血友病和癌症:一篇文学评论
Ezio Zanon1, Annamaria Porreca2, Paolo Simioni1
1Haemophilia Center, Internal Medicine-Department of Medicine, Padua University Hospital, 35128 Padua, Italy.
Journal of clinical medicine
|March 28, 2024
概括
在患有血友病 (PWH) 的患者中,癌症的管理带来了独特的挑战. 多学科团队的仔细,个性化规划对于癌症PWH的最佳结果至关重要.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 临床医学 临床医学
背景情况:
- 关于癌症对血友病 (PWH) 患者的影响,存在矛盾的文献.
- 关于PWH癌症的临床表现和管理的有限数据.
- 由于HBV,HCV和HIV感染的高发病率,PWH的历史重点是与病毒有关的恶性瘤.
研究的目的:
- 审查和综合目前有关血友病患者癌症的知识.
- 突出PWH中恶性瘤的演变格局,包括与病毒无关的癌症.
- 强调专门管理癌症PWH的专业管理策略的重要性.
主要方法:
- 在PubMed,谷歌学者和Scopus上进行全面的文献搜索.
- 包含原创文章和评论,没有时间限制.
- 评估从获取的文章中引用的参考资料,以进行其他相关研究.
主要成果:
- 恶性瘤是PWH患者发病率和死亡率的重要原因.
- 随着复合凝结因子缩剂 (CFCs) 的出现,重点转向与病毒无关的恶性瘤.
- 出血和血栓并发症是关键问题;在抗瘤治疗期间,持续的因子替代疗法至关重要.
结论:
- 在PWH的癌症管理需要彻底的评估和个性化治疗计划.
- 涉及血液学,瘤学和手术专家的多学科团队方法是必不可少的.
- 个性化规划是有效管理血友病患者癌症的关键.
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