Antineoplastics
Transcript of Antineoplastics
Reactions 1370 - 24 Sep 2011
Antineoplastics
Dysgeusia, leg oedema and numbness: casereport
A 47-year-old man with metastatic gastric cancerdeveloped dysgeusia and leg oedema while receivingchemotherapy with S-1 and docetaxel; he subsequentlydeveloped numbness while receiving paclitaxel andcisplatin [some routes not stated; outcomes not stated].
Following the initial diagnosis, the man underwent alaparotomy. On day 15 after surgery, he commencedS-1 80 mg/m2/day, with each course consisting of 2 weeksof dosing and 1 week of rest, as well as IV docetaxel40 mg/m2 administered on day 1. On day 24 after surgery,he was discharged. Chemotherapy was continued on anout-patient basis. After 5 months of treatment, he hadincreased tumour markers; however, disease progressioncould not be confirmed and chemotherapy was continued.He subsequently developed taste alteration and legoedema, graded 1–2 according to the CommonTerminology Criteria for Adverse Events. He requestedchanges to the treatment method.
Approximately 7 months after surgery, the man’streatment was switched to paclitaxel 80 mg/m2 andcisplatin 25 mg/m2, with 3 weeks of dosing on days 1, 8 and15, followed by 1 week of rest. He subsequently reportedgrade 1 numbness [duration of treatment to reaction onsetnot stated]. He continued to receive chemotherapy as anout-patient.Yamada K, et al. A case of nonresected gastric cancer with peritonealdissemination effectively treated by S-1/DOC and PTX/CDDP combinationchemotherapy with good QOL. Gan to Kagaku Ryoho 36: 1155-1158, No. 7, Jul2009 [Japanese; summarised from a translation] - Japan 803060347
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