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复发性腹膜后软组织肉瘤在服用帕唑帕尼后显示出显著缩小,并伴有严重肝功能障碍。

Recurrent retroperitoneal soft tissue sarcoma showing drastic reduction after pazopanib administration accompanied by severe liver dysfunction.

作者信息

Okubo Kazuki, Horiguchi Akio, Ito Keiichi, Asano Tomohiko

机构信息

Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.

出版信息

Urol Case Rep. 2018 Jun 6;20:22-24. doi: 10.1016/j.eucr.2018.05.018. eCollection 2018 Sep.

DOI:10.1016/j.eucr.2018.05.018
PMID:30003043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6041368/
Abstract

Pazopanib is an orally bioavailable tyrosine kinase inhibitor anticancer drug approved worldwide for the treatment of metastatic renal cell carcinoma and advanced soft tissue sarcoma. Here we report the case of a patient whose recurrent retroperitoneal soft tissue sarcoma showed a drastic reduction immediately after pazopanib administration accompanied by severe liver dysfunction. His liver function was restored conservatively by giving him hepatoprotectors and having him stop taking pazopanib. The recurrent tumor disappeared but by 4 months later had regrown.

摘要

帕唑帕尼是一种口服生物可利用的酪氨酸激酶抑制剂抗癌药物,在全球范围内被批准用于治疗转移性肾细胞癌和晚期软组织肉瘤。在此,我们报告一例复发性腹膜后软组织肉瘤患者的病例,该患者在服用帕唑帕尼后肿瘤立即大幅缩小,但同时伴有严重肝功能障碍。通过给予其肝脏保护剂并停用帕唑帕尼,其肝功能得到保守治疗恢复。复发性肿瘤消失,但4个月后又重新生长。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be46/6041368/c8dd8dfe90ef/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be46/6041368/fe899c4eb0fd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be46/6041368/c8dd8dfe90ef/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be46/6041368/fe899c4eb0fd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be46/6041368/c8dd8dfe90ef/gr2.jpg

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Recurrent retroperitoneal soft tissue sarcoma showing drastic reduction after pazopanib administration accompanied by severe liver dysfunction.复发性腹膜后软组织肉瘤在服用帕唑帕尼后显示出显著缩小,并伴有严重肝功能障碍。
Urol Case Rep. 2018 Jun 6;20:22-24. doi: 10.1016/j.eucr.2018.05.018. eCollection 2018 Sep.
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本文引用的文献

1
WHO classification of soft tissue tumours: an update based on the 2013 (4th) edition.世界卫生组织软组织肿瘤分类:基于 2013 年(第 4 版)的更新。
Pathology. 2014 Feb;46(2):95-104. doi: 10.1097/PAT.0000000000000050.
2
Assessment of multimodality therapy use for extremity sarcoma in the United States.评估美国肢体肉瘤的多模态治疗应用。
J Surg Oncol. 2014 Apr;109(5):395-404. doi: 10.1002/jso.23520. Epub 2013 Dec 20.
3
Clinical biomarkers of response in advanced renal cell carcinoma.晚期肾细胞癌的反应临床生物标志物。
Ann Oncol. 2013 Dec;24(12):2935-42. doi: 10.1093/annonc/mdt288. Epub 2013 Aug 7.
4
Risk of liver toxicity with the angiogenesis inhibitor pazopanib in cancer patients.癌症患者应用血管生成抑制剂帕唑帕尼的肝毒性风险。
Acta Oncol. 2013 Aug;52(6):1202-12. doi: 10.3109/0284186X.2013.782103. Epub 2013 Apr 18.
5
Pazopanib for metastatic soft-tissue sarcoma (PALETTE): a randomised, double-blind, placebo-controlled phase 3 trial.帕唑帕尼治疗转移性软组织肉瘤(PALETTE):一项随机、双盲、安慰剂对照的 3 期临床试验。
Lancet. 2012 May 19;379(9829):1879-86. doi: 10.1016/S0140-6736(12)60651-5. Epub 2012 May 16.