Jafri Mariam, Protheroe Andrew
Department of Medical Oncology, Oxford University, Churchill Hospital, Oxford, UK.
Anticancer Drugs. 2008 Oct;19(9):927-9. doi: 10.1097/CAD.0b013e3283100e9c.
The discovery of cisplatin has made arguably the biggest contribution to cancer medicine, providing the basis for the chemotherapy treatment of many malignancies. In addition to well-documented toxicities such as neurotoxicity, cisplatin-induced vascular toxicity is becoming an increasing concern, with some authors describing it in up to 12% of patients. Given the efficacy of cisplatin, vascular toxicity represents a significant survivorship issue. We describe different manifestations of cisplatin-associated thrombosis and its putative pathophysiology.
顺铂的发现对癌症医学做出了堪称最大的贡献,为许多恶性肿瘤的化疗治疗奠定了基础。除了诸如神经毒性等有充分记录的毒性外,顺铂诱导的血管毒性也日益受到关注,一些作者报道其在高达12%的患者中出现。鉴于顺铂的疗效,血管毒性成为一个重大的生存问题。我们描述了顺铂相关血栓形成的不同表现及其假定的病理生理学。