Información sobre riesgo, prevención, detección, síntomas, diagnosis, tratamiento y apoyo para el cáncer.
Información sobre el tratamiento del cáncer incluyendo quirúrgica, quimioterapia, radioterapia, estudios clínicos, terapia con protón, medicina complementaria avanzadas.
OncoLink se complace en ofrecer una amplia lista de lista completa de los agentes quimioterapéuticos más comúnmente usados??. Esta guía de referencia incluye información sobre la forma en que cada fármaco se administra, cómo funcionan, y los pacientes los efectos secundarios comunes pueden experimentar.
Maneras que los pacientes de cáncer y las personas que le cuidan puedan enfrentar el cáncer, los efectos secundarios, nutrición, cuestiones en general sobre el apoyo para el cáncer, duelo/decisiones sobre el termino de vida, y experiencias compartidas por sobrevivientes.
Carolyn Vachani, RN, MSN, AOCN
Abramson Cancer Center of the University of Pennsylvania
Ultima Vez Modificado: 5 de noviembre del 2007
Hodgkin’s disease is one of the first cancers that was found to be curable with radiation therapy. Since that time, reports have shown that long-term survivors are at an increased risk of treatment toxicities and secondary cancers, with the highest risk seen in women. Secondary cancers generally present 5 to 10 years after radiation therapy and/or chemotherapy. This study was done to look at the risk of breast cancer following chest irradiation for Hodgkin’s Disease, and to recommend appropriate surveillance for survivors.
Medical records of 249 women under the age of 60 (ages 6-59 years) were reviewed. Thirty-six patients developed breast cancer, 11 with disease in both breasts. The median * time from radiation to breast cancer diagnosis was 18.4 years, with the earliest being 6.4 years after treatment. The risk was highest 15 years or more after treatment. Age at the time of treatment was a factor as well, with risk being far higher for women treated with radiation before age 20 and then tapering with increasing age. Cases of breast cancer were detected via mammography (55.6%), self-examination (25.9%), pathologic evaluation following elective mastectomy (11.1%), and clinical examination (7.4%). Interestingly, no association was seen between the development of breast cancer and the dose and method of radiation or use of chemotherapy.
Beginning 10 years after chest radiation for Hodgkin’s disease, intensive screening (breast MRI, mammogram), discussion, chemoprevention, and/or prophylactic mastectomy should be performed.
* The median is the “middle of the pack”, where half of the patients have had more years since treatment and half have less. For instance, if the patients were 2, 4, 6, 10.8, 12, 12 and 14 years since treatment, 10.8 is the mid point, or the median. It is different from the mean, which would be the average time since treatment.
Partially funded by an unrestricted educational grant from Bristol-Myers Squibb.
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