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一项关于采用康复方法对肉瘤癌症幸存者常见身体损伤进行评估和治疗的叙述性综述。

A Narrative Review of the Assessment and Treatment of Physical Impairments Commonly Seen in Sarcoma Cancer Survivors Using a Rehabilitative Approach.

作者信息

Cristian Adrian, Keole Nandita, Orada Romer, Seo Jayhyun, Guerrina Austin, Maharaj Arun

机构信息

Cancer Rehabilitation, Miami Cancer Institute, Baptist Health South Florida, Miami, FL 33176, USA.

Department of Physical Medicine and Rehabilitation, Mayo Clinic Hospital, Phoenix, AZ 85054, USA.

出版信息

Cancers (Basel). 2024 Dec 24;17(1):6. doi: 10.3390/cancers17010006.

DOI:10.3390/cancers17010006
PMID:39796636
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11718807/
Abstract

BACKGROUND

Sarcomas are a rare, complex group of malignancies characterized by numerous clinical and pathological features. Sarcomas originate from various tissues such as fat, muscle, bone, nerves, blood vessels and connective tissues. Typically, the treatment of sarcomas consists of surgery, chemotherapy, and radiation therapy. The location, type, stage, and treatment of sarcomas contribute to the development of physical impairments affecting joint and limb function, peripheral nerves, strength, and mobility, diminishing physical function and quality of life. Traditionally, rehabilitative therapy has been implemented after cancer treatment to help improve physical impairments imparted from cancer therapy. Recent work in rehabilitative medicine has explored the implementation of rehabilitative therapy prior to beginning cancer treatment (pre-habilitation) to help mitigate the detrimental physical consequences seen in sarcoma patients.

OBJECTIVE

The objective of this narrative review is to examine the physical impairments affecting sarcoma patients after cancer therapy and the impact of rehabilitative medicine on physical function and quality of life when implemented before and after cancer treatment.

摘要

背景

肉瘤是一类罕见且复杂的恶性肿瘤,具有众多临床和病理特征。肉瘤起源于各种组织,如脂肪、肌肉、骨骼、神经、血管和结缔组织。通常,肉瘤的治疗包括手术、化疗和放疗。肉瘤的位置、类型、分期和治疗会导致影响关节和肢体功能、周围神经、力量和活动能力的身体损伤,从而降低身体功能和生活质量。传统上,康复治疗在癌症治疗后实施,以帮助改善癌症治疗所致的身体损伤。康复医学的最新研究探讨了在开始癌症治疗之前实施康复治疗(预康复),以帮助减轻肉瘤患者出现的有害身体后果。

目的

本叙述性综述的目的是研究癌症治疗后影响肉瘤患者的身体损伤,以及康复医学在癌症治疗前后实施时对身体功能和生活质量的影响。

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本文引用的文献

1
Clinical Outcome in Patients With High-grade Soft-tissue Sarcoma Receiving Prosthetic Replacement After Tumor Resection of the Lower Extremities: Tokai Musculoskeletal Oncology Consortium Study.下肢肿瘤切除后行假体置换的高级别软组织肉瘤患者的临床结局:东海肌肉骨骼肿瘤学联合会研究。
In Vivo. 2023 Nov-Dec;37(6):2642-2647. doi: 10.21873/invivo.13372.
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Health related Quality of Life over time in German sarcoma patients. An analysis of associated factors - results of the PROSa study.德国肉瘤患者随时间变化的健康相关生活质量。相关因素分析 - PROSa 研究结果。
Front Endocrinol (Lausanne). 2023 Aug 29;14:1166838. doi: 10.3389/fendo.2023.1166838. eCollection 2023.
3
Evaluation of clinical factors associated with early postoperative physical function and lower extremity functional impairment in patients with soft tissue sarcoma.软组织肉瘤患者术后早期身体功能及下肢功能障碍相关临床因素的评估
Disabil Rehabil. 2024 Jul;46(15):3426-3431. doi: 10.1080/09638288.2023.2249413. Epub 2023 Aug 25.
4
Factors associated with physical function in patients after surgery for soft tissue sarcoma in the thigh.与大腿软组织肉瘤手术后患者身体功能相关的因素。
BMC Musculoskelet Disord. 2023 Aug 18;24(1):661. doi: 10.1186/s12891-023-06797-w.
5
Early postoperative gain in activity levels of lower extremity sarcoma survivors positively affects long-term physical activity and performance.早期术后下肢肉瘤幸存者活动水平的增加,对长期身体活动和表现有积极影响。
Support Care Cancer. 2023 Mar 1;31(3):193. doi: 10.1007/s00520-023-07644-3.
6
Changes in psoas muscle size and ambulatory function after internal hemipelvectomy without reconstruction.未进行重建的半侧骨盆内切除术对腰大肌大小和行走功能的影响。
Bone Joint J. 2023 Mar 1;105-B(3):323-330. doi: 10.1302/0301-620X.105B3.BJJ-2022-0498.R2.
7
Contemporary role of amputation for patients with extremity soft tissue sarcoma.截肢术在肢体软组织肉瘤患者中的当代作用。
Eur J Surg Oncol. 2023 May;49(5):934-940. doi: 10.1016/j.ejso.2022.12.002. Epub 2022 Dec 9.
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Functional outcomes after single quadriceps muscle resection in patients with soft tissue sarcoma of the anterior compartment of the thigh.股前区软组织肉瘤患者行单股四头肌切除术后的功能结果。
ANZ J Surg. 2023 Jan;93(1-2):288-293. doi: 10.1111/ans.18205. Epub 2022 Dec 13.
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