化疗相关的毒性在治疗急性淋巴细胞白血病的儿童中遵循典型的模式
Roosa Rokkanen1, Henri Aarnivala1,2, Tytti Pokka1
1Research Unit of Clinical Medicine, University of Oulu, Oulu, Finland.
Acta paediatrica (Oslo, Norway : 1992)
|January 4, 2024
概括
儿童急性淋巴细胞白血病 (ALL) 治疗几乎在所有患者中都会引起显著的毒性. 温克里斯诱导的周围神经病变是最常见的不良反应,影响白血病治疗.
科学领域:
- 儿科血液学 瘤学 儿科血液学
- 临床毒理学 临床毒理学
- 白血病研究研究 白血病研究
背景情况:
- 急性淋巴细胞白血病 (ALL) 治疗与严重的毒性有关.
- 了解这些对儿童的不良影响的全谱对于优化护理至关重要.
研究的目的:
- 为了全面描述与儿童ALL治疗相关的有毒效应.
- 识别治疗相关毒性的模式和风险因素.
主要方法:
- 从NOPHO ALL-2008毒性注册表和患者医疗记录中收集的数据.
- 包括根据NOPHO ALL-2008协议在奥卢大学医院 (2008-2020年) 治疗的73名儿科患者.
- 在ALL治疗期间注册了19种临床相关的毒性.
主要成果:
- 几乎所有患者 (72/73) 经历了至少一种与治疗相关的毒性;超过一半的患者有多重毒性.
- 温克里斯诱导的周围神经病变是最常见的毒性 (70名患者).
- 女性性别和年龄较大与毒性风险增加相关;即使是轻微的毒性也会影响治疗.
结论:
- 中度至重度的与治疗相关的毒性在儿童ALL中普遍存在.
- 毒性往往表现为与特定治疗阶段相关的可预测模式.
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