在患有软组织肉瘤的患者中,用巴佐帕尼布治疗辐射召回肌肉炎
Melike Pekyürek Varan1, Hande Turna2, Fazilet Öner Dinçbaş3
1Department of Radiation Oncology, University of Health Sciences, Dr Lutfi Kırdar Training and Research Hospital, İstanbul, Turkey.
概括
辐射召回肌肉炎,在放射治疗后对抗癌药物的罕见反应,可以有效地管理. 这一案例强调了帕佐帕尼布作为潜在的触发物,并概述了成功治疗辐射回忆症状的策略.
科学领域:
- 在瘤学瘤学.
- 辐射疗法 辐射疗法
- 药理学 药理学是指药理学的学科.
背景情况:
- 辐射回忆反应是先前被辐射的组织中的急性炎症反应.
- 它通常是由放射治疗后服用的抗癌药物触发的.
- 辐射召回肌肉炎是这种反应的一个罕见表现.
研究的目的:
- 报告帕索帕尼布诱导的辐射病例,请回顾肌肉炎.
- 描述临床表现和诊断发现.
- 概述这种罕见疾病的管理和结果.
主要方法:
- 一名29岁的女性患有转移性单相突肉瘤接受了放射治疗.
- 在放射治疗后,她在开始使用pazopanib后,在被辐射的大腿中出现肌肉炎的症状.
- 诊断通过临床检查和MRI发现得到证实.
主要成果:
- 患者在右大腿部出现疼痛,,发红和温度升高.
- 磁力共振成像显示大腿肌肉有显著的胀.
- 用托西菲林,维生素E和甲基普雷迪尼索隆治疗导致症状完全缓解.
结论:
- 肌肉炎是一种不常见但显著的辐射回忆反应表现.
- 医生应考虑在接受放射治疗和巴佐帕尼布治疗的患者中进行辐射召回肌肉炎,这些患者会出现局部炎症症状.
- 及时管理可以导致完全恢复,而不会再次发生.
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