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综述文章:乳腺癌患者高级支持性护理的多学科评估

Review Article a Multidisciplinary Evaluation for Advanced Supportive Care of Breast Cancer Patients.

作者信息

Petrone Adelina, Carlesimo Marta, Fortuna Maria Caterina, Peccatori Fedro Alessandro, Codacci-Pisanelli Giovanni, Barbara Raffaele, Cruciani Sara, Serra Pier Andrea, Maioli Laura, Maioli Margherita, Trocchi Gloria

机构信息

Department of Radiology, Radiation Oncology and Hematology, UOC Radioloterapia Oncologica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, La Sapienza University of Rome, Rome, Italy.

出版信息

Breast Care (Basel). 2023 May;18(2):141-149. doi: 10.1159/000528280. Epub 2022 Dec 5.

Abstract

BACKGROUND

Cancer cases diagnosed each year are increasing, mainly because the population is ageing and, in part, due to early detection. This implies that there are more and more persons that receive medical anticancer therapies and that are interested in maintaining their quality of life. Many oncological treatments, including chemotherapy, immunotherapy, surgery, and radiotherapy, and combined therapy are associated with cutaneous toxicity and long-term side effects to different tissues and organs. This is particularly relevant when new therapies are used since these may cause new and unexpected side effects that may be short-lived but, in some cases, may become chronic or permanent. Patients often seek advice with their oncologists on what can be done and what cannot be done. Notably, many of the cutaneous side effects can be prevented or reduced by adequate interventions.

SUMMARY

The aim of this review is to highlight how oncological patients may benefit from a closer collaboration between specialists in different branches. We will focus on women with breast cancer since we think that they may derive a special benefit from this collaboration, but we will analyse other cancers in future papers.

KEY MESSAGES

The working group was created to help the medical doctor in the prevention and management of all the adverse effects of the oncological treatments, supporting patients in this phase of their life, including nutritional assessment and dietary support.

摘要

背景

每年诊断出的癌症病例在增加,主要原因是人口老龄化,部分原因是早期检测。这意味着接受医学抗癌治疗并希望维持生活质量的人越来越多。许多肿瘤治疗方法,包括化疗、免疫治疗、手术、放疗以及联合治疗,都与皮肤毒性以及对不同组织和器官的长期副作用相关。当使用新疗法时,这一点尤为重要,因为这些新疗法可能会导致新的、意想不到的副作用,这些副作用可能是短暂的,但在某些情况下可能会变成慢性或永久性的。患者经常就可以做什么和不可以做什么向肿瘤学家寻求建议。值得注意的是,许多皮肤副作用可以通过适当的干预措施来预防或减轻。

总结

本综述的目的是强调肿瘤患者如何从不同科室专家之间更紧密的合作中获益。我们将重点关注乳腺癌女性患者,因为我们认为她们可能会从这种合作中获得特别的益处,但我们将在未来的论文中分析其他癌症。

关键信息

成立了工作组,以帮助医生预防和管理肿瘤治疗的所有不良反应,在患者生命的这个阶段为其提供支持,包括营养评估和饮食支持。

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