Kongsted Per, Sheikh Kiran, Mouritsen Lene Sonne, Lindberg Henriette, Sengeløv Lisa
Vesterbrogade 51, 4. tv., 1620 København V.
Ugeskr Laeger. 2015 Jan 26;177(2A):24-5.
Neutropenic enterocolitis (NE) is a possible life-threatening complication to chemotherapy. The pathogenesis is multi-factorial with mucosal injury and impaired mucosal defence as contributing factors. Histopathological findings are heterogeneous. Clinical presentation includes neutropenia, fever and abdominal pain. Treatment is not clearly defined. We present a fatal case of NE in a patient with prostate cancer treated with first-line chemotherapy, docetaxel 75 mg/m2 every three weeks and prednisolone 5 mg × 2 daily. The post-mortem examination confirmed NE with prostate cancer cells in bowel wall.
中性粒细胞减少性小肠结肠炎(NE)是化疗可能危及生命的并发症。其发病机制是多因素的,黏膜损伤和黏膜防御受损是促成因素。组织病理学表现具有异质性。临床表现包括中性粒细胞减少、发热和腹痛。治疗方法尚无明确定义。我们报告一例接受一线化疗(多西他赛75mg/m²,每三周一次,泼尼松龙5mg×2,每日一次)的前列腺癌患者发生NE的致命病例。尸检证实为NE,肠壁存在前列腺癌细胞。