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Updated: Feb 7, 2026

Establishment of a Primary Culture of Patient-derived Soft Tissue Sarcoma
Published on: April 11, 2018
Recurrent retroperitoneal soft tissue sarcoma showing drastic reduction after pazopanib administration accompanied by
Kazuki Okubo1, Akio Horiguchi1, Keiichi Ito1
1Department of Urology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
Abstract:
Pazopanib is an orally bioavailable tyrosine kinase inhibitor anticancer drug approved worldwide for the treatment of metastatic renal cell carcinoma and advanced soft tissue sarcoma. Here we report the case of a patient whose recurrent retroperitoneal soft tissue sarcoma showed a drastic reduction immediately after pazopanib administration accompanied by severe liver dysfunction. His liver function was restored conservatively by giving him hepatoprotectors and having him stop taking pazopanib. The recurrent tumor disappeared but by 4 months later had regrown.
Insights
Pazopanib effectively treated soft tissue sarcoma but caused severe liver dysfunction. Treatment was stopped, liver function recovered, and the tumor regrew, highlighting a critical treatment challenge.
Area of Science:
- Oncology
- Pharmacology
- Hepatology
Background:
- Pazopanib is an oral tyrosine kinase inhibitor used for metastatic renal cell carcinoma and soft tissue sarcoma.
- Soft tissue sarcoma is a rare cancer requiring effective treatment options.
Observation:
- A patient with recurrent retroperitoneal soft tissue sarcoma experienced tumor reduction after pazopanib initiation.
- This response was concurrent with severe liver dysfunction.
Findings:
- Pazopanib administration led to a significant decrease in tumor size.
- Discontinuation of pazopanib and conservative management with hepatoprotectors restored liver function.
- The sarcoma regrew within four months after treatment cessation.
Implications:
- Pazopanib demonstrates efficacy in soft tissue sarcoma but carries a risk of severe hepatotoxicity.
- Careful monitoring of liver function is crucial during pazopanib therapy.
- Further research is needed to optimize pazopanib use and manage its side effects in sarcoma patients.
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