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慢性淋巴细胞白血病患者的最佳支持性护理:癌症筛查和免疫接种的相关性

Best Supportive Care for Patients with Chronic Lymphocytic Leukemia: Relevance of Cancer Screening and Immunizations.

作者信息

Bharathi Vanthana, Ferrajoli Alessandra

机构信息

Department of Leukemia, MD Anderson Cancer Center, Houston, TX 77030, USA.

出版信息

Cancers (Basel). 2025 Jun 23;17(13):2093. doi: 10.3390/cancers17132093.

Abstract

Chronic lymphocytic leukemia (CLL) is the most prevalent leukemia in the Western world, predominantly affecting older individuals. Advances in targeted therapies have extended survival, shifting the clinical focus toward the management of chronic health challenges. Patients with CLL often experience immune dysfunction due to both the disease and its treatments, resulting in an increased susceptibility to infections and second primary malignancies. This review outlines evidence-based strategies for preventive care in CLL, including age-appropriate cancer screenings, routine immunizations, and lifestyle modifications. By emphasizing proactive health maintenance, this article aims to support clinicians in delivering comprehensive, long-term care for patients with CLL.

摘要

慢性淋巴细胞白血病(CLL)是西方世界最常见的白血病,主要影响老年人。靶向治疗的进展延长了生存期,使临床重点转向慢性健康挑战的管理。CLL患者常因疾病及其治疗而出现免疫功能障碍,导致感染和第二原发性恶性肿瘤的易感性增加。本综述概述了CLL预防性护理的循证策略,包括适龄癌症筛查、常规免疫接种和生活方式改变。通过强调积极的健康维护,本文旨在支持临床医生为CLL患者提供全面的长期护理。

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