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安罗替尼治疗面颈部血管肉瘤的疗效:一例报告

Efficacy of Anlotinib for the Treatment of Angiosarcoma of the Face and Neck: A Case Report.

作者信息

Ren Biyong, Wang Wei, Tan Jing, Yuan Bo, Chen Guilan, Mo Xiaofei, Fan Jieqiong, Yang Bo, Huang Xiaoping

机构信息

Department of Medical Oncology, Chongqing University Three Gorges Hospital, Chongqing, China.

Department of Gastrointestinal, Thyroid and Vascular Surgery, Chongqing University, Three Gorges Hospital, Chongqing, China.

出版信息

Front Oncol. 2021 Jun 28;11:596732. doi: 10.3389/fonc.2021.596732. eCollection 2021.

Abstract

Angiosarcoma of the face and neck is a rare soft tissue sarcoma with a high degree of malignancy. The current treatment methods mainly rely on a combination of surgery and radiotherapy and/or chemotherapy. However, the options for drug treatment are very limited and surgery can be difficult to carry out due to the location of the tumor, so the efficacy of first-line drugs needs to be constantly explored. A case of angiosarcoma of the head and face diagnosed by biopsy is reported here. The patient received an oral anlotinib hydrochloride capsule once a day (12 mg on days 1 - 14/1 week off for a 21-day cycle) due to the difficulty of surgery. Until now (April, 2020), after 10 months of treatment, the patient's scalp and facial lesions have gradually reduced and the partial response and progression-free survival of this patient were good, with moderate or tolerable adverse events. This approach provides a new approach for the clinical treatment of malignant angiosarcoma of the face and neck with anlotinib as first-line therapy.

摘要

头颈部血管肉瘤是一种罕见的高度恶性软组织肉瘤。目前的治疗方法主要依靠手术与放疗和/或化疗相结合。然而,药物治疗的选择非常有限,且由于肿瘤位置手术可能难以实施,因此一线药物的疗效需要不断探索。本文报告1例经活检确诊的头面部血管肉瘤病例。由于手术困难,该患者每天口服1次盐酸安罗替尼胶囊(第1 - 14天服用12mg,每21天为1个周期,停药1周)。截至目前(2020年4月),经过10个月的治疗,患者头皮和面部病变逐渐缩小,该患者的部分缓解和无进展生存期良好,不良事件为中度或可耐受。该方法为以安罗替尼作为一线治疗方案的头颈部恶性血管肉瘤的临床治疗提供了一种新途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33db/8273654/4bd6d69e6274/fonc-11-596732-g001.jpg

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