Moliterno A R, Spivak J L
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Hematol Oncol Clin North Am. 1996 Apr;10(2):345-63. doi: 10.1016/s0889-8588(05)70342-7.
Cancer patients frequently develop anemia, due either to the cancer itself or to the effects of cancer-related therapy. Recent years have brought insights into both the pathogenesis of the anemia of cancer and the extent to which erythropoietin regulation participates in this process. Although transfusion therapy was the mainstay of therapy for symptomatic anemia in the past, clinical trials have demonstrated that recombinant human erythropoietin can alleviate both anemia and transfusion requirements in many cancer patients and may prove to have an important role in the treatment of cancer-related anemia in the future.
癌症患者经常会出现贫血,这要么是由癌症本身引起的,要么是由癌症相关治疗的影响导致的。近年来,人们对癌症贫血的发病机制以及促红细胞生成素调节在这一过程中的参与程度都有了深入了解。尽管过去输血治疗是有症状贫血的主要治疗方法,但临床试验表明,重组人促红细胞生成素可以缓解许多癌症患者的贫血症状并减少输血需求,而且未来可能会在癌症相关贫血的治疗中发挥重要作用。