目前对患有晚期胆管癌的患者提供息护理的干预选择
Maryam Makki1, Malak Bentaleb2, Mohammed Abdulrahman2
1Department of Surgery, Division of Trauma, Critical Care and Acute Care Surgery, Sheikh Shakhbout Medical City, Abu Dhabi 11001, United Arab Emirates.
World journal of clinical oncology
|April 5, 2024
概括
主要胆道瘤经常伴有黄,导致诊断延迟. 化疗,胆道排水和支架等息治疗旨在改善晚期患者的生活质量.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 初级胆道瘤 (PBTTs) 是源于肝脏,胆道或胆囊的恶性瘤.
- 这些瘤经常伴随着无法解释的黄,往往导致诊断延迟和晚期疾病.
- 目前的管理重点是缓和护理,由于晚期呈现.
研究的目的:
- 审查初级胆道瘤的息治疗选择.
- 突出系统治疗和干预程序在管理先进PBTTs中的作用.
主要方法:
- 对PBTTs目前的息治疗方式的审查.
- 讨论系统化疗 (gemcitabine,cisplatin),皮肤透肝胆道排水 (PTBD),胆道支架和手术胆道转移.
主要成果:
- 系统化疗在改善晚期PBTT的整体存活率方面表现有前途.
- 在不可切除的情况下,PTBD和胆汁支架对恶性胆汁阻塞有效.
- 手术胆道转移可以暂时缓解症状,但不能解决瘤本身.
结论:
- 息治疗对于改善晚期初级胆道瘤患者的生活质量至关重要.
- 系统疗法和干预程序的组合可以帮助控制症状并延长存活时间.
相关概念视频
Chronic Pancreatitis II: Collaborative Care
86
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
86
Tumor Immunotherapy
523
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
523
Targeted Cancer Therapies
7.6K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.6K
Endoscopic Procedures V: ERCP
210
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
210
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145


