[甲磺酸伊利布林治疗乳腺癌转移期间的急性胰腺炎病例]。

Q4 Medicine Japanese Journal of Cancer and Chemotherapy Pub Date : 2024-09-01
Tsuyaka Koga, Kengo Shirahane, Shunya Nakashita, Noriko Oza, Koichiro Morita, Hitoshi Aibe
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引用次数: 0

摘要

我们报告了一名 46 岁日本女性的病例,她被诊断为Ⅳ期右乳腺癌,cT1cN1M1(卵巢和腹膜转移)。我们将贝伐单抗+紫杉醇作为一线治疗方案。在第13个疗程中,腹膜播散进展,治疗方案改为艾瑞布林(1.4 mg/m2)作为二线治疗。在第二个疗程中,患者出现腹胀,随访期间腹胀缓解。然而,从第四个疗程的第 9 天开始,患者出现腹胀和腹痛。根据血液生化检查和 CT 扫描结果,她被诊断为急性胰腺炎(CT 1 级),并被送入医院。在禁食和补充液体治疗后,她的临床症状和实验室数据均有所改善,8 天后出院。她没有过量饮酒史,也没有胆道疾病的证据,因此被认为是麦角新碱诱发的胰腺炎。
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[Case of Acute Pancreatitis during Eribulin Mesilate Therapy for Metastasis of Breast Cancer].

We report the case of a 46-year-old Japanese woman diagnosed with Stage Ⅳ right breast cancer, cT1cN1M1(ovarian and peritoneal metastases). We administered bevacizumab+paclitaxel as the first-line treatment. In the 13th course, the peritoneal dissemination progressed, and the regimen was changed to eribulin(1.4 mg/m2)as the second-line treatment. During the second course, abdominal distension developed and was resolved during follow-up. However, abdominal distension and pain were observed from day 9 of the fourth course. Based on the results of blood chemistry and CT scans, she was diagnosed with acute pancreatitis(CT Grade 1)and was admitted to the hospital. After fasting and fluid replacement therapy, her clinical symptoms and laboratory data improved, and was discharged from the hospital 8 days later. She had no history of excessive alcohol consumption and no evidence of biliary disease, and was considered having eribulin-induced pancreatitis.

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