Cancer cachexia

被引:97
作者
Fearon, KCH [1 ]
Moses, AGW [1 ]
机构
[1] Royal Infirm Edinburgh NHS Trust, Dept Clin & Surg Sci Surg, Edinburgh EH3 9YW, Midlothian, Scotland
关键词
cancer; cachexia; weight loss; multimodal therapy;
D O I
10.1016/S0167-5273(02)00235-8
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Cancer cachexia is a complex, multifactorial syndrome that results from a reduction in food intake, a variety of metabolic abnormalities (including hypermetabolism) or more often a combination of the two. Multiple mediator pathways including pro-inflammatory cytokines, neuroendocrine hormones and tumour-specific factors are involved. Therapy requires a multi-model approach that addresses both reduced food intake and metabolic change. Combination treatments such as nutritional support plus metabolic/inflammation modulation promise improved functional capacity and quality of life. (C) 2002 Published by Elsevier Science Ireland Ltd.
引用
收藏
页码:73 / 81
页数:9
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