Tổng quan về thần kinh phát sinh do taxanes trong điều trị ung thư vú di căn

Cancer Chemotherapy and Pharmacology - Tập 75 - Trang 659-670 - 2015
Edgardo Rivera1, Mary Cianfrocca1
1Banner MD Anderson Cancer Center, Gilbert, USA

Tóm tắt

Taxanes là một lựa chọn đã được khẳng định trong quy trình điều trị tiêu chuẩn cho bệnh nhân mắc ung thư vú di căn (MBC). Bệnh lý thần kinh là một tác dụng phụ phổ biến, giới hạn liều lượng trong liệu pháp taxane, thường được quản lý thông qua việc giảm liều và hoãn điều trị. Mức độ nghiêm trọng, thời gian khởi phát và sự cải thiện trong bệnh lý thần kinh là những yếu tố đáng quan tâm trong quản lý bệnh nhân và khác nhau giữa các loại taxane được phê duyệt hiện tại. Tỷ lệ bệnh lý thần kinh loại ≥3 liên quan đến taxanes đã được chỉ ra là phụ thuộc vào liều lượng và lịch trình điều trị; tuy nhiên, thời gian cải thiện xuống còn loại ≤1 thường ngắn hơn đối với nab-paclitaxel so với các taxane khác ở bệnh nhân mắc MBC. Nhiều công cụ để đánh giá bệnh lý thần kinh do bệnh nhân báo cáo đã tồn tại. Vì MBC là bệnh không thể chữa khỏi và chất lượng cuộc sống của bệnh nhân cần được xem xét một cách nghiêm túc khi đưa ra quyết định điều trị, có cần có nhiều thử nghiệm tiềm năng hơn để đánh giá bệnh lý thần kinh do bệnh nhân báo cáo. Các yếu tố dự đoán đã được xác nhận về bệnh lý thần kinh liên quan đến taxane có thể đóng một vai trò quan trọng trong quyết định điều trị trong tương lai. Bài đánh giá này sẽ tập trung vào hồ sơ độc tính (tức là, bệnh lý thần kinh) của từng loại taxane được sử dụng trong điều trị MBC, cung cấp các cập nhật về công cụ sử dụng để đánh giá bệnh lý thần kinh, và làm nổi bật các yếu tố dự đoán mới được phát hiện liên quan đến bệnh lý thần kinh từ taxane.

Từ khóa

#taxanes #ung thư vú di căn #bệnh lý thần kinh #độc tính #quyết định điều trị

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