乳腺癌治疗对骨质的影响及防治策略

被引:17
作者
王琴
张频
机构
[1] 北京协和医学院中国医学科学院肿瘤医院肿瘤内科
关键词
乳腺癌; 化疗/内分泌治疗; 骨质疏松; 骨折;
D O I
暂无
中图分类号
R737.9 [乳腺肿瘤];
学科分类号
100214 [肿瘤学];
摘要
骨折是骨质疏松最常见的并发症随着雌激素水平的降低,绝经后女性骨质疏松的发生风险逐年增加。乳腺癌的一些治疗方法会进一步降低患者血清雌激素水平,加速骨质的流失(即肿瘤治疗诱导的骨丢失),从而增加患者罹患骨质疏松和骨折的风险。一系列研究已证实,化疗、内分泌治疗(尤其是芳香化酶抑制剂的使用)能显著增加乳腺癌患者骨质疏松及骨折的发生率。近年来,国内外相关组织相继发布了针对此类患者的骨质疏松预防和治疗指南,并推荐将其用于临床实践,尤其用于绝经后乳腺癌患者的临床治疗中。
引用
收藏
页码:24 / 29
页数:6
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