2009
DOI: 10.1159/000223360
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The Role of Supportive Therapy in the Era of Modern Adjuvant Treatment – Current and Future Tools

Abstract: Recent advances in adjuvant treatment of breast cancer have improved progression-free and overall survival. Optimal management of treatment-induced side effects has therefore gained further importance. This review cannot provide a comprehensive overview of treatment-related toxicity and its management, but focuses on important new developments in the field of supportive therapy. Erythropoietins, while highly effective in treating chemotherapy-induced anaemia, may have detrimental effects on outcome, and should… Show more

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Cited by 4 publications
(1 citation statement)
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References 88 publications
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“…Drug-induced myelosuppression not only limits the treatments with cytostatic agents, but also is a risk factor for poor prognosis, as it substantially diminishes immunity and other systems against malignancy (Richardson and Johnson, 1997, Busch et al, 1990, Nurgalieva et al, 2010). Bone marrow transplantation and the supplements of erythropoietin (Epoetin), granulocyte colony-stimulating factor (G-CSF, Neupogen) and interleukin-11 (Oprelvekin) have been demonstrated recovering bone marrow and significantly improvement chemotherapy outcome (Bartsch and Steger, 2009, Seidman, 2006, Moore and Crom, 2006, Janni et al, 2001, Timmer-Bonte et al, 2005, Hood, 2003, Carey, 2003). An understanding of cellular mechanisms underlying drug-induced myelosuppression may guide development of chemotherapeutics with high efficacy and little bone marrow toxicity.…”
Section: Introductionmentioning
confidence: 99%
“…Drug-induced myelosuppression not only limits the treatments with cytostatic agents, but also is a risk factor for poor prognosis, as it substantially diminishes immunity and other systems against malignancy (Richardson and Johnson, 1997, Busch et al, 1990, Nurgalieva et al, 2010). Bone marrow transplantation and the supplements of erythropoietin (Epoetin), granulocyte colony-stimulating factor (G-CSF, Neupogen) and interleukin-11 (Oprelvekin) have been demonstrated recovering bone marrow and significantly improvement chemotherapy outcome (Bartsch and Steger, 2009, Seidman, 2006, Moore and Crom, 2006, Janni et al, 2001, Timmer-Bonte et al, 2005, Hood, 2003, Carey, 2003). An understanding of cellular mechanisms underlying drug-induced myelosuppression may guide development of chemotherapeutics with high efficacy and little bone marrow toxicity.…”
Section: Introductionmentioning
confidence: 99%