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贝伐珠单抗治疗非小细胞肺癌患者并发颈内静脉血栓形成致肺栓塞。

Pulmonary embolism due to internal jugular vein thrombosis in a patient with non-small cell lung cancer receiving bevacizumab.

机构信息

Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawaracho, Sakyo-ku, Kyoto, 606-8507, Japan.

出版信息

Int J Clin Oncol. 2011 Aug;16(4):444-6. doi: 10.1007/s10147-010-0148-4. Epub 2010 Nov 30.

DOI:10.1007/s10147-010-0148-4
PMID:21116671
Abstract

Internal jugular vein thrombosis is much less common than deep venous thrombosis of lower limbs and is generally caused by an indwelling venous catheter or otological infection. Several cases of internal jugular vein thrombosis associated with malignancy have been also reported. Bevacizumab, a monoclonal neutralizing antibody against vascular endothelial growth factor, has shown benefits in the treatment of many types of malignancy and its use is increasing. Serious adverse effects, however, are associated with the use of bevacizumab, including venous thromboembolism. In this article, we present a rare case of non-small cell lung cancer complicated by pulmonary embolism due to internal jugular vein thrombosis associated with bevacizumab.

摘要

颈内静脉血栓形成比下肢深静脉血栓形成少见得多,通常由留置静脉导管或耳科感染引起。也有一些与恶性肿瘤相关的颈内静脉血栓形成的病例报告。贝伐珠单抗是一种针对血管内皮生长因子的单克隆中和抗体,已显示出对多种类型恶性肿瘤的治疗益处,其应用正在增加。然而,贝伐珠单抗的使用与严重的不良反应相关,包括静脉血栓栓塞。在本文中,我们报告了一例罕见的非小细胞肺癌病例,该病例因贝伐珠单抗引起的颈内静脉血栓形成并发肺栓塞。

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本文引用的文献

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Thrombotic events in patients with cancer receiving antiangiogenesis agents.接受抗血管生成药物治疗的癌症患者中的血栓形成事件。
J Clin Oncol. 2009 Oct 10;27(29):4865-73. doi: 10.1200/JCO.2009.22.3875. Epub 2009 Aug 24.
2
Risk of venous thromboembolism with the angiogenesis inhibitor bevacizumab in cancer patients: a meta-analysis.癌症患者使用血管生成抑制剂贝伐单抗发生静脉血栓栓塞的风险:一项荟萃分析。
JAMA. 2008 Nov 19;300(19):2277-85. doi: 10.1001/jama.2008.656.
3
Internal jugular, subclavian, and axillary deep venous thrombosis and the risk of pulmonary embolism.
颈内静脉、锁骨下静脉和腋深静脉血栓形成与肺栓塞风险
Vascular. 2008 Mar-Apr;16(2):73-9. doi: 10.2310/6670.2008.00019.
4
American Society of Clinical Oncology guideline: recommendations for venous thromboembolism prophylaxis and treatment in patients with cancer.美国临床肿瘤学会指南:癌症患者静脉血栓栓塞预防和治疗的建议
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Clinical outcome of patients with upper-extremity deep vein thrombosis: results from the RIETE Registry.上肢深静脉血栓形成患者的临床结局:来自RIETE注册研究的结果。
Chest. 2008 Jan;133(1):143-8. doi: 10.1378/chest.07-1432. Epub 2007 Oct 9.
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Internal jugular vein thrombosis due to distant malignancies: two case reports and literature review.
J Laryngol Otol. 2008 Mar;122(3):318-20. doi: 10.1017/S0022215107008274. Epub 2007 May 14.
7
Paclitaxel-carboplatin alone or with bevacizumab for non-small-cell lung cancer.单独使用紫杉醇-卡铂或联合贝伐单抗治疗非小细胞肺癌。
N Engl J Med. 2006 Dec 14;355(24):2542-50. doi: 10.1056/NEJMoa061884.
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Managing patients treated with bevacizumab combination therapy.管理接受贝伐单抗联合治疗的患者。
Oncology. 2005;69 Suppl 3:25-33. doi: 10.1159/000088481. Epub 2005 Nov 21.
9
Deep vein thrombosis.深静脉血栓形成
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Malignancies, prothrombotic mutations, and the risk of venous thrombosis.恶性肿瘤、血栓前突变与静脉血栓形成风险
JAMA. 2005 Feb 9;293(6):715-22. doi: 10.1001/jama.293.6.715.