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贝伐单抗治疗胶质母细胞瘤期间发生的非闭塞性肠系膜缺血:一例报告

Non-occlusive mesenteric ischemia during bevacizumab treatment for glioblastoma: a case report.

作者信息

Oikawa Nozomu, Kinoshita Masashi, Yamamura Minako, Uno Takehiro, Ichinose Toshiya, Sabit Hemragul, Hayashi Tomoyuki, Inoue Dai, Harada Kenichi, Nakada Mitsutoshi

机构信息

Department of Neurosurgery, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.

Department of Human Pathology, Kanazawa University Graduate School of Medicine, Kanazawa, Ishikawa, Japan.

出版信息

Acta Neurochir (Wien). 2022 Oct;164(10):2767-2771. doi: 10.1007/s00701-022-05328-1. Epub 2022 Jul 30.

Abstract

Glioblastoma is one of the most aggressive brain tumors in adults. The standard treatment is radiotherapy and chemotherapy based on the Stupp regimen after maximal safe resection. One effective chemotherapeutic drug is bevacizumab, which can prolong progression-free survival in glioblastoma patients but not overall survival. Adverse events of bevacizumab include hypertension, proteinuria, delayed wound healing, bleeding of the nose and gums, and thromboembolism resulting in gastrointestinal perforation. Herein, we describe an autopsy case of a patient with glioblastoma who died from non-occlusive mesenteric ischemia that was presumably caused by bevacizumab.

摘要

胶质母细胞瘤是成人中最具侵袭性的脑肿瘤之一。标准治疗方法是在最大安全切除术后基于Stupp方案进行放疗和化疗。一种有效的化疗药物是贝伐单抗,它可以延长胶质母细胞瘤患者的无进展生存期,但不能延长总生存期。贝伐单抗的不良事件包括高血压、蛋白尿、伤口愈合延迟、鼻出血和牙龈出血,以及导致胃肠道穿孔的血栓栓塞。在此,我们描述了一例胶质母细胞瘤患者的尸检病例,该患者死于可能由贝伐单抗引起的非闭塞性肠系膜缺血。

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