자궁내막암 III기 환자의 비정상 자궁출혈에 대한 한의치료 치험 1례
A Case Report of Abnormal Uterine Bleeding in a Stage III Endometrial Cancer Patient Treated with Korean Medicine
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective: The purpose of this study was to report a case of a stage III endometrial cancer patient whose symptoms, including abnormal uterine bleeding, improved after Korean medicine treatment. Methods: A 85-year-old Korean female patient with a known diagnosis of endometrial serous carcinoma was admitted to a Korean medicine hospital for the treatment of abnormal uterine bleeding and anorexia, fatigue, and subjective weakness of the lower extremities. Based on Korean medicine pattern differentiation, she was treated with Korean medicine therapies including herbal medicine, acupuncture, moxibustion, and cupping. Results: After 30 days of treatment, the patient’s estimated daily bleeding improved from 10.5 milliliters per day to 2 milliliters per day. Her Eastern Cooperative Oncology Group performance score improved from 3 to 2. Imaging showed no definite evidence of cancer progression or metastasis. Conclusion: Korean medicine treatment, including herbal medicine and nonmedical treatments, may be effective for supportive treatment of cancer-related bleeding and for improving general performance in elderly endometrial cancer patients. Further studies are needed to confirm these findings.
Abstract
Objective: The purpose of this study was to report a case of a stage III endometrial cancer patient whose symptoms, including abnormal uterine bleeding, improved after Korean medicine treatment. Methods: A 85-year-old Korean female patient with a known diagnosis of endometrial serous carcinoma was admitted to a Korean medicine hospital for the treatment of abnormal uterine bleeding and anorexia, fatigue, and subjective weakness of the lower extremities. Based on Korean medicine pattern differentiation, she was treated with Korean medicine therapies including herbal medicine, acupuncture, moxibustion, and cupping. Results: After 30 days of treatment, the patient’s estimated daily bleeding improved from 10.5 milliliters per day to 2 milliliters per day. Her Eastern Cooperative Oncology Group performance score improved from 3 to 2. Imaging showed no definite evidence of cancer progression or metastasis. Conclusion: Korean medicine treatment, including herbal medicine and nonmedical treatments, may be effective for supportive treatment of cancer-related bleeding and for improving general performance in elderly endometrial cancer patients. Further studies are needed to confirm these findings.
참고문헌 (22)
- Siegel RL, "Cancer statistics, 2024", CA Cancer J Clin, 74(1), pp.12~49 (2024)[DOI]
- Constantine GD, "Increased Incidence of Endometrial Cancer Following the Women’s Health Initiative : An Assessment of Risk Factors", J Womens Health 2002, 28(2), pp.237~243 (2019)
- Koual M, "Endometrial cancer in the elderly : does age influence surgical treatments, outcomes, and prognosis?", Menopause, 25(9), pp.968~976 (2018)
- Vankin Z, "A Comparison of Perioperative Morbidity, Perioperative Mortality, and Disease-Specific Survival in Elderly Woman(≥70 Years)Versus Younger Women(<70 Years)With Endometrioid Endometrial Cancer", International Journal of Gynecologc Cancer, 19(5), pp.879~883 (2009)
- Duska L, "Treatment of Older Women With Endometrial Cancer: Improving Outcomes With Personalized Care", Am Soc Clin Oncol Educ Book, 35, pp.164~174 (2016)
- Oh HK, "Analysis of Clinical Characteristics and Treatments among Geriatric Cancer Patients Hospitalized in a Traditional Korean Medical Hospital", J Int Korean Med, 37(2), pp.412~419 (2016)
- Sun H, "Clinical Research of Modified Shengjiangsan Power in the Treatment of Pancreatic Cancer in Elderly Patients", Geriatr Health Care, 26(6), pp.1081~1084 (2020)
- Takayama S, "Clinical Practice Guidelines and Evidence for the Efficacy of Traditional Japanese Herbal Medicine(Kampo)in Treating Geriatric Patients", Front Nutr, 5, pp.66~ (2018)
- Magnay JL, "Pictorial methods to assess heavy menstrual bleeding in research and clinical practice : a systematic literature review", BMC Womens Health, 20(1), pp.24~ (2020)
- Kimura T, "Abnormal uterine bleeding and prognosis of endometrial cancer", Int J Gynecol Obstet, 85(2), pp.145~150 (2004)
- Dutta SW, "Management of elderly patients with early-stage medically inoperable endometrial cancer : Systematic review and National Cancer Database analysis", Brachytherapy, 16(3), pp.526~533 (2017)
- Choi J, "Transcatheter Arterial Embolization for Palliation of Uterine Body Cancer Bleeding", J Korean Soc Radiol, 84(3), pp.606~614 (2023)
- Chen NN, "Chinese herbal medicine Guizhi Fuling Formula for treatment of uterine fibroids : a systematic review of randomised clinical trials", BMC Complement Altern Med, 14, pp.2~ (2014)
- Scheid V, "The treatment of menopausal symptoms by traditional East Asian medicines : Review and perspectives", Maturitas, 66(2), pp.111~130 (2010)
- Jiao L, "Effects of Chinese Medicine as Adjunct Medication for Adjuvant Chemotherapy Treatments of Non-Small Cell Lung Cancer Patients", Sci Rep, 7, pp.46524~ (2017)
- Lee JY, "Improvement of cancer bleeding in rectal cancer patient with a herbal decoction, Inhyungtang : A case report", J Korean Med, 35(4), pp.116~122 (2014)
- Kim YT, "A Study on Korean Medical Treatment of Abnormal Uterine Bleeding-Based on Benglou Chapters of Classical Medical Texts-", J Korean Med Class, 36(4), pp.41~54 (2023)
- Jeong SM, "Korean Medicine Treatment with Guibitang-gamibang for Abnormal Uterine Bleeding in Perimenopausal Women : 2 Cases Report", J Korean Obstet Gynecol, 36(2), pp.114~129 (2023)
- 허준, "동의보감", pp.160~ (1991), 남산당
- 황도연, "증맥방약합편", pp.197~ (1996), 남산당
- 대한암한의학회, "암 관련 증상" (2021), 한국한의약진흥원 한의표준임상진료지침 개발사업단
- 대한침구의학회 교재편찬위원회, "침구의학" (2020), 도서출판 한미의학
