Antineoplastics
Transcript of Antineoplastics
Reactions 1369 - 17 Sep 2011
Antineoplastics
Various toxicities: case reportA man developed various toxicities during his first,
second and third lines of chemotherapy [outcomes notstated].
On 20 November 2003, the man commenced first linechemotherapy with S-1 120 mg/day for 3 weeks, followedby 2 weeks’ rest, with cisplatin 60 mg/m2 on day 8 [routesnot stated]. He received three courses, but developedgrade 2 anaemia during treatment [time to reaction onsetnot stated].
On 29 March 2004, second line chemotherapy wasstarted for metastatic disease with paclitaxel 60 mg/m2 viasystemic dosing and 20 mg/m2 via interperitoneal dosingfor 2 weeks, followed by 1 week of rest [frequency notclearly stated]. On 10 June, oral S-1 100 mg/day (2 weekson–1 week off) was added; he received 16 courses. Duringsecond line chemotherapy, he developed grade 2 anaemia,grade 1 alopecia and grade 1 leucopenia [times to reactionsonset not stated].
Third line chemotherapy was started on 2 June 2005 withthe addition of tri-weekly irinotecan 50 mg/m2 [route notstated] to his existing paclitaxel and S-1 regimen. Hereceived 20 courses of third line chemotherapy. In July2005, he developed grade 2 anaemia and grade 1 liverfunction impairment. Interperitoneal paclitaxel dosing wasstopped. He died on 4 November 2005.Seshimo K, et al. A case of gastric cancer with peritoneal dissemination whoachieved long survival by successive treatments with S-1 in combination withCDDP, paclitaxel and irinotecan. Gan to Kagaku Ryoho 36: 1741-1744, No. 10,Oct 2009 [Japanese; summarised from a translation] - Japan 803060352
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