Stephen E. and Catherine Pappas Center for Neuro-Oncology, Massachusetts General Hospital, Harvard Medical School, Yawkey 9E, 55 Fruit Street, Boston, MA 02114, USA.
Stephen E. and Catherine Pappas Center for Neuro-Oncology, Massachusetts General Hospital, Harvard Medical School, Yawkey 9E, 55 Fruit Street, Boston, MA 02114, USA.
Neurol Clin. 2018 Aug;36(3):627-651. doi: 10.1016/j.ncl.2018.04.013.
Neurologic complications of systemic cancer therapy encompass a range of symptoms that can affect the central nervous system (CNS), peripheral nervous system (PNS), or both. Their incidence will likely increase as novel agents, such as targeted therapy and immunotherapy, become incorporated into standard treatment regimens, and the number of long-term cancer survivors rises. Recognizing the common adverse effects of treatment is important to avoid misdiagnosis of cancer recurrence in the nervous system or paraneoplastic disease. Ongoing has focused on identifying patient-specific risk factors that predispose to drug toxicity and the development of appropriate preventive and therapeutic strategies.
全身性癌症治疗的神经并发症包括一系列可能影响中枢神经系统 (CNS)、周围神经系统 (PNS) 或两者的症状。随着新型药物(如靶向治疗和免疫疗法)被纳入标准治疗方案,以及长期癌症幸存者人数的增加,这些并发症的发生率可能会增加。认识到治疗的常见不良反应对于避免误诊神经系统内的癌症复发或副肿瘤性疾病很重要。目前的研究重点是确定导致药物毒性和制定适当预防和治疗策略的患者特异性风险因素。