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[一名接受一线化疗的去势抵抗性前列腺癌患者发生致命性中性粒细胞减少性小肠结肠炎]

[Fatal neutropenic enterocolitis in a patient with castration-resistant prostate cancer treated with first-line chemotherapy].

作者信息

Kongsted Per, Sheikh Kiran, Mouritsen Lene Sonne, Lindberg Henriette, Sengeløv Lisa

机构信息

Vesterbrogade 51, 4. tv., 1620 København V.

出版信息

Ugeskr Laeger. 2015 Jan 26;177(2A):24-5.

Abstract

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.

摘要

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。

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