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- W2022045091 abstract "Approximately half of cancer patients scheduled for major surgery are anemic. Also, a significant number of patients will present to the operating room with low platelet counts and coagulopathic disorders. Unfortunately, administration of red blood cells, platelets concentrates and fresh-frozen plasma is associated with unwanted adverse effects including fever, hemolytic reactions and transfusion-related immunomodulation (TRIM). TRIM is a multifactorial immunologic phenomenon in the recipient mediated by donor leukocytes, microparticles such as ectosomes, and growth factors. As some of these molecules are secreted in a time-dependent manner, blood storage time may play an important in TRIM, although the evidence is limited. Perioperative administration of red blood cells and associated TRIM has also been associated with increased recurrence of certain solid tumors, such as colorectal, lung, and hepatobiliary tumors. In this continuing education article, we review the available evidence on how perioperative blood product transfusions can affect oncological outcomes, such as cancer recurrence. Aproximadamente 50% de los pacientes oncológicos que se presentan para cirugía mayor están anémicos. Una cantidad importante de estos pacientes también están plaquetopénicos y/o con trastornos en sus vías de coagulación. Si bien la transfusiones de productos derivados de la sangre se usan para corregir defectos perioperatorios hematológicos, estos productos han sido implicados como inductores de inmunosupresión. Esta ultima es de origen multifactorial ya que factores de crecimiento, leucocitos y macropartículas presentes en las bolsas de productos sanguíneos han sido implicado como algunos de los mecanismos de inmunosupresión. Es importante destacar que a la inmunosupresión asociada a las transfusiones perioperatorias de sangre se la ha relacionado como uno de los mecanismos por los cuales existe una tasa de recurrencia de cáncer colorectal, pulmonar y hepatobiliar. En este manuscrito de formación continuada discutirá la evidencia existente acerca de la relación entre anemia, transfusión de productos de la sangre y recurrencia de cáncer." @default.
- W2022045091 created "2016-06-24" @default.
- W2022045091 creator A5025645999 @default.
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- W2022045091 date "2015-10-01" @default.
- W2022045091 modified "2023-10-03" @default.
- W2022045091 title "Transfusions of blood products and cancer outcomes" @default.
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- W2022045091 doi "https://doi.org/10.1016/j.redar.2015.02.013" @default.
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