Complete remission of ovarian cancer induced intractable malignant ascites with intraperitoneal bevacizumab. Immunological observations and a literature review

被引:40
作者
Bellati, Filippo [1 ,2 ,3 ]
Napoletano, Chiara [2 ]
Ruscito, Ilary [2 ]
Pastore, Maria [3 ]
Pernice, Milena [3 ]
Antonilli, Morena [3 ]
Nuti, Marianna [2 ]
Panici, Pierluigi Benedetti [3 ]
机构
[1] Univ Rome Sapienza, Dept Gynecol & Obstet, I-15500161 Rome, Italy
[2] Sapienza Univ, Dept Expt Med, Rome, Italy
[3] Sapienza Univ, Inst Obstet & Gynaecol, Rome, Italy
关键词
Ascites; Bevacizumab; Intraperitoneal; Lymphocyte; Ovarian Cancer; REGULATORY T-CELLS; ENDOTHELIAL GROWTH-FACTOR; FALLOPIAN-TUBE CANCER; PHASE-II CONSORTIA; EPITHELIAL OVARIAN; RECURRENT OVARIAN; DEMONSTRATES ACTIVITY; MONOCLONAL-ANTIBODY; PLATINUM RESISTANCE; PRIMARY PERITONEAL;
D O I
10.1007/s10637-009-9351-4
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Malignant ascites resistant to conventional drugs frequently affects ovarian cancer patients at the end of life. Here we report the case of a patient who benefited from complete resolution of ascites after low dose intraperitoneal administration of bevacizumab. Immunological analyses showed an initial increase in proportion and function of CD8(+) effector T cells and a reduction of circulating T(reg) cells. A review of the current literature regarding bevacizumab in ovarian cancer is reported. Bevacizumab has shown a high efficacy in the treatment of ovarian cancer. Intraperitoneal administration induces an immune activation and appears promising in the treatment of malignant ascites.
引用
收藏
页码:887 / 894
页数:8
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