Does Use of Intratumoral Injections in Solid Tumor Malignancies Improve Outcomes and Reduce Adverse Events? An Integrative Review

Maggie Matyola, APRN, FNP-C, Ashley Martinez, DNP, APRN, FNP-BC, Joyce Dains, DrPH, JD, APRN, FNP-BC, FNAP, FAANP, FAAN
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Abstract

The purpose of this review is to assess the efficacy and adverse events associated with intratumoral injection in the treatment of solid tumor malignancies. A literature review was conducted using PubMed, the Cochrane Database of Systematic Reviews, CINAHL, and Scopus databases from 2009 to 2022. A total of 588 articles were retrieved, with five selected based on inclusion and exclusion criteria. Inclusion criteria specified English language publications, in human trials, and use of intratumoral anticancer agents. The findings from this integrative review demonstrate treatment efficacy as measured by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria with increased stable disease and partial response in patients as well as a prolonged survival period. Additionally, findings show that this therapy is associated with predominantly mild adverse events.
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在实体瘤恶性肿瘤中使用瘤内注射能改善疗效并减少不良反应吗?综述
本综述旨在评估瘤内注射治疗实体瘤恶性肿瘤的疗效和相关不良反应。我们使用 PubMed、Cochrane 系统综述数据库、CINAHL 和 Scopus 数据库对 2009 年至 2022 年期间的文献进行了综述。共检索到 588 篇文章,根据纳入和排除标准筛选出 5 篇。纳入标准为英文出版物、人体试验和使用瘤内抗癌药物。根据实体瘤反应评估标准(RECIST)1.1 标准,本综合综述的研究结果显示了治疗效果,患者病情稳定和部分反应增加,生存期延长。此外,研究结果表明,这种疗法主要伴有轻微的不良反应。
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