Supportive Therapy and Toxicity

作者: Penelope Brock , Gill Levitt

DOI: 10.1007/978-3-642-14504-9_15

关键词: HepatoblastomaChemotherapyDoxorubicinMedicineInternal medicineCisplatinAnthracyclineOncologySupportive psychotherapyHepatocellular carcinomaCumulative dose

摘要: The treatment of primary liver cancers in children requires chemotherapy addition to surgery for cure. most effective chemotherapeutic agents remain cisplatin and doxorubicin both hepatoblastoma hepatocellular carcinoma. Unfortunately, these drugs have short long-term toxicities, although a certain extent they can be ameliorated by reducing the cumulative dose changing method administration. This chapter considers improvements supportive care receiving chemotherapy, also discusses late effects therapy. In case cisplatin, kidney ear detected early within 1 2 years ending treatment. After this time, very little or no improvement expected. However, with anthracycline treatment, cardiotoxic are progressive may take 20–30 develop. Long-term follow-up into adult life 5 yearly echocardiographic screening is advised.

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