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文献詳細

雑誌文献

臨床泌尿器科69巻12号

2015年11月発行

特集 いまさら聞けない!泌尿器がん化学療法の理論と実践

Ⅲ.がん化学療法の副作用対策

血液毒性

著者: 荒木和浩1

所属機関: 1がん研有明病院乳腺センター

ページ範囲:P.1006 - P.1017

文献概要

要旨 腎・泌尿器系の悪性腫瘍の罹患数は年間約15万人となり,総罹患数としては第1位の大腸がんを上回る。一方,その治療方法は分子標的治療薬のみならず,多種多様な細胞障害性抗がん剤の併用療法が行われており,支持療法の熟知は必須である。そのなかでも,それらの治療方法による骨髄毒性は頻繁に認められるものであり,その支持療法を適切に施行することにより短期的な急性期の毒性の回避のみならず,長期的には抗悪性腫瘍薬の適切な投与量の維持につながり,予後を左右する可能性がある。貧血や血小板減少症においては適切な輸血療法が必要であるが,好中球減少に対しては予防的な持続性G-CSF製剤と抗生物質をガイドラインに基づいて適切に施行すべきである。

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電子版ISSN:1882-1332

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