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[免疫相关不良事件(irAEs)的管理——需要注意什么?]

[Management of immune-related adverse events (irAEs) - what needs to be respected?].

作者信息

Thomssen Christoph

机构信息

Universitätsklinik und Poliklinik für Gynäkologie, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06097 Halle an der Saale, Deutschland.

出版信息

Gynakologe. 2022;55(5):344-350. doi: 10.1007/s00129-022-04941-6. Epub 2022 Apr 26.

Abstract

The principles of immuno-oncology treatment have different spectra of side effects. In addition to acute treatment-related adverse events (AE), which sometimes lead to termination of treatment, there are also AEs that can occur after a latent time period, even long after discontinuation of the immuno-oncology agents, for example autoimmune reactions. Monitoring with respect to immune-related adverse events (irAE) is essential. It is decisive to estimate and grade the severity of possible AEs as well as to consider and exclude other differential diagnoses. The grading of the degree of severity of AEs using the Common Terminology Criteria for Adverse Events scale, is followed by clinical therapeutic reactions and consequences when necessary.

摘要

免疫肿瘤学治疗原则具有不同的副作用谱。除了有时会导致治疗终止的急性治疗相关不良事件(AE)外,还存在可能在一段潜伏时间后出现的不良事件,甚至在免疫肿瘤学药物停用很长时间后也会出现,例如自身免疫反应。对免疫相关不良事件(irAE)进行监测至关重要。评估和分级可能的不良事件的严重程度以及考虑和排除其他鉴别诊断是决定性的。使用不良事件通用术语标准量表对不良事件的严重程度进行分级,必要时随后观察临床治疗反应和后果。

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