卵巢癌与营养不良:文献综述。

IF 1.5 4区 医学 Q4 ONCOLOGY
Translational cancer research Pub Date : 2025-05-30 Epub Date: 2025-05-27 DOI:10.21037/tcr-2025-758
Zhuyan Shao, Liying Fu, Yi Lu, Haifei Zhou, Yuyang Zhu, Tao Zhu
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引用次数: 0

摘要

背景与目的:在妇科恶性肿瘤中,卵巢癌是最致命的,手术和化疗是主要的治疗方式。卵巢癌术后化疗患者的营养状况普遍较差,根据患者主观整体评估(PG-SGA), 76.1%的患者营养不良,而只有9.0%的患者营养良好,不需要营养干预。与新的治疗方式——聚(ADP核糖)聚合酶(PARP)抑制剂相关的营养下降的高风险尚未得到足够的重视。本综述探讨了卵巢癌患者营养不良的因素、营养不良对治疗结果的不利影响、定期营养筛查和评估的重要性以及潜在的营养干预措施。方法:通过查阅相关文献,分析卵巢癌患者营养不良的患病率、营养不良对治疗和预后的影响,以及营养评估和干预措施对改善患者预后的作用。主要内容和发现:营养不良在卵巢癌患者中非常普遍,并与治疗副作用恶化、生活质量下降和生存率下降有关。使用PARP抑制剂可能会造成营养下降的额外风险,但这种可能性尚未得到充分研究。定期的营养筛查和评估对于早期发现和管理营养不良至关重要。营养干预对卵巢癌患者治疗的潜在支持作用已经进行了研究,但还需要进一步的研究来确定最有效的策略。结论:营养不良是卵巢癌患者的主要问题,特别是那些接受化疗或PARP抑制剂的患者。定期的营养评估和及时的干预可以改善治疗耐受性和整体预后。需要进一步的前瞻性研究和大型随机对照试验来为高危患者建立有效的营养策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ovarian cancer and malnutrition: a literature review.

Background and objective: Among gynecological malignancies, ovarian cancer is the most fatal, with surgery and chemotherapy being the primary treatment modalities. The nutritional status of patients with ovarian cancer undergoing chemotherapy after surgery remains generally poor, with 76.1% classified as severely malnourished according to the Patient-Generated Subjective Global Assessment (PG-SGA), while only 9.0% are well-nourished and do not require nutritional intervention. The high risk of nutritional decline associated with the new treatment modality, poly (ADP ribose) polymerase (PARP) inhibitors, has not received sufficient attention. This review examined the factors contributing to malnutrition in ovarian cancer, the adverse effects of malnutrition on treatment outcomes, the importance of regular nutritional screening and assessment, and potential nutritional interventions.

Methods: A review of the relevant literature was conducted to analyze the prevalence of malnutrition in patients with ovarian cancer, its impact on treatment and prognosis, and the role of nutritional assessment and interventions in improving patient outcomes.

Key content and findings: Malnutrition is highly prevalent among patients with ovarian cancer and is associated with worsened treatment side effects, reduced quality of life, and decreased survival rates. The use of PARP inhibitors may pose an additional risk for nutritional decline, but this possibility has not been sufficiently studied. Regular nutritional screening and assessment are essential for the early detection and management of malnutrition. Nutritional interventions have been investigated for their potential to support patients with ovarian cancer through treatment, but further research is needed to determine the most effective strategies.

Conclusions: Malnutrition is a major concern for ovarian cancer patients, especially those receiving chemotherapy or PARP inhibitors. Regular nutritional assessment and timely interventions may improve treatment tolerance and overall prognosis. Further prospective studies and large randomized controlled trials are necessary to establish effective nutritional strategies for high-risk patients.

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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
252
期刊介绍: Translational Cancer Research (Transl Cancer Res TCR; Print ISSN: 2218-676X; Online ISSN 2219-6803; http://tcr.amegroups.com/) is an Open Access, peer-reviewed journal, indexed in Science Citation Index Expanded (SCIE). TCR publishes laboratory studies of novel therapeutic interventions as well as clinical trials which evaluate new treatment paradigms for cancer; results of novel research investigations which bridge the laboratory and clinical settings including risk assessment, cellular and molecular characterization, prevention, detection, diagnosis and treatment of human cancers with the overall goal of improving the clinical care of cancer patients. The focus of TCR is original, peer-reviewed, science-based research that successfully advances clinical medicine toward the goal of improving patients'' quality of life. The editors and an international advisory group of scientists and clinician-scientists as well as other experts will hold TCR articles to the high-quality standards. We accept Original Articles as well as Review Articles, Editorials and Brief Articles.
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