Hematology Unit, Bnai Zion Medical Center, Golomb 47, 33394, Haifa, Israel.
Complementary Medicine Service, Bnai Zion Medical Center, Haifa, Israel.
Curr Oncol Rep. 2023 Dec;25(12):1523-1534. doi: 10.1007/s11912-023-01476-4. Epub 2023 Dec 7.
Lymphoma is the most frequent hematological malignancy with wide disease spectrum of watchful waiting period, active treatment, survivorship, and palliative care. All these steps impose unmet needs in terms of prevention, symptom alleviation, or prognosis. Complementary and integrative medicine (CIM) is widely used by patients with lymphoma to cope with such issues. Here, we describe the different CIM modalities that may be effective and safe for the management of patients with lymphoma.
Low inflammatory diet and ginseng seem effective for lymphoma prevention. Pain and neuropathy may be improved using acupuncture, touch therapy and specific dietary supplements. Nausea/vomiting, fatigue, and insomnia may be relieved by acupuncture, mind-body, touch therapy, and certain dietary supplements. Vitamin D, curcumin, and some traditional medicine herbs may positively impact lymphoma prognosis. Finally, safety issues should be considered especially for the concomitant use of dietary supplements and lymphoma-directed therapies. CIM may be beneficial along the continuum of lymphoma management although safety concerns should be considered when used concomitantly with conventional therapy.
淋巴瘤是最常见的血液系统恶性肿瘤,具有广泛的疾病谱,包括观察等待期、积极治疗、生存和姑息治疗。所有这些阶段都在预防、症状缓解或预后方面存在未满足的需求。补充和整合医学(CIM)被广泛应用于淋巴瘤患者,以应对这些问题。在这里,我们描述了可能对淋巴瘤患者管理有效的和安全的不同 CIM 方式。
低炎症饮食和人参似乎对预防淋巴瘤有效。针灸、触摸疗法和特定的膳食补充剂可能改善疼痛和神经病变。针灸、身心、触摸疗法和某些膳食补充剂可缓解恶心/呕吐、疲劳和失眠。维生素 D、姜黄素和一些传统草药可能对淋巴瘤预后产生积极影响。最后,应考虑安全性问题,特别是对于膳食补充剂和淋巴瘤定向治疗的同时使用。CIM 可能对淋巴瘤管理的整个过程有益,但与常规治疗同时使用时应考虑安全性问题。