Division of Gynecologic Oncology, Women and Infants Hospital, Warren Alpert Medical School at Brown University, 101 Dudley Street, Providence, RI 02905, USA.
Obstet Gynecol Clin North Am. 2019 Mar;46(1):165-178. doi: 10.1016/j.ogc.2018.10.002.
Survivorship care includes surveillance and prevention of cancer recurrence, addressing side effects of cancer and cancer treatment and coordination of follow-up care. This article reviews guidelines for surveillance of women with ovarian, endometrial, cervical, and vulvar cancer. It also reviews many of the long-term physical side effects of gynecologic cancer treatment including fatigue, neuropathy, lymphedema, cognitive dysfunction, sexual health concerns, menopausal symptoms, infertility, and economic stressors. Finally, survivorship care plans are reviewed as a tool for coordinating care for women with a history of gynecologic cancer.
生存护理包括癌症复发的监测和预防、癌症和癌症治疗的副作用的处理以及后续护理的协调。本文综述了卵巢癌、子宫内膜癌、宫颈癌和外阴癌患者监测的指南。它还回顾了妇科癌症治疗的许多长期身体副作用,包括疲劳、神经病变、淋巴水肿、认知功能障碍、性健康问题、更年期症状、不孕和经济压力。最后,生存护理计划被审查作为协调妇科癌症病史女性护理的工具。