晚期妇科癌症姑息治疗原则

Q3 Medicine

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-04-01 DOI:10.1016/j.ogrm.2025.01.004

Marika Ai Victoria Reinius, Arjun David Napier Kingdon

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引用次数: 0

摘要

患有妇科恶性肿瘤的妇女在整个疾病过程中往往遭受严重的身体和心理症状负担。尽管在治疗方面取得了进展，但高达25%被诊断患有妇科癌症的妇女将死于复发性疾病。姑息治疗方法——由妇科团队提供，根据需要由专家姑息治疗团队提供支持——可以与治疗或延长生命的治疗一起提供，也可以在生命结束时提供。本文综述了晚期妇科恶性肿瘤患者常见的身体症状和并发症的处理，包括疼痛、恶心和呕吐、恶性肠梗阻、便秘、恶性腹水、瘘管和真菌病、贫血和出血以及输尿管梗阻。

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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Principles of palliative care for advanced gynaecological cancers

Women with gynaecological malignancies often suffer significant physical and psychological symptom burden throughout the course of their disease. Despite advances in treatment, up to 25% of women diagnosed with a gynaecological cancers will die from recurrent disease. A palliative approach – delivered by the Gynaecology team, supported by a Specialist Palliative Care team as needed – can be offered alongside curative or life prolonging treatment as well as at end of life. This article reviews the management of common physical symptoms and complications experienced by patients with advanced gynaecological malignancies, including pain, nausea and vomiting, malignant bowel obstruction, constipation, malignant ascites, fistulating and fungating disease, anaemia and bleeding, and ureteric obstruction.

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来源期刊

Obstetrics, Gynaecology and Reproductive Medicine Medicine-Obstetrics and Gynecology

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Obstetrics, Gynaecology and Reproductive Medicine is an authoritative and comprehensive resource that provides all obstetricians, gynaecologists and specialists in reproductive medicine with up-to-date reviews on all aspects of obstetrics and gynaecology. Over a 3-year cycle of 36 issues, the emphasis of the journal is on the clear and concise presentation of information of direct clinical relevance to specialists in the field and candidates studying for MRCOG Part II. Each issue contains review articles on obstetric and gynaecological topics. The journal is invaluable for obstetricians, gynaecologists and reproductive medicine specialists, in their role as trainers of MRCOG candidates and in keeping up to date across the broad span of the subject area.