Effective Lenvatinib Treatment Complicated with Secondary Tracheocutaneous Fistula in Patients with Advanced Anaplastic Thyroid Carcinoma

被引:1
|
作者
Wu, Wen-Chi [1 ]
Lai, Jiun-, I [2 ,3 ]
Chen, Jui-Yu [4 ]
Liu, Chun-Yu [2 ,3 ,5 ]
机构
[1] Taipei Vet Gen Hosp, Dept Med, Taipei 11217, Taiwan
[2] Natl Yang Ming Univ, Inst Clin Med, Taipei 11221, Taiwan
[3] Taipei Vet Gen Hosp, Dept Oncol, Div Med Oncol, Taipei 11217, Taiwan
[4] Taipei Vet Gen Hosp, Dept Surg, Taipei 11217, Taiwan
[5] Taipei Vet Gen Hosp, Div Transfus Med, Dept Med, Taipei 11217, Taiwan
关键词
lenvatinib; anaplastic thyroid carcinoma (ATC); tracheocutaneous fistula; tumor-cutaneous fistula; carotid blowout syndrome;
D O I
10.3390/reports2030022
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Anaplastic thyroid carcinoma (ATC) is a fatal disease with a poor prognosis. Lenvatinib is an oral multi-targeted tyrosine kinase inhibitor (TKI) which is approved in Japan for the treatment of ATC. Data of treatment response and adverse effects of lenvatinib in ATC patients is still relatively scarce, especially in non-Japanese patient populations. Here we report dramatic treatment effects of lenvatinib in two patients with stage IVc ATC, who later developed significant morbidities including tracheal perforation and fistula formation. Our cases demonstrate the efficacy and provide cautionary information for treatment of ATC. In treating advanced ATC patients with lenvatinib, close monitoring is highly recommended.
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页数:6
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