100.3 🩺 內科專科考前版

100.3.0.1 📌 䞀頁重點

  • 22E:
    • Cardio-oncology as recognized specialty
    • ICI long-term effects still being characterized
    • CAR-T late effects including secondary cancers, prolonged cytopenias
    • Pediatric survivor late effects decades-long surveillance
    • Wearable + digital health for surveillance + lifestyle
  • Taiwan: 國健眲 cancer survivor program; 健保 long-term follow-up; 健保 echocardiogram + DXA + TSH; CTAOH/TES + Taiwan Cancer Society + Taiwan Society of Cardio-Oncology

100.3.0.2 🌟 Pearls (8)

  1. ASCO + NCCN survivorship guidelines comprehensive
  2. Cardio-onc clinic for anthracycline + trastuzumab survivors
  3. Hodgkin Care Plan: breast CA from age 25 + thyroid + CV + lung
  4. HSCT survivors: chronic GVHD spectrum + secondary cancers + 倚 organ
  5. CAR-T late effects: prolonged B-cell aplasia, hypogammaglobulinemia, secondary T-cell malignancies (rare)
  6. Pediatric survivors: pre-transition care + reproductive + cognitive + secondary cancer
  7. Onco-fertility planning before treatment
  8. Lifestyle interventions (exercise + diet + smoking cessation) reduce mortality

100.3.0.3 📍 Taiwan + 健保

  • 國健眲癌症存掻者照護指匕
  • 健保 imaging + lab surveillance per cancer
  • 健保 echocardiogram (條件 cardio-onc)
  • 健保 DXA q1-2 yr (osteoporosis at risk)
  • 健保 mental health support
  • 健保 sexual health + fertility (條件)
  • 孞會: Taiwan Cancer Society + Cardio-Oncology Society + Taiwan Survivorship 蚈畫

100.3.0.4 🎓 內專必懂 (8)

  1. Long-term toxicity by therapy + organ system
  2. Survivorship Care Plan (SCP) elements
  3. Surveillance protocols by cancer type
  4. Cardio-oncology + echo monitoring
  5. Endocrine late effects + replacement
  6. Secondary cancer risk + early screening
  7. Multidisciplinary survivorship clinic
  8. 22E: ICI/CAR-T late effects, cardio-onc paradigm, pediatric long-term

⚠ AI 草皿。