内容紹介
Characteristics of Adolescent and Young Adult Cancer
Summary
In adolescent and young adult(AYA)population, cancer is the leading cause of death due to illness with the lowest mortality rate as well as children, and national measures for cancer was left behind. Leukemia, lymphomas, brain tumors, thyroid cancer, ovarian cancer, cervical cancer, breast cancer, testicular cancer and bone and soft tissue sarcomas account for majority of the cancers in this age group. There has been no significant improvement in AYA patients in contrast to other age groups. AYA patients with cancer are under growing independency, starting in life to the community, and reproductive age. As they have physical change to adults and unique psychosocial issues that are distinct from those of pediatric and older adult patients, it is important to establish appropriate disease treatment and psychosocial supportive care with due respect to established themselves. It is urgent issue to develop cancer treatments and the system of medical and supportive care for patients and survivors with cancer in this age group.
要旨
AYA世代は,がんが病気による死因の第1位でありながら小児期と並んでがん死亡率が低く,がん対策において取り残された世代となっていた。AYA世代のがんは,白血病,リンパ腫,脳腫瘍,甲状腺がん,卵巣がん,子宮頸がん,乳がん,精巣がん,骨軟部肉腫が多く,他の世代のがんに比べて治療成績の改善率が劣るといわれている。また,AYA世代のがん患者は自立して社会に巣立つ時期でもあり,生殖年齢でもある。大人への身体的変化と小児や年長成人と異なる特有の心理社会的問題を抱えており,治療確立とともに自己確立を尊重した心理社会的支援が大切である。AYA世代のがん治療開発と患者・サバイバーの包括的な診療・支援体制の整備が急がれる。
目次
Summary
In adolescent and young adult(AYA)population, cancer is the leading cause of death due to illness with the lowest mortality rate as well as children, and national measures for cancer was left behind. Leukemia, lymphomas, brain tumors, thyroid cancer, ovarian cancer, cervical cancer, breast cancer, testicular cancer and bone and soft tissue sarcomas account for majority of the cancers in this age group. There has been no significant improvement in AYA patients in contrast to other age groups. AYA patients with cancer are under growing independency, starting in life to the community, and reproductive age. As they have physical change to adults and unique psychosocial issues that are distinct from those of pediatric and older adult patients, it is important to establish appropriate disease treatment and psychosocial supportive care with due respect to established themselves. It is urgent issue to develop cancer treatments and the system of medical and supportive care for patients and survivors with cancer in this age group.
要旨
AYA世代は,がんが病気による死因の第1位でありながら小児期と並んでがん死亡率が低く,がん対策において取り残された世代となっていた。AYA世代のがんは,白血病,リンパ腫,脳腫瘍,甲状腺がん,卵巣がん,子宮頸がん,乳がん,精巣がん,骨軟部肉腫が多く,他の世代のがんに比べて治療成績の改善率が劣るといわれている。また,AYA世代のがん患者は自立して社会に巣立つ時期でもあり,生殖年齢でもある。大人への身体的変化と小児や年長成人と異なる特有の心理社会的問題を抱えており,治療確立とともに自己確立を尊重した心理社会的支援が大切である。AYA世代のがん治療開発と患者・サバイバーの包括的な診療・支援体制の整備が急がれる。