Sarcopenia in Hepatocellular Carcinoma: Pathogenesis and Management.

IF 2 4区 医学 Q3 ONCOLOGY
Chemotherapy Pub Date : 2022-01-01 Epub Date: 2021-12-31 DOI:10.1159/000521741
Paolo Gallo, Marianna Silletta, Antonio De Vincentis, Federica Lo Prinzi, Francesca Terracciani, Giuseppina Di Fazio, Valentina Flagiello, Umberto Vespasiani Gentilucci, Raffaele Antonelli Incalzi, Antonio Picardi
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引用次数: 6

Abstract

Background: Sarcopenia is almost constantly observed in patients with cirrhosis and hepatocellular carcinoma (HCC).

Summary: Chronic liver disease represents a unique pathophysiological scenario in which sarcopenia develops and all factors involved in the pathogenesis should be taken into account for an appropriate management of the disease. No properly designed intervention studies on this topic are available and, thus, no effective strategies have been developed for clinical practice. Apart from any targeted intervention, treatment, and optimization of liver disease is crucial.

Key messages: In patients with cirrhosis and HCC, nutritional support to maintain and restore nutrition status, a targeted use of branched-chain amino acids and a guided physical exercise, should all be an integral part of the multidimensional assessment and tailored interventions.

肝细胞癌中的肌肉减少症:发病机制和治疗。
背景:在肝硬化和肝细胞癌(HCC)患者中几乎经常观察到肌肉减少症。摘要:慢性肝病代表了一种独特的病理生理情况,在这种情况下肌肉减少症会发展,所有涉及发病机制的因素都应该被考虑到,以适当地治疗这种疾病。目前还没有针对这一主题的适当设计的干预研究,因此,没有为临床实践开发出有效的策略。除了任何有针对性的干预,肝脏疾病的治疗和优化是至关重要的。关键信息:在肝硬化和HCC患者中,维持和恢复营养状态的营养支持,支链氨基酸的有针对性的使用和有指导的体育锻炼,都应该是多维评估和量身定制的干预措施的组成部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Chemotherapy
Chemotherapy 医学-药学
CiteScore
5.80
自引率
0.00%
发文量
34
审稿时长
6-12 weeks
期刊介绍: This journal publishes original research articles and state-of-the-art reviews on all aspects of antimicrobial and antitumor chemotherapy. The results of experimental and clinical investigations into the microbiological and pharmacologic properties of antibacterial, antiviral and antitumor compounds are major topics of publication. Papers selected for the journal offer data concerning the efficacy, toxicology, and interactions of new drugs in single or combined applications. Studies designed to determine the pharmacokinetic and pharmacodynamics properties of similar preparations and comparing their efficacy are also included. Special emphasis is given to the development of drug-resistance, an increasing problem worldwide.
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