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超越传统治疗:辅助疗法在头颈癌治疗中的作用

Beyond Conventional Treatments: The Role of Complementary Therapies in Head and Neck Cancer.

作者信息

Verro Barbara, Fiumara Simona, Saraniti Giuseppe, Ottoveggio Gaetano, Saraniti Carmelo

机构信息

Division of Otorhinolaryngology, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, 90127 Palermo, Italy.

Division of Speech Therapy, Private Practice, 90100 Palermo, Italy.

出版信息

Cancers (Basel). 2025 Apr 9;17(8):1269. doi: 10.3390/cancers17081269.

Abstract

BACKGROUND/OBJECTIVES: Head and neck cancer is one of the most common cancers globally, with high mortality and significant treatment-related side effects. Conventional therapies, including surgery, radiotherapy, and chemotherapy, have improved survival but often have serious consequences for patients' quality of life. For this reason, there is growing interest in complementary therapies such as acupuncture, herbal medicine, cannabinoids, traditional Chinese medicine, and mind-body therapies.

METHODS

This review was conducted through a systematic analysis of the scientific literature available on PubMed and Scopus, selecting studies about the use of alternative therapies in patients with head and neck cancer according to strict criteria.

RESULTS

Acupuncture has shown benefits in the management of xerostomia and dysphagia, while some herbal medicines have shown potential anticancer effects, although with limitations related to bioavailability. Vitamins and antioxidants showed mixed results: some studies suggest a protective effect, while others report a possible increased risk of cancer progression. Cannabinoids are a controversial topic, with possible palliative benefits but also a higher risk of head and neck cancer. Traditional Chinese medicine and mind-body therapies, such as yoga, have shown positive effects on patients' well-being, although their direct impact on cancer progression remains uncertain.

CONCLUSIONS

Alternative therapies could be a useful support in managing symptoms and improving the quality of life patients with head and neck cancer. However, solid scientific evidence on their effectiveness and safety is still lacking. Rigorous clinical studies are needed to assess their therapeutic potential and define a safe integration into multidisciplinary cancer management.

摘要

背景/目的:头颈癌是全球最常见的癌症之一,死亡率高,且有显著的与治疗相关的副作用。包括手术、放疗和化疗在内的传统疗法提高了生存率,但往往对患者的生活质量产生严重影响。因此,人们对针灸、草药、大麻素、传统中医和身心疗法等补充疗法的兴趣与日俱增。

方法

本综述通过对PubMed和Scopus上可用的科学文献进行系统分析,根据严格标准选择关于头颈癌患者使用替代疗法的研究。

结果

针灸已显示出对口干和吞咽困难有治疗效果,而一些草药显示出潜在的抗癌作用,尽管在生物利用度方面存在局限性。维生素和抗氧化剂的结果不一:一些研究表明有保护作用,而另一些研究则报告癌症进展风险可能增加。大麻素是一个有争议的话题,可能有姑息治疗的益处,但也有更高的头颈癌风险。传统中医和身心疗法,如瑜伽,已显示对患者的幸福感有积极影响,尽管它们对癌症进展的直接影响仍不确定。

结论

替代疗法可能有助于控制头颈癌患者的症状并提高其生活质量。然而,仍缺乏关于其有效性和安全性的确凿科学证据。需要进行严格的临床研究来评估其治疗潜力,并确定将其安全地纳入多学科癌症管理的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e43/12026399/bc34488b0c54/cancers-17-01269-g001.jpg

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