Malnutrition and cachexia in patients with head and neck cancer treated with (chemo)radiotherapy.

Autor:	Gorenc M; Department of Radiation Oncology, Institute of Oncology Ljubljana, Zaloška 2, SI-1000 Ljubljana, Slovenia., Kozjek NR; Clinical Nutrition Unit, Institute of Oncology Ljubljana, Zaloška 2, SI-1000 Ljubljana, Slovenia., Strojan P; Department of Radiation Oncology, Institute of Oncology Ljubljana, Zaloška 2, SI-1000 Ljubljana, Slovenia.
Jazyk:	angličtina
Zdroj:	Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology [Rep Pract Oncol Radiother] 2015 Jul-Aug; Vol. 20 (4), pp. 249-58. Date of Electronic Publication: 2015 Mar 29.
DOI:	10.1016/j.rpor.2015.03.001
Abstrakt:	Aim: To highlight the problems associated with nutrition that occur in patients with squamous cell carcinoma of the head and neck (SCCHN). Background: SCCHN is associated with weight loss before, during and after radiotherapy or concurrent chemoradiotherapy. Because of serious consequences of malnutrition and cachexia on treatment outcome, mortality, morbidity, and quality of life, it is important to identify SCCHN patients with increased risk for the development of malnutrition and cachexia. Materials and Methods: Critical review of the literature. Results: This review describes pathogenesis, diagnosis and treatment of malnutrition and cancer cachexia. Treatment of malnutrition and cancer cachexia includes nutritional interventions and pharmacological therapy. Advantages and disadvantages of different nutritional interventions and their effect on the nutritional status, quality of life and specific oncological treatment are presented. Conclusions: Nutritional management is an essential part of care of these patients, including early screening, assessment of nutritional status and appropriate intervention.
Databáze:	MEDLINE
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