Long-term effects of chemotherapy in patients with acute leukemia in childhood

N. V. Orlova, N. D. Karseladze, O. A. Tiganova, L. I. Ilyenko
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Abstract

An increase in the survival rate of patients who had cancer in childhood determines the need to study the long-term consequences of the treatment. Long-term complications may develop from various organs and systems: active studies of the toxicity of chemotherapy are carried out in the field of pharmacogenetics, respiratory, cardiovascular, sensorineural and endocrine systems, as well as skin, central nervous system, immune system and others. The treatment of acute leukemia carried out in childhood can significantly reduce the quality of life, cause cognitive and psychoemotional disorders. Experts in the field of pediatric hematology-oncology proposed to create an indicator called «survival without pronounced toxicity». A group of scientists initiated an international project to study the outcomes of childhood malignant tumors. Among the long-term consequences, it is planned to assess the quality of life and the development of complications. The study of long-term complications of leukemia treatment will allow us to develop algorithms for the prevention and follow-up of these patients.
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化疗对儿童急性白血病患者的长期影响
儿童期癌症患者存活率的提高决定了研究这种治疗的长期后果的必要性。长期并发症可能发生在各个器官和系统:药物遗传学、呼吸系统、心血管系统、感觉神经系统和内分泌系统以及皮肤、中枢神经系统、免疫系统等领域对化疗的毒性进行了积极的研究。急性白血病在儿童期进行治疗会显著降低患者的生活质量,引起认知和心理情绪障碍。儿科血液肿瘤学领域的专家建议创建一个名为“无明显毒性生存”的指标。一组科学家发起了一项研究儿童恶性肿瘤后果的国际项目。在长期后果中,计划评估生活质量和并发症的发展。对白血病治疗的长期并发症的研究将使我们能够开发出预防和随访这些患者的算法。
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