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对一名患有直肠癌的孕妇使用奥沙利铂。

Administration of oxaliplatin to a pregnant woman with rectal cancer.

作者信息

Gensheimer Michael, Jones Catherine A, Graves Cornelia R, Merchant Nipun B, Lockhart A Craig

机构信息

Vanderbilt University School of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

出版信息

Cancer Chemother Pharmacol. 2009 Jan;63(2):371-3. doi: 10.1007/s00280-008-0731-9. Epub 2008 Mar 21.

DOI:10.1007/s00280-008-0731-9
PMID:18357450
Abstract

PURPOSE

The platinum agent oxaliplatin could be useful in treatment of cancer in pregnant women, but it is fetotoxic in rats and its effect on the human fetus is unknown.

METHODS

Oxaliplatin was administered to a 25-year-old pregnant woman with metastatic rectal cancer from 20 to 30 weeks gestational age as part of the mFOLFOX-6 regimen.

RESULTS

The patient gave birth to a healthy girl at 33 weeks gestational age. At follow-up, the 3-year-old child had achieved all appropriate growth and developmental milestones.

DISCUSSION

Oxaliplatin is a component of several modern chemotherapy regimens. This report demonstrates the administration of oxaliplatin in the second and third trimesters of pregnancy without apparent fetal harm.

摘要

目的

铂类药物奥沙利铂可能对治疗孕妇癌症有用,但它对大鼠具有胚胎毒性,其对人类胎儿的影响尚不清楚。

方法

作为mFOLFOX-6方案的一部分,在孕20至30周时给一名患有转移性直肠癌的25岁孕妇使用奥沙利铂。

结果

该患者在孕33周时产下一名健康女婴。随访时,这个3岁的孩子达到了所有适当的生长和发育里程碑。

讨论

奥沙利铂是几种现代化疗方案的组成部分。本报告证明了在妊娠中期和晚期使用奥沙利铂并未对胎儿造成明显伤害。

相似文献

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Administration of oxaliplatin to a pregnant woman with rectal cancer.对一名患有直肠癌的孕妇使用奥沙利铂。
Cancer Chemother Pharmacol. 2009 Jan;63(2):371-3. doi: 10.1007/s00280-008-0731-9. Epub 2008 Mar 21.
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[Epiphora in a patient receiving FOLFOX therapy].[一名接受FOLFOX疗法患者的泪溢]
Gan To Kagaku Ryoho. 2008 Nov;35(11):1989-91.
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Successful twin pregnancy outcome after in utero exposure to FOLFOX for metastatic colon cancer: a case report and review of the literature.胎儿期暴露于 FOLFOX 方案治疗转移性结直肠癌后成功的双胞胎妊娠结局:病例报告及文献复习。
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Desensitization to oxaliplatin with two stages of premedication in a patient with metastatic rectal cancer.一名转移性直肠癌患者采用两阶段预处理方案进行奥沙利铂脱敏治疗。
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Oxaliplatin-induced immune mediated thrombocytopenia.奥沙利铂诱导的免疫介导性血小板减少症。
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Is oxaliplatin combined with weekly bolus 5-fluorouracil and leucovorin an option for stage II and III colon cancer?奥沙利铂联合每周一次大剂量5-氟尿嘧啶和亚叶酸钙对II期和III期结肠癌患者来说是一种可行的治疗方案吗?
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Hypersensitivity reactions to oxaliplatin in two asian patients.两名亚洲患者对奥沙利铂的超敏反应。
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[A case of rectal cancer with liver metastases successfully treated with modified FOLFOX6 therapy].[一例采用改良FOLFOX6疗法成功治疗的伴有肝转移的直肠癌病例]
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The efficacy and toxicity of FOLFOX regimen (a combination of leucovorin and fluorouracil with oxaliplatin) as first-line treatment of metastatic colorectal cancer.FOLFOX方案(亚叶酸钙、氟尿嘧啶与奥沙利铂联合)作为转移性结直肠癌一线治疗的疗效与毒性
Gan To Kagaku Ryoho. 2009 May;36(5):797-801.

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