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[化疗副作用及其长期后遗症的管理]

[Management of chemotherapy side effects and their long-term sequelae].

作者信息

Zraik Isabella M, Heß-Busch Yasmine

机构信息

Klinik für Urologie, Kinderurologie & Urologische Onkologie, Evang. Kliniken Essen-Mitte, Henricistr. 92, 45136, Essen, Deutschland.

Klinik für Internistische Onkologie & Hämatologie mit integrierter Palliativmedizin, Evang. Kliniken Essen-Mitte, Henricistr. 92, 45136, Essen, Deutschland.

出版信息

Urologe A. 2021 Jul;60(7):862-871. doi: 10.1007/s00120-021-01569-7. Epub 2021 Jun 29.

Abstract

Various chemotherapies are used to treat testicular cancer. The most common therapy regimens are BEP (cisplatin, etoposide, bleomycin), carboplatin mono (AUC 7), PEI (cisplatin, etoposide, ifosfamide), TIP (cisplatin, ifosfamide, paclitaxel) and GOP (gemcitabine, oxaliplatin, paclitaxel). This is accompanied by acute and late toxicities. These include general side effects such as anemia, neutropenia, nausea, vomiting, diarrhea, mucositis or paravasation as well as special toxicities like ototoxicity, nephrotoxicity, pulmonary toxicity, neurotoxicity or Raynaud's syndrome. Since young men are usually affected, the possible long-term consequences such as hypogonadism, infertility or the metabolic syndrome are very relevant. Accordingly, adequate management of the possible side effects and long-term consequences in the context of the use of chemotherapy is essential.

摘要

多种化疗方法用于治疗睾丸癌。最常见的治疗方案是BEP(顺铂、依托泊苷、博来霉素)、单药卡铂(AUC 7)、PEI(顺铂、依托泊苷、异环磷酰胺)、TIP(顺铂、异环磷酰胺、紫杉醇)和GOP(吉西他滨、奥沙利铂、紫杉醇)。这会伴有急性和晚期毒性。这些毒性包括一般性副作用,如贫血、中性粒细胞减少、恶心、呕吐、腹泻、粘膜炎或渗漏,以及特殊毒性,如耳毒性、肾毒性、肺毒性、神经毒性或雷诺综合征。由于通常是年轻男性受影响,因此诸如性腺功能减退、不育或代谢综合征等可能的长期后果非常重要。因此,在化疗使用过程中对可能的副作用和长期后果进行充分管理至关重要。

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