癌症相关的血栓形成和出血
1Department of Hematology, Fukushima Medical University, Hikarigaoka 1, Fukushima, Fukushima, 960-1295, Japan. ikezoet@fmu.ac.jp.
International journal of hematology
|February 4, 2024
概括
癌症患者因癌症和治疗而面临高血栓和出血的风险. 国际指南建议抗凝剂用于预防癌症相关血栓形成 (CAT),但日本在批准方面落后.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 血管生物学 血管生物学
背景情况:
- 癌症患者表现出Virchow的三位一体:高凝血,内皮损伤和静脉静止,增加血栓形成的风险.
- 癌细胞表达血凝因子 (组织因子,波多普拉宁);治疗诱导内皮损伤;不运动导致静脉静止.
- 癌症患者也容易出血的并发症,如散布的血管内凝血和化疗诱导的血栓塞缩症.
研究的目的:
- 突出癌症患者癌症相关血栓形成 (CAT) 的重大风险.
- 讨论CAT管理的挑战,包括出血风险.
- 为了解决日本与国际标准之间CAT治疗指南的差异.
主要方法:
- 关于癌症相关血栓瘤病理生理学的现有文献的综述.
- 分析来自国际协会 (ASCO,ITAC) 的临床指南.
- 治疗建议的比较,用于CAT预防和管理.
主要成果:
- 由于疾病和治疗因素,癌症患者患血栓形成的风险很高.
- 已建立的国际指南建议抗凝剂 (LMWH,DOAC) 用于预防CAT.
- 目前日本的药物批准与这些国际CAT建议不一致.
结论:
- 与癌症相关的血栓形成 (CAT) 是一个重大的临床挑战.
- 国际指南提供了基于证据的CAT预防和管理策略.
- 在日本,关于批准推用于CAT的抗凝固疗法存在严重差距,需要采取监管措施.
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