在肿瘤肾脏病专科门诊，肾脏科医生会评估和治疗因癌症或癌症治疗而患肾病的癌症成人患者。该专科门诊位于妙佑医疗国际明尼苏达州罗切斯特院区。妙佑医疗拥有全美最大的肾脏科团队之一，每年为 26,340 多例慢性肾病患者提供护理。
患有癌症相关肾病的人群的护理需求正日益增长。一个原因是癌症治疗的进步延长了癌症患者的寿命。然而，有些癌症治疗方法可能会导致意外的副作用，比如肾脏损伤。年龄较大的癌症患者因服用抗癌药物而导致肾脏损伤的风险往往更高。另一种情况是，他们本身患有慢性肾病，在接受癌症治疗后就成为了患有肾病的癌症幸存者。
如果癌症和肾脏科医生通力合作，副作用和肾脏损伤可能会减轻。
肿瘤肾脏病专科门诊的肾脏科医生与接受过癌症相关培训的医生（肿瘤科医生）、血液疾病培训的医生（血液科医生）、药剂师和其他医生组成的多学科团队通力合作。该团队合作为在肾脏方面有复杂或重要需求的癌症患者提供全面且协调的护理。在这种团队护理模式下，通常几天内便可以完成评估和制定治疗方案。
How cancer care affects the kidneys
Cancer and cancer treatment can affect the kidneys in several ways:
- Some chemotherapy and immunotherapy medicines can damage the kidneys.
- Cancer and its treatment can lead to dehydration, infection, or rapid breakdown of cancer cells after treatment — called tumor lysis syndrome — which can strain kidney function.
Some people have a higher risk of kidney injury during cancer treatment, including:
- Older adults.
- People with kidney disease before receiving cancer treatment.
Because of these risks, kidney and cancer care often need to be managed together.
When to see an onco-nephrologist
Onco-nephrologists are specialized kidney doctors, known as nephrologists, who focus on managing kidney complications in people with cancer.
You may benefit from care at the Onco-Nephrology Clinic if you:
- Have kidney disease and need cancer treatment.
- Are at higher risk of kidney complications during cancer treatment.
- Develop kidney disease during or after cancer treatment.
- Receive dialysis and need cancer care.
- Have a kidney transplant and are being treated for cancer.
Kidney and cancer care, together
At the Onco-Nephrology Clinic, kidney specialists and cancer specialists work together as one team. They guide care decisions and adjust treatment to protect kidney function, limit side effects and support safe, effective cancer treatment.
Your team may include:
- Onco-nephrologists.
- Cancer specialists, also called oncologists.
- Hematologists.
- Pharmacists.
- Other specialists as needed.
Care throughout cancer treatment
The Onco-Nephrology Clinic provides care at every stage of cancer treatment to protect your kidney health and help you continue treatment safely.
Before cancer treatment, your care team checks your kidney function, assesses your risk for kidney injury and helps guide safer treatment options.
During cancer treatment, your team assesses how well your kidneys are working and manages kidney-related complications. Treatment is adjusted as needed to protect the kidneys and help limit side effects.
After cancer treatment, your team checks for long-term kidney damage and treats any ongoing kidney conditions. The team also may create a plan to track kidney health over time.
Your team provides guidance on diet, physical activity and long-term kidney health throughout your care.
哪些人去肿瘤肾脏病专科门诊就诊能够获益？
对于以下类型的患者，肿瘤肾脏病专科门诊的医生可能会进行评估，并在癌症治疗之前、期间或之后对其进行治疗：
- 患肾病风险高。
- 患有肾病。
- 接受癌症治疗后患上肾病或出现肾病并发症。
服务包括：
- 在癌症治疗前为肾病高危者或目前患有肾病者提供建议和指导，并评估如何预防、监测和治疗肾病。
- 与肿瘤科医生讨论肾病高危者或目前患有肾病者的癌症治疗方案。
- 提供肾病治疗、搭配药物的支持疗法，有时还提供肾脏替代疗法（透析）。
- 在癌症治疗前和治疗期间，通过定期影像学检查和血检对肾病患者或有肾病风险者进行监测，以识别肾病并发症的迹象。
- 在癌症治疗期间，监测和治疗由于服用某些化疗药物或接受腹部放射疗法而可能出现的肾病并发症，包括高血压。
- 对肾移植接受者进行监测，因为这些人患癌症风险较高。
- 对可能需要癌症治疗的患者进行监测，因为癌症治疗可能会干扰其为肾移植而服用的抑制免疫系统的药物。
- 在癌症治疗后，筛查肾病并发症，特别是对于服用了某些化疗药物或接受过腹部放射治疗的患者。
- 治疗癌症治疗后由于服用某些化疗药物或接受腹部放射治疗而可能出现的肾病或并发症。
- 为癌症治疗后的患者提供生活方式指导，例如健康饮食和适当运动。
与肿瘤科医生讨论将您转诊至肿瘤肾脏病专科门诊对您是否有用。肿瘤肾脏病专科门诊的专家可以在降低您患肾病风险的同时，帮助确保您接受最合适的癌症治疗。
可治疗的疾病
研究
肾脏病学、肿瘤学和其他领域的研究人员对癌症治疗及其对肾脏的影响进行探索。他们研究癌症治疗开始前、期间和结束后的影像学检查，监测肾脏状况并评估患肾病的风险。他们还研究新型抗癌制剂对肾脏的影响与传统化疗相比有何不同。这些新方法包括 CAR-T 细胞疗法和免疫检查点抑制剂等免疫疗法。
在肾病治疗方面接受过专门训练的医生科研人员还研究癌症患者如何与肾病共存和如何改善生活质量。
转诊
妙佑医疗国际的医生会与转诊医生通力合作。请联系转诊医生服务，安排电话会诊和转诊。
医生可拨打 800-533-1564 将患者转诊至明尼苏达州罗切斯特院区的肿瘤肾脏病专科门诊。