Adverse Events of Adjuvant Mitotane Treatment for Adrenocortical Carcinoma

被引:0
|
作者
Vodanovic, Ivana Dora [1 ]
Nekic, Anja Barac [1 ]
Sambula, Lana [2 ]
Tomsic, Karin Zibar [1 ]
Dusek, Tina [1 ,3 ]
Kastelan, Darko [1 ,3 ]
机构
[1] Univ Hosp Ctr Zagreb, Dept Endocrinol, Kispaticeva 12, Zagreb 10000, Croatia
[2] Gen Hosp Tomislav Bardek, Dept Nephrol Endocrinol & Diabetol, Koprivnica, Croatia
[3] Univ Zagreb, Sch Med, Zagreb, Croatia
关键词
Adjuvant treatment; adrenal insufficiency; adrenocortical carcinoma; adverse event; hydrocortisone replacement; mitotane; EUROPEAN NETWORK; PLASMA;
D O I
10.1080/07435800.2024.2402311
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundMitotane is the cornerstone of adjuvant adrenocortical cancer (ACC) treatment. However, its use is burdened with frequent adverse events.MethodsA retrospective analysis of adverse events was performed in 26 ACC patients adjuvantly treated with mitotane.ResultsMitotane toxicity was present in all patients (100%). Two (7.7%) patients developed 1-3 adverse events, 15 (57.7%) experienced 4-6 adverse events and 9 (34.6%) patients had more than 6 adverse events. Two (7.7%) patients discontinued mitotane due to adverse events.ConclusionCareful monitoring and timely management are essential for ensuring mitotane treatment adherence and maximizing its benefits.
引用
收藏
页码:50 / 56
页数:7
相关论文
共 50 条
  • [21] Use of a levonorgestrel-releasing intrauterine device for menorrhagia treatment during adjuvant therapy of adrenocortical carcinoma with mitotane
    Szkodziak, Piotr Robert
    Czuczwar, Piotr
    Wozniak, Slawomir
    Szkodziak, Filip
    Paszkowski, Tomasz
    GINEKOLOGIA POLSKA, 2017, 88 (10) : 576 - 577
  • [22] Mitotane (Lysodren®) in the therapy of adrenocortical carcinoma
    Raber, Wolfgang
    AUSTRIAN JOURNAL OF CLINICAL ENDOCRINOLOGY AND METABOLISM, 2019, 12 (04): : 146 - 153
  • [23] Unwanted Hormonal and Metabolic Effects of Postoperative Adjuvant Mitotane Treatment for Adrenocortical Cancer
    Basile, Vittoria
    Puglisi, Soraya
    Calabrese, Anna
    Pia, Anna
    Perotti, Paola
    Berruti, Alfredo
    Reimondo, Giuseppe
    Terzolo, Massimo
    CANCERS, 2020, 12 (09) : 1 - 15
  • [24] Outcomes of Adjuvant Mitotane after Resection of Adrenocortical Carcinoma: A 13-Institution Study by the US Adrenocortical Carcinoma Group Discussion
    Perrier, Nancy
    Scoggins, Charles
    Inabnet, William ''Barry''
    Gaines, Barbara
    Stewart, John
    Maithel, Shishir K.
    JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2016, 222 (04) : 490 - 492
  • [25] First randomized trial on adjuvant mitotane in adrenocortical carcinoma patients: The Adjuvo study.
    Berruti, Alfredo
    Fassnacht, Martin
    Libe, Rossella
    Lacroix, Andre
    Kastelan, Darko
    Haak, Harm
    Arlt, Weibke
    Decoudier, Benedict
    Lasolle, Helene
    Bancos, Irina
    Quinkler, Markus
    Villares Fragoso, Maria Candida Barisson
    Canu, Letizia
    Puglisi, Soraya
    Bourdeau, Isabelle
    Baudin, Eric
    Berchialla, Paola
    Beuschlein, Felix
    Bertherat, Jerome
    Terzolo, Massimo
    JOURNAL OF CLINICAL ONCOLOGY, 2022, 40 (06)
  • [26] Recovery of Adrenal Insufficiency is Frequent After Adjuvant Mitotane Therapy in Patients with Adrenocortical Carcinoma
    Poirier, Jonathan
    Gagnon, Nadia
    Terzolo, Massimo
    Puglisi, Soraya
    El Ghorayeb, Nada
    Calabrese, Anna
    Lacroix, Andre
    Bourdeau, Isabelle
    CANCERS, 2020, 12 (03)
  • [27] Is there a role for low doses of mitotane (o,p′-DDD) as adjuvant therapy in adrenocortical carcinoma?
    Dickstein, G
    Shechner, C
    Arad, E
    Best, LA
    Nativ, O
    JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1998, 83 (09): : 3100 - 3103
  • [28] Mitotane associated with etoposide, doxorubicin, and cisplatin in the treatment of advanced adrenocortical carcinoma
    Berruti, A
    Terzolo, M
    Pia, A
    Angeli, A
    Dogliotti, L
    CANCER, 1998, 83 (10) : 2194 - 2200
  • [29] Pregnancy in a patient with adrenocortical carcinoma during treatment with Mitotane - a case report
    Baszko-Blaszyk, Daria
    Ochmanska, Katarzyna
    Wasko, Ryszard
    Sowniski, Jerzy
    ENDOKRYNOLOGIA POLSKA, 2011, 62 (02) : 186 - 188
  • [30] Commentary: Adjuvant Mitotane for adrenocortical cancer - A recurring controversy
    Huang, Hui
    Fojo, Tito
    JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2008, 93 (10): : 3730 - 3732