Randall Rory, Bennett Bonita, Valone Tiffany, Blue Kirsten
University Hospitals Seidman Cancer Center, Cleveland, Ohio.
University of Pennsylvania Health System, Philadelphia, Pennsylvania.
J Adv Pract Oncol. 2019 Nov-Dec;10(8):862-872. doi: 10.6004/jadpro.2019.10.8.7.
Diarrhea is often a presenting symptom in patients with neuroendocrine tumors (NETs). Frequently diagnosed in advanced stages, carcinoid syndrome diarrhea negatively impacts patients' well-being and quality of life. This article will review the diagnostic work-up for neuroendocrine tumors and etiology and management of NET-related carcinoid syndrome diarrhea and provide guidance for advanced practitioners, including nurse practitioners, physician assistants, pharmacists, and dieticians, focusing on their role in patient and caregiver education regarding disease, symptom monitoring and management, development of patient-specific treatment, and survivorship plans.
腹泻常常是神经内分泌肿瘤(NETs)患者的首发症状。类癌综合征腹泻常于晚期被诊断出来,会对患者的健康和生活质量产生负面影响。本文将回顾神经内分泌肿瘤的诊断检查以及NET相关类癌综合征腹泻的病因和管理,并为高级医疗从业者提供指导,这些从业者包括执业护士、医师助理、药剂师和营养师,重点关注他们在患者及照料者疾病教育、症状监测与管理、制定个性化治疗方案以及生存计划方面所发挥的作用。