Successful treatment with carboplatin and etoposide in a small-cell lung cancer patient undergoing hemodialysis

Young Hak Kim, Tadashi Mio, Yumi Hamamoto, Michiaki Mishima
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Abstract

Chemotherapy for cancer patients with chronic renal failure, undergoing hemodialysis (HD), has not been well established. A 78-year-old woman with chronic renal failure due to hypertensive nephropathy, undergoing HD, was diagnosed with small-cell lung cancer (SCLC) with multiple-organ metastases. She was treated with 4 cycles of carboplatin (CBDCA) and etoposide (ETP) chemotherapy and a partial response was achieved. She remained progression-free for at least 12 months after the completion of chemotherapy. Pharmacokinetic analysis (PK) revealed that both agents were rapidly eliminated by HD; however, the remnant platinum remained longer in the plasma. Chemotherapy with CBDCA and ETP was effective and could be safely administered to a patient with SCLC undergoing HD.

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卡铂和依托泊苷在接受血液透析的小细胞肺癌患者中的成功治疗
化疗对慢性肾衰竭的癌症患者进行血液透析(HD)尚未得到很好的证实。一例78岁女性高血压肾病导致慢性肾衰竭,接受HD治疗,诊断为小细胞肺癌(SCLC)伴多器官转移。她接受了4个周期的卡铂(CBDCA)和依托泊苷(ETP)化疗,并取得了部分缓解。化疗结束后至少12个月无进展。药代动力学分析(PK)显示,这两种药物都能被HD迅速消除;然而,残余的铂在等离子体中停留的时间更长。CBDCA和ETP的化疗是有效的,可以安全地用于SCLC合并HD的患者。
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