血液性恶性瘤中的粘膜毒性:预防,管理和新的治疗见解
Pasquale Niscola1, Marco Giovannini1
1Hematology Unit, Sant'Eugenio Hospital, Rome, Italy.
Expert review of hematology
|August 9, 2025
概括
像口腔粘膜炎这样的粘膜毒性是癌症治疗的具有挑战性的副作用. 本综述涵盖了血液形成性恶性瘤的原因,管理和新兴疗法.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 粘膜毒性,包括口腔粘膜炎 (OM) 和胃肠粘膜炎 (GIM),是治疗血液形成性恶性瘤 (HM) 的重大挑战.
- 传统的治疗方法,如化疗 (CHT) 和放射治疗 (RT),导致OM和GIM,而新的疗法可能会诱导其他粘膜疾病.
研究的目的:
- 提供有关HM治疗中粘膜毒性的病理生物学和管理的最新见解.
- 重新评估经典的粘膜炎形式和新兴的HM疗法的新毒性.
主要方法:
- 文献综述和专家意见综合.
- 重新评估HM诱导的粘膜毒性病理生物学和管理策略.
主要成果:
- OM和GIM的发病是多因素的,涉及直接影响,氧化损伤,免疫反应和微生物组变化.
- 预防措施是关键,在已确定的粘膜炎中提供息治疗.
- 新兴疗法包括介质细胞和细胞因子抑制剂.
结论:
- 尽管取得了进展,但CHT/RT相关OM的病理生物学需要进一步研究.
- 将新的治疗见解转化为临床实践对于改善患者的治疗结果至关重要.
- 持续的研究对于解决与HM相关的粘膜毒性至关重要.
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