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Fan Ping-le
CANCER
CACHEXIA
AND
ITS
NUTRITIONAT
MANAGEM ENT
The
clinical
features
of
cachexia
ol cancer
are
characterized
by
progressive
weight
loss,
anorexia
marked
asthenia
and
anemia
with
a
wide range of metabolic abnor-
malities.
They
are
just the most
obvious
manifestations
of
a
profound systemic
derange-
ment
of
the
host
metabolism
due
to
the
malignancy.
The
progressive
wasting
and
cachexia
is of major
clinical
sig-
nificance
in
patients with
can-
cer.
Studies reported
that
ca-
chexia
is
the
most
frequent
single cause
of
death
in
can-
cer,
instead of
the direct
injuri-
ous
effect of cancer. Thus, it
is
apparent that
supportive
measures
including
dietary
management
and
more
inten-
sive
intravenous
hyperali-
mentation
can
play
an
import-
ant role in
sustaining
a
patient
until such time as
direct
anticancer
treatment has
con-
trolled
the
underlying
disease
process.
A
hypothesis
to
ex-
plain
the
pathogenesis
of
can-
cer
cachexia
and
nutritional
management
for the
syndrome
are
discussed
in
detail
in
the
present paper.
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