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年轻女性乳腺癌:治疗、护理及护理意义。

Young Women With Breast Cancer: Treatment, Care, and Nursing Implications.

机构信息

Michigan State University.

出版信息

Clin J Oncol Nurs. 2020 Apr 1;24(2):139-147. doi: 10.1188/20.CJON.139-147.

Abstract

BACKGROUND

Young women with breast cancer (YWBC) are more likely to have aggressive disease, carry mutations for hereditary cancer genes, and experience higher mortality. They also may face reduced fertility because of the toxicity of chemotherapy.

OBJECTIVES

This article aims to present a review of YWBC treatments, sequelae of treatment, and psychosocial challenges.

METHODS

The authors performed a review of guideline-supported treatment options, patient resources, and nursing implications.

FINDINGS

Because of high-risk cancers and a lack of specific treatment guidelines, healthcare providers may consider aggressive treatments for younger patients. However, studies indicate that the foundation for treatment decisions for YWBC are best based on disease stage and National Comprehensive Cancer Network guidelines.

摘要

背景

年轻女性乳腺癌(YWBC)患者更有可能患有侵袭性疾病,携带遗传性癌症基因的突变,并面临更高的死亡率。由于化疗的毒性,她们的生育能力也可能受到影响。

目的

本文旨在介绍 YWBC 的治疗方法、治疗后遗症和心理社会挑战。

方法

作者对指南支持的治疗选择、患者资源和护理影响进行了综述。

发现

由于高危癌症和缺乏具体的治疗指南,医疗保健提供者可能会考虑对年轻患者进行积极治疗。然而,研究表明,治疗决策的基础最好是基于疾病分期和国家综合癌症网络指南。

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