Follow-up and Survivorship in Head and Neck Cancer
Follow-up and Survivorship in Head and Neck Cancer
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DOI：
10.1016/j.clon.2016.03.004
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发表时间：
2016-07-01
影响因子：
3.4
通讯作者：
Simo, R.
中科院分区：
文献类型：
--
作者：
Simcock, R.;Simo, R.
头颈部癌症的治疗正在改善，但它们仍然有毒且具有挑战性。某些形式的头颈癌（如口咽癌）的发病率正在上升。这就产生了一个不断扩大的具有复杂需求的幸存者群体。这些需求可能会被忽视和治疗不足。本概述提供了证据，为未满足的生存需要的头颈部癌症患者，并确定战略，这些需要在临床上的识别和补救。有足够的证据对服务提出挑战，要求利用完整的多学科团队围绕未满足的需求重新设计后续战略，并将重点从识别和治疗复发性疾病的唯一目标扩大。提出的问题包括抑郁症、共病、继发性恶性肿瘤、酒精和尼古丁依赖、进食和饮水困难（包括吞咽困难、牙齿问题、牙关紧闭和感觉障碍）和甲状腺功能减退。(C)2016年皇家放射科医师学院。由爱思唯尔有限公司出版。保留所有权利。
Treatments for head and neck cancer are improving, yet they remain toxic and challenging. The incidence of some forms of head and neck cancer (e.g. oropharyngeal) is rising. This creates an enlarging cohort of survivors with complex needs. These needs may be overlooked and undertreated.This overview presents evidence for the unmet survivorship needs of head and neck cancer patients and identifies strategies for the recognition and remedy of these needs in the clinic. There is sufficient evidence to challenge services to redesign follow-up strategies around unmet need using the full multidisciplinary team and to widen focus away from a sole aim of recognition and treatment of recurrent disease. Problems presented include depression, comorbid disease, second malignancy, alcohol and nicotine dependence, eating and drinking difficulties (including dysphagia, dental problems, trismus and sense disturbance) and hypothyroidism. (C) 2016 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.