括早期姑息治疗转诊的作用，非常重要。
