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贝伐珠单抗导致的鼻中隔穿孔:对结果、处理方法和药物警戒的讨论。

Nasal septal perforation from bevacizumab: a discussion of outcomes, management, and pharmacovigilance.

机构信息

Mayo Clinic Medical School, Rochester, MN, USA.

出版信息

Curr Oncol Rep. 2012 Aug;14(4):307-10. doi: 10.1007/s11912-012-0236-x.

DOI:10.1007/s11912-012-0236-x
PMID:22544558
Abstract

To date, the published literature describes 18 reports of nasal septal perforation in cancer patients with the administration of bevacizumab. This complication was detected during post-marketing surveillance of bevacizumab. How should patients who develop this complication be managed? This discussion summarizes suggestions for management of bevacizumab-associated nasal septal perforation and, as relevant to healthcare providers, discusses some of the practical aspects of post-marketing pharmacovigilance.

摘要

迄今为止,已发表的文献描述了 18 例接受贝伐珠单抗治疗的癌症患者发生鼻中隔穿孔的报告。这一并发症是在贝伐珠单抗上市后监测中发现的。对于发生这种并发症的患者应如何进行管理?本文总结了贝伐珠单抗相关性鼻中隔穿孔的处理建议,并结合上市后药物警戒的实际情况,为医疗保健提供者提供了一些相关讨论。

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Clin Cancer Res. 2011 Oct 15;17(20):6373-80. doi: 10.1158/1078-0432.CCR-10-2577. Epub 2011 Jul 12.
2
[Nasal septum perforation and bevacizumab].[鼻中隔穿孔与贝伐单抗]
Rev Med Interne. 2011 Apr;32(4):e43-5. doi: 10.1016/j.revmed.2010.04.015. Epub 2010 Jun 17.
3
A patient presenting nasal septum perforation during bevacizumab-containing chemotherapy for advanced breast cancer.
一名晚期乳腺癌患者在接受贝伐珠单抗化疗期间出现鼻中隔穿孔。
Breast Cancer. 2011 Jul;18(3):226-30. doi: 10.1007/s12282-011-0255-8. Epub 2011 Feb 11.
4
Bevacizumab-induced nasal septal perforation: incidence of symptomatic, confirmed event(s) in colorectal cancer patients.贝伐珠单抗导致的鼻中隔穿孔:结直肠癌患者中出现症状性、确诊的穿孔事件的发生率。
Acta Oncol. 2011 May;50(4):578-81. doi: 10.3109/0284186X.2010.537692. Epub 2010 Nov 26.
5
Overexpression of tumor vascular endothelial growth factor A may portend an increased likelihood of progression in a phase II trial of bevacizumab and erlotinib in resistant ovarian cancer.肿瘤血管内皮生长因子 A 的过表达可能预示着在贝伐珠单抗和厄洛替尼二线治疗耐药性卵巢癌的 II 期试验中进展的可能性增加。
Clin Cancer Res. 2010 Nov 1;16(21):5320-8. doi: 10.1158/1078-0432.CCR-10-0974.
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