在癌症幸存者中导航治疗诱导的头恶性瘤
Fábio Muradás Girardi1, Gustavo Guthmann Pesenatto2, Larissa Dill Fuchs3
1Head and Neck Surgery Department, Ana Nery Hospital, Santa Cruz do Sul, Rio Grande do Sul, Brazil.
Oral diseases
|December 2, 2024
概括
癌症幸存者面临治疗诱导的恶性瘤的风险,特别是在头部和部. 了解这些二次癌症对于个性化的随访和改善结果至关重要.
科学领域:
- 在瘤学瘤学.
- 癌症生存率研究 癌症生存率研究
背景情况:
- 放射治疗和化疗等癌症治疗改善了生存率,但可能导致二次恶性瘤.
- 治疗诱导的恶性瘤 (TIMs) 是一个越来越令人担忧的疾病,往往具有有限的选择和较差的预后.
- 癌症幸存者的头部和部TIM需要特别注意,因为独特的风险和管理挑战.
研究的目的:
- 为癌症幸存者的头部和部治疗诱导的恶性瘤提供最新的审查.
- 阐明这些二次癌症的风险,组织学特征,诊断方法和治疗策略.
- 概述关于管理头部和部TIM的后续建议和未来研究方向.
主要方法:
- 文献综述,重点关注过去十年内发表的研究.
- 综合有关风险因素,组织病理学和头部和部TIMs临床表现的信息.
- 分析当前的诊断和治疗指南,包括监测协议.
主要成果:
- 确定了与头部和部TIMs治疗后发展相关的关键风险因素.
- 强调组织学差异化对于准确的诊断和预后的重要性.
- 总结了各种治疗方法,强调了多学科的护理.
- 强调需要为高风险幸存者制定量身定制的终身随访计划.
结论:
- 头TIM的有效管理需要对其病因和临床行为的全面了解.
- 个性化监测和及时干预对于改善癌症幸存者的结果至关重要.
- 需要进一步的研究来完善风险分层,并优化对二次头癌的治疗策略.
更多相关视频
相关概念视频
Cancer Therapies
7.6K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K
Cancer Survival Analysis
328
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
328
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
174
5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
174
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
147
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
147
Tumor Immunotherapy
476
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.
476
Cancer Vaccines
338
Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
338


