针对患有乳腺癌风险或患有乳腺癌相关淋巴结胀的人的风险降低实践的基于证据的建议:专家小组的共识
Cheryl L Brunelle1, Katherine Jackson2, Shirin M Shallwani3
1Breast Cancer-Related Lymphedema Research Program, Department of Physical and Occupational Therapy, Massachusetts General Hospital, Boston, MA, USA. cbrunelle@mgh.harvard.edu.
Medical oncology (Northwood, London, England)
|October 22, 2024
概括
更新的指南为乳腺癌幸存者提供基于证据的策略,以减少淋巴风险. 这些建议涵盖运动,皮肤护理和医疗程序,以告知患者选择和临床实践.
科学领域:
- 在瘤学瘤学.
- 淋巴 edem 管理 淋巴 edem 管理
- 基于证据的医学基于证据的医学.
背景情况:
- 乳腺癌治疗可能导致淋巴,一种慢性疾病.
- 以前对淋巴风险降低的建议各不相同,有些缺乏确的证据.
- 关键的危险因素包括下淋巴结解剖和皮肤感染.
研究的目的:
- 综合当前的证据和专家的共识,乳腺癌治疗后淋巴风险降低.
- 为患者和临床医生提供最新的,基于证据的建议.
- 为医疗选择和患者教育提供有关淋巴结胀预防的信息.
主要方法:
- 关于淋巴的预防措施和风险因素的最新研究的综述.
- 美国癌症协会/淋巴病学协会北美峰会 (2023年10月) 淋巴专家的共识意见.
- 制定全面的降低风险的建议.
主要成果:
- 更新的建议涉及前性监测,患者教育,个体风险因素,运动,血压管理,皮肤护理,医疗程序和压缩疗法.
- 为航空旅行,炎热的气候和桑拿使用提供了具体的指导.
- 对于其他类型的癌症 (妇科,黑色素瘤,头) 淋巴风险降低的证据缺口仍然存在.
结论:
- 临床医生和组织应采用这些基于证据的建议,以减少与乳腺癌相关的淋巴胀风险.
- 这些指导方针旨在改善乳腺癌幸存者的生活质量,这些幸存者有患淋巴风险或被诊断患有淋巴.
- 对于其他类型的癌症,还需要进一步的高质量研究.
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