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维莫非尼与皮肤不良事件——5例报告

Vemurafenib and cutaneous adverse events--report of five cases.

作者信息

Silva Giselle de Barros, Mendes Adriana Pessoa, de Macedo Mariana Petaccia, Pinto Clóvis Antônio Lopes, Gibbons Ivana Lameiras, Duprat Neto João Pedreira

机构信息

AC Camargo Cancer Center, SP, BR.

出版信息

An Bras Dermatol. 2015 May-Jun;90(3 Suppl 1):242-6. doi: 10.1590/abd1806-4841.20153841.

DOI:10.1590/abd1806-4841.20153841
PMID:26312729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4540563/
Abstract

Vemurafenib is a selective inhibitor of V600E-mutant BRAF protein used to treat metastatic and unresectable melanoma. Clinical trials have shown increased overall survival and progression-free survival in patients treated with Vemurafenib. However, cutaneous adverse events are common during treatment. We report fi ve cases of metastatic melanoma with BRAF V600E positivity, treated with Vemurafenib and its cutaneous adverse events. Dermatologists and oncologists need to be aware of possible skin changes caused by this medication, which is increasingly employed in melanoma treatment. Monitoring of patients during therapy is important for early treatment of adverse cutaneous cutaneous adverse events, improvement in quality of life and adherence to treatment.

摘要

维莫非尼是一种用于治疗转移性和不可切除黑色素瘤的V600E突变型BRAF蛋白的选择性抑制剂。临床试验表明,接受维莫非尼治疗的患者总生存期和无进展生存期有所延长。然而,治疗期间皮肤不良事件很常见。我们报告了5例BRAF V600E阳性的转移性黑色素瘤患者,接受维莫非尼治疗及其皮肤不良事件。皮肤科医生和肿瘤学家需要意识到这种越来越多地用于黑色素瘤治疗的药物可能引起的皮肤变化。治疗期间对患者进行监测对于早期治疗皮肤不良事件、改善生活质量和坚持治疗很重要。

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本文引用的文献

1
Vemurafenib-associated neutrophilic panniculitis: An emergent adverse effect of variable severity.维莫非尼相关的嗜中性脂膜炎:一种严重程度不一的新发不良反应。
Dermatol Online J. 2013 Apr 15;19(4):16.
2
Tracking of second primary melanomas in vemurafenib-treated patients.维莫非尼治疗患者中第二原发性黑色素瘤的追踪
JAMA Dermatol. 2013 Apr;149(4):488-90. doi: 10.1001/jamadermatol.2013.21.
3
Vemurafenib and radiosensitization.威罗非尼与放射增敏。
JAMA Dermatol. 2013 Jul;149(7):855-7. doi: 10.1001/jamadermatol.2013.4200.
4
Analysis of dermatologic events in vemurafenib-treated patients with melanoma.分析维莫非尼治疗黑色素瘤患者的皮肤事件。
Oncologist. 2013;18(3):314-22. doi: 10.1634/theoncologist.2012-0333. Epub 2013 Mar 1.
5
Cutaneous adverse events associated with vemurafenib in patients with metastatic melanoma: practical advice on diagnosis, prevention and management of the main treatment-related skin toxicities.维莫非尼相关皮肤不良反应:转移性黑色素瘤患者的诊断、预防和主要治疗相关皮肤毒性管理的实用建议。
Br J Dermatol. 2012 Nov;167(5):987-94. doi: 10.1111/bjd.12010.
6
Dynamic changes in nevi of a patient with melanoma treated with vemurafenib: importance of sequential dermoscopy.用维莫非尼治疗的黑色素瘤患者痣的动态变化:序贯皮肤镜检查的重要性
Arch Dermatol. 2012 Oct;148(10):1183-5. doi: 10.1001/archdermatol.2012.2649.
7
Cutaneous toxic effects associated with vemurafenib and inhibition of the BRAF pathway.与维莫非尼及BRAF通路抑制相关的皮肤毒性作用
Arch Dermatol. 2012 May;148(5):628-33. doi: 10.1001/archdermatol.2012.125.
8
Panniculitis with arthralgia in patients with melanoma treated with selective BRAF inhibitors and its management.接受选择性BRAF抑制剂治疗的黑色素瘤患者出现的伴有关节痛的脂膜炎及其处理
Arch Dermatol. 2012 Mar;148(3):357-61. doi: 10.1001/archdermatol.2011.2842. Epub 2012 Jan 16.
9
Improved survival with vemurafenib in melanoma with BRAF V600E mutation.BRAF V600E 突变型黑色素瘤患者采用威罗菲尼治疗后生存改善。
N Engl J Med. 2011 Jun 30;364(26):2507-16. doi: 10.1056/NEJMoa1103782. Epub 2011 Jun 5.
10
Characterizing the phenomenon of radiation recall dermatitis.描述放射性回忆性皮炎现象。
Radiother Oncol. 2001 Jun;59(3):237-45. doi: 10.1016/s0167-8140(01)00328-0.