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Unveiling the Intricate Dance: How Cancer Orchestrates Muscle Wasting and Sarcopenia.
Lavalle, Salvatore; Valerio, Maria Rosaria; Masiello, Edoardo; Gebbia, Vittorio; Scandurra, Giuseppina.
Afiliación
  • Lavalle S; Department of Medicine and Surgery, Kore University of Enna, Enna, Italy.
  • Valerio MR; Medical Oncology Unit, University of Palermo, Palermo, Italy.
  • Masiello E; Radiology Unit, Università Vita e Salute San Raffaele, Milan, Italy.
  • Gebbia V; Department of Medicine and Surgery, Kore University of Enna, Enna, Italy; vittorio.gebbia@unikore.it.
  • Scandurra G; Medical Oncology Unit, Ospedale Cannizzaro, Catania, Italy.
In Vivo ; 38(4): 1520-1529, 2024.
Article en En | MEDLINE | ID: mdl-38936901
ABSTRACT
Sarcopenia is a prevalent and clinically significant condition, particularly among older age groups and those with chronic disease. Patients with cancer frequently suffer from sarcopenia and progressive loss of muscle mass, strength, and function. The complex interplay between cancer and its treatment, including medical therapy, radiotherapy, and surgery, significantly contributes to the onset and worsening of sarcopenia. Cancer induces muscle wasting through inflammatory processes, metabolic alterations, and hormonal imbalance. Moreover, medical and radiation therapies exert direct toxic effects on muscles, contributing to the impairment of physical function. Loss of appetite, malnutrition, and physical inactivity further exacerbate muscle wasting in cancer patients. Imaging techniques are the cornerstones for sarcopenia diagnosis. Magnetic resonance imaging, computed tomography, and dual-energy X-ray absorptiometry provide valuable insights into muscle structure and quality. Although each modality has advantages and limitations, magnetic resonance imaging produces high-resolution images and provides dynamic information about muscle function. Despite these challenges, addressing sarcopenia is essential for optimizing treatment outcomes and improving survival rates in patients with cancer. This review explored the factors contributing to sarcopenia in oncologic patients, emphasizing the importance of early detection and comprehensive management strategies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Músculo Esquelético / Sarcopenia / Neoplasias Límite: Humans Idioma: En Revista: In Vivo Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Grecia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Músculo Esquelético / Sarcopenia / Neoplasias Límite: Humans Idioma: En Revista: In Vivo Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Grecia