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青少年和青年癌症幸存者晚期毒性的管理及特定随访需求:西班牙科学协会的建议

Management of late toxicities and specific follow-up needs of adolescent and young adult cancer survivors: recommendations from scientific societies in Spain.

作者信息

Fidalgo Alejandro Pérez, Alonso Pilar, Andión Maitane, Cañete Adela, Collado Erica, Colino Carmen Garrido, Codina José Gómez, Carrasco Xavier Díaz, Sanz Ramón García, Expósito Sergio Hernández, Lopez-Fernandez Teresa, Medin Gabriela, Molinés Antonio, Vega Alberto Moreno, Ramos Mónica, Miguel Iñigo San, García Joaquín Sánchez, Santolaya Fátima

机构信息

Department of Oncology and Hematology, INCLIVA Biomedical Research Institute, Valencia, Spain.

Spanish Society of Medical Oncology (SEOM), Hospital Clínico Universitario de Valencia, Madrid, Spain.

出版信息

Clin Transl Oncol. 2025 Sep 4. doi: 10.1007/s12094-025-04047-0.

DOI:
10.1007/s12094-025-04047-0
PMID:40908428
Abstract

Adolescent and young adult cancer survivors (AYACS) represent a specific cancer patient population with unique chronic health issues difficult to identify in early, reversible phases with standard monitoring protocols. This review, conducted by a group of Spanish experts, provides recommendations for managing AYACS, focusing on key areas, such as cardiac toxicities, neurotoxicity and neurocognitive disorders, metabolic syndrome, secondary primary malignancies, bone toxicities, sexuality and fertility, psychosocial aspects, and other treatment-related toxicities.

摘要

青少年及年轻成人癌症幸存者(AYACS)是一类特殊的癌症患者群体,他们存在独特的慢性健康问题,采用标准监测方案在早期可逆阶段难以识别。由一群西班牙专家开展的本综述为管理AYACS提供了建议,重点关注心脏毒性、神经毒性和神经认知障碍、代谢综合征、继发原发性恶性肿瘤、骨骼毒性、性与生育、心理社会方面以及其他与治疗相关的毒性等关键领域。

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本文引用的文献

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Carvedilol to Improve Cardiac Remodeling in Anthracycline-Exposed Childhood Cancer Survivors: Subgroup Analysis of COG ALTE1621.卡维地洛改善蒽环类药物暴露的儿童癌症幸存者的心脏重塑:儿童肿瘤协作组ALTE1621研究的亚组分析
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Assessing the efficacy and tolerability of PET-guided BrECADD versus eBEACOPP in advanced-stage, classical Hodgkin lymphoma (HD21): a randomised, multicentre, parallel, open-label, phase 3 trial.评估 PET 引导下 BrECADD 方案与 eBEACOPP 方案治疗晚期经典型霍奇金淋巴瘤(HD21)的疗效和耐受性:一项随机、多中心、平行、开放标签、3 期临床试验。
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A Biomarker-Based Diagnostic Model for Cardiac Dysfunction in Childhood Cancer Survivors.一种基于生物标志物的儿童癌症幸存者心脏功能障碍诊断模型。
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Effect of carvedilol versus placebo on cardiac function in anthracycline-exposed survivors of childhood cancer (PREVENT-HF): a randomised, controlled, phase 2b trial.卡维地洛对比安慰剂对蒽环类药物暴露的儿童期癌症幸存者心功能的影响(PREVENT-HF):一项随机、对照、2b 期试验。
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Long-term second primary cancer risk in adolescent and young adult (15-39 years) cancer survivors: a population-based study in the Netherlands between 1989 and 2018.青少年和年轻成人(15-39 岁)癌症幸存者的长期第二原发癌风险:1989 年至 2018 年荷兰基于人群的研究。
ESMO Open. 2024 Jan;9(1):102203. doi: 10.1016/j.esmoop.2023.102203. Epub 2024 Jan 2.
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At any Level of Adiposity, Relatively Elevated Leptin Concentrations Are Associated With Decreased Insulin Sensitivity.在任何肥胖水平下,相对较高的瘦素浓度与胰岛素敏感性降低有关。
J Clin Endocrinol Metab. 2024 Jan 18;109(2):461-470. doi: 10.1210/clinem/dgad505.
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J Natl Compr Canc Netw. 2023 Aug;21(8):881-888. doi: 10.6004/jnccn.2023.7056.
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