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胃肠道癌症治疗与心脏毒性。

Gastrointestinal Cancer Therapy and Cardiotoxicity.

机构信息

Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, NY, U.S.A.

Department of Medicine, Yale New Haven Health, New Haven, CT, U.S.A.

出版信息

Curr Treat Options Oncol. 2024 Sep;25(9):1203-1209. doi: 10.1007/s11864-024-01236-x. Epub 2024 Aug 5.

Abstract

Gastrointestinal cancers are a heterogenous group of cancers that share common risk factors with cardiovascular disease. Therapy for gastrointestinal cancers have improved cancer-specific outcomes at the cost of cardiotoxicity. The most common cardiotoxic therapies utilized in gastrointestinal cancers include conventional chemotherapy (including fluoropyrimidines and anthracyclines), targeted therapies including anti-vascular endothelial growth factor (VEGF) therapy and tyrosine kinase inhibitors (TKI), and immunotherapy. It is important for clinicians managing patients with gastrointestinal cancers to be aware of potential cardiotoxicity associated with these agents.

摘要

胃肠道癌症是一组异质性癌症,与心血管疾病有共同的危险因素。胃肠道癌症的治疗方法虽然提高了癌症特异性治疗效果,但也带来了心脏毒性。胃肠道癌症中最常见的心脏毒性治疗方法包括传统化疗(包括氟嘧啶类和蒽环类)、靶向治疗,包括抗血管内皮生长因子(VEGF)治疗和酪氨酸激酶抑制剂(TKI),以及免疫治疗。对于治疗胃肠道癌症的临床医生来说,了解这些药物潜在的心脏毒性是很重要的。

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