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ABC of Breast Diseases: Metastatic breast cancer

Leonard, R C F ; Rodger, A ; Dixon, J M

BMJ, 1994-12, Vol.309 (6967), p.1501-1504 [Periódico revisado por pares]

England: British Medical Journal Publishing Group

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Título:
ABC of Breast Diseases: Metastatic breast cancer
Autor: Leonard, R C F ; Rodger, A ; Dixon, J M
Assuntos: Analgesics ; Anorexia ; Bone diseases ; Bone marrow ; Bone Neoplasms - secondary ; Bone Neoplasms - therapy ; Breast cancer ; Breast Neoplasms ; Cancer therapies ; Central Nervous System Neoplasms - secondary ; Central Nervous System Neoplasms - therapy ; Chemotherapy ; Constipation ; Drug dosages ; Dysphagia ; Fractures ; Hospitals ; Humans ; Hypercalcemia - etiology ; Hypercalcemia - therapy ; Laxatives ; Medical research ; Metastasis ; Narcotics ; Nausea ; Neoplasm Metastasis ; Pain ; Pain - drug therapy ; Prognosis ; Radiation therapy ; Response rates ; Substance abuse treatment ; Vomiting ; Womens health
É parte de: BMJ, 1994-12, Vol.309 (6967), p.1501-1504
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Descrição: Treatment of metastatic disease Hormonal treatment of metastatic breast cancer Premenopausal women Oophorectomy Radiation menopause Gonadotrophin releasing hormone analogues Other treatments as for postmenopausal women Postmenopausal women Tamoxifen (or pure antioestrogen when available) Aromatase inhibitors (such as aminoglutethimide and 4-hydroxyandrostenedione New oral aromatase inhibitors (currently in clinical trials) Progestogens (such as medroxyprogesterone acetate and megestrol acetate) Antioestrogens, aromatase inhibitors, and progestogens may be used in virtually any sequence in responsive patients. Symptom Treatment Anorexia Prednisolone or progestogens Dysphagia Antifungal drugs if related to candidiasis - External beam irradiation, surgical intubation, or endoscopic laser treatment if mechanical evidence - Consider chemotherapy if dysphagia due to mediastinal node compression Nausea and vomiting Treat underlying cause - Antiemetics (such as metoclopramide or cyclizine) with or without prednisolone Constipation Laxatives Dyspnoea Morphine and benzodiazepines Cough Codeine or methadone linctus or morphine oral solution - Nebulised local anaesthetics About 60-70% of patients with metastatic breast cancer complain of pain.
Editor: England: British Medical Journal Publishing Group
Idioma: Inglês

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ABC of Breast Diseases: Metastatic breast cancer

Leonard, R C F ; Rodger, A ; Dixon, J M

England: British Medical Journal Publishing Group

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