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肌肉减少症:对卵巢癌的临床影响、诊断、病因及管理

Sarcopenia: Clinical implications in ovarian cancer, diagnosis, etiology, and management.

作者信息

Seol Aeran, Kim Se Ik, Song Yong Sang

机构信息

Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Republic of Korea.

Cancer Research Institute, Seoul National University College of Medicine, Seoul, Republic of Korea.

出版信息

Sports Med Health Sci. 2020 Oct 14;2(4):202-210. doi: 10.1016/j.smhs.2020.10.001. eCollection 2020 Dec.

Abstract

Sarcopenia, loss of skeletal muscle and function, is a common condition among the elderly and is known to cause adverse health outcomes and increased risk of morbidity and mortality. This progressive and generalized disorder imposes a considerable socioeconomic burden. Sarcopenia is observed commonly in cancer patients. As Asia is one of the fastest aging regions in the world, it is clear that incidences of both sarcopenia and ovarian cancer will increase together in Asian countries. Ovarian cancer patients are vulnerable to develop sarcopenia during the treatment course and progress of disease, and a considerable number of patients with ovarian cancer seems to have physical inactivity and sarcopenia already at the time of diagnosis. Therefore, management of sarcopenia should be conducted together in parallel with ovarian cancer treatment and surveillance. Thus, in this article, we will review the clinical importance of sarcopenia in the aspect of ovarian cancer. Definition of sarcopenia, diagnosis, etiology, and intervention will be also introduced.

摘要

肌肉减少症,即骨骼肌和功能的丧失,是老年人中的常见病症,已知会导致不良健康后果以及发病率和死亡率上升。这种进行性和全身性疾病带来了相当大的社会经济负担。肌肉减少症在癌症患者中也很常见。由于亚洲是世界上老龄化速度最快的地区之一,很明显,亚洲国家的肌肉减少症和卵巢癌发病率将同时上升。卵巢癌患者在疾病治疗过程中容易出现肌肉减少症,而且相当一部分卵巢癌患者在诊断时似乎就已经存在身体活动不足和肌肉减少症的情况。因此,肌肉减少症的管理应与卵巢癌的治疗和监测同时进行。因此,在本文中,我们将从卵巢癌的角度综述肌肉减少症的临床重要性。还将介绍肌肉减少症的定义、诊断、病因和干预措施。

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