Defibrotide for Sinusoidal Obstruction Syndrome and Nodular Regenerative Hyperplasia After Oxaliplatin-Based Hepatic Intra-Arterial Chemotherapy: A Case Report

被引:2
作者
Druet, Amaury [1 ]
Mosnier, Jean-Francois [2 ]
Corbineau, Erwan [3 ]
Matysiak-Budnik, Tamara [1 ]
Touchefeu, Yann [1 ]
Viala, Caroline [1 ]
机构
[1] Univ Hosp Nantes, Inst Malad Appareil Digestif, Digest Oncol Unit, 1 Pl Alexis Ricordeau, F-44093 Nantes 1, France
[2] Univ Hosp Nantes, Dept Pathol, Nantes, France
[3] Univ Hosp Nantes, Dept Pharm, Nantes, France
关键词
Sinusoidal obstruction syndrome; Oxaliplatin; Intra-arterial infusion; Colorectal neoplasm; Defibrotide; COLORECTAL-CANCER; ARTERIAL INFUSION; LIVER METASTASES; RESECTION; TRIAL;
D O I
10.1016/j.clcc.2021.10.003
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
• Sinusoidal obstruction syndrome (SOS) is a life-threatening complication of oxaliplatin-based chemotherapy. • Nodular regenerative hyperplasia can be associated at a late stage of SOS, and should be suspected in case of signs of portal hypertension such as thrombocytopenia or splenomegaly. • To our knowledge, this is the first report of SOS occurring after oxaliplatin hepatic arterial infusion (HAI). • We report a case of a 43-year-old man, with colorectal liver metastases with SOS associated with nodular regenerative hyperplasia, diagnosed after 28 cycles of oxaliplatin-based HAI, treated with defibrotide but with a fatal outcome. © 2021 Elsevier Inc.
引用
收藏
页码:E98 / E101
页数:4
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