Oxaliplatin-Induced Immune-Mediated Thrombocytopenia: A Case Report

被引:11
作者
Woo, Hyun Sun [1 ]
Lee, Kyoung Hwa [1 ]
Yoon, Phill Hoon [1 ]
Kim, Su Ji [1 ]
Park, Inkeun [1 ]
Kim, Young Saing [1 ]
Ahn, Hee Kyung [1 ]
Hong, Junshik [1 ]
Shin, Dong Bok [1 ]
Sym, Sun Jin [1 ]
机构
[1] Gachon Univ, Gil Med Ctr, Dept Internal Med, Div Hematol & Oncol, Inchon 21565, South Korea
来源
CANCER RESEARCH AND TREATMENT | 2015年 / 47卷 / 04期
关键词
Oxaliplatin; Colorectal neoplasms; Thrombocytopenia; Neutropenia; ADVANCED COLORECTAL-CANCER; OF-THE-LITERATURE; PANCYTOPENIA; FLUOROURACIL; LEUCOVORIN; TRIAL;
D O I
10.4143/crt.2014.052
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Oxaliplatin is a third-generation platinum derivative used for metastatic or advanced colorectal cancer treatment. Although myelosuppression is the most common cause of oxaliplatin-induced thrombocytopenia, rare cases of oxaliplatin-induced immune-mediated thrombocytopenia are reported. We report a case of a 57-year-old woman with colon cancer who developed gum bleeding and petechiae after oxaliplatin infusion. Laboratory tests revealed grade 4 thrombocytopenia and grade 4 neutropenia. She recovered from the thrombocytopenia and accompanying neutropenia within 4 days with no recurrence following discontinuation of oxaliplatin. Physicians need to be aware of the risk of severe acute thrombocytopenia following oxaliplatin administration.
引用
收藏
页码:949 / 953
页数:5
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