학술논문

Cancer Cachexia Syndrome: Pathogenesis, Diagnosis, and New Therapeutic Options.
Document Type
Article
Source
Nutrition & Cancer. Jan2015, Vol. 67 Issue 1, p12-26. 15p.
Subject
*CACHEXIA treatment
*PARANEOPLASTIC syndromes
*QUALITY of life
*INSULIN resistance
*ADRENOCORTICAL hormones
*APPETITE stimulants
*BODY weight
*CACHEXIA
*CANNABIS (Genus)
*CYTOKINES
*DIETARY supplements
*HEMATOCRIT
*INTERLEUKINS
*NUTRITION
*PROGESTERONE
*TUMOR necrosis factors
*TUMORS
*LEPTIN
*GHRELIN
*SKELETAL muscle
*SIGNAL peptides
*DISEASE complications
*DIAGNOSIS
Language
ISSN
0163-5581
Abstract
Cancer anorexia-cachexia syndrome (CACS) is the most frequent paraneoplastic syndrome occurring in half of all oncologic patients and is considered as a poor prognosticator. Patients usually present with weight loss, lipolysis, muscle wasting, anorexia, chronic nausea, inflammation, and asthenia. The etiopathogenesis of CACS is still poorly understood, although several factors and biological pathways are known to be involved. Because of the complexity of this multifactorial condition, a single agent therapy may not be sufficient. Indeed, there is a tendency toward an integrated multiple approach including nonpharmacological and pharmacological treatments. However, despite encouraging preliminary results, currently there is not enough evidence to support a change in clinical practice. This review provides a brief and practical summary of the diagnosis, pathogenesis, and treatment of CACS. Future perspectives will also be discussed. [ABSTRACT FROM PUBLISHER]